Doses Flashcards
Fentanyl
A.) Pain Management
B.) Medication Assisted Intubation
A) 1‐3 mcg/kg IV/IO/IN, may repeat q 5 min
B) 1‐3 mcg/kg IV/IO
Acetaminophen
A.) Pain Management
A.) 1000mg PO
Adenosine
A) Cardiac ‐ Narrow Complex Tachycardia
A) 6 mg rapid IVP followed by 20 mL
flush, repeat 12 mg x 2 PRN
Albuterol
A) Respiratory Distress /Asthma/COPD/Reactive Airway Disease
B) Allergic Reaction/Anaphylaxis
C) Hyperkalemia
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
Amiodarone
A) Cardiac – Arrest (pVT, VF)
B) Cardiac ‐ Wide Complex Tachycardia
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
Aspirin
A) Acute Coronary Syndrome (Suspected)
A) 324 mg PO
Atropine Sulfate
A) Cardiac ‐ Bradycardia
B) Overdose/Poisoning (Organophosphate Poisoning)
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
Calcium Chloride
A) Hyperkalemia
B) Overdose/Poisoning (Calcium Channel
Blocker OD Call for order)
A) 5‐10 mL 10% slow IV/IO over 5 min
B) 250‐500 mg slow IV/IO
Dextrose
A) Hypoglycemia
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
Diltiazem
A) Cardiac ‐ Narrow Complex Tachycardia Call for order
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
Diphenhydramine
A) Allergic Reaction/ Anaphylaxis/Dystonia
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
Dopamine Hydrochloride
A) Shock ‐ Cardiogenic
B) Cardiac ‐ Bradycardia
C) Cardiac ‐ Post Arrest Care
A) 5‐20 mcg/kg/min IV/IO infusion
B) 2‐10 mcg/kg/min IV
C) 5‐10 mcg/kg/min IV
Duoneb
A) Respiratory Distress
A) 0.5 mg IPRATROPRIUM and 3.0 mg
ALBUTEROL SULFATE in 3 mL
Epinephrine
A) Cardiac ‐ Arrest (VF, pVT, TdP, Asystole)
B) Allergic Reaction/ Anaphylaxis
C) Respiratory Distress
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
Epinephrine Infusion
A) Cardiac ‐ Bradycardia
B) Cardiac ‐ Post Arrest Care
C) Sepsis
D) Shock ‐ Cardiogenic
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
Etomidate
A) Sedation
B) Medication Assisted Intubation
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
Furosemide
A) Pulmonary Edema
A) 40 mg IV or double home dose up to 80 mg IV
Glucagon
A) Hypoglycemia
B) Overdose/Poisoning
Beta Blocker Overdose Call for order
A) 1mgIM
B) 3‐5 mg IV/IO
Haloperidol
A) Behavioral Emergency
A) 5‐10 mg IV/IM q 5‐10 mins, max 15 mg
Hydrocortisone Sodium Succinate
A) Acute Adrenal Crisis
A) 100 mg IV/IO/IM; IM is preferred method of administration
Hydroxocobalamin (Cyanokit)
A) Smoke Inhalation (Suspected Cyanide Poisoning)
A) 5 gm IV over 15 minutes
Ibuprofen
A) Pain Management
A) 600 mg PO
Ipratropium Bromide
A) Respiratory Distress
A) 0.5 mg/2.5 mL 2nd and 3rd HHN
Ketamine
A) Behavioral Emergency
B) Sedation
C) Pain Management
D) Medication Assisted Intubation
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
Levophed
A) Cardiac – Post Arrest Care
B) Sepsis
C) Shock ‐ Cardiogenic
A) 2 – 20 mcg/min IV/IO infusion
B) 2 – 20 mcg/min IV/IO infusion
C) 2 – 20 mcg/min IV/IO infusion
Lidocaine
A) Cardiac – Arrest (pVT, VF) Routine use of Lidocaine not recommended
B) Cardiac – Wide Complex Tachycardia
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
Magnesium Sulfate
A) Cardiac ‐ Torsades de Pointes
B) Respiratory Distress
C) Seizure (Suspected Eclamptic Seizure)
A) 2 gm IV/IO over 5 mins
B) 2 gm IV over 20 mins
C) 4 gm IV/IO over 20 mins
Methylprednisolone
A) Respiratory Distress
B) Allergy/Anaphylaxis
C) Acute Adrenal Crisis
A) 125 mg IV/IO
B) 125 mg IV/IO
C) 125 mg IV/IO/IM
Metoprolol
A) Acute Coronary Syndrome (STEMI patient with SBP> 140 & HR >100 Call for order)
B) Cardiac – Narrow Complex
A) 5 mg slow IV push
B) 5 mg IV/IO
Midazolam (Versed)
A) Behavioral Emergency B) Sedation (Cardioversion, Pacing, Post‐ Intubation, Anxiety) C) Seizures D) Medication Assisted Intubation E) Hypothermia Post ROSC
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
Morphine Sulfate
A) Pain Management
A) 2‐5 mg IV/IO q 10 mins
Naloxone (Narcan)
A) Poisoning/Overdose
A) 0.5 mg‐2 mg IV/IO/IM/IN may repeat to max total dose of 10 mg
Nitroglycerin
A) Acute Coronary Syndrome
B) Pulmonary Edema
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
Nitrous Oxide
A) Pain Management
A) As long as patient is able to follow directions, if available
Ondanestron (Zofran)
A) Nausea/Vomiting
A) 4 mg IV/IO/IM/PO , may repeat once
Oxytocin
A) Childbirth ‐ Uncontrolled Postpartum Hemorrhage
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
Promethazine (Phenergan)
A) Nausea/Vomiting
A) 12.5 mg deep IM, may repeat x 1 in 15 mins
Geriatrics:
6.25 mg deep IM x 1, no repeat
Sodium Bicarbonate
A) Crush Injury (Rhabdomyolysis Prevention)
B) Hyperkalemia (Suspected)
C) Overdose/Poisoning
(Tricyclic Antidepressant Overdose)
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
Tetracaine
A) Ocular Injury
A) 1‐2 drops per eye, repeat PRN
Thiamine
A) Hypoglycemia with chronic alcoholism/malnutrition
A) 100 mg slow IV/IM
Tranexamic Acid
A) Shock – Hemorrhagic
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
