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Adult Dose Flashcards

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1
Q

Acetaminophen

A

Adult: (Pain) 15 mg/kg IV/PO
Max dose = 1000 mg

Pediatric: (Febrile seizures)
15 mg/kg PR/IV/IO/PO.
Max dose = 650 mg

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2
Q

activated charcoal

A

Adult: 25 -100 g PO/NG
Pedi:
less than 1 year: 1 g/kg PO/NG
older than 1 year: 25 - 100 g PO/NG

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3
Q

adenosine

A

Adult:
Initial dose = 6 mg rapid IV/IO push.
If rhythm does not convert, additional dose of 12 mg rapid IV/IO push.
Max total dose = 30 mg.

Pediatric:
Initial dose = 0.1 mg/kg rapid IV/IO push.
If rhythm does not convert, additional dose of 0.2 mg/kg rapid IV/IO push.

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4
Q

albuterol

A

Adult:
Respiratory distress:
2.5 - 5 mg via nebulizer or 1-3 puffs (90 - 180 mcg) via MDI

Respiratory distress with signs of bronchospasm:
5 mg via nebulizer or 6 puffs via MDI. Repeat for continued respiratory distress.
No maximum dose.

Hyperkalemia: 5 mg via nebulizer

Pediatric:

Mild to moderate asthma, anaphylaxis, and hyperkalemia:

If using an MDI with a spacer: 4 - 8 puffs as needed every 20 minutes.

If using a nebulizer,
weight < 20 kg = 2.5 mg /dose.
weight > 20 kg = 5 mg /dose.
Repeat every 20 minutes.

Respiratory distress with bronchospasm:
5 mg via nebulizer or 6 puffs via MDI. Repeat for continued respiratory distress.
No maximum dose.

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5
Q

amiodorone

A

Adult:
V-fib, pulseless v-tach = Initial dose of 300 mg IV/IO push.
Repeat dose of 150 mg IV/IO push

All other indications:
Initial dose of 150 mg IV/IO over 10 minutes. Repeat every 10 minutes as needed. After conversion of the rhythm, follow with an infusion of 10 - 50 mg/hr over 24 hours with a maximum cumulative dose of 1.1 g per 24 hours.

Pediatric:
V-fib, pulseless v-tach: 5 mg /kg IV/IO push
Poorly perfusing dysrhythmias (atrial or ventricular): 5 mg/kg IV/IO drip over 20-60 minutes

maximum total single dose = 300 mg
maximum total cumulative dose (24 hrs) = 15 mg/kg OR 2.2 g in patients greater than 13 years of age.

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6
Q

aspirin

A

Adult: 162 - 325 mg PO

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7
Q

atropine sulfate

A

Adult:
Symptomatic bradycardia: 0.5 - 1 mg ( 1 mg per AHA) IV/IO every 3-5 minutes. Maximum dose = 3 mg
ACH poisoning: extremely large doses

Pedi:
Symptomatic bradycardia = 0.02 mg/kg IV/IO. Maximum single dose : 0.5 ng, Maximum total dose = 1 mg (children under 13 years) or 3 mg (children over 13 years). If administering via ETT: 0.04 - 0.06 mg/kg

ACH poisoning:
Younger than 12 years: FIrst dose of 0.05 mg/kg. Repeat and double the dose every 5 minutes until symptoms resolve.
12 years and older: First dose 1 mg IV/IO. Repeat and double the dose every 5 minutes until symptoms resolve.
RSI: 0.02 - 0.02 mg/kg IV/IO or 0.02 mg/kg IM. Maximum IV/IO dose = 0.5 mg.
No maximum IV dose.

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8
Q

calcium chloride

A

Adult:
Calcium channel blocker OD/hyperkalemia = 500 - 1000 mg slow IV/IO push over 5 minutes. Repeat as needed.

Pediatric:
Calcium channel blocker OD /hyperkalemia/hypocalcemia:
20 mg/kg slow IV/IO push.
Maximum dose: 1000 mg.
Repeat as needed.

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9
Q

calcium gluconate

A

= Hydroflouric acid burns = apply a generous amount of topical gel and leave in place for at least 20 minutes.

