Crfd Ce Bites - Croup - 0.5hrs

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Crfd Ce Bites - Croup - 0.5hrs

This CE is worth 0. 5hrs. To get the CE credit you MUST meet the following criteria:*pass the test with 80% or better*sign the associated training sheet (number enclosed in the email). *review the "explanations" section of each question*review the following protocols: 2050 Pediatric Stridor / Croup. 9270 Racemic Epinephrine. 9120 Epinephrine


Questions and Answers
  • 1. 
    Stridor (characteristic of croup) is described as:
    • A. 

      Primarily Expiratory

    • B. 

      Primarily Inspiratory

    • C. 

      Involving a wet, productive cough

    • D. 

      Involving a "seal bark" cough

  • 2. 
    The most common cause of stridor is epiglottitis, followed by croup.
    • A. 

      True

    • B. 

      False

  • 3. 
    Check which croup symptoms are considered "Severe Symptoms" and require medicating
    • A. 

      Stridor at rest, or biphasic stridor

    • B. 

      Severe retractions

    • C. 

      SpO2

    • D. 

      Altered level of consciousness

    • E. 

      Cyanosis

    • F. 

      Mild retractions

    • G. 

      "barkey cough" but no obvious signs of respiratory distress

  • 4. 
    Oh no!  You ran out of Racemic Epinephrine and you have an acute croup patient!  What medication is used as a backup to Racemic Epinephrine?  And what's it's dose?
    • A. 

      Albuterol, 2.5ml up to 3 doses via nebulizer

    • B. 

      1:10,000 epinephrine, 5mg via nebulizer

    • C. 

      1:1,000 epinephrine, 5ml via nebulizer

    • D. 

      1mg 1:1,000 epinephrine mixed with 3ml of 0.9%NS to make a nebulizer solution

  • 5. 
    The dose of racemic epinephrine is:11.25mg of racemic epinephrine in a 0.5ml solution (one bullet) mixed with 3ml of saline (3 bullets) and administered at 6-8lpm via nebulizer.
    • A. 

      True

    • B. 

      False

  • 6. 
    It's recommended that all patients with suspected respiratory compromise have their shirts removed so you may look for retractions and excessive accessory muscle usage.Select locations you should look for retractions on a child you suspect has respiratory problems:
    • A. 

      Suprasternal notch

    • B. 

      Around the clavicles

    • C. 

      Below the ribs

    • D. 

      Intercostal muscles

    • E. 

      Base of the neck

    • F. 

      Sternal movement

    • G. 

      "seesaw breathing"

    • H. 

      Proximal to the xyphoid process

    • I. 

      Ankle Retractions

    • J. 

      Inguinal retractions

  • 7. 
    Of the following, which is not considered (per protocol) a common cause of stridor?
    • A. 

      Croup

    • B. 

      FBAO (Foreign Body Airway Obstruction)

    • C. 

      Allergic Reaction (or anaphylaxis)

    • D. 

      Trauma

    • E. 

      Infection

    • F. 

      Mass

    • G. 

      Epiglottitis

  • 8. 
    Croup is most commonly seen in children ages ___ and younger.
  • 9. 
    • A. 

      Oxygenation as needed

    • B. 

      Cold Air

    • C. 

      Minimize Agitation

    • D. 

      Saline only nebulizer

    • E. 

      Racemic Epinephrine

    • F. 

      Fluid recessitation as necessary

  • 10. 
    Racemic epinephrine is photo-sensitive, and heat sensitive.  It's to be kept in a dark, cool place.
    • A. 

      True

    • B. 

      False