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ALS Medications > Dosages > Flashcards

Dosages Flashcards

1
Q

Oxygen

A

NC: 1-4 L/min
NRB: 10-15 L/min

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2
Q

Atropine Sulfate

A

Symptomatic Bradycardia: 0.5mg q 3-5min max 3mg, PEDI: 0.02mg/kg (min 0.1mg/dose, max 1mg/dose) total of 2mg
Asystole/PEA: 1mg q 3-5min, 2-2.5mg in 5mL Saline for ETT
NerveAgent: 2-4 mg q 20-30min, 2-6 in severe cases, PEDI: 0.05mg/kg q 10-30mins, more often in infants

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3
Q

Epinephrine 1:1000

A

Asthma/ Anaphylaxis: 0.3-0.5mg IM/SQ q 10-15 min max 1mg PEDI: 0.01mg/kg max 0.5mg.

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4
Q

Epinephrine 1:10,000

A

Cardiac Arrest: 1mg q 3-5min, PEDI: 0.01mg/kg q 3-5min
Symptomatic Bradycardia: 1mcg/min infusion (usual range 2-10mcg/min) titrate to effect, PEDI: 0.01mg/kg q 3-5min
Anaphylactic Shock: 0.1mg slowly over 5 min, 1-4mcg/min infusion titrated to effect, PEDI: continuous infusion of 0.1-1mcg/kg/min, titrate to effect

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5
Q

Amiodarone (Cordarone)

A

VF, Pulseless VT: 300mg IV followed by 150mg in 3-5min, followed by 1mg/min infusion for 6 hrs, then 0.5mg/min maint. infusion for 18 hours. PEDI: 5mg/kg max of 300mg may repeat 5mg/kg up to 15mg/kg max
Stable PT w/ PVC’s Wide Complex Tachycardias: 150mg in 100mL D5W over 10 min, repeat in 10min max 2.2g over 24 hrs., PEDI: 5mg/kg slow IVP over 20-60min may repeat up to 15mg/kg max

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6
Q

Lidocaine (Xylocaine)

A

Pulseless VT/VF: 1-1.5mg/kg IV, may repeat half dose q 5-10min max 3mg/kg, maint. infusion 1-4mg/min. PEDI: 1mg/kg 20-50mcg/kg/min maint. infusion
ET: 2-10mg/kg in 10mL Saline, PEDI: 2-3mg/kg
Perfusing Ventricular Rhythm: 05.-0.75 mg/kg, repeat dose q 5-10min max 3mg/kg, maint. infusion 1-4mg/min., PEDI: 1mg/kg q 5-10min max of 3mg/kg maint. infusion 20-50mcg/kg/min

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7
Q

Magnesium Sulfate

A

VF/VT with Torsades/Hypomagnesemia: 1-2g in 10mL D5W over 5-10min. PEDI- 25-50mg/kg over 10-20min
Torsades with Pulse: 1-2g in 50-100mL D5W administered over 5-60min. Followed by 0.5-1g/hr titrated to control torsades. PEDI- 25-50mg/kg over 10-20min
Eclampsia: 4-6g IV over 20-30min followed by 1-2g/hr infusion.
Asthma: 1.2-2g slow IVP over 20min. 25-50mg/kg over 10-20min

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8
Q

Vasopressin

A

40U IV/IO may replace 1st or 2nd round of Epi in Cardiac Arrest
ETT: Optimum dose not known
NO PEDI DOSE

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9
Q

Dopamine (Intropin)

A

2-20mcg/kg/min starting at 5mcg/kg/min increasing by 5-10 mcg/kg/min to desired effect. Ususal Cardiac dose= 5-10mcg/kg/min.
Vasopressor: 10-20mcg/kg/min- little benefit past 20mcg/kg/min

PEDI SAME AS ADULT

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10
Q

Dobutamine (Dobutrex)

A

2-20mcg/kg/min

PEDI SAME AS ADULT

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11
Q

Adenosine (Adenocard)

