Adult drug dosage

Question 1

Adenosine

Answer 1

Initial dose 6mg IV rapid push. Follow up dose 12mg IV rapid push.

Question 2

Amiodarone for vfib and pulseless vtac

Answer 2

300mg IV push. Follow up dose of 150mg IV after 10 minutes if vf/pvf persist.

Question 3

Amiodarone for unstable vtac

Answer 3

150mg IV over 10 minutes

Question 4

Amiodarone for stable polymorphic vtac

Answer 4

150mg IV over 10 minutes

Question 5

Atropine for bradycardia

Answer 5

.6mg IV push to max dose of .04mg/kg(about 3mg for most)

Question 6

Atropine for organophosphate toxicity

Answer 6

1-2mg IM/IV, every 5-60 minutes until symptoms resolve

Question 7

Calcium Chloride

Answer 7

1g IV over 3 minutes. May repeat once in 10 minutes if indications are present.

Question 8

Diphenhydromine

Answer 8

50mg IM/IV or 1mg/kg. Max dose 300mg

Question 9

Epinephrine in cardiac arrest

Answer 9

1mg every 3-5minutes. max dose 3-4mg

Question 10

Epinephrine for pre-arrest anyphlaxis or bronchospasm

Answer 10

50-100mcg IV/IO may repeat as necessary

Question 11

Epinephrine for peri-arrest hypotension

Answer 11

10mcg IV/IO every 2-3 minutes

Question 12

Epinephrine for significant bradycardia

Answer 12

2-10 mcg/minute IV/IO infusion

Question 13

Fentanyl loading dose for moderate to severe pain

Answer 13

0.5-1.0mcg/kg IM/IV/IO: max single does of 100mcg. may repeat every 5 minutes to total of 300mcg
or
1.5-2.0mcg/kg IN

Question 14

Fentanyl maintenance dose for long conveyancies

Answer 14

50mcg IM/IV/IO every 10 minutes. max dose of 250mcg/hour
or
50-100mcg IN every 10 minutes

Question 15

Ipratropium (atrovent)

Answer 15

160mcg via MDI (8x20mcg sprays)

Question 16

Ketamine for analgesia

Answer 16

0.3mg/kg iv slow push. Repeat .15mg/kg after 5 minutes. max cumulative dose .6mg/kg in 45 mins
or
.5mg/kg IM

Question 17

Ketamine for procedural sedation

Answer 17

0.1-0.5mg/kg slow push every 60 seconds to effect

Question 18

Ketamine for anesthesia induction

Answer 18

2mg/kg IV/IO if shock index >1
or
1mg/kg IV/IO if shock index <1
(half of required induction dose every 10-15mins for maintenance)

Question 19

Ketamine for Excited Delirium

Answer 19

4-5mg/kg IM max dose of 500mg

Question 20

Lidocaine for ventricular rhythm control

Answer 20

1.0/1.5 mg/kg IV bolus

may repeat .5-1.0 mg/kg max dose of 3mg/kg

Question 21

Lidocaine for IO cannulation in conscious pt’s

Answer 21

40mg over 120 seconds

Question 22

Magnesium sulfate for control of ventricular arrthymias (inc Torsades de Pointes)

Answer 22

Perfusing rhythms 2g IV over 15 minutes

In cardiac arrest 4g IV push

Question 23

Mac Sulfate for bronchospasm

Answer 23

2g IV over 20 minutes

Question 24

Midazolam (all indications)

Answer 24

2-5mg IV/IO in increments to effect
or
5-10mg IM
max dose from all sources is 30mg

Question 25

Morphine for pain management in palliative

Answer 25

0.1mg/kg SC or 2-5-5mg SC

Question 26

Phenylephrine

Answer 26

100mcg IV slow push every 2-5 minutes to max dose of 500mcg. Administer over 20-30 secs.

Question 27

Sodium Bicarbonate

Answer 27

1mEq/kg IV/IO slow push. may repeat .5mEq/kg IV/IO every 10-15 mins