Code Cart

Question 1

Naloxone

Answer 1

.04 - .4 mg IV q 1-3 minutes

Create w/ 1 amp diluted in9 cc’s NS

Question 2

Norepinephrine

Answer 2

4-7 mcg / minute

titrate to MAP > 65

Indications - all shock except hypovolemic

Question 3

Epinephrine in Cardiac Arrest, Pressor, Allergy

Answer 3

1 mg of 1:10,000 IV q 3-5 minutes for cardiac arrest

3-5 mcg / min IV as pressor

1:1,000 IM for anaphylaxis

Question 4

Phenylephrine

Answer 4

30-50 mcg/min

Indications - iatrogenic shock (propofol or PEEP), in a fib w/ RVR b/c no risk arrhythmia (no beta activity)

Question 5

Vasopressin

Answer 5

.03 units / min

Indications - shock resistant to catecholamines

Question 6

Amiodarone

Answer 6

300 mg given over 10 min if arrest

Question 7

Lidocaine

Answer 7

1.5 mg / kg q 5-10 minutes in arrest

Fast on, fast off (Na channels)

Question 8

D50

Answer 8

1 amp contains 25 grams of dextrose in 50 mL NS

May have to give 2 amps in hypoglycemia

Follow w/ maintenance of D5W or feed the patient if oriented

Question 9

Mg Sulfate in Torsades v. Seizure of Pregnancy

Answer 9

Torsades: 1-2 gram IV push

Preg: 5 g IM or 6 g IV

Question 10

Na Bicarb for Inc Intracranial Pressure

Answer 10

2 amps

Question 11

Na Bicarb for Salicylate v TCAs

Answer 11

Salicylate - 3 amps then drip (3 amps + D5W + potassium at 2x maintenance)

TCAs - 2 to 4 amps then drip as above

GOAL = pH 7.5 to 7.55 for both; or Na of 150-155 in TCA OD specifically

Question 12

Ca Gluconate

Answer 12

1 g / 10 cc

Question 13

How do you make a push epi dose in arrest?

Answer 13

1 cc of the 1:10,000 epi w/ 9 cc NS flush in a 3-way stopcock

Question 14

How do you make a dirty epi drip?

Answer 14

1 amp (1 mg) of 1:10,000 epi in 1 L NS

Question 15

Adenosine

Answer 15

3 mg central line OR 6 mg peripheral (lift arm and push with flush)

If does not work … try 12 mg peripheral

Question 16

Atropine

Answer 16

.5 mg IV q 1-3 min (up to max 3 mg)

For Bradycardia