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Paramedic Drugs > Doses > Flashcards

Doses Flashcards

1
Q

Acetaminophen
(Adult pain)

A

Adult: (Pain) 15 mg/kg IV/PO
Max dose = 1000 mg

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2
Q

activated charcoal

A

Adult: 25 -100 g PO/NG

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3
Q

adenosine
(Adult)

A

Adult:
Initial dose = 6 mg rapid IV/IO push.
If rhythm does not convert, additional dose of 12 mg rapid IV/IO push.
Max total dose = 30 mg.

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4
Q

albuterol
Adult - respiratory distress

A

Adult:
Respiratory distress:
2.5 - 5 mg via nebulizer or 1-3 puffs (90 - 180 mcg) via MDI

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5
Q

amiodorone
Adult - V-Fib, pulseless V-tach

A

V-fib, pulseless v-tach = Initial dose of 300 mg IV/IO push.
Repeat dose of 150 mg IV/IO push

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6
Q

aspirin

A

Adult: 162 - 325 mg PO

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7
Q

atropine sulfate
Adult - symptomatic bradycardia

A

0.5 - 1 mg ( 1 mg per AHA) IV/IO every 3-5 minutes. Maximum dose = 3 mg

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8
Q

calcium chloride
Adult - Calcium channel blocker OD
- hyperkalemia

A

500 - 1000 mg slow IV/IO push over 5 minutes. Repeat as needed.

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9
Q

calcium gluconate
hydrofluoric acid burns

A

apply a generous amount of topical gel and leave in place for at least 20 minutes.

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10
Q

dexamethasone

Adult - AMS

A

4mg IM/slow IV/PO every 6 hours as needed.

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11
Q

dextrose
Adult hypoglycemia

A

25g of D10 or D50 IV. Repeat PRN.

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12
Q

diazepam

Adult
Shivering (hyperthermia)

A

2mg IV/IO. May repeat once in 5 minutes.

Consider decreasing dose in person over 65 years of age

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13
Q

diltiazem

Adult

A

Note: Administer the second dose 15 minutes after the initial dose.

Adult: Initial dose of 15-20mg (0.25mg/kg) IV/IO slow push over 2 minutes.
If response to initial dose is inadequate: second dose of 20-25mg (0.35mg/kg) IV/IO slow push over
2 minutes.

For patients over the age of 65: Initial dose of 10mg IV/IO with a second dose of 20mg IV/IO.

Maintenance infusion: 5-15mg/hr titrated to a physiologically appropriate heart rate.

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14
Q

diphenydramine hydrochloride

Adult — allergic reaction/anaphylaxis

A

1mg/kg IV/IM/PO. Maximum dose: 50mg

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15
Q

dopamine hydrochloride

Adult

A

5-20mcg/kg/min IV/IO,
slowly titrated to patient response

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16
Q

epinephrine

Concentrations

A

All epinephrine will be administered in one of four concentrations.
A. 1mg/ml = 1:1000
B. 0.1mg/ml = 1:10,000 (preloads are 1mg/10ml)
C. 0.01mg/ml = 1:100,000 ( To make 1:100,000 aka “push-dose epinephrine” mix 1ml of 1:10,000
in 9ml of normal saline)
D. To make epinephrine drip for IV infusion, mix 1mg of 1:1000 in 250ml NS to get 4mcg/ml.

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17
Q

etomidate
Adult

A

Adult: 0.2-0.4mg/kg IV push over 30-60 seconds

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18
Q

fentanyl citrate
Adult Pain

A

Note: Maximum initial dose is 100mcg. Maximum total dose is 200mcg.

Moderate pain: 1mcg/kg IM/IN.
Severe pain: 1mcg/kg IV/IO

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19
Q

flumazenil

Adult
Benzodiazepine overdose

A

Initial dose of 0.2mg IV/IO over 15 seconds. Second dose of 0.3mg IV/IO over 30
seconds. Third dose of 0.5mg IV/IO over 30 seconds. Repeat third dose PRN until
symptoms are reversed OR maximum total dose of 3mg

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20
Q

furosemide

Adult

A

0.5-1mg/kg IV push over 1-2 minutes. Repeat dose of 1-2mg/kg IV push over 1-2
minutes.

