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WEMS > Care Map Pharmacology > Flashcards

Care Map Pharmacology Flashcards

1
Q

Epinephrine
(Asystole Arrest - Adult)

A

IV/IO 1 mg Q 4 min, no max
ETT 2 mg (dilute to 10 mL) Q 4 min, no max

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2
Q

Epinephrine
(Asystole Arrest - Adoles)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min, no max
ETT 0.1 mg/kg (dilute to 10 mL) Q 4 min, no max

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3
Q

Epinephrine
(Asystole Arrest - Ped)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min, no max

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4
Q

Calcium Gluconate (10%)
(Dialysis Arrest)

A

IV/IO 1 g (10 mL)

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5
Q

Sodium Bicarbonate
(Dialysis Arrest)

A

IV/IO 50 mEq (50 mL)

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6
Q

D50W
(Dialysis Arrest)

A

IV/IO 25 g (50 mL)

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7
Q

Insulin R
(Dialysis Arrest)

A

IV/IO 10 U (0.1 mL)

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8
Q

Normal Saline
(PEA Arrest - Adult)

A

IV 1-2 L (pressure load)

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9
Q

Normal Saline
(PEA Arrest - Adoles)

A

IV 20 mL/kg (pressure load)

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10
Q

Normal Saline
(PEA Arrest - Ped)

A

IV 20 mL/kg (pressure load)

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11
Q

Epinephrine
(PEA Arrest - Adult)

A

IV/IO 1 mg Q 4 min, no max
ETT 2 mg (dilute to 10 mL) Q 4 min, no max

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12
Q

Epinephrine
(PEA Arrest - Adoles)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min, no max
ETT 0.1 mg/kg (dilute to 10 mL) Q 4 min, no max

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13
Q

Epinephrine
(PEA Arrest - Ped)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min, no max

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14
Q

Defibrillation
(VFib/VTach Arrest - Adult)

A

200 J

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15
Q

Epinephrine
(VFib/VTach Arrest - Adult)

A

IV/IO 1 mg Q 4 min, no max
ETT 2 mg (dilute to 10 mL) Q 4 min, no max

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16
Q

Amiodarone
(VFib/VTach Arrest - Adult)

A

IV/IO 300 mg Q 4 min repeat once at 150 mg

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17
Q

Lidocaine
(VFib/VTach Arrest - Adult)

A

2nd line after Amiodarone
IV/IO 1.5 mg/kg Q 4 min, repeat twice at 0.75 mg/kg
ETT 3 mg/kg (dilute to 10 mL), Q 4 min repeat same once.

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18
Q

Defibrillation
(VFib/VTach Arrest - Adoles)

A

2 J/kg, subsequent shocks at 4 J/kg

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19
Q

Epinephrine
(VFib/VTach Arrest - Adoles)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min, no max
ETT 0.1 mg/kg (dilute to 10 mL) Q 4 min, no max

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20
Q

Amiodarone
(VFib/VTach Arrest - Adoles)

A

IV/IO 5 mg/kg (max 300 mg) Q 4 min, repeat same once (max 150 mg)

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21
Q

Lidocaine
(VFib/VTach Arrest - Adoles)

A

2nd line after Amiodarone
IV/IO 1 mg/kg Q 4 min, repeat same twice
ETT 2 mg/kg (dilute to 10 mL), Q 4 min, repeat same once

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22
Q

Defibrillation
(VFib/VTach Arrest - Ped)

A

2 J/kg, subsequent shocks at 4 J/kg

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23
Q

Epinephrine
(VFib/VTach Arrest - Ped)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min, no max

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24
Q

Amiodarone
(VFib/VTach Arrest - Ped)

A

IV/IO 5 mg/kg (max 300 mg) Q 4 min, repeat same once (max 150 mg)

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25
Q

Lidocaine
(VFib/VTach Arrest - Ped)

A

2nd line after Amiodarone
IV/IO 1 mg/kg Q 4 min, repeat same twice

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26
Q

ASA
(Acute Coronary Syndrome)

A

PO 160 mg

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27
Q

Nitroglycerine Spray
(Acute Coronary Syndrome)

A

(with Pt supine and legs elevated)
SL 0.4 mg Q 5 min, (SBP >100)

28
Q

Nitroglycerine Patch
(Acute Coronary Syndrome)

A

(with Pt supine and legs elevated)
Trans Dermal 0.2 mg/h, (apply w/ 2nd SL dose NTG)