A

6mg Rapid IVP followed by rapid Flush, in 1-2min 12mg Rapid IVP, repeat second dose if needed.
Children under 50kg: 0.1mg/kg with fast flush repeat 0.2mg/kg

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12
Q

Diltaizem (Cardizem)

A

Optimum: 0.25mg/kg over 2min, usually 20mg for average adult. second dose 0.35mg/kg over 2min, usually 25mg.
Infusion: can start at 5-15mg/hr
Not recommended in Pedi

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13
Q

Verapamil (Isoptin)

A

2.5-5mg over 2min, may repeat 5-10mg q 15-30 min to max of 30mg PEDI: 1-16yrs- 0.1mg/kg over 2mins, repeat in 30mins to max dose of 10mg.
Not recommended in children under 1yr

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14
Q

Aspirin (ASA)

A

MI: 160-325mg PEDI: 3-5mg/kg/day

Pain/Fever: 325-650mg q 4-6hrs PEDI: 60-90mg/kg/day

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15
Q

Nitroglycerin (Nitrolingual, NitroStat, Nitro-Dur)

A

1 Tablet or Spray (0.4mg) q 5min max 3 doses
1-2inches paste covered on chest wall
IV Bolus: 12.5-25mcg
Infusion: 5mcg/min increase rate by 5-10mcg/min q 5-10min as needed d/c when BP drop 10% or 12-Lead Changes diminish PEDI INFUSION: 0.25-0.5mcg/kg/min titrated to 0.5-1mcg/kg/min usual dose of 1-3mcg/kg/min max of 5mcg/kg/min

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16
Q

Morphine Sulfate

A

For Pain: 2.5-15mg slowly over mins. PEDI: 6mnth-12yrs- 0.05-0.2mg/kg, less than 6mnth- 0.03-0.05mg/kg
CP, CHF, Pulmonary Edema: 2-4mg over 1-5min, 2-8mg repeated q 5-15min or CP relieved. 0.1-0.2mg/kg/dose

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17
Q

Metoprolol (Lopressor, Toprol XL)

A

5mg slow IVP over 5mins. repeat q 5min total of 15mg max

not recommended in pediatrics

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18
Q

Esmolol (Brevibloc)

A

500mcg/kg (0.5mg/kg) over 1min followed by 50mcg/kg/min (0.05mg/kg) over 4 minutes total of 200mcg/kg max.
PEDI:500mcg/kg (0.5mg/kg) followed by 25-200mcg/kg/min

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19
Q

Furosemide (Lasix)

A

CHF/Pulmonary Edema: 0.5-1mg/kg given no faster than 20mg/min PEDI: 1mg/kg
HTN Emergency: 40-80mg PEDI: 1mg/kg

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20
Q

Digoxin (Lanoxin)

A

Individualized

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21
Q

Sodium Bicarbonate

A

Acidosis during Arrest: 1mEq/kg may repeat @0.5mEq/kg in 10min PEDI: same as adult
Not in Arrest: dosing individualized

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22
Q

Calcium Chloride

A

10% Solution= 1mL=100mg
500-1000mg slowly @1-1.5mL/min, max 3g
PEDI: 60-100mg/kg over 5-10min max 3g

2-4mg/kg (1-2g) over 10 mins every 10 mins
PEDI: 20mg/kg every 10 min

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23
Q

Albuterol (Proventil, Ventolin)

A

4-8puffs every 1-4hrs PRN PEDI: 2 puffs
2.5-5mg Nebulizer q 20min max of three doses
continuous neb 10-15mg/hr PEDI: 0.15mg/kg q 20min max 3 doses, continuous neb of 0.5mg/kg/hr for under 12yrs
Pregnant: 0.5mL of Solution in 2.5mL Normal Saline over 5-20min period

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24
Q

Levalbuterol (Xopenex)

A

UNK

25
Q

Ipratropium Bromide (Atrovent)

