Doses Only Flashcards
1
Q
Adenosine
Adult Dosage
A
Stable Narrow Complex
1st: 6-12mg Rapid IV/IO
2nd: 12mg Rapid IV/IO
q 1-2min followed by 20ml flush
2
Q
Adenosine Pediatric Dose
A
“1st: 0.1 mg/kg max 6mg
2nd: x2 1st dose max 12mg
q1-2 min followed by NS flush”
3
Q
Albuterol Adult Bronchospasm Dose
A
“5mg Nebulized
Mild: may repeat x 1 prn. Moderate: may repeat prn. Severe: may repeat prn”
4
Q
Albuterol Adult Drowning Dose
A
“If fluid is auscultated (i.e. rales) in the lungs
5mg Nebulized, q5min, may repeat x3 prn”
5
Q
Albuterol Adult Crush Injury/Syndrome Dose
A
“Signs of hyperkalemia present
20mg Nebulized”
6
Q
Albuterol Pediatric Bronchospasm Dose
A
”> 4yo = 5mg Nebulized
< 4yo = 2.5mg Nebulized”
7
Q
Amiodarone Adult Wide Complex Tachycardia Dose
A
“Loading Dose: 150mg IV/IO infusion over 10 minutes
Maintenance Infusion upon conversion: 1mg/min IV/IO infusion”
8
Q
Amiodarone Adult Cardiac Arrest Dose
A
“Initial: 300mg IV/IO
2nd: 150mg IV/IO, q 3-5 minutes after 1st dose
Post ROSC
Loading Dose: 150mg IV/IO infusion over 10 minutes if two boluses (300 mg followed by
150 mg) were not already given during resuscitation
Maintenance Infusion: 1mg/min IV/IO infusion”
9
Q
Amiodarone Pediatric Cardiac Arrest Dose
A
Initial: 5mg/kg IV/IO, max 300mg, may repeat bolus x2 prn, max 450mg total
10
Q
Aspirin Dose
A
Adult: Chest Pain / Suspected ACS 160-325mg PO
11
Q
Atropine Adult Bradycardia Dose
A
1mg IV/IO, q 3-5min prn, max dose 3mg
12
Q
Atropine Adult Organophosphate Poisoning Dose
A
2mg IV/IO, q5min prn until secretions resolve, no max
13
Q
Atropine Pediatric Bradycardia Dose
A
0.02mg/kg IV/IO, may repeat x1 prn Minimum single dose = 0.1mg Maximum single dose for child = 0.5mg Maximum single dose for adolescent = 1mg
14
Q
Atropine Pediatric Organophosphate Poisoning Dose
A
0.02mg/kg IV/IO, q5min prn until secretions resolve, no max
15
Q
Calcium Chloride Adult Ca2+ Channel Blocker Overdose Dose
A
500-1,000mg IV/IO infusion over 10-20min *w/Medical Control orders
16
Q
Calcium Chloride Adult Cardiac Arrest Hyperkalemia or Renal Disease Dose
A
1g IV/IO
17
Q
Calcium Chloride Adult Traumatic Shock Dose
A
2g IV/IO
18
Q
Calcium Chloride Adult Crush Injury/Syndrome with Hyperkalemia Dose
A
1g IV/IO over 10 minutes, don’t exceed 1mL/min
19
Q
Calcium Chloride Pediatric Cardiac Arrest Dose
A
20mg/kg IV/IO, Max 1g
20
Q
Calcium Gluconate Adult Hydrofluoric Acid Topical Dose
A
2.5% TD
21
Q
Calcium Gluconate Adult Hydrofluoric Acid Inhalation Dose
A
4mL of 2.5% Nebulized
22
Q
Dexamethasone Adult Bronchospasm Dose
A
16mg PO/IV/IO/IM
23
Q
Dexamethason Pediatric Bronchospasm Dose
A
Lower Airway Obstruction: Asthma/Wheezing > 2yo 0.6mg/kg PO/IV/IM/IO, max 16mg
Upper Airway Obstruction: Croup/Stridor 0.6mg/kg PO/IV/IM/IO, max 16mg
24
Q
Dextrose Adult Hypoglycemia Dose
A
25g IV/IO
25
Dextrose Pediatric Hypoglycemia Dose
0.5g/kg IV/IO
26
Diazepam Adult Seizure Dose
5mg IV/IM/IO, q2min prn, max 10mg
27