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21
Q

glucagon

adult
Hypoglycemia

A

1mg IM/IN.
Repeat PRN until symptom resolution.

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22
Q

glucose, oral
adult
hypoglycemia

A

Adult: 25g PO

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23
Q

haloperidol
adult

A

5mg IV or 10mg IM

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24
Q

hydromorphone

Adult and Pediatric

A

0.015mg/kg IM/IV/IO.
Maximum initial dose: 2mg.
Maximum cumulative dose: 4mg.

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25
Q

hydroxycobalamin

Adult

A

Note: Each 5g vial must be reconstituted with 200mL NS, LR, or D5W

Initial dose of 5g administered over 15 minutes at a rate of 10-15 ml/min.

Maximum single dose: 5g. Contact medical control for repeat dosing.

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26
Q

ibuprofen
Adult
Pain

A

10mg/kg PO. Maximum dose: 800mg

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27
Q

ipratropium bromide
Adult and Pediatric

A

0.5mg nebulized.
May give up to 3 doses in conjunction with albuterol

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28
Q

ketamine
adult
Procedural sedation

A

1-2 mg/kg IV push over 1-2 minutes.

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29
Q

ketorolac tromethamine
adult
Pain

A

Moderate Pain: 30mg IM
Severe Pain: 15mg IV

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30
Q

labetolol
adult
Hypertension

A

10mg IV push over 1-2 minutes.
May repeat or double every 10 minutes to a
maximum dose of 150mg.
Infusion: 2-8mg/min, titrate to supine BP

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31
Q

lidocaine hydrochloride
Adult
V-Fib
Pulseless V-Tach
Stable Pulsing V-Tach

A

Initial dose of 1-1.5mg/kg IV/IO.
Repeat dose of 0.5-0.75mg/kg IV/IO, 5-10 minutes after initial dose.
Maximum total dose: 3mg/kg.
Maintenance Infusion: 1-4mg/min

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32
Q

lorazepam
adult
anxiety/sedation

A

0.1mg/kg slow IV push over 2 minutes.
Max single dose: 4mg

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33
Q

magnesium sulfate
adult
Severe Hypertension (SBP > 160 or DBP > 110)
lasting more than 15 minutes with associated preeclampsia symptoms

A

4g of 20% solution IV/IO drip over 20 minutes,
followed by 1g/hr IV/IO drip.

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34
Q

mannitol
adult

A

Initial dose of 0.5-1g/kg IV infusion over 5-10 minutes through an in-line filter.
Repeat doses of 0.25-2g/kg every 4-6 hours as needed

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35
Q

methylprednisolone sodium succinate
Adult and Pediatric

A

1-2mg/kg IV/IO/IM.
Maximum dose: 125mg per 24 hours (adult),
60mg per 24 hours (pediatric)

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36
Q

midazolam hydrochloride
adult
Shivering (hyperthermia)

A

2.5mg IV/IN/IO and repeat once in 5 minutes,
or 5mg IM and may repeat once in 10 minutes.

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37
Q

morphine sulfate
Adult
Pain

A

Moderate pain: 0.1mg/kg IM to a maximum dose of 15mg
Severe pain: 0.1mg/kg slow IV/IO to a maximum dose of 10mg

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38
Q

naloxone hydrochloride

A

Initial dose of 0.4-2mg IV/IO/IM/ETT
or up to 4mg IN.

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39
Q

nitroglycerin
adult
Ischemic Chest Pain
Hypertension

A

Sublingual: 0.3-0.4mg tablet every 3-5 minute to maximum of 3 doses.

Spray: 1-2 sprays every 3-5 minutes to a maximum of 3 doses.
IV: 12.5-25mcg bolus (if no SL/spray given), then begin 10mcg/min infusion.
Increase by 10mcg/min every 3-5 minutes until desired effect.
Maximum dose: 200mcg/min.