A

0.5mg q 6-8hrs nebulized PEDI 5-14yrs- 0.25-0.5mg q 20mins

MDI: 4 inhalations every 10 minutes no more than 24/day, 12yrs+ 2-3puffs, <12yrs- 1-2puffs

26
Q

Albuterol/ipratropium (Combivent)

A

2 puffs every6 hours NO PEDI DOSE

27
Q

Methylprednisolone sodium succinate (Solu-Medrol)

A

Asthma/COPD: 40-80mg PEDI: 1mg/kg in 2 doses
Anaphylactic Shock: 1-2mg/kg/dose then 0.5-1mg/kg q 6hrs, PEDI: same as adult
Blunt Spinal Cord injury: 30mg over 1 hr then 5.4mg/kg/hr for 23 hours after, PEDI: same as adult

28
Q

Hydrocortisone sodium succinate (Cortef, Solu-Cortef)

A

Anaphylactic Shock: 100-500mg, PEDI: 2-4mg/kg/day
Adrenal Insufficiency: 100-500mg, PEDI: 1-2mg/kg
Asthma/COPD: 100-500mg, PEDI: 1mg/kg

29
Q

Racemic epinephrine/racepinephrine (microNefrin, S2)

A

0.5mL in Nebulizer PEDI: same as adult

30
Q

Fentanyl citrate (Sublimaze)

A

50-100mcg/dose (0.05-0.1mg) administered over 1-2min

PEDI: 1-2mcg/kg

31
Q

Meperidine (Demerol)

A

50-150mg
Elderly: 50mg
PEDI: 1-2mg/kg

32
Q

Butorphanol (Stadol)

A

0.5-2mg q 3-4hrs

Not Recommended for Pediatrics

33
Q

Nitrous oxide

A

20-50% inhaled mixed with O2

34
Q

Ketamine (Ketalar)

A

IV: Adult: 1-4.5mg/kg (1-2mg/kg usually produces anesthesia within 30 seconds lasting 5-10min
PEDI: 0.5-2mg/kg

IM: 6.5-13mg/kg (10mg/kg produces effects in 3-4min lasting 12-25min)
PEDI: 3-7mg

35
Q

Etomidate (Amidate)

A

0.2-0.6mg/kg slowly over 30-60sec, typical adult dose of 20mg, consider less in elderly or cardiac Hx. PEDI 10+ same as adult PEDI <10 no safe dose est.

36
Q

Propofol (Diprivan)

A

General: 1.5-3mg/kg (SEE CHART PG 1336)

37
Q

Diazepam (Valium)

A

Anxiety: 2-5mg or 5-10mg no faster than 5mg/min PEDI: 0.04-0.3mg/kg/dose q 4hrs, max of 0.6 mg/kg

Delirium, ETOH withdrawl tremens: 10mg

Seizure: 5-10mg q 10-15min total 30mg max
PEDI: 5y/o+- 1mg over 3min q 2-5min max total dose of 10mg
30days-5years: 0.2-0.5 mg over 3min may repeat 2-5min total of mg
NeoNate: 0.1-0.3mg/kg/dose over 3-5min may repeat 15-30min max dose of 2mg

Rectal Admin: 12y/o+- 0.2mg/kg
6-11yrs- 0.3mg/kg
2-5yrs- 0.5mg/kg
less than 2yrs- not recommended

38
Q

Midazolam (Versed)

A

Sedation: Individualized slowly over 2min, evaluate after 2 min
Adult:no more than 2.5mg, increase small increments over two minutes no more than 5mg. Over 60y/o no more than 3.5mg
Adult infusion: 0.02-0.1mg/kg/hr (1-7mg/hr)

PEDI: 12-16 same as adult, 6-12yrs: 0.025-0.05mg/kg total of 0.4mg/kg, 6mnth-5yrs: 0.05-0.1mg/kg maxof 0.6mg/kg, not recommended under 6 months