Adult:
Calcium Channel Blocker OD / hyperkalemia = 1500 - 3000 mg (1.5 - 3 g) slow IV/IO push over 5 minutes.

Pediatric: Calcium channel blocker OD / hyperkalemia / hypocalcemia: 60 mg/kg slow IV push over 10 minutes. Repeat as needed.

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10
Q

dexamethasone

A

Adult
AMS: 4mg IM/slow IV/PO every 6 hours as needed.

HACE: First dose of 8mg IM/slow IV/PO. Repeat dose of 4mg IM/IV/PO q 6 hours PRN

Asthma: 0.6mg/kg IM/slow IV/PO. Maximum dose of 16mg. No repeat dose.

Pediatric (dexamethasone is not for pediatric prophylaxis)

AMS, HACE: 0.15mg/kg IM/slow IV/PO every 6 hours. Maximum single dose: 4mg.

Croup: 0.6mg/kg IM/slow IV/IO/PO. Maximum dose: 16mg. No repeat dose.

Asthma: 0.6mg/kg IM/slow IV/IO every 24 hours. Maximum single dose: 16mg

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11
Q

dextrose

A

Adult: 25g of D10 or D50 IV. Repeat PRN.

Pediatric: 0.5-1g/kg of D10 or D25 slow IV/IO push. Repeat PRN.

Neonates, Infants: 0.2g/kg of D10 IV/IO followed by 5ml/kg/hr of D10 IV/IO infusion

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12
Q

diazepam

A

Adult
Shivering (hyperthermia): 2mg IV/IO. May repeat once in 5 minutes.
Chemical restraint: 5mg IV or 10mg IM.
Pediatric
Seizures: 0.1mg/kg slow IV/IO. Maximum 4mg. No repeat dose.
Shivering (hyperthermia): 0.1mg/kg IV/IO. Maximum single dose: 2.5mg. Maximum
total dose: 5mg. May repeat once. If administering PR: 0.5mg/kg. Maximum single dose:
10mg. May repeat once. Maximum total dose: 20mg.
Chemical Restraint: 0.05-0.1mg/kg IV. Maximum single dose: 5mg. If administering IM:
0.1-0.2mg/kg. Maximum single dose: 10mg. No repeat dose.
VII. Special Considerations
● Consider decreasing the dose by 50% in patients older than 60 years.
● CANA contains 10mg of diazepam for use in ACH poisoning.
VIII. Drug Interactions:
● Incompatible with most drugs and fluids

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13
Q

diltiazem

A

Note: Administer the second dose 15 minutes after the initial dose.
Adult: Initial dose of 15-20mg (0.25mg/kg) IV/IO slow push over 2 minutes. If response
to initial dose is inadequate: second dose of 20-25mg (0.35mg/kg) IV/IO slow push over
2 minutes. For patients over the age of 65: Initial dose of 10mg IV/IO with a second dose
of 20mg IV/IO. Maintenance infusion: 5-15mg/hr titrated to a physiologically appropriate
heart rate.

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14
Q

diphenydramine hydrochloride

A

Adult
Allergic reaction, anaphylaxis: 1mg/kg IV/IM/PO. Maximum dose: 50mg
Nausea/vomiting: 12.5-25mg IV/IM/PO
Dystonic reaction/extrapyramidal symptoms: 25-50mg IV/IM.
Pediatric
Allergic reaction, anaphylaxis: 1mg/kg IV/IM/PO. Maximum dose: 50mg
Nausea/vomiting: >2 years and weight greater than 12kg: 0.1mg/kg IV.
Maximum dose: 25mg.
Dystonic reaction/extrapyramidal symptoms: 1-1.25mg/kg IV/IO/IM. Maximum single
dose: 25mg.
Chemical restraint: 1mg/kg IM/IV/PO. Maximum dose: 25mg.