Diazepam Adult Agitated/Combative PT Dose
5mg IV, 10mg IM, max 10mg q5minute until max
28
Diazepam Adult Excited Delerium Dose
10mg IV/IM q5, repeat once prn
29
Diazepam Adult Post Intubation Sedation
5mg IV or 10mg IM, q2 min prn, max 10mg
30
Diazepam Pediatric Seizure Dose
"0.2mg/kg IV/IO/IM, max 5mg if < 5yo / max 10mg if < 10yo
0.2mg/kg IN if ≥ 12yo
0.3mg/kg IN if 6-11yo
0.5mg/kg PR, max 20mg, use PR route as last resort"
31
Diltiazem Adult Narrow Complex Tachycardia Dose
10mg slow IV/IO push, q5min prn, max 20mg
32
Diphenhydramine Adult Anaphylaxis/Allergic Reaction Dose
50mg IV/IM (I/O Anaphylaxis)
33
Diphenhydramine Adult Phenothiazine (Dystonic Reaction) Overdose Dose
25-50mg IV/IO/IM
34
Diphenhydramine Pediatric Anaphylaxis/Allergic Reaction Dose
1mg/kg IV/IO/IM, max 50mg
35
Diphenhydramine Pediatric Phenothizine (Dystonic Reaction) Dose
1-2mg/kg IV/IM
36
Dopamine Adult CHF/Pulmonary Edema Dose
"5-20 mcg/min
Titrate to MAP > 65mmHg"
37
Dopamine Adult Post ROSC Hypotension Dose
5-20mcg/kg/min
38
Epinephrine Adult Anaphylaxis Dose
"0.3-0.5mg IM (1:1,000), may repeat x1 after 5 min, prn
1mL IV/IO Push Dose Epi, q 3-5min, while preparing vasopressor infusion
2-20mcg/min IV/IO Infusion"
39
Epinephrine Adult Wheezing/Bronchospasm Dose
0.3-0.5mg IM (1:1,000)
40
Epinephrine Adult CHF/Acute Pulmonary Edema Dose
0.3-0.5mg IM (1:1,000)
41
Epinephrine Adult Cardiac Arrest Dose
1mg IV/IO (1:10,000), q 3-5min
42
Epinephrine Adult Post ROSC Dose
"2-30mcg/min, titrate to MAP ≥ 65mmHg
1mL Push Dose Epi q 3-5min prn"
43
Epinephrine Adult Shock Dose
"2-20mcg/min, titrate to MAP ≥ 65mmHg
1ml IV/IO Push Dose Epi, q 3-5min, prn, while preparing vasopressor infusion"
44
Epinephrine Adult Bradycardia Peri-Arrest Dose
1mL IV/IO Push Dose Epi, q 2min prn to maintain MAP ≥ 65mmHg
45
Epinephrine Adult Bradycardia Persistent Hypotension Dose
0.01mg/kg IV/IO (1:10,000), q 5min prn, max 1mg total
46
Epinephrine Adult Hypothermia Induced Cardiac Arrest Dose
1mg IV/IO (1:10,000) ONCE until temp > 86°
47
Epinephrine Pediatric Anaphylaxis Dose
"< 25kg, 0.15mg IM (1:1,000), may repeat x1 after 5min, prn
≥ 25kg, 0.3mg IM (1:1,000)
0.01-0.5mcg/kg/min Infusion w/Medical Control orders"
48
Epinephrine Pediatric Croup/Stridor Dose
3mg (1:1,000) in Nebulizers, repeat PRN if stridor still present at rest
49
Epinephrine Pediatric Lower Airway / Bronchiolitis Dose
3mg (1:1,000) via Nebulizer with Medical Control orders
50
Epinephrine Pediatric Asthma/Wheezing Dosage
"≥ 25kg = O.3mg IM (1:1,000)
< 25kg = 0.15mg IM (1:1,000)"
51
Epinephrine Pediatric Cardiac Arrest Dose
0.01mg/kg IV/IO (1:10,000), q 3-5min, max 1mg/dose
52
Epinephrine Pediatric Shock Dose
"0.01-0.5mcg/kg/min Infusion
Consider 1mL (10mcg) IV/IO Push Dose Epi"
53
Epinephrine Pediatric Neonatal Resuscitation Dose
0.01-0.03mg/kg IV/IO, 0.1mg/ml (1:10,000)
54
Epinephrine Adult Push Dose Preparation
"Mix in syringe 1mL of Epi (1:10,000) with 9mL saline. Syringe = 10mcg/mL of Epi.
