Doses

Question 1

Fentanyl
A.) Pain Management
B.) Medication Assisted Intubation

Answer 1

A) 1‐3 mcg/kg IV/IO/IN, may repeat q 5 min

B) 1‐3 mcg/kg IV/IO

Question 2

Acetaminophen

A.) Pain Management

Answer 2

A.) 1000mg PO

Question 3

Adenosine

A) Cardiac ‐ Narrow Complex Tachycardia

Answer 3

A) 6 mg rapid IVP followed by 20 mL

flush, repeat 12 mg x 2 PRN

Question 4

Albuterol

A) Respiratory Distress /Asthma/COPD/Reactive Airway Disease
B) Allergic Reaction/Anaphylaxis
C) Hyperkalemia

Answer 4

A) 2.5 mg/3 cc Nebulized repeat PRN
B) 2.5 mg/3 cc Nebulized repeat PRN
C) 2.5 mg/3 cc Nebulized repeat PRN

Question 5

Amiodarone

A) Cardiac – Arrest (pVT, VF)
B) Cardiac ‐ Wide Complex Tachycardia

Answer 5

A) 300 mg IV/IO, may repeat 150 mg for sustained VT/VF in 3‐5 min
B) 150 mg IV/IO over 10 min

Question 6

Aspirin

A) Acute Coronary Syndrome (Suspected)

Answer 6

A) 324 mg PO

Question 7

Atropine Sulfate

A) Cardiac ‐ Bradycardia
B) Overdose/Poisoning (Organophosphate Poisoning)

Answer 7

A) 0.5 mg IVP, may repeat q 3‐5 min to max 3 mg

B) 1‐2 mg q 3‐5 mins until secretions cease

Question 8

Calcium Chloride

A) Hyperkalemia
B) Overdose/Poisoning (Calcium Channel
Blocker OD Call for order)

Answer 8

A) 5‐10 mL 10% slow IV/IO over 5 min

B) 250‐500 mg slow IV/IO

Question 9

Dextrose

A) Hypoglycemia

Answer 9

A) Oral Glucose 15 gm PO PRN
B) 12.5‐25 gm D50% IV/IO,
reassess/repeat PRN
AND/OR
125 mL D10% IV/IO, reassess/repeat PRN

Question 10

Diltiazem

A) Cardiac ‐ Narrow Complex Tachycardia Call for order

Answer 10

A) 15‐20 mg IV/IO over 5 min; after 15 min, if not resolved, 20‐25 mg over 5 min
Maintenance infusion 5‐15 mg/hr titrated to heart rate

Question 11

Diphenhydramine

A) Allergic Reaction/ Anaphylaxis/Dystonia

Answer 11

A) 25‐50 mg IV/IM/PO for Mild Allergy/Anaphylaxis
25‐50 mg slow IV push for Moderate or Severe Allergy/Anaphylaxis
25‐50 mg IM/IV for Dystonia

Question 12

Dopamine Hydrochloride

A) Shock ‐ Cardiogenic
B) Cardiac ‐ Bradycardia
C) Cardiac ‐ Post Arrest Care

Answer 12

A) 5‐20 mcg/kg/min IV/IO infusion
B) 2‐10 mcg/kg/min IV
C) 5‐10 mcg/kg/min IV

Question 13

Duoneb

A) Respiratory Distress

Answer 13

A) 0.5 mg IPRATROPRIUM and 3.0 mg

ALBUTEROL SULFATE in 3 mL

Question 14

Epinephrine

A) Cardiac ‐ Arrest (VF, pVT, TdP, Asystole)
B) Allergic Reaction/ Anaphylaxis
C) Respiratory Distress

Answer 14

A) 1 mg 1:10,000 IV/IO q 3‐5 mins; ETT 2.5 mg 1:1,000
B) Moderate Allergic Reaction:
0.3 mg 1:1,000 IM
Severe Allergic Reaction:
0.1 mg 1:10,000 IV repeat x 3 followed by 100 mL NS.
C) 0.3‐0.5 mg 1:1,000 IM; 0.1 mg IV 1:10,000 repeat as needed, max 0.3 mg

Question 15

Epinephrine Infusion

A) Cardiac ‐ Bradycardia
B) Cardiac ‐ Post Arrest Care
C) Sepsis
D) Shock ‐ Cardiogenic

Answer 15

A)2‐10 mcg/min IV/IO infusion
B)2‐10 mcg/min IV/IO infusion
C)2‐10 mcg/min IV/IO infusion
D)2‐10 mcg/min IV/IO infusion

Question 16

Etomidate

A) Sedation
B) Medication Assisted Intubation

Answer 16

A) 0.15 mg/kg IV/IO may repeat once if inadequate sedation

B) 0.3 mg/kg IV/IO may repeat once if inadequate relaxation

Question 17

Furosemide

A) Pulmonary Edema

Answer 17

A) 40 mg IV or double home dose up to 80 mg IV

Question 18

Glucagon

A) Hypoglycemia
B) Overdose/Poisoning
Beta Blocker Overdose Call for order

Answer 18

A) 1mgIM

B) 3‐5 mg IV/IO

Question 19

Haloperidol

A) Behavioral Emergency

Answer 19

A) 5‐10 mg IV/IM q 5‐10 mins, max 15 mg

Question 20

Hydrocortisone Sodium Succinate

A) Acute Adrenal Crisis

Answer 20

A) 100 mg IV/IO/IM; IM is preferred method of administration

Question 21

Hydroxocobalamin (Cyanokit)

A) Smoke Inhalation (Suspected Cyanide Poisoning)