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15
Q

dopamine hydrochloride

A

Adult: 5-20mcg/kg/min IV/IO, slowly titrated to patient response

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16
Q

epinephrine

A

All epinephrine will be administered in one of four concentrations.
A. 1mg/ml = 1:1000
B. 0.1mg/ml = 1:10,000 (preloads are 1mg/10ml)
C. 0.01mg/ml = 1:100,000 ( To make 1:100,000 aka “push-dose epinephrine” mix 1ml of 1:10,000
in 9ml of normal saline)
D. To make epinephrine drip for IV infusion, mix 1mg of 1:1000 in 250ml NS to get 4mcg/ml.
23
Adult
Anaphylaxis: 0.3mg 1:1000 IM. Repeat every 5-15 minutes as needed.
Respiratory distress with wheezing, stridor (from anaphylaxis): 5mg (5ml) of 1:1000
nebulized.
Cardiovascular collapse (from anaphylaxis): 0.5mcg/kg/min of 1:1000 IV infusion
despite repeated IM anaphylaxis doses (0.3mg IM) AND 60ml/kg isotonic fluid boluses.
Severe bronchoconstriction with impending respiratory failure: 0.01mg/kg of 1:1000 IM.
Max dose: 0.3mg
Profound bradycardia with hemodynamic instability: 0.02-0.2mcg/kg/min IV/IO infusion,
titrated to MAP >65mmHg, or 10-20mcg of 1:100,000 IV/IO push every 2 minutes
titrated to MAP >65mmHg.
Shock unresponsive to IV fluids, or cardiogenic shock: 0.05-0.3 mcg/kg/min IV/IO
infusion.
Cardiac Arrest: 1mg 1:10,000 IV/IO every 3-5 minutes. If administered via ETT: 2-2.5mg
diluted in 10ml NS.
Pediatric
Anaphylaxis: Weight less than 25kg: 0.15mg 1:1000 IM. Weight 25kg or greater: 0.3mg
1:1000 IM. Repeat dose every 5-15 minutes as needed.
Respiratory distress with wheezing, stridor (from anaphylaxis): 5mg (5ml) of 1:1000
nebulized.
Cardiovascular collapse (from anaphylaxis): 0.5mcg/kg/min of 1:1000 IV infusion
despite repeated IM anaphylaxis doses (0.3mg IM) AND 60ml/kg isotonic fluid boluses.
Profound bradycardia with hemodynamic instability: 0.1mcg/kg IV/IO push of 1:100,000
every 3-5 minutes. Max single dose: 10mcg titrated to MAP >65mmHg.
Cardiac Arrest: 0.01mg/kg of 1:10,000 IV/IO push. Maximum dose: 1mg. If administered
via ETT: 0.1mg/kg every 3-5 minutes until IV/IO access is established.
Neonates
Bradycardia: 0.01-0.03 mg/kg of 1:10,000 IV/IO, followed by 0.5-1ml NS flush. If
administered via ETT: 0.05-0.1mg/kg 1:10,000 and repeate every 3-5 minutes as long as
heart rate remains under 60bpm.

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17
Q

etomidate

A

Adult: 0.2-0.4mg/kg IV push over 30-60 seconds
Pediatric: 0.2-0.4mg/kg IV/IO over 30-60 seconds. Maximum dose: 20mg

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18
Q

fentanyl citrate

A

Note: Maximum initial dose is 100mcg. Maximum total dose is 200mcg.
Adult
Moderate pain: 1mcg/kg IM/IN.
Severe pain: 1mcg/kg IV/IO
Pediatric
Moderate pain 1mcg/kg IM/IN.
Severe pain: 1mcg/kg IV/IO

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19
Q

flumazenil

A

Adult: Initial dose of 0.2mg IV/IO over 15 seconds. Second dose of 0.3mg IV/IO over 30
seconds. Third dose of 0.5mg IV/IO over 30 seconds. Repeat third dose PRN until
symptoms are reversed OR maximum total dose of 3mg

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20
Q

furosemide

A

Adult: 0.5-1mg/kg IV push over 1-2 minutes. Repeat dose of 1-2mg/kg IV push over 1-2
minutes.
Pediatric: 1mg/kg slow IV/IO

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21
Q

glucagon

A

Adult
Hypoglycemia: 1mg IM/IN. Repeat PRN until symptom resolution.
Calcium channel blocker, beta blocker OD: 5mg slow IV push. Repeat in 5-10 minutes.
Total maximum dose: 10mg
Pediatric
Hypoglycemia: Greater than 20kg or older than 5 years: 1mg IM/IN. Less than 20kg or
younger than 5 years: 0.5mg IM/IN. No repeat dose.
Calcium channel blocker, beta blocker OD: Greater than 25kg: 1mg slow IV push every
5 minutes. Less than 25kg:0.5mg slow IV push every 5 minutes. No maximum dose

