Doses Flashcards

1
Q

Dextrose) Adult Dose:
Pedi Dose:

A

= 25G IV/IO or D10 in 50 mL(5G) IV/IO boluses (max 250 mL)
= 5-10 mL’s/kg of D10

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2
Q

NORepi) Adult Dose:
Pediatric Dose:

A

= 0.1–0.5 mcg/kg/min IV/IO infusion
= 0.1–2 mcg/kg/min IV/IO infusion

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3
Q

Solu-Medrol) Adult Dose:
Pedi Dose:

A

= 125-250 mg IV/IO
= 2 mg/kg IV/IO to Max 60 mg

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4
Q

Calcium Chloride) Dose:
Treatment of hypotension following admin/ of Diltiazem:

A

= 0.5-1G 3-5mins
= 250-500mg

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5
Q

Captopril)

A

25mg PO

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6
Q

Dexamethasone) Adult Dose:
Pediatric Dose:

A

= 10 mg IV/IO/PO
= 0.5 mg/kg (max of 10 mg IV/IO/PO) “better>sol-med”

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7
Q

Diazepam/Valium) Sedation:
Relaxation (anxiety seizure):

A

= 2.5-10mg in 2.5mg increments slow IV/IO/IM
= 2-10mg

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8
Q

Diltiazem) 1st dose:
2nd dose:

A

= 0.25 mg/kg (max dose 20 mg)
= 0.35 mg/kg (max dose 25 mg)

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9
Q

Diphenhydramine) Adult Dose:
Pediatric Dose:

A

= 25 – 50 mg slow IV/IO or IM
= 1 - 2 mg/kg slow IV/IO or IM (Max dose: 50 mg)

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10
Q

Diphenhydramine) Adult Dose:
Pediatric Dose:

A

= 25 – 50 mg slow IV/IO &IM
= 1-2 mg/kg slow IV/IO or IM (Max dose: 50 mg)

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11
Q

Dobutamine) adult dose:
PEDI dose:

A

= 2-20mcg/kg/min- titrate so HR cant rise>10% baseline (pt HR arrival)
= 2-20mcg/kg/min

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12
Q

Dopamine) Dosing:
Adult & Pedi Cardiac dose:
Adult & Pedi Vasopressor dose:

A

= 2–20 mcg/kg/min Titrate to patients response
= 5-10mcg/kg/min
= 10-20 mcg/kg/min

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13
Q

Enalapril) Dosing:

A

= Initial dose 2.5mg PO & Titrate to 20mg PO

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14
Q

Epi 1:1,000) Admin/ via:
Adult Dose:
Pedi Dose:

A

= IM
= 0.3 mg(Asthma/COPD) & Up to 0.5 mg for anaphylaxis
= 0.01 mg/kg IM w/ max dose of 0.3 mg

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15
Q

Epi 1:10,000) Admin via:
(Adult) Cardiac Arrest dose:
(Adult) Bradycardia dose:
(PEDI) Bradycardia/Cardiac Arrest dose:
(PEDI) Hypoperfusion & Severe anaphylaxis dose:

A

= IV infusion drip
= 1mg IVP/IOP every 3-5 mins
= 2-10 mcg/min IV/IO infusion
= 0.01 mg/kg or 0.1 mL/kg
= 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag

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16
Q

Fentanyl) Dose:
PTs w/ elevated ICP, IC-hemorrhage, cardiac ischemia, or aortic dissection:

A

= 1mcg/kg w/ (max 100mcg)(IV/O,IN) may repeat PRN in 5-10mins
Max of 1mL per nare if admin/ed IN
= 2-3 mcg/kg IV <sympathetic response (Raised HR & BP) to intubate

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17
Q

Furosemide) Adult Dose:
intial dose doesnt work:

A

= 0.5-1 mg/kg over 1-2 mins. IVP
= double 1st dose to 2 mg/kg over 1-2 mins.

