Analegesic/ Cardiac/ Benzo Dosages

Question 1

Hydromorphone (Dilaudid)

Answer 1

0.2mg-1mg.

Question 2

Fentanyl Citrate (Sublimaze)

Answer 2

Dosage: A: 50-100ug (1ug/kg) IM or IV, IO slow push over 1-2 min to MAX of 150ug. PEDI: 1-2ug/kg IM/IV/IO slow push over 1-2 min. DON’T GIVE TO PEDI UNDER 2 Years.

Question 3

Morphine Sulfate (Roxand, MS Contin)

Answer 3

Dosage: A: STEMI: Initial dose: 2-4mg slow IV (1-5min). Repeat dose: 2-8mg at 5-15min intervals. NSTEMI/Unstable angina: 1-5mg IV push if symptoms not relieved by NGT with caution. PEDI: 0.1-0.2 mg/kg one dose IV/IO/IM/SC.Max dose 5mg.

Question 4

Naloxane Hydrochloride (Narcan)

Answer 4

Dosage: A: 0.4-2mg IV/IO/IM/SQ/intranasal (Diluted); minimum dose 2mg. Repeat at 5min intervals to a max total dose of 10mg. PEDI: 0.1mg/kg IV/IO/IM/SQ every 2min as needed. MAX TOTAL dose of 2mg. If no response in 10min administer an additional 0.1mg/kg.

Question 5

Nitrous Oxide 50:50 (Nitronox)

Answer 5

Dosage: instruct the patient to inhale deeply through demand valve and make or mouth piece. PEDI: Same as adult.

Question 6

Ketorolac Tromethamine (Toradol)

Answer 6

Dosage: Adult: 30-60mg IM PEDI: Not recommended

Question 7

Diazepam (Valium)

Answer 7

Dosage: A: Seizure Activity: 5-10mg IV q 10-15min PRN (5mg over 5min)(Max Dose 30mg). Premedication for cardioversion 5-15 mg IV over 5=10min prior to cardioversion. PEDI: seizure activity: 0.2mg-0.5mg/kg slow IV q 2-5min up to 5mg (Max dose 10mg/kg). Rectal Diazepami: 0.5mg/kg via 2” rectal catheter and flush with 2-3mL air after admin.

Question 8

Flumazenil (Romazicon)

Answer 8

Dosage: A: Initial dose 0.2mg IV/IO over 15 seconds. Second dose: 0.3mg IV/IO over 30 seconds. If no response, repeat once every min until adequate response or total of 3mg is given. PEDI: Not recommended.

Question 9

Larazepam (Ativan)

Answer 9

Note: When given IV/IO, must be diluted with equal volume of sterile water or NS. Dosage: A: 2-4mg slow IM/IV at 2mg/min; may be repeated in 15-20min. Max dose of 8mg. for Sedation: 0.05mg/kg up to 4mg IM. PEDI: 0.05-020 mg/kg slow IV/IO/IM over 2min. May be repeated once in 5-20min. MAX dose of 0.2mg/kg

Question 10

Midazolam Hydrochloride (Versed)

Answer 10

Dosage: A: 2-2.5mg Slow IV (over 2-3min). May repeast to a TOTAL MAX dose: 0.1mg/kg. PEDI: 0.1-0.3 mg/kg IV/IO (Max single dose 10mg)