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40
Q

norepinephrine bitartrate
adult

A

0.1-0.5 mcg/kg/min IV/IO infusion, titrate to effect

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41
Q

ondansetron hydrochloride
adult
Nausea/vomiting

A

4mg IV/SL

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42
Q

oxygen

A

Based on patient assessment (all patients with known or suspected CO poisoning should
receive high-flow O2)

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43
Q

oxytocin
adult
uterine bleeding

A

10 units IM after delivery of placenta. IV: 10-40 units in 1,000ml fluids infused at
10-15 drops/min, titrated to severity of bleeding and uterine response

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44
Q

phenylephrine
adult
NT insertion

A

Two sprays in the selected nare before nasotracheal tube insertion

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45
Q

pralidoxime

A

Varies based on degree of exposure, patient age and weight. Commercially-available
autoinjectors contain 600mg of 2-PAM

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46
Q

procainamide hydrochloride
adult
recurrent v-fib
Pulseless v-tach

A

20-40mg/min.
Total dose: 17mg/kg.

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47
Q

promethazine hydrochloride

A

12.5-25mg deep IM

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48
Q

rocuronium bromide

A

0.6-1.2mg/kg IV/IO

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49
Q

sodium bicarbonate
Adult and pediatric

A

1 mEq/kg slow IV/IO push

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50
Q

succinylcholine chloride

A

1-1.5mg/kg rapid IV push

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51
Q

terbutaline sulfate
Adult

A

0.25mg SQ. May repeat in 15-30 minutes. Maximum dose: 0.5mg in 4 hours

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52
Q

thiamine hydrochloride
adult

A

100mg slow IV/IO push over 5 minutes, or 100mg deep IM

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53
Q

tranexamic acid
adult

A

1g mixed in 100ml NS and infused IV over 10 minutes

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54
Q

vecuronium bromide
adult

A

0.08-0.1mg/kg IV push over 1 minute. Maintenance dose within 20-45 minutes:
0.01-0.015mg/kg IV push every 12-15 minutes to maintain paralysis

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55
Q

verapamil hydrochloride
adult

A

2.5-5mg slow IV push over 2 minutes (3 minutes in older patients). Repeat dose
of 5-10mg may be given every 15-30 minutes. Maximum total dose: 20mg
Alternative dosing: 5mg IV bolus every 15 minutes to a total dose of 30mg

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56
Q

Acetaminophen
(Pediatric - Febrile Seizures)

A

15 mg/kg PR/IV/IO/PO.
Max dose = 650 mg

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57
Q

Activated charcoal
(Pediatric)

A

less than 1 year: 1 g/kg PO/NG
older than 1 year: 25 - 100 g PO/NG Pedi:

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58
Q

Adenosine
(Pediatric)

A

Initial dose = 0.1 mg/kg rapid IV/IO push.
If rhythm does not convert, additional dose of 0.2 mg/kg rapid IV/IO push.

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59
Q

Albuterol
(Adult - respiratory Distress with Bronchospasm)

A

5 mg via nebulizer or 6 puffs via MDI. Repeat for continued respiratory distress.
No maximum dose.

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60
Q

Albuterol
(Adult - hyperkalemia)

A

5 mg via nebulizer

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61
Q

Albuterol
(Pediatric - Mild to moderate asthma, anaphylaxis and hyperkalemia)

A

If using an MDI with a spacer: 4 - 8 puffs as needed every 20 minutes.

If using a nebulizer,
weight < 20 kg = 2.5 mg /dose.
weight > 20 kg = 5 mg /dose.
Repeat every 20 minutes.

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62
Q

Albuterol
(pediatric - respiratory distress with bronchospasm)

A

5 mg via nebulizer or 6 puffs via MDI. Repeat for continued respiratory distress.
No maximum dose.

63
Q

Amiodorone
Adult - all other indications

A

Initial dose of 150 mg IV/IO over 10 minutes. Repeat every 10 minutes as needed. After conversion of the rhythm, follow with an infusion of 10 - 50 mg/hr over 24 hours with a maximum cumulative dose of 1.1 g per 24 hours.

64
Q

Amiodorone
Pediatric - V-Fib, pulseless V-tach

A

5 mg /kg IV/IO push
Poorly perfusing dysrhythmias (atrial or ventricular): 5 mg/kg IV/IO drip over 20-60 minutes

maximum total single dose = 300 mg
maximum total cumulative dose (24 hrs) = 15 mg/kg OR 2.2 g in patients greater than 13 years of age.