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22
Q

glucose, oral

A

Adult: 25g PO
Pediatric: 0.5-1g/kg PO. Maximum dose: 25g

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23
Q

haloperidol

A

Adult: 5mg IV or 10mg IM
Pediatric: 6-12 years: 0.15mg/kg IM. Maximum dose: 3mg. Do not use in patients
younger than 6 years old

24
Q

hydromorphone

A

Adult and Pediatric: 0.015mg/kg IM/IV/IO. Maximum initial dose: 2mg. Maximum
cumulative dose: 4mg.
VII. Special Considerations
● 5-7 times more potent than morphine, with a shorter duration of analgesia
VIII. Drug Interactions
● MAOIs and SSRIs

25
Q

hydroxycobalamin

A

Note: Each 5g vial must be reconstituted with 200mg NS, LR, or D5W
Adult: Initial dose of 5g administered over 15 minutes at a rate of 10-15 ml/min.
Maximum single dose: 5g. Contact medical control for repeat dosing.
Pediatric: 70mg/kg IV at a rate of 10-15 ml/min. Maximum single dose: 5g

26
Q

ibuprofen

A

Adult: 10mg/kg PO. Maximum dose: 800mg
Pediatric Febrile seizure: For patients older than 6 months: 10mg/kg PO.
Maximum dose: 600mg

27
Q

ipratropium bromide

A

Adult and Pediatric: 0.5mg nebulized. May give up to 3 doses in conjunction with albuterol

28
Q

ketamine

A

Adult
Procedural Sedation: 1-2 mg/kg IV push over 1-2 minutes.
Moderate Pain: 0.5mg/kg IN. Maximum initial dose: 55mg. Maximum total dose: 100mg
Severe pain: 0.25mg/kg IM/IV/IO. Maximum initial dose: 25mg.
Maximum total dose: 100mg
Chemical restraint: 2 mg/kg IV or 4mg/kg IM
Pediatric
Procedural sedation: 1-2 mg/kg IV/IO push over 1-2 minutes
Chemical restraint: 1 mg/kg IV or 3 mg/kg IM

29
Q

ketorolac tromethamine

A

Adult
Moderate Pain: 30mg IM
Severe Pain: 15mg IV
Pediatric (2-16 years)
Moderate Pain: 1mg/kg IM. Maximum dose: 30mg
Severe Pain: 0.5mg/kg IV. Maximum dose: 15mg
Febrile seizures: 1mg/kg IV. Maximum dose: 15mg

30
Q

labetolol

A

Adult: 10mg IV push over 1-2 minutes. May repeat or double every 10 minutes to a
maximum dose of 150mg. Infusion: 2-8mg/min, titrate to supine BP

31
Q

lidocaine hydrochloride

A

Adult
V-Fib/Pulseless V-Tach/Stable Pulsing V-Tach: Initial dose of 1-1.5mg/kg IV/IO. Repeat
dose of 0.5-0.75mg/kg IV/IO, 5-10 minutes after initial dose.
Maximum total dose: 3mg/kg.
Maintenance Infusion: 1-4mg/min
Conscious IO: 0.5 mg/kg to a maximum of 40mg
Pediatric
All Cardiac Indications: 1mg/kg IV/IO push. If administering via ETT: 2-3mg/kg.
Maintenance Infusion: 20-50 mcg/kg/min. If maintenance infusion is started more than
15 minutes after initial IV/IO push dose, repeat 1mg/kg IV/IO push.
RSI: 1-2 mg/kg IV/IO

32
Q

lorazepam

A

Adult
Anxiety/sedation: 0.1mg/kg slow IV push over 2 minutes. Max single dose: 4mg
Shivering (hyperthermia): 1mg/kg IV/IO, repeat once in 5 minutes or 2mg IM, repeat
once in 10 minutes
Chemical Restraint: 2mg IV or 4mg IM
Pediatric
Seizures: 0.1mg/kg slow IV/IO push over 2 minutes. Max single dose: 4mg
Shivering (hyperthermia): 0.1mg/kg IV/IM/IO. Max single dose: 1mg
Chemical Restraint: 0.05 mg/kg IV/IM. Max IV dose: 2mg. Max IM dose: 4 mg

