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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
Lidocaine (VFib/VTach Arrest - Ped)
2nd line after Amiodarone IV/IO 1 mg/kg Q 4 min, repeat same twice
26
ASA (Acute Coronary Syndrome)
PO 160 mg
27
Nitroglycerine Spray (Acute Coronary Syndrome)
(with Pt supine and legs elevated) SL 0.4 mg Q 5 min, (SBP >100)
28
Nitroglycerine Patch (Acute Coronary Syndrome)
(with Pt supine and legs elevated) Trans Dermal 0.2 mg/h, (apply w/ 2nd SL dose NTG)
29
Fentanyl (Acute Coronary Syndrome)
(SBP >100, SP02 >=95%) IV 25 mcg Q 5 min, (max total 200 mcg)
30
Tenecteplase (STEMI Reperfusion)
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
Unfractionated Heparin (STEMI Reperfusion)
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
Clopidogrel (STEMI Reperfusion)
Option 2 (unaffected by renal function, age dependent) <75 - PO 300 mg >=75 - PO 75 mg
33
Enoxaparin (STEMI Reperfusion)
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
Ticagrelor (STEMI Reperfusion)
Option 3 PO 180 mg
35
Atropine (Bradycardia - Adult)
(SBP <90 w/ symptoms or ventricular escape) IV 1 mg Q 3 min, (max total 3 mg)
36
Transcutaneous Pacing (Bradycardia - Adult)
No response to Atropine or max dose reached.
37
Fentanyl (Bradycardia - Adult)
Analgesia option for pacing. (SBP >90 and SPO2 >=95%) IV 25 mcg Q 5 min x3, then Q 10 min
38
Midazolam (Bradycardia - Adult)
Analgesia option for pacing. (SBP >90 and SPO2 >=95%) IV 1-2.5 mg Q 5 min x3, then Q 10 min
39
Atropine (Bradycardia - Adoles)
(SBP <90 w/ symptoms or ventricular escape) IV 0.02 mg/kg (max 0.5 mg) Q 3 min, repeat same once.
40
Transcutaneous Pacing (Bradycardia - Adoles)
No response to Atropine or max dose reached.
41
Fentanyl (Bradycardia - Adoles)
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
Midazolam (Bradycardia - Adoles)
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
Epinephrine (Bradycardia - Ped)
IV/IO 0.01 mg/kg (0.1 mL/kg) Q 4 min (no max)
44
Atropine (Bradycardia - Ped)
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
Transcutaneous Pacing (Bradycardia - Ped)
3rd line to Epinephrine and Atropine
46
Fentanyl (Bradycardia - Ped)
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
Midazolam (Bradycardia - Ped)
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
Midazolam (Regular, Narrow Complex Tach w/ Pulse)
Analgesia option for synchronized cardioversion. IV 1-2.5 mg
49
Synchronized Cardioversion (Regular, Narrow Complex Tach w/ Pulse)
If unstable (any symptom) 50 J, subsequent shocks at 100 J
50
Synchronized Cardioversion (Irregular, Narrow Complex Tach w/ Pulse)
If unstable (SBP >90 w/ symptom) 200 J, subsequent shocks at same.
51
Lidocaine (Wide Complex Tach w/ Pulse - Adult)
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
Midazolam (Wide Complex Tach w/ Pulse - Adult)
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
Synchronized Cardioversion (Wide Complex Tach w/ Pulse - Adult)
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
Lidocaine (Wide Complex Tach w/ a Pulse - Adoles)
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
Midazolam (Wide Complex Tach w/ Pulse - Adoles)
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
Synchronized Cardioversion (Wide Complex Tach w/ Pulse - Adoles)
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
Synchronized Cardioversion (Wide Complex Tach w/ Pulse - Ped)
Infant usually >220, Child usually >180 Unstable (signs of poor perfusion), 1st line Tx 1 J/kg, subsequent shocks at 2 J/kg
58
Lidocaine (Wide Complex Tach w/ Pulse - Ped)
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
Normal Saline (Non-traumatic Shock - Adult)
IV 250 mL bolus, (max total 2 L) IO is option if in Class 4 shock.
60
Normal Saline (Non-traumatic Shock - Adoles)
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
Normal Saline (Non-traumatic Shock - Ped)
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
Naloxone (Cardiac Arrest w/ possible Opiate - Adult)
IM/IV/IO 2 mg Q 4 min, no max ETT 4 mg (diluted to 10 mL) Q 4 min, no max
63
Naloxone (Cardiac Arrest w/ possible Opiate - Adoles)
IM/IV/IO 2 mg Q 4 min, no max ETT 4 mg (diluted to 10 mL) Q 4 min, no max
64
Naloxone (Cardiac Arrest w/ possible Opiate - Ped)
IM/IV/IO 0.1 mg/kg (max 2 mg) Q 4 min, no max
65
Salbutamol (Hyperkalemia)
MDI 800 mcg Q 5 min, repeat same once
66

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