65
Q

Atropine Sulfate
Adult - ACH poisoning

A

extremely large doses
Start with 2 mg and double each dose until symptoms resolve

66
Q

Atropine Sulfate
Pediatric - symptomatic bradycardia

A

0.02 mg/kg IV/IO. Maximum single dose : 0.5 ng, Maximum total dose = 1 mg (children under 13 years) or 3 mg (children over 13 years). If administering via ETT: 0.04 - 0.06 mg/kg

67
Q

Atropine Sulfate
Pediatric - ACH poisoning

A

Younger than 12 years: FIrst dose of 0.05 mg/kg. Repeat and double the dose every 5 minutes until symptoms resolve.
12 years and older: First dose 1 mg IV/IO. Repeat and double the dose every 5 minutes until symptoms resolve.

68
Q

Atropine sulfate
Pediatric - RSI

A

0.02 - 0.02 mg/kg IV/IO or 0.02 mg/kg IM. Maximum IV/IO dose = 0.5 mg.
No maximum IV dose.

69
Q

Calcium chloride

Pediatric:
Calcium channel blocker OD /hyperkalemia/hypocalcemia:

A

20 mg/kg slow IV/IO push.
Maximum dose: 1000 mg.
Repeat as needed.

70
Q

Calcium gluconate

Adult:
Calcium Channel Blocker OD / hyperkalemia

A

1500 - 3000 mg (1.5 - 3 g) slow IV/IO push over 5 minutes.

71
Q

Calcium gluconate

Pediatric: Calcium channel blocker OD / hyperkalemia / hypocalcemia

A

60 mg/kg slow IV push over 10 minutes. Repeat as needed.

72
Q

dexamethasone
Adult- HACE

A

First dose of 8mg IM/slow IV/PO.
Repeat dose of 4mg IM/IV/PO q 6 hours PRN

73
Q

Dexamethasone
Adult - Asthma

A

0.6mg/kg IM/slow IV/PO. Maximum dose of 16mg. No repeat dose.

74
Q

Dexamrthasone
Pediatric - AMS, HACE

A

0.15mg/kg IM/slow IV/PO every 6 hours. Maximum single dose: 4mg.

(dexamethasone is not for pediatric prophylaxis)

75
Q

Dexamethasone
Pediatric - Croup

A

0.6mg/kg IM/slow IV/IO/PO. Maximum dose: 16mg. No repeat dose.

(dexamethasone is not for pediatric prophylaxis)

76
Q

Dexamethasone
Pediatric - Asthma

A

0.6mg/kg IM/slow IV/IO every 24 hours. Maximum single dose: 16mg

(Dexamethasone is not for pediatric prophylaxis)

77
Q

Dextrose
Pediatric hypoglycemia

A

0.5-1g/kg of D10 or D25 slow IV/IO push. Repeat PRN.

78
Q

Dextrose
Neonates, infants — hypoglycemia

A

0.2g/kg of D10 IV/IO followed by 5ml/kg/hr of D10 IV/IO infusion

79
Q

Diazepam

Adult
Chemical restraint

A

5mg IV or 10mg IM.

● Consider decreasing the dose by 50% in patients older than 60 years.

80
Q

diazepam

Pediatric — Seizures

A

0.1mg/kg slow IV/IO. Maximum 4mg. No repeat dose.

81
Q

Diazepam

Pediatric — Shivering (hyperthermia)

A

0.1mg/kg IV/IO. Maximum single dose: 2.5mg. Maximum total dose: 5mg.
May repeat once.

If administering PR: 0.5mg/kg.
Maximum single dose:10mg.
May repeat once.
Maximum total dose: 20mg.

82
Q

Diazepam

Pediatric — chemical restraint

A

0.05-0.1mg/kg IV.
Maximum single dose: 5mg.

If administering IM:
0.1-0.2mg/kg.
Maximum single dose: 10mg.
No repeat dose.

83
Q

diphenhydramine hydrochloride

Adult
Nausea/vomiting

A

12.5-25mg IV/IM/PO

84
Q

Diphenhydramine hydrochloride
Adult
Dystonic reaction/extrapyramidal symptoms

A

25-50mg IV/IM.

85
Q

Diphenhydramine hydrochloride

Pediatric

Chemical restraint

A

1mg/kg IM/IV/PO.
Maximum dose: 25mg.