33
Q

magnesium sulfate

A

Adult
Severe hypertension (SBP >160 or DBP >110) lasting more than 15 minutes with
associated preeclampsia symptoms: 4g of 20% solution IV/IO drip over 20 minutes,
followed by 1g/hr IV/IO drip.
Maternal seizure with pregnancy greater than 20 weeks: 4g of 50% solution IV/IO drip
over 10-20 minutes, followed by 1g/hr IV/IO drip. Medical control order for repeat.
Cardiac Arrest due to hypomagnesemia, pulseless Torsades: 1-2g IV/IO
Pulsing Torsades, AMI with hypomagnesemia: Mix 1-2g in 50-100ml of D5W or NS and
administer over 5-60 minutes IV drip. Follow with 0.5-1g/hr IV drip

Status asthmaticus: 1-2g IV drip over 15-30 minutes
Severe bronchoconstriction/impending respiratory failure: 40mg/kg IV drip over 10-15
minutes. Max dose: 2g

34
Q

mannitol

A

Adult: Initial dose of 0.5-1g/kg IV infusion over 5-10 minutes through an in-line filter.
Repeat doses of 0.25-2g/kg every 4-6 hours as needed

35
Q

methylprednisolone sodium succinate

A

Adult and Pediatric: 1-2mg/kg IV/IO/IM. Maximum dose: 125mg per 24 hours (adult),
60mg per 24 hours (pediatric)

36
Q

midazolam hydrochloride

A

Adult
Shivering (hyperthermia): 2.5mg IV/IN/IO and repeat once in 5 minutes, or 5mg IM and
may repeat once in 10 minutes.
Seizures: 0.1mg/kg slow IV/IO push over 2 minutes or 0.2mg/kg IM/IN. Max single
IV/IO dose: 4mg. Max single IM/IN dose: 10mg
Chemical Restraint: 5mg IV/IM/IN
Procedural Sedation: 0.1-0.3 mg/kg IV. Max single dose: 10mg
Poisoning/overdose: 0.1mg/kg in 2mg increments slow IV push over 1-2 minutes. Max
single dose: 5mg
Pediatric
Shivering (hyperthemia): 0.1mg/kg IV/IO or 0.2mg/kg IN/IM. Max single dose: 1mg
Seizures: 0.1mg/kg slow IV/IO push over 2 minutes or 0.2mg/kg IM/IN. Max single
IV/IO dose: 4mg. Max single IM/IN dose: 10mg
Chemical Restraint: 0.05-0.1mg/kg IV, 0.15mg/kg IM, or 0.3 mg/kg IN. Max dose: 5mg
Poisoning/overdose: 0.1mg/kg in 2mg increments slow IV push over 1-2 minutes, or
0.2mg/kg IN. Max single dose: 4mg.

37
Q

morphine sulfate

A

Adult
Moderate pain: 0.1mg/kg IM to a maximum dose of 15mg
Severe pain: 0.1mg/kg slow IV/IO to a maximum dose of 10mg
STEMI: Initial dose of 2-4mg IV over 1-5 minutes. Repeat dose of 2-8mg q 5-15 minutes
NSTEMI/unstable angina: 1-5mg slow IV push if symptoms not relieved by nitrates

Pediatric: 0.1-0.2 mg/kg IV/IO/IM . Maximum dose: 5mg

38
Q

naloxone hydrochloride

A

Adult: Initial dose of 0.4-2mg IV/IO/IM/ETT or up to 4mg IN.
Pediatric: Initial dose of 0.1 mg/kg IV/IO/IM/IN/ETT. Max dose: 2mg IV/IM/ETT or
4mg IN