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18
Q

Glucagon) Hypoglycemia Adult Dose:
Hypoglycemia Pedi Doses:

A

= 1 mg IM/IN
= <20Kg 0.5 mg IM/IN & >20Kg 1mg IM/IN

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19
Q

(Labetalol) Max dose:
Adult Dose:

A

= 150mg
= 10 mg IV/O push 1-2 mins & May repeat every 10 mins to max dose

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20
Q

Lidocaine) Max dose:
Cardiac Arrest from VF/pVT dose:
Refractory VF dose:
Perfusing Arrhythmia dose:
Maintenance Infusion dose:

A

= 3 mg/kg
= 1-1.5 mg/kg IV/IO
= may give additional 0.5-0.75 mg/kg IV/IO in 5-10 mins
= may give additional 0.5-0.75 mg/kg IV/IO in 5-10 mins
= 1-4mg/min (30-50 mcg/kg/min)

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21
Q

Lorazepam/Ativan) sedation:
Anxiety/Seizures:

A

= 0.05 mg/kg IV/IO
= 1-4mg

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22
Q

Mag-Sulfate) Bronchodilation Adult Dose:
Bronchodilation Pedi Dose:

A

= 1-2G IV/IO over 10-20 mins (Infusion)
= 25-50 mg/kg IV/IO (max 2G) over 15-30 mins (Infusion)

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23
Q

Midazolam/Versed) Adult active seizures:
Pediatric active seizures:
Adult/Pedi induction agent (RSI):
ET Tube bucking:

A

= 0.1mg/kg in 2mg increments IV/IO (max 5mg) → 5mg IM/IO
=0.1mg/kg in 2mg increments IV/IO (max 5mg) 0.2mg/kg IN/M
= 0.1-0.3mg/kg (max 10mg), Onset=2-5mins, Duration= 15-30mins
= 0.05mg/kg IV/O 1-2mins (maintain SBP) → stop once bucking stops

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24
Q

Morphine) Analgesia:
STEMI:
NSTEMI-ACS:

A

= 2-10 mg up to max 20 mg.
= 2-4mg slow IV/O, may admin 2nd dose 2-8mg IV/IO q5-15 mins
= 0.1 mg/kg slow IV/IO or IM up to 10 mg

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25
Q

Narcan/Naxolone)

A

= 0.4mg IN/IM w/ max 2ml

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26
Q

Rocuronium) Adult Dose:
Pediatric Dose:

A

= 0.6-1.2 mg/kg TTP: 60-90 seconds DOP: 45-120 mins
= 0.6-1.2 mg/kg TTP: 30-60 seconds DOP: 30-60 mins

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27
Q

(Sodium Bicarb) Suspected Acidosis:
Hyperkalemia:

A

= 1 mEq/kg IV Bolus
= 50 mEq IV Bolus

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28
Q

Succinylcholine) Adult Dose:
Pediatric Dose:

A

= 1-1.5 mg/kg IV/IO TTP: 45-60 seconds DOP: 5-10 mins
= 1-1.5 mg/kg IV/IO TTP: 45-60 seconds DOP: 4-6 mins

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29
Q

Vecuronium) Adult Dose:
Pediatric Dose:

A

= 0.1-0.2 mg/kg IV/IO TTP: 1-3 mins DOP: 45-90 mins
= 0.1-0.2 mg/kg IV/IO TTP: 1-3 mins DOP: 30-60 mins

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30
Q
  • “pril”
A

= ACE inhibitor

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31
Q

Paralysis w/ RSI Induction med pushes) Etomidate:
Midazolam :
Ketamine:
Propofol:
(Push paralytic med RIGHT after med induction):
Succinylcholine:
Rocuronium:
Vecuronium:

A

= 0.2-0.4 mg/kg IV/IO
= 0.1-0.3 mg/kg IV/IO
= 1-2 mg/kg IV/IO
= 1-2 mg//kg IV/IO
= RSI when sedative admin
= 1-1.5 mg/kg IV/IO
= 0.6-1.2 mg/kg IV/IO (If succinylcholine is contraindicated)
= 0.1-0.2 mg/kg IV/IO, TTP 1-3mins, DOP 45-90mins

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32
Q

Adenosine) 1st dose=
2nd dose=

admin technique =

A

6mg rapid push & flush
12mg Push & flush
rapid IV/IO push followed by rapid flush of fluid (20ml). → can be accomplished w/ the best results utilizing a 3-way stopcock

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33
Q

Albuterol) bronchospasm=
Hyperkalemic=

A

2.5mg/3mg via SVN→ repeat 15-20mins as needed
10-20mg via LVN over 15 mins→ repeat as needed

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34
Q

Amiodarone) 1st dose=
2nd dose=
Life-threatening arrhythmias dosage:

A

1st dosage —> 300mg IV/IO push
2nd dosage—> 150mg IV/IO push if needed

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35
Q

Aspirin)

A

=160-325mg PO

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36
Q

Atropine) Bradycardia (w/ or w/o ACS) dose:
Severe dose:
Organophosphate poisoning:

A

=1 mg IVP 3-5mins as needed (Don’t exceed 0.04mg/Kg (total 3mg))
=1mg IVP (3mins) in severe clinical conditions
=2-4mg (or higher) IVP