29
Q

Fentanyl
(Acute Coronary Syndrome)

A

(SBP >100, SP02 >=95%)
IV 25 mcg Q 5 min, (max total 200 mcg)

30
Q

Tenecteplase
(STEMI Reperfusion)

A

Option 2 (unaffected by renal function or age)
<60 kg - IV 30 mg (6 mL)
60 kg to <70 kg - IV 35 mg (7 mL)
70 kg to <80 kg - IV 40 mg (8 mL)
80 kg to <90 kg - IV 45 mg (9 mL)
>=90 kg - IV 50 mg (10 mL)

31
Q

Unfractionated Heparin
(STEMI Reperfusion)

A

Option 2 (known renal failure, unaffected by age)
IV 60 U/kg, (max 4000 U)

Option 3
IV 70 U/kg, (max 10 000 U)

32
Q

Clopidogrel
(STEMI Reperfusion)

A

Option 2 (unaffected by renal function, age dependent)
<75 - PO 300 mg
>=75 - PO 75 mg

33
Q

Enoxaparin
(STEMI Reperfusion)

A

Option 2 (no renal failure, age dependent)
<75 - load w/ IV 30 mg then SC 1 mg/kg (max 100 mg)
>=75 - SC 0.75 mg/kg (max 75 mg)

34
Q

Ticagrelor
(STEMI Reperfusion)

A

Option 3
PO 180 mg

35
Q

Atropine
(Bradycardia - Adult)

A

(SBP <90 w/ symptoms or ventricular escape)
IV 1 mg Q 3 min, (max total 3 mg)

36
Q

Transcutaneous Pacing
(Bradycardia - Adult)

A

No response to Atropine or max dose reached.

37
Q

Fentanyl
(Bradycardia - Adult)

A

Analgesia option for pacing.
(SBP >90 and SPO2 >=95%)
IV 25 mcg Q 5 min x3, then Q 10 min

38
Q

Midazolam
(Bradycardia - Adult)

A

Analgesia option for pacing.
(SBP >90 and SPO2 >=95%)
IV 1-2.5 mg Q 5 min x3, then Q 10 min

39
Q

Atropine
(Bradycardia - Adoles)

A

(SBP <90 w/ symptoms or ventricular escape)
IV 0.02 mg/kg (max 0.5 mg) Q 3 min, repeat same once.

40
Q

Transcutaneous Pacing
(Bradycardia - Adoles)

A

No response to Atropine or max dose reached.

41
Q

Fentanyl
(Bradycardia - Adoles)

A

Analgesia option for pacing.
(SBP >90 and SPO2 >=95%)
IV 0.5 mcg/kg (max 25 mcg) Q 5 min x3, then Q 10 min

42
Q

Midazolam
(Bradycardia - Adoles)

A

Analgesia option for pacing.
(SBP >90 and SPO2 >=95%)
IV 0.05 mg/kg (max 1 mg) Q 5 min x3, then Q 10 min

43
Q

Epinephrine
(Bradycardia - Ped)

A

IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min (no max)

44
Q

Atropine
(Bradycardia - Ped)

A

2nd line to initial Epinephrine dose
IV/IO 0.02 mg/kg (min 0.1 mg, max 0.5 mg) Q 4 min, repeat same once

45
Q

Transcutaneous Pacing
(Bradycardia - Ped)

A

3rd line to Epinephrine and Atropine

46
Q

Fentanyl
(Bradycardia - Ped)

A

Analgesia option for pacing.
(SBP >70+2xAGE and SPO2 >=95%)
IV/IO 0.5 mcg/kg (max 25 mcg) Q 5 min x3, then Q 10 min

47
Q

Midazolam
(Bradycardia - Ped)

A

Analgesia option for pacing.
(SBP >70+2xAGE and SPO2 >=95%)
IV 0.05 mg/kg (max 1 mg) Q 5 min x3, then Q 10 min (max total 6 mg)

48
Q

Midazolam
(Regular, Narrow Complex Tach w/ Pulse)

A

Analgesia option for synchronized cardioversion.
IV 1-2.5 mg

49
Q

Synchronized Cardioversion
(Regular, Narrow Complex Tach w/ Pulse)

A

If unstable (any symptom)
50 J, subsequent shocks at 100 J

50
Q

Synchronized Cardioversion
(Irregular, Narrow Complex Tach w/ Pulse)

A

If unstable (SBP >90 w/ symptom)
200 J, subsequent shocks at same.

