Dosages Flashcards
Amiodarone (nexterone)
IV and PO: IV in cardiac arrest 300mg followed by 150 mg rapid IVP. In stable V-tach w/pulse 150mg over 10 min. Max dose 450mg
Adenocard (adenosine)
initial dose of 6 mg given rapidly, followed by immediate IV fluid flush. If no conversion, 12 mg. Document rhythm before, during and after administration to document conversion. Short half life
Adrenalin (epinephrine)
supplied in 1:1000 and 1:10,000. IV dose 1mg(1:10,000) every 3-5 min. Each dose followed with 20 ml flush. For continuous IV infusion, add 1mg 1:1000 to 250ml NS. ET route 2-2.5mg diluted in 10ml NS. In profound bradycardia 2-10mcg/min infusion
Calcium Chloride 10%
8-16mg/kg IV for hyperkalemia and calcium channel blocker OD. May be repeated prn. 2-4mg/kg for prophylaxis before IV calcium channel blockers
Calan, Isotopin (Verapamil)
2.5-5mg IV bolus over 2 min. second dose: 5-10 mg, if needed, in 15-30 min. Max dose: 30mg
Aspirin (acetylsalicylic acid) (ASA)
In emergency setting, immediately have patient chew one 325mg tablet or 4 81mg tablets
Atropine Sulfate
given IV, ET. must be given rapidly IV. ET: 2mg in 10 ml NS
BRADYCARDIA: 0.5mg IV q 3-5 min prn, max dose 3mg
ORGANOPHOSPHATE POISONING: 2-5mg q 10-15 min
Diltiazem (cardiazem)
IV: 15-20mg IVP, may repeat prn or followed by Diltiazem gtt to control rate
Clopidrogel (Plavix)
single loading dose of 300mg PO followed by daily dose of 75 mg PO
Dopamine (inotropin)
2-10mcg/kg/min titrated to effect
Lasix (furosemide)
40mg given over 1-2min. If no response, double dose
Lanoxin (digoxin)
does individualized
Nipride (sodium nitroprusside)
mix 50-100 mg in 250ml D5W only. Begin at 0.1mcg/kg/min and titrate up q 3-5min to desired effect up to 10mcg/kg/min. use with infusion pump. cover drug reservoir and tubing with opaque material
Lidocaine HCl (Xylocaine)
CARDIAC ARREST: 1-1.5mg/kg IV
REFRACTORY VT/VF: additional bolus of 0.5-0.75 mg/kg over 3-5min. do not exceed 3mg/kg or>200-300mg/hr. Once rhythm restored, administer IV infusion at 1-4 mg/min, reduced in patients over 70 and those with hepatic dysfunction
fentanyl citrate (Sublimaze)
25-100mcg slow IV/IM/IO over 1-2 min
Nitrostat (nitroglycerin)
SL: 1 tablet (0.4 mg) q 5 min. SL spray for 0.5-1 sec q 5 min
IV infusion: begin at 5mcg/min and titrate up 5mcg/min q 5-10 min until chest pain relief or hemodynamic response achieved
Sodium Bicarbonate (NaHCO3)
IV bolus 1 mEq/kg. repeat 1/2 this dose q 10 min
Quinidine
orally, IV, IM. 300-500 mg IM or IV
200-400mg orally 3-4 times per day. 1/2 life 4-6hr
Vasopressin
40 units X1 IV/IO
Warfarin (Coumadin)
dose individualized
magnesium sulfate (MgSO4)
1-2g slow IV/IO push or IV drip only (must be diluted to at least 20% for IV)
ECLAMPSIA: 2-5g over at least 3 min
ACUTE MI: 2-4g in 50 ml D5W over 20-60 min
TACHYCARDIA: 2 g over 1 min
ACUTE ASTHMA: 1-2g in 50ml NS over 20 min