37
Q

Calcium Chloride) standard dose:
Hypotension after Diltiazem admin:

A

=0.5-1gram slow IV over 3-5mins
=following admin/ of Diltiazem: 250-500mg

38
Q

Captopril):

A

=25mg PO

39
Q

Central catheter line min/ & preferred aspiration & flush=

A

min=10mLs
preferred= 20mLs

40
Q

Dexamethasone

A

= 10 mg IV/IO/PO

41
Q

Dextrose 50% /D50:

A

= 25Gs IV/O, D10 in 50 mL (5 grams)
IV/IO boluses (max 250 mL)

42
Q

Diazepam (Valium):

A

2.5-10mg in 2.5mg increments slow IV/IO/IM

43
Q

Diltiazem) 1st dose:
2nd dose:

A

= 0.25mg/kg w/ max dose of 20mg
= 0.35 mg/kg w/ max dose of 25mg

44
Q

Dobutamine):

A

=2-20mcg/kg/min- titrate so HR doesn’t increase by >10% of baseline

45
Q

Dopamine):

A

=5-20mcg/kg/min & Titrate to PT response (DONT OPEN “WIDE OPEN”)

46
Q

(Ipratropium/Atrovent) Adult Dose:
Pedi Dose:

A

= 500 mcg/2.5 mL via neb
= 250-500 mcg/1.25-2.5 mL via neb

47
Q

Enalapril): initial dose:
Titrate dose:

A

= 2.5mg PO
=to 20mg PO

48
Q

EPI 1:1,000): Adult
Pedi:

A

=1mg/1ml IM→ standard 0.3mg-0.5mg
= 0.01mg/kg IM w/ max dose 0.3mg

49
Q

Epinephrine 1:10,000): Cardiac arrest:
Bradycardia dose:
Normovolemic hypotension & severe anaphylaxis:

A

=1mg IVP/IOP every 3-5mins
=2-10mcg/min IV/IO infusion (0.002-
=2-10mcg per min—> mix 1mg of Epi 1:10,000 into a 1 liter bag of fluid

50
Q

Etomidate (Amidate) IVP:

A

= 0.2-0.4 mg/kg (limit to 1 dose) Onset w/in 30 secs. Duration: 5-10 mins

51
Q

Fentanyl):
IN route:

A

=1mcg/kg to max of 100mcg (IV/IO/IN) → may repeat PRN in 5-10mins
=Max of 1mL per nare admin/ed IN

52
Q

Furosemide):
if no response to 1st dose:

A

=0.5-1mg/kg given over 1-2mins
= double the 1st dose to 2mg/kg given slowly over 1-2 mins

53
Q

Glucagon) Ca channel or beta blocker OD:
Hypoglycemia Adult Dose:
Hypoglycemia Pedi Doses:

A

= (3 3s) 3-10mg IV slowly 3-5 mins w/ infusion after of 3-5mg per hour
= 1 mg IM/IN
= <20Kg 0.5 mg IM/IN & >20Kg 1mg IM/IN

54
Q

Ketamine (Ketalar): IVP:

A

= 1-2mg/kg, Onset 1 min, Durations 10-20 mins

55
Q

Labetalol):

A

10mg IV/IO push over 1-2mins & May repeat every 10mins to a max dose of 150mg

56
Q

Lidocaine): Cardiac arrest from VF/pVT:

Perfusing Arrhythmia:

Maintenance Infusion:

A

=1-1.5mg/kg IV/IO
For refractory VF, may give additional 0.5-0.75mg/kg IV/IO in 5-10mins→ max dose is 3mg/kg
=1-1.5mg/kg IV/IO
For refractory VF, may give additional 0.5-0.75mg/kg IV/IO in 5-10mins→ max dose is 3mg/kg
=1-4mg/min (30-50mcg/kg/min)

57
Q

“Lol”

A

Beta-Blockers

58
Q

Mag-Sulfate)Cardiac arrest due to suspected hypomagnesemia/ Tdp:
Tdp w/ pulse:
Maintenance infusion:

A

= 1-2grams diluted in 10mL
= 1-2grams mixed in 50-100mL admin/ over 5-60mins
=0.5-1gram per hour

59
Q

Midazolam (Versed): Dose, Onset, & Duration

A

=0.1-0.3 mg/kg Onset 1-3mins, Duration of 20-30 min
“Versed 2-3letters” all 1,2,3s

60
Q

Midazolam): adult seizures:
Pedi Seizures:
RSI:
ET Tube bucking:

