Doses Flashcards

1
Q

Morphine sulfate (adult dose)

A

IV/IO/IM-1.0 to 4.0 mg increments over 1 to 5 minutes

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2
Q

Verapamil (adult dose)

A

IV/IO- 2.5 mg over 2 minutes, may repeat dose 5.0 to 10 mg in 15 to 30 minutes. MAX DOSE-30 mg

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3
Q

oxytocin (adult dose)

A

Infusion-10 to 20 U in 1,000 mL NS or LR
IM- 10 U

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4
Q

calcium gluconate 2.5% topical gel (adult dose)

A

If possible, patient should wash affected area and massage the gel into the skin

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5
Q

proparacaine ophthalmic solution 0.5% (adult dose)

A

1 to 2 drops

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6
Q

pralidoxime chloride (2-Pam) (adult dose)

A

Auto injector- 600 mg
May repeat after 15 minutes

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7
Q

tetracaine (adult dose)

A

1 to 2 drops

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8
Q

Lactated ringers solution (description)

A

Water, sodium chloride, sodium lactate, potassium chloride, calcium chloride. PH-6.6

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9
Q

5% dextrose in water (description)

A

Water, dextrose. PH-4.3

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10
Q

0.9% Sodium Chloride Solution (description)

A

Water , Sodium chloride. PH-5.6

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11
Q

Phenylephrine nasal spray 0.5% (adult dose)

A

1-2 sprays

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12
Q

Nitrous oxide 50% (adult dose)

A

Self administered and self-regulated inhalation by the patient

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13
Q

Ipratropium bromide (adult dose)

A

500 mcg (0.5 mg) in 2.5 mL normal saline (unit dose) via SVN or inline SVN
May repeat dose

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14
Q

Racemic epinephrine (adult dose)

A

Nebulize- Dilute 5.0 mL (1%) in 5.0 mL normal saline

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15
Q

vasopressin (adult dose)

A

Cardiac arrest IV/IO- 40 U administered once
Cardiac arrest ET- 40 U in 10 mL normal saline

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16
Q

dexamethasone (adult dose)

A

IV/IO-8.0 to 24 mg

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17
Q

Acetaminophen/APAP (adult dose)

A

Oral-325 to 1000 mg every 4 to 6 hours
MAX DOSE- 4.0 g daily

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18
Q

Ibuprofen (adult dose)

A

Oral- 400 to 800 mg every 6 to 8 hours

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19
Q

Naloxone (adult dose)

A

IV/IO- 2.0 mg, may repeat every 2 minutes
ET- 4.0 mg diluted in 10 mL normal saline
IN- 1.0 mg sprayed in each nostril, may repeat every 2 minutes

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20
Q

Magnesium sulfate (adult dose)

A

Torsades infusion- 1.0 to 2.0 gm in 50 to 100 mL over 5 minutes, may repeat dose 1.0 to 2.0 gm over 1 hour

Pre-term labor/pre-eclampsia/eclampsia infusion- 3.0 to 6.0 gm in 100 mL over 10 to 20 minutes, may repeat initial dose

Maintenance infusion- 1.0 to 4.0 gm/hour

Reactive airway conditions- 2.0 gm in 50 mL over 5 to 10 minutes

Cardiac arrest IV/IO- 1.0 to 2.0 gm over 1 to 2 minutes

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21
Q

Calcium gluconate (adult dose)

A

Hyperkalemia IV/IO- 1.0 gm
may repeat dose

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22
Q

Hydroxocobalamin (adult dose)

A

IV/IO- 5.0 gm over 15 minutes

23
Q

Lorazepam (adult dose)

A

Seizure IV/IO- 2.0 to 5.0 mg over 2 minutes
Seizure IM- 2.0 to 5.0 mg
Procedural sedation IV/IO-2.0 mg over 2 minutes
Procedural sedation IM- 4.0 mg MAX DOSE- 10 mg

24
Q

Methylprednisolone (adult dose)

A

IV/IO- 125 mg

25
Q

Glucagon (adult dose)

A

IM- 1.0 mg
May repeat in 7 to 10 minutes

26
Q

Activated charcoal (adult dose)

A

Oral- 30 to 60 gm (1.0 to 2.0 gm/kg)

27
Q

Diltiazem (adult dose)

A

IV/IO- 0.25 mg/kg (usually 20 mg) over 2 minutes
May repeat the dosage 0.35 mg/kg (usually 25mg) in 15 minutes
Infusion- 5.0 to 15.0 mg/hour

28
Q

Dopamine (adult dose)

A

Infusion- 2.0 to 20 mcg/kg/minute
Therapeutic dose range and responses

2.0 to 5.0 mcg/kg/minute- Negligible beta-adrenergic response
5.0 to 10 mcg/kg/minute- Beta-adrenergic responses- positive chronotropic effects, positive inotropic effects
10 to 20 mcg/kg/minute- Alpha-adrenergic responses- vasoconstriction, increased blood pressure and preload
>20 mcg/kg/minute- may increase heart rate and myocardial demand to undesirable limits

29
Q

Etomidate (adult dose)

A

IV/IO- 0.2 to 0.6 mg/kg (usually 20 mg) over 30 to 60 seconds

30
Q

Furosemide (adult dose)

A

If patient is prescribed furosemide initial IV/IO dose is 2 times the patients total daily dose (usually 40 to 80 mg)
Not prescribed IV/IO- 0.5 to 1.0 mg/kg (usually 30 to 40 mg)

