adult drugs

Question 1

fentanyl

Answer 1

-IV; 50-100 mcg
       Q 5 minutes
       max 200 mcg
-IM; 1 mcg/kg
        max single 100 mcg
        Q 30 minutes at 1/2 dose
        max 200 mcg
-IN; 1 mcg/kg, no repeats
-1/2 dose for pt>65
-monitor and O2 for all
-dosage 2ml, 50 mcg/ml
-SBP>100

Question 2

benadryl

Answer 2

sedation;
          50 mg IM
          25 mg IV
allergic reaction reaction/anaphylaxis;
          50 mg IV/IM
          in severe anaphylaxis, only with improved BP
phenothiazine reaction;
          1 mg/kg
          max 50

Question 3

midazolam

Answer 3

sedation for cardioversion, TCP, fracture, behavioral, airway management;
          IV- 2 mg
                repeat 1-2 mg Q 3 minutes
                max 0.1 mg/kg
                SBP>90
          IM- 0.1 mg/kg Q 30 min
          PT>65- 0.05 mg/kg, IV/IM
          Dosage- 1 ml, 5 mg/ml
seizure;
          IV- 2 mg
          -repeat 1-2 mg Q 5 min
          -max 10 mg
          IM/IN- 5 mg
          -repeat Q 10 min
          -max 10 mg

Question 4

zofran

Answer 4

4 mg IV, IM, PO
Q 10
Max 12
Sensitivities- Granisetron (Kytril), Dolasetron (anzemet), Palonosetron (aloxi)
Doage- 2 ml, 2 mg/ml

Question 5

epi (1:10)

Answer 5

vf/vt;
         1 mg Q 3-5 min
         after 2nd defib attempt
asystole/PEA;
         1 mg Q 3-5 min
anaphylaxis without palpable BP;
         0.1 mg
         repeat X4 Q 2 min
severe bronchospasm and imminent arrest;
         0.1 mg IV
         repeat X4 Q 2 min
dosage-

Question 6

amiodarone

Answer 6

vf/vt;
        300 mg w/ flush
        after epi
        Repeat 150 mg in 3-5 min
pulsing VT and ventricular ectopy;
         150 mg in 100 ml solution
         over 10 min
         repeat w/o change in rhythm
dosage-

Question 7

adenosine

Answer 7

SVT;
6 mg rapid w/ flush
repeat 12 mg in 2 min
dosage-

Question 8

atropine

Answer 8

bradycardia;
0.5 mg
repeat Q 5 min
total 3 mg
stop with atropinazation
consider TCP first, dopamine after
insecticide;
2 mg
repeat once
hold with dilated pupils, tachycardia
use only in presence of bronchospasm, copious bronchial secretions
base contact for dose past 4 mg

Question 9

dopamine

Answer 9

bradycardia;
10 mcg/kg/min and titrate
after TCP, atropine
cardiogenic shock (signs of shock and ACS, SBP

Question 10

apsirin

Answer 10

ACS;
324 mg PO
consider active GI bleed, allergy
even if they took their own

Question 11

nitroglycerin

Answer 11

ACS;
        0.4 mg PO
        Q 5 min
        maintain SBP>100
        contraindication- viagra, levitra100- 0.4 mg
        BP>150- 0.8 mg
        repeat Q 5 min
        max 2.4 mg

Question 12

epi (1:1)

Answer 12

moderate allergic reaction;
         0.3 mg IM
         repeat once in 10 min
         caution pt>50, CAD
anaphylaxis;
         0.3 mg IM
         repeat X2 Q 10 min
severe bronchospasm;
         0.3 mg IM
         caution pt>50, CAD

Question 13

sodiun bicarbonate

Answer 13

TCA overdose;
          1 mEq/kg
cardiac arrest of dialysis pt;
          50 mEq
          flush well, cancels epi
crush syndrome;
           50 mEq in IV bag at drip rate

Question 14

calcium chloride

Answer 14

cardiac arrest od dialysis pt;
           1 g
           use in separate line from bicarb
crush syndrome with cardiac changes;
           2-4 mg (10% solution)

Question 15

narcan

Answer 15

max 2 mg

Question 16

D10

Answer 16

hypoglycemia 60-80;
150 ml/15 g
100 ml/10 g if unchanged

Question 17

D50

Answer 17

25 G

if unresponsive to D10

Question 18

oral glucose

Answer 18

hypoglycemia 60-80, able sit upright, self administer

Question 19

glucagon

Answer 19

hypoglycemia, unable to start IV;

1 mg IM

Question 20

albuterol

Answer 20

bronchospasm;

5 mg

Question 21

atrovent

Answer 21

bronchospasm;
0.5 mg
use with albuterol only once in severe bronchospasm