A

=0.1mg/kg in 2mg increments IV/IO (max 5mg) → 5mg IM/IO
=0.1mg/kg in 2mg increments IV/IO & 0.2mg/kg IN/IM (max 5mg)
=0.1-0.3mg/kg (max 10mg) Onset=2-5mins Duration= 15-30mins
=0.05mg/kg slow IV/IO 1-2mins (maintain systolic BP) stop when bucking has stopped

61
Q

Morphine): STEMI:
NSTEMI-ACS:

A

= 2-4mg IV/IO (slow); may give + doses of 2-8mg IV at 5-15min intervals
=0.1mg/kg IV/IO (slow) or IM up to 10mg

62
Q

Nifedipine):

A

= 10mg potent vasodilator: Selective Ca-channel blocker thus vasodilation & decreases systemic vascular resistance

63
Q

Nitroglycerin):

A

= 0.4mg SL (pill or spray) → repeat 3x (Q5 mins) for total dose of 1.2mg

64
Q

NORepinephrine):

A

= 0.1-0.5mcg/kg/min IV/IO infusion

65
Q

Nubain) Dose:

A

= 10-20 mg IV/IO/SQ/IM

66
Q

Ondansetron (Zophran):

A

= 4-8mg IV (slow), IM, PO

67
Q

Peripheral IV flush

A

2-5 mL

68
Q

Procainamide): Recurrent VF/VT:
Maintenance Infusion:
Urgent situationships:

A

= 20mg/min (max total dose: 17mg/kg)
= 1-4mg/min
= up to 50mg/min may be admin/ to total dose of 17mg/kg

69
Q

Propofol (Diprivan):

A

= 1-1.5 mg/kg, Onset 1 min, Duration 3-5 min

70
Q

Sodium Bicarbonate) Suspected acidosis:
Hyperkalemia:

A

= 1mEq/kg IV Bolus
= 50mEq IV Bolus

71
Q

Sodium Thiopental):

A

= 3-5mg/kg, IVP Onset 1 min, Duration 5 min

72
Q

Succinylcholine):
Rocuronium):
Vecuronium):

A

= 1-1.5 mg/kg IV/IO, TTP 45-60secs, DOP 5-10mins
= 0.6-1.2 mg/kg IV/IO, TTP 60-90secs, DOP 45-120mins
= 0.1-0.2 mg/kg IV/IO, TTP 1-3mins, DOP 45-90mins

73
Q

Terbutaline (Brethine):

A

=0.25mg IM

74
Q

Thiamine)

A

= 100 mg IV/IO/IM

75
Q

Verapamil): 1st:
2nd:
Max dose:

A

=2.5-5mg IV/IO bolus over 2-3mins
= 5-10mg over 2-3 mins
=20mg

76
Q

Acetaminophen)

A

= IV/IO: 1 gram over 10 - 15 minutes, PO: 15 mg/kg

77
Q

Activated Charcoal)

A

= PO: 1-2 g/kg

78
Q

Aspirin)

A

=160-325 mg PO of nonenteric coated ASA.

79
Q

Diazepam)

A

= 2.5-10 mg in 2.5 mg increments slow IV/IO/IM

80
Q

Droperidol)

A

= 5-10mg

81
Q

Flumazenil)

A

= 0.2 mg IV/IO q30 seconds max 3 mg

82
Q

Haloperidol) <69 y/o dose:
>69 y/o dose:

A

= <69 y/o: 5 mg IM (max 20 mg per day)
= >69 y/o: 2.5 mg IM (max 10 mg per day)

83
Q

Hydroxocobalamin)

A

= 5Gs IV/O over 15 mins. May repeat 2nd 5G dose (max 10G)

84
Q

Ibuprofen)

A

= 200-800 mg PO q6-8 hours, Max daily dose: 3200 mg

85
Q

ketamine) Sedation Dose:
Pain dose:

A

= Sedation: 1-2 mg/kg Onset: 30-60 secs, Duration: 10-20 mins
= Pain: 0.2 mg/kg IV/IO (max single dose 20 mg), 0.5 mg/kg IM/IN (if no IV/IO)

86
Q

Ketorolac (Toradol)

A

= 15mg IV, 30mgIM

87
Q

Levalbuterol (Xopenex)

A

= 0.63 mg/3 mL via SVN

88
Q

Lorazepam)

A

= 2-4 mg (may repeat to a max dose of 8 mg)

89
Q

Methylene Blue)

A

= 1 mg/kg IV/IO over 5-30 mins