Asthma/copd

Question 1

Duoneb dose

Answer 1

0.5 mg ipratropium/2.5 mg albuterol (3mL = 1 unit) via nebulizer q 10min PRN
x 3 doses total.

Question 2

Ipratropium dose if allergic to albuterol

Answer 2

0.5 mg (1 unit dose) via nebulizer q 10min PRN x 3 doses total.

Question 3

Albuterol dose (adult and pediatric)

Answer 3

2.5 mg (1 unit dose) via nebulizer q 15min PRN

Question 4

Solu-Medrol dose Adult

Answer 4

125mg IV

Question 5

Solu-Medrol dose pediatric

Answer 5

2mg/kg max of 60mg.

Question 6

<1 year old, racemic epi dose for asthma

Answer 6

0.5 mL of 2.25% solution diluted in 2.5mL NS. May repeat q 10 minutes PRN.

Question 7

Magnesium Sulfate Adult dose

Answer 7

2 grams IV over 20 – 30 min once.

Question 8

Magnesium Sulfate pediatric dose

Answer 8

50 mg/kg IV over 20 – 30 min once.
Maximum dose 2
grams.

Question 9

Adult epi dose for asthma

Answer 9

1:1000
0.3mg IM
May repeat q20 x2

Question 10

Pediatric epi dose for asthma

Answer 10

0.01mg/kg (0.01ml/kg) IM
max dose 0.3mg
May repeat q20 x2

Question 11

Terbutaline

Answer 11

<12 years old
10 mcg/kg subcutaneous/IM OR 10 mcg/kg IV over 10 min.
Maximum 400 mcg/dose SC/IM/IV.
May repeat q 20 minutes PRN, for a maximum of 3 total doses.
For IV dosing, mix 1 mg/100 mL NS (= 10 mcg/mL).