Administer 1mL (10mcg) IV/IO, q 3-5min, prn. Consider while preparing vasopressor
infusion."
55
Epinephrine Pediatric Push Dose Preparation
"Peds: 10mcg/mL (1:100,000), 1ml/1min IV/IO, not to exceed 1mL/1min. Using 1ml
syringe, draw 0.1mL of (1:10,000) and 0.9mL saline = 10mcg/mL Titrate to maintain age
appropriate SBP."
56
Epinephrine Infusion Preparation
"Mix 2mg Epinephrine (1:1,000) into 250mL NS/D5W = 8mcg/ml
Infuse using microdrip (60gtt/ml) set"
57
Etomidate Adult Dosage
0.3 mg/kg IV/IO
58
Fentanyl Adult Post Intubation Dosages
25-50mcg IV/IO, q 2min prn, max 200mcg
59
Fentanyl Adult Non Traumatic ABD Pain/NV Dose
"25-50mcg IV/IO/IM/IN, q 2min prn for severe pain concerning for a surgical pathology
that is not bowel obstruction or ileus (max 100 mcg)"
60
Fentanyl Adult Chest Pain Dose
25-50mcg IV/IO/IN/IM, q 2min prn, max 200mcg
61
Fentanyl Adult Traumatic Pain Management
25-50mcg IM or slow IV push, q 2min prn, max 150mcg
62
Fentanyl Pediatric Traumatic Pain Management Dose
1mcg/kg IV, 1-2mcg/kg IN, max 100mcg, may repeat x1 with Medical Control orders
63
Hydroxycobalamin Adult Dosage
5g IV/IO
64
Hydroxycobalamin Pediatric Dosage
70mg/kg IV/IO, max 5g
65
Ipratropium Bromide Adult Dosages
0.5mg Nebulized
66
Ipratropium Bromide Pediatric Dosage
"> 2yo
0.5mg Nebulized, may repeat x2 while administering other treatments"
67
Ketamine Adult Dosage Excited Delirium
"2mg/kg IV/IO or 4mg/kg IM, max IM/IV dose = 400mg
If agitation persists after 5 minutes, repeat Ketamine at half the initial dose"
68
Ketamine Adult Post Intubation Sedation Dosage
2mg/kg IV/IO or 4mg/kg IM, q 10min prn, may repeat x1
69
Ketamine Adult Post ROSC Sedation
"for occurrence of varying states of consciousness
1mg/kg IV/IO for sedation/amnesia"
70
Ketamine Adult Transcutaneous Pacing Sedation Dosage
Premedicate with 1mg/kg IV/IO/IM, max 200mg, if possible
71
Ketamine Adult Traumatic Pain Management Dosage
"25mg IV/IO/Infusion, q15min prn, max 50mg IV/IO
50mg IN/IM, q15min prn, max 100mg IN/IM
Contact Medical Control if additional analgesia in needed"
72
Lidocaine Adult Cardiac Arrest Dosage
"Consider 1 mg/kg slow IV bolus over 2-3 min after defibrillation, CPR, and vasopressor
administration. Repeat x 1 after 5 min for persistent VF/VT"
73
Lidocaine Adult IO Access Dosage
20-40mg IO after IO insertion for pain relief in conscious patients
74
Lorazepam Adult Seizure Dosage
2mg IV/IM/IO, q2min prn, max 8mg
75
Lorazepam Adult Combative PT Dosage
"2mg IV or 4mg IM, max 8mg
If agitation persists after 5min, repeat initial dose if max dose not already reached"
76
Lorazepam Adult Excited Delerium Dosage
"4mg IV/IM
If agitation persists after 5min, repeat initial dose"
77
Lorazepam Adult Post Intubation Sedation
2-4mg IV/IM, q2min prn, max 10mg
78
Lorazepam Pediatric Seizure Dosage
0.1mg/kg IV/IO/IM, max 4mg, may repeat x1
79
Magnesium Sulfate Adult Wheezing/Bronchospasm Dosage
2g IV/IO over 10min (mixed in 100mL NS/D5W)