51
Q

Lidocaine
(Wide Complex Tach w/ Pulse - Adult)

A

Stable (no symptoms), 1st line Tx.
IV 1.5 mg/kg Q 10 min, repeat same once.

Unstable (any symptom), 2nd line to cardioversion.
IV 1.5 mg/kg Q 10 min, repeat same once.

52
Q

Midazolam
(Wide Complex Tach w/ Pulse - Adult)

A

Stable (no symptoms), and SPO2 >=95%.
Analgesia option for synchronized cardioversion.
IV 2.5 mg

Unstable (any symptom), and SBP >90 + SPO2 >=95%.
Analgesia option for synchronized cardioversion.
IV 2.5 mg

53
Q

Synchronized Cardioversion
(Wide Complex Tach w/ Pulse - Adult)

A

Stable (no symptoms), 2nd line Tx to Lidocaine
100 J, subsequent shocks at 200 J

Unstable (any symptom), 1st line Tx
100 J, subsequent shocks at 200J

54
Q

Lidocaine
(Wide Complex Tach w/ a Pulse - Adoles)

A

Stable (no symptoms), 1st line Tx.
IV 1 mg/kg Q 10 min, repeat same once.

Unstable (any symptom), 2nd line to cardioversion.
IV 1 mg/kg Q 10 min, repeat same once.

55
Q

Midazolam
(Wide Complex Tach w/ Pulse - Adoles)

A

Stable (no symptoms), and SPO2 >=95%.
Analgesia option for synchronized cardioversion.
IV 0.05 mg/kg (max 2.5 mg)

Unstable (any symptom), and SBP >90 + SPO2 >=95%.
Analgesia option for synchronized cardioversion.
IV 0.05 mg/kg (max 2.5 mg)

56
Q

Synchronized Cardioversion
(Wide Complex Tach w/ Pulse - Adoles)

A

Stable (no symptoms), 2nd line Tx to Lidocaine
1 J/kg, subsequent shocks at 2 J/kg

Unstable (any symptom), 1st line Tx
1 J/kg, subsequent shocks at 2 J/kg

57
Q

Synchronized Cardioversion
(Wide Complex Tach w/ Pulse - Ped)

A

Infant usually >220, Child usually >180
Unstable (signs of poor perfusion), 1st line Tx
1 J/kg, subsequent shocks at 2 J/kg

58
Q

Lidocaine
(Wide Complex Tach w/ Pulse - Ped)

A

Infant usually >220, Child usually >180
Unstable (signs of poor perfusion), 2nd line Tx
IV/IO 1 mg/kg Q 10 min, repeat same once

59
Q

Normal Saline
(Non-traumatic Shock - Adult)

A

IV 250 mL bolus, (max total 2 L)
IO is option if in Class 4 shock.

60
Q

Normal Saline
(Non-traumatic Shock - Adoles)

A

Class 2 - IV 10 mL/kg bolus, repeat same once.
Class 3/4 - IV 20 mL/kg bolus, repeat same once.
Class 2/3/4 + DKA - IV 20 mL/kg over 20 min.
IO is option if in Class 4 shock.

61
Q

Normal Saline
(Non-traumatic Shock - Ped)

A

Class 2 - IV 10 mL/kg bolus, repeat same once.
Class 3/4 - IV 20 mL/kg bolus, repeat same once.
Class 2/3/4 + DKA - IV 20 mL/kg over 20 min.
IO is option if in Class 4 shock.

62
Q

Naloxone
(Cardiac Arrest w/ possible Opiate - Adult)

A

IM/IV/IO 2 mg Q 4 min, no max
ETT 4 mg (diluted to 10 mL) Q 4 min, no max

63
Q

Naloxone
(Cardiac Arrest w/ possible Opiate - Adoles)

A

IM/IV/IO 2 mg Q 4 min, no max
ETT 4 mg (diluted to 10 mL) Q 4 min, no max

64
Q

Naloxone
(Cardiac Arrest w/ possible Opiate - Ped)

A

IM/IV/IO 0.1 mg/kg (max 2 mg) Q 4 min, no max

65
Q

Salbutamol
(Hyperkalemia)

A

MDI 800 mcg Q 5 min, repeat same once

WEMS (4 decks)

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