31
Q

Ketamine (adult dose)

A

IV/IO- 1.0 to 2.0 mg/kg over 1 minute
IM- 2.0 to 4.0 mg/kg

32
Q

Lidocaine (adult dose)

A

V-fib and pulseless V-tach IV/IO- 1.0 to 1.5 mg/kg
May repeat dose of 0.5 to 0.75 mg/kg every 3 to 5 minutes during resuscitation MAX DOSE- 3.0 mg/kg
Maintenance infusion- 2.0 to 4.0 mg/minute
ET- 2.0 to 2.5 time the bolus dosage diluted in 10 mL normal saline

33
Q

Midazolam (adult dose)

A

Seizure IV/IO- 0.1 mg/kg MAX DOSE- 4.0 mg
Seizure IM- 0.2 mg/kg MAX DOSE- 10 mg
Sedation- 0.5 to 2.5 mg MAX DOSE- 0.1 mg/kg
Chemical restraint IV/IO- 0.05 to 0.1 mg/kg
Chemical restraint IM- 0.1 to 0.15 mg/kg

34
Q

Norepinephrine (adult dose)

A

Infusion- 0.05 to 4.0 mcg/kg/minute
Titrated to effect

35
Q

Fentanyl (adult dose)

A

IV/IO/IM- 25 to 50 mcg MAX DOSE- 200 mcg

36
Q

Rocuronium (adult dose)

A

IV/IO- 0.6 to 1.2 mg/kg

37
Q

Sodium bicarbonate 7.5-8.4% (adult dose)

A

IV/IO- 1.0 mEq/kg
May repeat dose 0.5 mEq/kg every 10 minutes

38
Q

Nitroglycerin (adult dose)

A

Tablet- 0.4 mg
Single spray- 0.4 mg
May repeat dose in 3-5 minutes twice after initial dose

39
Q

Acetylsalicylic acid / ASA (adult dose)

A

Oral (chewed)- 160 to 325 mg

40
Q

Oxygen (adult dose)

A

nasal cannula 1 to 6 L/minute 24 to 44%

simple face mask 8 to 10 L/minute 40 to 60%

partial nonrebreather mask 15 L/minute 80 to 90%

nonrebreather mask 10 to 15 L/minute up to 90%

Venturi® mask variable 24 to 40%

mouth-to-mask device without supplemental oxygen N/A 16 to 17%

mouth-to-mask device with supplemental oxygen 15 L/minute up to 55%

bag-valve mask with reservoir 15 L/minute up to 100%

continuous positive air pressure (CPAP) variable up to 80%

41
Q

Diphenhydramine (adult dose)

A

Allergic reaction/anaphylaxis IV/IO/IM- 25 to 50 mg

Phenothiazine IV/IO/IM- 10 to 50 mg

42
Q

Epinephrine (adult dose)

A

Cardiac arrest IV/IO- 1.0 mg (1:10,000) repeat every 3 to 5 minutes
Cardiac arrest ET- 2.0 to 2.5 (1:1,000) diluted in 10 mL normal saline flush repeat 3 to 5 minutes
Bradycardia Infusion- 2.0 to 10 mcg/minute
Hypotension Infusion- 2.0 to 10 mcg/minute
Bronchospasm, allergic reaction, anaphylaxis IM- 0.3 to 0.5 mg (1:1,000), auto injector 0.3 mg

43
Q

Albuterol sulfate (adult dose)

A

Nebulized- 2.5 mg in 3mL normal saline via SVN or inline SVN for BVM
May repeat dosage

44
Q

Ondansetron (adult dose)

A

Oral/IV/IO- 4.0 to 8.0 mg

45
Q

Adenosine (adult dose)

A

IV/IO- 6.0 mg rapid bonus over 1 to 3 seconds followed by 20 mL normal saline flush
If no respond after 1 to 2 minutes administer- 12 mg rapid bonus over 1 to 3 seconds followed by 20 mL normal saline flush

46
Q

Calcium chloride (adult dose)

A

500 to 1,000 mg (0.5 to 1.0 gm)
May repeat dosage in 10 minutes

47
Q

Amiodarone (adult dose)

A

Cardiac arrest IV/IO- 300 mg, if no response administer 150 mg over 3 to 5 mintes
Tachydysrhythmias infusion- 150 mg in 50 mL D5W infused over 10 minutes
Infusion 1.0 mg/minutes

48
Q

Bumetanide (adult dose)

A

IV/IO/IM- 0.5 to 1.0 mg

49
Q

Oral glucose (adult dose)

A

Bucal, sublingual-15 to 50 gm, may repeat dose

50
Q

Dextrose 50% (adult dose)

A

IV/IO- 12.5 to 25 gm

51
Q

Diazepam (adult dose)

A

IV/IO/IM- 2.0 mg increments over 2 minutes

Rectal for PEDS (start remembering)

52
Q

Thiamine (adult dose)

A

IV/IO/IM- 100 mg

53
Q

Atropine sulfate (adult dose)

A

Bradycardia IV/IO- 1.0 mg, may repeat dose every 3 to 5 minutes to MAX DOSE of 3.0 mg
Organophosphate poisoning/carbamate/nerve agent exposure- 1.0 to 4.0 mg, may double every 5 minutes
ET- 2.0 to 2.5 mg diluted in 10mL normal saline

54
Q

Succinylcholine (adult dose)

A

IV/IO- 0.6 to 2.0 mg/kg
May repeat dose once in 2 to 3 minutes