39
Q

Lorazepam (Ativan)

A

Analgesia/Sedation: 2mg or 0.44mg/kg which ever is smaller, PEDI: 0.05mg/kg not exceeding 2mg

Seizures: 4mg over 2-5min, repeat in 10-15min max dose of 8mg in 12hrs.
PEDI: Adolescents- 0.07mg/kg over 2-5min max single dose of 4mg, may repeat in 10-15min at half dose.
Children and infants: 0.1mg/kg over 2-5min may repeat half dose in 10-15 min
neonate: 0.05mg/kg over 2-5min may repeat in 10-15min

40
Q

Flumazenil (Romazicon)

A

0.2mg over 15sec, admin second dose after 45sec in no improvement repeat to max of 1mg, or 4 times
PEDI: 1yr+- 0.01mg/kg, max dose of 0.05mg/kg or 1mg which ever is smaller

41
Q

Phenytoin (Dilantin)

A

15-20mg/kg slowly @50mg/min

PEDI: 15-20mg/kg @1-3mg/kg/min

42
Q

Pralidoxime (2-PAM, Protopam)

A

1-2g in 100mL Saline over 15-30min
600mg Auto-Injector q 15min totaling 3 doses
PEDI: 20-50mg/kg over 10 min

43
Q

Haloperidol (Haldol)

A

0.5-2mg, 2-10mg, 10mg

Not Recommended in Pediatrics

44
Q

Naloxone (Narcan)

A

0.4-2mg
PEDI: 5yr+ 2mg
PEDI<5yr- 0.1mg/kg q 2-3min as needed

45
Q

Promethazine (Phenergan)

A

12.5-25mg

Pedi: 2yr+- 0.25-1mg/kg

46
Q

Dexamethasone (Decadron)

A

1-6mg/kg max dose of 40mg

PEDI: 0.03-0.3mg/kg divided into doses q 6hrs

47
Q

Hydroxocobalamine

A

UNK

48
Q

Dextrose (Dextrose 50%, Dextrose 25%, Dextrose 10%)

A

Hyperkalemia: 25g D50%, PEDI: 0.5-1g/kg
Hypoglycemia: 10-25g D50%, PEDI 2yrs+- 2mL/kg, under 2yrs- 2-4mL/kg

49
Q

Glucagon

A

Hypoglycemia: 1mg, PEDI: 0.5mg

Betablocker OD: 2-5mg over 1 min followed by 10mg if symptoms return

50
Q

Thiamine (Vitamin B1)

A

100mg, Not recommended in PEDI PT

51
Q

Phenylephrine (Neo-Synephrine)

A

100-180 mcg/min can be reduced to 40-60mcg/min, PEDI: 2-12yrs, 5-20mcg/kg followed by 0.1-0.5mcg/kg/min max of 3mcg/kg/min.

52
Q

Epinephrine autoinjectors (EpiPen, EpiPen Jr)

A

Adult: 0.3mg
Pedi: 0.15mg

53
Q

Diphenhydramine hydrochloride (Benadryl)

A

25-50mg

Pedi 2-12yrs: 1-1.25mg/kg

54
Q

Mannitol (Osmitrol)

A

0.5-2g/kg followed by 0.25-1g/kg q 4hrs

PEDI: 0.25-1g/kg followed by 0.25-0.5g/kg q 4hrs

55
Q

Ondansetron (Zofran)

A

4mg

56
Q

Succinylcholine (Anectine)

A

Adult: 0.6mg/kg IV, 3-4mg IM
PEDI: Adolescents- 1mg/kg IV, Smaller Children- 2mg/kg IV, 3-4mg/kg IM

57
Q

Vecuronium (Norcuron)

A

0.08-0.1mg/kg

PEDI dose individualized

58
Q

Pancuronium (Pavulon)

A

0.04-0.1mg/kg repeat 0.01mg/kg q 25-60 min

Pedi- Same as adult dose

ALS Medications (2 decks)

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