86
Q

Diphenhydramine hydrochloride

Pediatric

Allergic reaction, anaphylaxis

A

1mg/kg IV/IM/PO.
Maximum dose: 50mg

87
Q

diphenhydramine hydrochloride

Pediatric — nausea/vomiting

A

> 2 years and weight greater than 12kg: 0.1mg/kg IV.
Maximum dose: 25mg.

88
Q

diphenhydramine hydrochloride

Pediatric

Dystonic reaction/extrapyramidal symptoms

A

1-1.25mg/kg IV/IO/IM.
Maximum single dose: 25mg.

89
Q

Epinephrine

Adult
Anaphylaxis

A

0.3mg 1:1000 IM. Repeat every 5-15 minutes as needed.

90
Q

Epinephrine

Adult

Respiratory distress with wheezing, stridor
(from anaphylaxis)

A

5mg (5ml) of 1:1000 nebulized.

91
Q

Epinephrine

Adult

Cardiovascular collapse (from anaphylaxis)

A

0.5mcg/kg/min of 1:1000 IV infusion
despite repeated IM anaphylaxis doses (0.3mg IM) AND 60ml/kg isotonic fluid boluses.

92
Q

Epinephrine

Adult
Severe bronchoconstriction with impending respiratory failure

A

0.01mg/kg of 1:1000 IM.
Max dose: 0.3mg

93
Q

Epinephrine

Adult
Profound bradycardia with hemodynamic instability

A

0.02-0.2mcg/kg/min IV/IO infusion,
titrated to MAP >65mmHg, or 10-20mcg of 1:100,000 IV/IO push every 2 minutes
titrated to MAP >65mmHg.

94
Q

Epinephrine

Adult

Shock unresponsive to IV fluids, or cardiogenic shock

A

0.05-0.3 mcg/kg/min IV/IO
infusion.

95
Q

Epinephrine

Adult
Cardiac Arrest

A

1mg 1:10,000 IV/IO every 3-5 minutes. If administered via ETT: 2-2.5mg
diluted in 10ml NS.

96
Q

Epinephrine

Pediatric
Anaphylaxis

A

Weight less than 25kg: 0.15mg 1:1000 IM. Weight 25kg or greater: 0.3mg 1:1000 IM.
Repeat dose every 5-15 minutes as needed.

97
Q

Epinephrine

Pediatric
Respiratory distress with wheezing, stridor (from anaphylaxis)

A

5mg (5ml) of 1:1000 nebulized.

98
Q

Epinephrine

Pediatric
Cardiovascular collapse (from anaphylaxis)

A

0.5mcg/kg/min of 1:1000 IV infusion
despite repeated IM anaphylaxis doses (0.3mg IM) AND 60ml/kg isotonic fluid boluses.

99
Q

Epinephrine

Pediatric
Profound bradycardia with hemodynamic instability

A

0.1mcg/kg IV/IO push of 1:100,000
every 3-5 minutes.
Max single dose: 10mcg titrated to MAP >65mmHg.

100
Q

Epinephrine

Pediatric
Cardiac Arrest

A

0.01mg/kg of 1:10,000 IV/IO push.
Maximum dose: 1mg.

If administered via ETT: 0.1mg/kg every 3-5 minutes until IV/IO access is established.

101
Q

Epinephrine

Neonates
Bradycardia

A

0.01-0.03 mg/kg of 1:10,000 IV/IO, followed by 0.5-1ml NS flush.
If administered via ETT: 0.05-0.1mg/kg 1:10,000 and repeat every 3-5 minutes as long as
heart rate remains under 60bpm

102
Q

etomidate
Pediatric

A

0.2-0.4mg/kg IV/IO over 30-60 seconds. Maximum dose: 20mg

103
Q

fentanyl citrate
Pediatric Pain

A

Note: Maximum initial dose is 100mcg. Maximum total dose is 200mcg.

Moderate pain 1mcg/kg IM/IN.
Severe pain: 1mcg/kg IV/IO

104
Q

furosemide
Pediatric

A

1mg/kg slow IV/IO

105
Q

glucagon

adult
Calcium channel blocker, beta blocker OD

A

5mg slow IV push.
Repeat in 5-10 minutes.
Total maximum dose: 10mg

106
Q

glucagon

Pediatric
Hypoglycemia

A

Greater than 20kg or older than 5 years:
1mg IM/IN.
Less than 20kg or younger than 5 years:
0.5mg IM/IN.
No repeat dose.

