Dosages

Question 0

Amiodarone (nexterone)

Answer 0

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

Question 1

Adenocard (adenosine)

Answer 1

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

Question 2

Adrenalin (epinephrine)

Answer 2

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

Question 3

Calcium Chloride 10%

Answer 3

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

Question 4

Calan, Isotopin (Verapamil)

Answer 4

2.5-5mg IV bolus over 2 min. second dose: 5-10 mg, if needed, in 15-30 min. Max dose: 30mg

Question 5

Aspirin (acetylsalicylic acid) (ASA)

Answer 5

In emergency setting, immediately have patient chew one 325mg tablet or 4 81mg tablets

Question 6

Atropine Sulfate

Answer 6

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

Question 7

Diltiazem (cardiazem)

Answer 7

IV: 15-20mg IVP, may repeat prn or followed by Diltiazem gtt to control rate

Question 8

Clopidrogel (Plavix)

Answer 8

single loading dose of 300mg PO followed by daily dose of 75 mg PO

Question 9

Dopamine (inotropin)

Answer 9

2-10mcg/kg/min titrated to effect

Question 10

Lasix (furosemide)

Answer 10

40mg given over 1-2min. If no response, double dose

Question 11

Lanoxin (digoxin)

Answer 11

does individualized

Question 12

Nipride (sodium nitroprusside)

Answer 12

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

Question 13

Lidocaine HCl (Xylocaine)

Answer 13

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

Question 14

fentanyl citrate (Sublimaze)

Answer 14

25-100mcg slow IV/IM/IO over 1-2 min

Question 15

Nitrostat (nitroglycerin)

Answer 15

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

Question 16

Sodium Bicarbonate (NaHCO3)

Answer 16

IV bolus 1 mEq/kg. repeat 1/2 this dose q 10 min

Question 17

Quinidine

Answer 17

orally, IV, IM. 300-500 mg IM or IV

200-400mg orally 3-4 times per day. 1/2 life 4-6hr

Question 18

Vasopressin

Answer 18

40 units X1 IV/IO

Question 19

Warfarin (Coumadin)

Answer 19

dose individualized

Question 20

magnesium sulfate (MgSO4)

Answer 20

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