80
Magnesium Sulfate Adult Ecclampsia Dosage
"Seizure in pregnancy > 20 weeks gestation
4g IV/IO in 100mL NS/D5W infusion over 10min or 10g IM (5g in each buttock)
if unable to obtain IV access"
81
Magnesium Sulfate Adult Cardiac Arrest Torsades Dosage
"Cardiac Arrest – Torsade de Pointes / Polymorphic VT
2g IV/IO"
82
Magnesium Sulfate Adult Torsades/Polymorphic VT Dosage
"Tachycardia – Torsade de Pointes / Polymorphic VT
1-2g IV/IO over 10min"
83
Magnesium Sulfate Pediatric Asthma/Wheezing Dosage
"Asthma/Wheezing > 2yo: Severe
50mg/kg IV over 10min, max 2g"
84
Magnesium Sulfate Pediatric Cardiac Arrest Torsades/Polymorphic VT Dosage
"Torsade de Pointes / Polymorphic VT
50mg/kg IV/IO, max 2g"
85
Magnesium Sulfate Pediatric Torsades / Polymorphic VT Dosage
"Tachycardia – Torsade de Pointes / Polymorphic VT
50mg/kg IV/IO over 10-20min"
86
Magnesium Sulfate Infusion Set Up
"Waste 150mL of 250mL NS/D5W leaving 100mL in bolus. Add 2g of MgSO4 to bolus.
Using a 15gtt/mL macrodrip set, administer infusion at a rate of 2.5gtts/sec (aka 150
gtt/min) to deliver 2g over 10 minute"
87
Methylprednisolone Adult Wheezing / Bronchospasm Dosage
125mg IV/IO/IM
88
Methylprednisolone Adult Anaphylaxis Dosage
125mg IV/IO/IM
89
Methylprednisolone Adult Shock with Adrenal Sufficiency (Addisons Disease) Dosage
"Shock – if patient has Addison’s Disease or other forms of Adrenal Sufficiency
125mg IV/IO/IM with *Medical Control orders"
90
Methylprednisolone Pediatric Asthma / Wheezing Dosage
"> 2yo
2mg/kg IV/IM/IO, max 125mg"
91
Methylprednisolone Pediatric Anaphylaxis Dosage
2mg/kg IV/IM/IO, max 125mg
92
Metoprolol Adult Narrow Complex Tachycardia Dosages
5mg slow IV/IO push, q5min prn (max 15mg total)
93
Midazolam Adult Seizure Dosage
"10mg IM if seizing upon arrival
2.5mg IV/IM/IO, q2min prn, max 10mg (not including initial IM dose if seizing upon
arrival)"
94
Midazolam Adult Combative Patient Dosage
"2.5-5mg IV/IM/IN, max 10mg
If agitation persists after 5min, repeat initial dose if max dose not at max"
95
Midazolam Adult Excited Delirium Dosage
"5mg IV/IM
If agitation persists after 5min, repeat initial dose"
96
Midazolam Adult Post Intubation Sedation Dosage
5mg IV/IO/IM, q2min prn, max 20mg
97
Midazolam Adult Pre TCP / Cardioversion Dosage
2.5-5mg IV/IO/IN, if possible, for sedation
98
Midazolam Adult Anxiolytic pre CPAP Dosage
2.5 mg IV/IO/IM x1 prn
99
Midazolam Pediatric Seizure Dosage
"0.2mg/kg IV/IO, max 5mg, if seizing on arrival, may repeat x1 q5min
0.1mg/kg IV/IO, max 2mg, may repeat x1 q5min"
100
Morphine Adult Chest Pain Dosage
2-4mg IV/IO/IM, q2min prn, max 10mg
101
Morphine Adult Pain Management Dosage
"2-4mg IV/IO/IM, q2min prn, max 10mg
If additional analgesia is needed for persistently severe pain (8-10) believed to be due to
a surgical pathology contact Med Control"
102
Morphine Pediatric Pain Management Dosage
"< 1yo: 0.05mg/kg IV/IO
≥ 1yo: 0.1mg/kg IV/IO max 4mg
May repeat x1 with Medical Control orders"