Answer 21

A) 5 gm IV over 15 minutes

Question 22

Ibuprofen

A) Pain Management

Answer 22

A) 600 mg PO

Question 23

Ipratropium Bromide

A) Respiratory Distress

Answer 23

A) 0.5 mg/2.5 mL 2nd and 3rd HHN

Question 24

Ketamine

A) Behavioral Emergency
B) Sedation
C) Pain Management
D) Medication Assisted Intubation

Answer 24

A) 4 mg/kg IM or 1‐2 mg/kg IV
B) 1‐2 mg/kg IV/IO may repeat q 5‐10 min as needed 4 mg/kg IM may repeat q 10 min as needed
C) 0.3 mg/kg IV/IO/IM/IN may repeat q 10 min as needed; max 30 mg
D) 1‐3 mg/kg IV/IO

Question 25

Levophed

A) Cardiac – Post Arrest Care
B) Sepsis
C) Shock ‐ Cardiogenic

Answer 25

A) 2 – 20 mcg/min IV/IO infusion
B) 2 – 20 mcg/min IV/IO infusion
C) 2 – 20 mcg/min IV/IO infusion

Question 26

Lidocaine

A) Cardiac – Arrest (pVT, VF) Routine use of Lidocaine not recommended
B) Cardiac – Wide Complex Tachycardia

Answer 26

A) 1‐1.5 mg/kg IV/IO, followed by 0.5‐ 0.75 mg/kg IV/IO q 5 min to 3 mg/kg max
If patient converts, Lidocaine Infusion 2‐4 mg/min IV/IO; ETT 3 mg/kg, repeat once.
B) 1‐1.5 mg/kg IV/IO slow push; maintenance infusion 2‐4 mg/min

Question 27

Magnesium Sulfate

A) Cardiac ‐ Torsades de Pointes
B) Respiratory Distress
C) Seizure (Suspected Eclamptic Seizure)

Answer 27

A) 2 gm IV/IO over 5 mins
B) 2 gm IV over 20 mins
C) 4 gm IV/IO over 20 mins

Question 28

Methylprednisolone

A) Respiratory Distress
B) Allergy/Anaphylaxis
C) Acute Adrenal Crisis

Answer 28

A) 125 mg IV/IO
B) 125 mg IV/IO
C) 125 mg IV/IO/IM

Question 29

Metoprolol

A) Acute Coronary Syndrome (STEMI patient with SBP> 140 & HR >100 Call for order)
B) Cardiac – Narrow Complex

Answer 29

A) 5 mg slow IV push

B) 5 mg IV/IO

Question 30

Midazolam (Versed)

A) Behavioral Emergency
B) Sedation (Cardioversion, Pacing, Post‐ Intubation, Anxiety)
C) Seizures
D) Medication Assisted Intubation
E) Hypothermia Post ROSC

Answer 30

A) 2‐5 mg slow IV/IO/IM/IN q 5 minutes, titrated to effect, total dose 10 mg
B) 0.5 mg‐5 mg IV/IO/IM/IN
C) 2‐5 mg IV/IO/IM/IN q 5 min, max total dose 10 mg
D) 2‐10 mg IV/IO may repeat with 2‐5mg IV/IO if inadequate relaxation
E) 2‐5 mg IV/IO; titrate to effect

Question 31

Morphine Sulfate

A) Pain Management

Answer 31

A) 2‐5 mg IV/IO q 10 mins

Question 32

Naloxone (Narcan)

A) Poisoning/Overdose

Answer 32

A) 0.5 mg‐2 mg IV/IO/IM/IN may repeat to max total dose of 10 mg

Question 33

Nitroglycerin

A) Acute Coronary Syndrome
B) Pulmonary Edema

Answer 33

A). IfSBP>100:0.4mgSL,mayrepeatq5 min until pain free, consider 1 inch NTG paste if transport time > 15 mins
B) If systolic BP:
> 100, 0.4 mg SL q 5 min
> 160, 0.8 mg SL q 5 min
If diastolic BP > 100: 1.6 mg SL 1 inch NTG paste if SBP > 100

Question 34

Nitrous Oxide

A) Pain Management

Answer 34

A) As long as patient is able to follow directions, if available

Question 35

Ondanestron (Zofran)

A) Nausea/Vomiting

Answer 35

A) 4 mg IV/IO/IM/PO , may repeat once

Question 36

Oxytocin

A) Childbirth ‐ Uncontrolled Postpartum Hemorrhage

Answer 36

A) IV infusion 20 units in 1000 mL NS; Give 10 units (500 mL) over 10‐20 minutes, then maintenance infusion 2.5 units (125 mL) per hour

Question 37

Promethazine (Phenergan)

A) Nausea/Vomiting

Answer 37

A) 12.5 mg deep IM, may repeat x 1 in 15 mins

Geriatrics:
6.25 mg deep IM x 1, no repeat

Question 38

Sodium Bicarbonate

A) Crush Injury (Rhabdomyolysis Prevention)
B) Hyperkalemia (Suspected)
C) Overdose/Poisoning
(Tricyclic Antidepressant Overdose)

Answer 38

A) 1 mEq/kg in 1000 mL NS wide open
B) 1 mEq/kg infusion over 5 mins
C) 1 mEq/kg slow IV push

Question 39

Tetracaine

A) Ocular Injury

Answer 39

A) 1‐2 drops per eye, repeat PRN

Question 40

Thiamine

A) Hypoglycemia with chronic alcoholism/malnutrition

Answer 40

A) 100 mg slow IV/IM

Question 41

Tranexamic Acid

A) Shock – Hemorrhagic

Answer 41

A) 1 g IV/IO infusion over 10 minutes

If unable to establish IV access, 1 g IM in 2 doses in 2 separate locations