107
Q

glucagon
pediatric
Calcium channel blocker, beta blocker OD

A

Greater than 25kg: 1mg slow IV push every
5 minutes.
Less than 25kg:0.5mg slow IV push every 5 minutes.
No maximum dose

108
Q

glucose
Pediatric
hypoglycemia

A

0.5-1g/kg PO. Maximum dose: 25g

109
Q

haloperidol
Pediatric

A

6-12 years: 0.15mg/kg IM.
Maximum dose: 3mg.
Do not use in patients younger than 6 years old

110
Q

hydroxycobalamin

Pediatric

A

70mg/kg IV at a rate of 10-15 ml/min.
Maximum single dose: 5g

111
Q

Ibuprofen
Pediatric febrile seizure

A

For patients older than 6 months: 10mg/kg PO.
Maximum dose: 600mg

112
Q

Ketamine
adult
Pain

A

Moderate Pain: 0.5mg/kg IN.
Maximum initial dose: 55mg.
Maximum total dose: 100mg
Severe pain: 0.25mg/kg IM/IV/IO.
Maximum initial dose: 25mg.
Maximum total dose: 100mg

113
Q

ketamine
adult
chemical restraint

A

2 mg/kg IV or 4mg/kg IM

114
Q

ketamine
Pediatric
procedural sedation

A

1-2 mg/kg IV/IO push over 1-2 minutes

115
Q

ketamine
Pediatric
chemical restraint

A

1 mg/kg IV or 3 mg/kg IM

116
Q

ketorolac tromethamine
pediatric
Pain

A

(2-16 years)
Moderate Pain: 1mg/kg IM.
Maximum dose: 30mg
Severe Pain: 0.5mg/kg IV.
Maximum dose: 15mg

117
Q

ketorolac tromethamine
Pediatric
febrile seizures

A

1mg/kg IV.
Maximum dose: 15mg

118
Q

lidocaine hydrochloride
adult
conscious IO

A

0.5 mg/kg to a maximum of 40mg

119
Q

lidocaine hydrochloride
pediatric
all cardiac indications

A

1mg/kg IV/IO push.
If administering via ETT: 2-3mg/kg.
Maintenance Infusion: 20-50 mcg/kg/min.
If maintenance infusion is started more than
15 minutes after initial IV/IO push dose, repeat 1mg/kg IV/IO push.

120
Q

lidocaine hydrochloride
pediatric
RSI

A

1-2 mg/kg IV/IO

121
Q

lorazepam
adult
shivering (hyperthermia)

A

1mg/kg IV/IO, repeat once in 5 minutes or 2mg IM,
repeat once in 10 minutes

122
Q

lorazepam
adult
chemical restraint

A

2mg IV or 4mg IM

123
Q

lorazepam
Pediatric
seizures

A

0.1mg/kg slow IV/IO push over 2 minutes.
Max single dose: 4mg

124
Q

lorazepam
Pediatric
Shivering (hyperthermia)

A

0.1mg/kg IV/IM/IO.
Max single dose: 1mg

125
Q

lorazepam
Pediatric
chemical restraint

A

0.05 mg/kg IV/IM.
Max IV dose: 2mg.
Max IM dose: 4 mg

126
Q

magnesium sulfate
adult
Maternal seizure with pregnancy greater than 20 weeks

A

4g of 50% solution IV/IO drip over 10-20 minutes,
followed by 1g/hr IV/IO drip.
Medical control order for repeat.

127
Q

magnesium sulfate
adult
Cardiac Arrest due to hypomagnesemia, pulseless Torsades

A

1-2g IV/IO

128
Q

magnesium sulfate
adult
Pulsing Torsades
AMI with hypomagnesemia

A

Mix 1-2g in 50-100ml of D5W or NS and
administer over 5-60 minutes IV drip. Follow with 0.5-1g/hr IV drip