103
Naloxone Adult Overdose Dosage
"0.5-2 mg IV/IM/IO, q2-3 min prn
2-4 mg IN, q2-3min prn"
104
Naloxone Adult Cardiac Arrest Dosage
2mg IV/IO if suspected opioid overdose (should not delay CPR)
105
Naloxone Pediatric Overdose Dosage
0.1mg/kg IV/IO/IN, q2-3min, titrate prn (max 2mg/dose
106
Naloxone Pediatric Cardiac Arrest Dosage
1-2mg IV/IO if suspected opioid overdose (should not delay CPR)
107
Nitroglycerin Adult Chest Pain / ACS Dosage
"0.4mg SL, q 3min prn for chest pain, max 3 doses
– followed by –
1in paste TD, applied to left anterior chest wall"
108
Nitrolgycerin Adult CHF / Pulmonary Edema Dosage
"0.4mg SL, q5min prn (no max) if SBP > 100mmHg
0.8mg SL, q5min prn (no max) if age < 85 and SBP > 200mmHg
– followed by –
1in paste TD, applied to left anterior chest wall prn"
109
Norepinephrine Adult Shock Dosage
2-12mcg/min IV/IO infusion, titrate to MAP ≥ 65mmHg
110
Norepinephrine Adult CHF Dosage
2-12mcg/min IV/IO infusion, titrate to MAP ≥ 65mmHg
111
Norepinephrine Adult Post ROSC Dosage
2-12mcg/min IV/IO infusion, titrate to MAP ≥ 65mmHg
112
Norepinephrine Pediatric Shock Dosage
0.01-0.5mcg/kg/min Infusion
113
Norepinephrine Infusion Preparation Instructions
"Mix 4mg Norepinephrine into 250mL NS/D5W = 16mcg/ml
Infuse using microdrip (60gtt/mL) set"
114
Ondansetron Adult Dosage
4mg IV/IO/PO, q 15min prn, max 8mg
115
Oral Glucose Adult Dosage
15g PO
116
Oral Glucose Pediatric Dosage
15g PO
117
Rocuronium Adult Dosage
"1.2 mg/kg IV/IO
1.6 mg/kg IV/IO if patient is hypotensive"
118
Sodium Bicarbonate Adult ASA/TCA Overdose Dosage
1-2mEq/kg IV/IO, repeat prn until QRS ≤ 120ms *w/Medical Control orders
119
Sodium Bicarbonate Adult Cardiac Arrest Acidosis Dosage
1mEq/kg IV/IO
120
Sodium Bicarbonate Adult Excited Delirium Cardiac Arrest Dosage
"100mEq (2 amps) early in resuscitation
-followed by-
50mEq (1 amp) q10min for remainder of resuscitation"
121
Sodium Bicarbonate Adult Sodium Channel Blocker OD Dosage
1mEq/kg IV/IO, w/ Medical Control orders
122
Sodium Bicarbonate Adult Crush Injury without Hyperkalemia Dosage
50mEq added per liter of NaCl
123
Sodium Bicarbonate Adult Crush Injury with Hyperkalemia Dosage
100mEq Bolus IV/IO
124
Sodium Bicarbonate Adult Irritant Gas / Simple Asphyxiant / Chlorine Exposure Dosage
2.5ml mixed with 2.5mL sterile water Nebulized
125
Sodium Bicarbonate Pediatric Cardiac Arrest with Acidosis Dosage
1mEq/kg IV/IO of 8.4% solution
126
Succinylcholine Adult Dosage
2 mg/kg IV/IO
127
Tranexamic Acid Adult Dosage
2g IV/IO over 10 min, if available
128
Transcutaneous Pacing Rate
70 - 80 bpm
129
Transcutaneous Pacing Starting Strength Adult
50mA
130
Synchronized Cardioversion Regular Rhythm Strength
100 joules Synchronized
131
Synchronized Cardioversion Irregular Narrow Rhythm Strength
200 joules Synchronized
132
Synchronized Cardioversion Wide Irregular Rhythm Strength
200 joules Synchronized, max joules defibrillation if unable to capture
