Adult Drug Dosages

Question 1

Adenosine

Answer 1

6 mg rapid IVP immediately followed by 20 ml NS flush. Repeat in 2 minutes at 12 mg IVP followed by 20 ml NS flush PRN.

Question 2

Albuterol

Answer 2

add 2.5 mg of Albuterol mixed in 3 ml of NS (0.083%) to nebulizer and flow oxygen at 6-8 liters/min.

Question 3

Amiodarone(AFIB)

Answer 3

150 mg IV/IO in 50 ml D5W/NS over 10 minutes.

May repeat 10 minutes after last drip was completed. (3 times)

Question 4

Amiodarone(VT with pulse (stable) and SVT)

Answer 4

150 mg IV/IO in 50 ml D5W/NS over 10 minutes.

May repeat every 10 minutes PRN.

Question 5

Amiodarone(VT with pulse unstable)

Answer 5

1st dose 150mg IVP/IOP under 2 minutes - 2nd dose 150mg IV/IO in 50ml D5W/NS over 10 min.

Question 6

Amiodarone(VF and pulseless VT)

Answer 6

300 mg IV/IO push.

Question 7

Aspirin

Answer 7

162 mg- 324 mg chewable for A.M.I.

Question 8

Atropine(Cardiac Agent)

Answer 8

Bradycardias: 0.5-1 mg IV, or 1-2 mg ET, may repeat every 3-5 minutes until improved or total of 0.04 mg/kg or 3 mg is reached.

Question 9

Atropine(Antidote for Poisonings)

Answer 9

0.03 mg/kg (2 mg) IV / IM, repeat q 5-10 minutes until atropinization occurs.

Question 10

Atrovent

Answer 10

Small-volume nebulizer: 500 µg should be placed in small volume nebulizer (typically administered with a agonist).

Question 11

Calcium Chloride 10% (hypotension following administration of calcium channel blockers )

Answer 11

4 mg/kg IV, slowly. If patient is taking digitalis, 2 mg/kg IV, slowly. Repeat every 10 min. PRN.

Question 12

Calcium Chloride 10%(calcium channel blocker overdose and hyperkalemia)

Answer 12

8-16 mg/kg IV, slowly.

Question 13

Cardizem

Answer 13

0.25 mg/kg IV (over 2 minutes).

May repeat at 0.35 mg/kg IV (over 2 minutes), if needed.

Question 14

Dextrose

Answer 14

(>8 years of age) 50 cc of a 50% solution; (25 gm) IV.

If conscious, Glucose may be given orally (25 gm).

Question 15

Diphenhydramine Hydrochloride

Answer 15

25-50 mg IV or 50 mg deep IM.
The patient may require as much as 100 mg.
Do not exceed 400 mg per day.

Question 16

Dopamine

Answer 16

Initially 5 ug/kg/min; titrate to systolic blood pressure > 90mmHg.
400 mg in 250 cc, 800 mg in 500 cc, and 1600 mg in 1000 cc all yield a concentration of 1600 ug/cc.
(weight in pounds, drop last digit, then subtract 1)

Question 17

Epinephrine 1:1000

Answer 17

:0.3 mg (0.3 cc) IM.
May be repeated every 15 minutes x 3 if patient in anaphylaxis if hypotensive, start an IV and administer 3 cc of a 1:10,000 solution slow IV.

Question 18

Epinephrine 1:10,000( Code)

Answer 18

(1:10,000) 1 mg (10 ml) IV, repeat every 3-5 minutes.

Question 19

Epinephrine 1:10,000 (Nebulizer Treatment)

Answer 19

0.3mg of 1:10,000 (3 mls.) in adult nebulizer @ 6 lpm. Use Caution: in patients over 45 or of possible cardiac history

Question 20

Fentanyl

Answer 20

100mcg increments every 3-5 minutes to a maximum of 200mcg IN, IM, IO.

• IV dose is 1 mcg/kg (slow IV increments every 3-5 minutes, maximum initial dose of 100 mcg, titrated to pain and BP remains above 100 mmhg.
• Second dose: if needed, not to exceed a maximum total dose of 200mcg IV, IN, IO, IM.
• If Fentanyl was initially given IN and an IV is the established, them one IV dose of 50 mcg. can be given if needed.

Question 21

Glucagon

Answer 21

0.5 to 1.0 unit (or 0.5-1.0 mg) of Glucagon IM (or IV).

This can be repeated twice.

Question 22

Magnesium Sulfate(Eclamptic seizures)

Answer 22

4 gm IV (mixed in 50/100 ml of D5W/NS and administered over 4 minutes). May repeat once at 2 gm IV (mixed in 50/100 ml of D5W/NS and administered over 5 minutes)

Question 23

Magnesium Sulfate(Torsades de pointes and refractory VF)

Answer 23

1-2 gm IV (mixed in 50/100 ml of D5W/NS and administered over 1-2 minutes) followed by a maintenance infusion
(1 gm in 250 ml of D5W/NS administered at 30-60 gtt/min).

Question 24

Magnesium Sulfate(Asthma Adult)

Answer 24

2 grams in 50/100ml of D5W/NS over 10-20 min.

Question 25

Narcan

Answer 25

An initial dose of 2-4 mg may be administered IV, IN, IM, SC, or ET.
May repeat in 2-3 minutes.
If no response after 10mg, then condition is probably not due to narcotic.

Question 26

Nitroglycerin

Answer 26

0.4 mg (1 tablet or 1 spary sublingual).

May repeat in 3-5 minutes (no maximum as long as bp is above 110SBP ).

Question 27

Nitrous Oxide

Answer 27

Blended mixture of 50% nitrous oxide and 50% oxygen, which is self-administered through inhalation. Also apply O2 cannula at 4-6 L to maintain O2 therapy when nitrous oxide is not being administered.

Question 28

Oral Glucose

Answer 28

1 to 2 tubes Orally

Use second tube of oral glucose based on blood glucose results

Question 29

Sodium Bicarbonate

Answer 29

1 mEg/kg IV (8.4%). Repeat with 0.5 mEq/kg q 10 minutes.

Question 30

Tetracaine

Answer 30

2 drops of 0.5% solution

Question 31

Versed

Answer 31

Sedation and/or seizures 2-4 mg IV, slowly.

Max dose of 8 mg.