39
Q

nitroglycerin

A

Adult
Ischemic chest pain, hypertension: Sublingual: 0.3-0.4mg tablet every 3-5 minute to a
maximum of 3 doses. Spray: 1-2 sprays every 3-5 minutes to a maximum of 3 doses. IV:
12.5-25mcg bolus (if no SL/spray given), then begin 10mcg/min infusion. Increase by
10mcg/min every 3-5 minutes until desired effect. Maximum dose: 200mcg/min. Paste:
Squeeze out the dose onto a supplied paper dose-measuring applicator that comes with
the medication. Place the paper applicator with ointment side down onto a dry, hairless
area of skin (preferred on the chest). Do not rub ointment into skin.
Mild CHF/pulmonary edema: 0.4mg SL. Repeat q 5 minutes.
Severe CHF/pulmonary edema: SBP 100-150: 0.4mg SL. SBP 150-200: 0.8mg SL.
SBP >200: 1.2mg SL. Repeat doses every 5 minutes based on repeat SBP

40
Q

norepinephrine bitartrate

A

Adult: 0.1-0.5 mcg/kg/min IV/IO infusion, titrate to effect
Pediatric: 0.05-0.1mcg/kg/min IV infusion, titrate to effect.
Maximum rate: 2 mcg/kg/min

41
Q

ondansetron hydrochloride

A

Adult
Nausea/vomiting: 4mg IV/SL
Nausea/vomiting with acute mountain sickness: 4mg IV/SL q 6 hours
Stimulant poisoning/OD: 8mg IV push over 2-5 minutes, or 4-8mg IM, or 8mg SL
Pediatric
Nausea/vomiting: 6 months-14 years: 0.15mg/kg IV/PO. Max dose: 4mg

42
Q

oxygen

A

Based on patient assessment (all patients with known or suspected CO poisoning should
receive high-flow O2)

43
Q

oxytocin

A

Adult: 10 units IM after delivery of placenta. IV: 10-40 units in 1,000ml fluids infused at
10-15 drops/min, titrated to severity of bleeding and uterine response

44
Q

phenylephrine

A

Adult: Two sprays in the selected nare before nasotracheal tube insertion

45
Q

pralidoxime

A

Varies based on degree of exposure, patient age and weight. Commercially-available
autoinjectors contain 600mg of 2-PAM

46
Q

procainamide hydrochloride

A

Adult
Recurrent V-Fib/Pulseless V-Tach: 20-40mg/min. Total dose: 17mg/kg.
All Other Indications: 20mg/min IV infusion until dysrhythmia suppression, hypotension,
QRS widens by more than 50% of its pretreatment width, or 17mg/kg has been given.
Maintenance Infusion: 1-4 mg/min diluted in D5W

47
Q

promethazine hydrochloride

A

Adult: 12.5-25mg deep IM
Pediatric: 0.25-0.5mg/kg deep IM

48
Q

rocuronium bromide

A

Adult: 0.6-1.2mg/kg IV/IO
Pediatric: >3 months: 0.6-1.2mg/kg IV/IO

49
Q

sodium bicarbonate

A

Adult: 1 mEq/kg slow IV/IO push
Pediatric: 1mEq/kg slow IV/IO push

50
Q

succinylcholine chloride

A

Adult: 1-1.5mg/kg rapid IV push
Pediatric: 1-1.5 mg/kg. Use 2mg/kg for infants

51
Q

terbutaline sulfate

A

Adult: 0.25mg SQ. May repeat in 15-30 minutes. Maximum dose: 0.5mg in 4 hours

52
Q

thiamine hydrochloride

A

Adult: 100mg slow IV/IO push over 5 minutes, or 100mg deep IM
VII. Special Considerations
● Pregnancy Safety: Category A
VIII. Drug Interactions
● Unstable in alkaline solutions

53
Q

tranexamic acid

A

Adult: 1g mixed in 100ml NS and infused IV over 10 minutes

54
Q

vecuronium bromide

A

Adult: 0.08-0.1mg/kg IV push over 1 minute. Maintenance dose within 20-45 minutes:
0.01-0.015mg/kg IV push every 12-15 minutes to maintain paralysis
Pediatric: 0.1-0.3 mg/kg IV/IO

55
Q

verapamil hydrochloride

A

Adult: 2.5-5mg slow IV push over 2 minutes (3 minutes in older patients). Repeat dose
of 5-10mg may be given every 15-30 minutes. Maximum total dose: 20mg
Alternative dosing: 5mg IV bolus every 15 minutes to a total dose of 30mg

56
Q
A

Paramedic Drugs (11 decks)

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