129
Q

magnesium sulfate
adult
status asthmaticus

A

1-2g IV drip over 15-30 minutes

130
Q

magnesium sulfate
adult
Severe bronchoconstriction/impending respiratory failure

A

40mg/kg IV drip over 10-15 minutes.
Max dose: 2g

131
Q

midazolam hydrochloride
adult
seizures

A

0.1mg/kg slow IV/IO push over 2 minutes or 0.2mg/kg IM/IN.
Max single IV/IO dose: 4mg.
Max single IM/IN dose: 10mg

132
Q

midazolam hydrochloride
adult
chemical restraint

A

5mg IV/IM/IN

133
Q

midazolam hydrochloride
adult
Procedural sedation

A

0.1-0.3 mg/kg IV.
Max single dose: 10mg

134
Q

midazolam hydrochloride
adult
poisoning/overdose

A

0.1mg/kg in 2mg increments slow IV push over 1-2 minutes.
Max single dose: 5mg

135
Q

midazolam hydrochloride
pediatric
shivering (hyperthermia)

A

0.1mg/kg IV/IO or 0.2mg/kg IN/IM.
Max single dose: 1mg

136
Q

midazolam hydrochloride
pediatric
seizures

A

0.1mg/kg slow IV/IO push over 2 minutes or 0.2mg/kg IM/IN.
Max single IV/IO dose: 4mg.
Max single IM/IN dose: 10mg

137
Q

midazolam hydrochloride
pediatric
chemical restraint

A

0.05-0.1mg/kg IV,
0.15mg/kg IM, or
0.3 mg/kg IN.
Max dose: 5mg

138
Q

midazolam hydrochloride
pediatric
poisoning/overdose

A

0.1mg/kg in 2mg increments slow IV push over 1-2 minutes,
or
0.2mg/kg IN.
Max single dose: 4mg.

139
Q

morphine sulfate
adult
STEMI

A

Initial dose of 2-4mg IV over 1-5 minutes. Repeat dose of 2-8mg q 5-15 minutes

140
Q

morphine sulfate
adult
NSTEMI/unstable angina

A

1-5mg slow IV push if symptoms not relieved by nitrates

141
Q

morphine sulfate
Pediatric
pain

A

0.1-0.2 mg/kg IV/IO/IM .
Maximum dose: 5mg

142
Q

naloxone hydrochloride
pediatric
opioid overdose

A

Initial dose of 0.1 mg/kg IV/IO/IM/IN/ETT.
Max dose: 2mg IV/IM/ETT or
4mg IN

143
Q

nitroglycerin
adult
Mild CHF/pulmonary edema

A

0.4mg SL.
Repeat q 5 minutes.

144
Q

nitroglycerin
adult
Severe CHF/pulmonary edema

A

SBP 100-150: 0.4mg SL.
SBP 150-200: 0.8mg SL.
SBP >200: 1.2mg SL.
Repeat doses every 5 minutes based on repeat SBP

145
Q

norepinephrine bitartrate
pediatric

A

0.05-0.1mcg/kg/min IV infusion, titrate to effect.
Maximum rate: 2 mcg/kg/min

146
Q

ondansetron hydrochloride
adult
nausea/vomiting with acute mountain sickness

A

4mg IV/SL q 6 hours

147
Q

ondansetron hydrochloride
adult
stimulant poisoning/OD

A

8mg IV push over 2-5 minutes,
or 4-8mg IM,
or 8mg SL

148
Q

ondansetron hydrochloride
Pediatric
nausea/vomiting

A

6 months-14 years: 0.15mg/kg IV/PO.
Max dose: 4mg

149
Q

procainamide hydrochloride
adult
All Other Indications

A

20mg/min IV infusion until dysrhythmia suppression, hypotension,
QRS widens by more than 50% of its pretreatment width, or 17mg/kg has been given.

Maintenance Infusion: 1-4 mg/min diluted in D5W

150
Q

promethazine hydrochloride
pediatric
nausea/vomiting

A

0.25-0.5mg/kg deep IM

151
Q

rocuronium bromide
pediatric
RSI

A

> 3 months: 0.6-1.2mg/kg IV/IO

152
Q

succinylcholine chloride
pediatric

A

Pediatric: 1-1.5 mg/kg. IV/IO

153
Q

succinylcholine chloride
infant

A

2mg/kg IV/IO

154
Q

vecuronium bromide
pediatric

A

0.1-0.3 mg/kg IV/IO

Paramedic Drugs (11 decks)

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