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ROPE March 2022 > Doses Only > Flashcards

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

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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”

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3
Q

Albuterol Adult Bronchospasm Dose

A

“5mg Nebulized
Mild: may repeat x 1 prn. Moderate: may repeat prn. Severe: may repeat prn”

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4
Q

Albuterol Adult Drowning Dose

A

“If fluid is auscultated (i.e. rales) in the lungs
5mg Nebulized, q5min, may repeat x3 prn”

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5
Q

Albuterol Adult Crush Injury/Syndrome Dose

A

“Signs of hyperkalemia present
20mg Nebulized”

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6
Q

Albuterol Pediatric Bronchospasm Dose

A

”> 4yo = 5mg Nebulized
< 4yo = 2.5mg Nebulized”

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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”

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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”

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9
Q

Amiodarone Pediatric Cardiac Arrest Dose

A

Initial: 5mg/kg IV/IO, max 300mg, may repeat bolus x2 prn, max 450mg total

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10
Q

Aspirin Dose

A

Adult: Chest Pain / Suspected ACS 160-325mg PO

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11
Q

Atropine Adult Bradycardia Dose

A

1mg IV/IO, q 3-5min prn, max dose 3mg

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12
Q

Atropine Adult Organophosphate Poisoning Dose

A

2mg IV/IO, q5min prn until secretions resolve, no max

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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

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14
Q

Atropine Pediatric Organophosphate Poisoning Dose

A

0.02mg/kg IV/IO, q5min prn until secretions resolve, no max

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15
Q

Calcium Chloride Adult Ca2+ Channel Blocker Overdose Dose

A

500-1,000mg IV/IO infusion over 10-20min *w/Medical Control orders

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16
Q

Calcium Chloride Adult Cardiac Arrest Hyperkalemia or Renal Disease Dose

A

1g IV/IO

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17
Q

Calcium Chloride Adult Traumatic Shock Dose

A

2g IV/IO

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18
Q

Calcium Chloride Adult Crush Injury/Syndrome with Hyperkalemia Dose

A

1g IV/IO over 10 minutes, don’t exceed 1mL/min

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19
Q

Calcium Chloride Pediatric Cardiac Arrest Dose

A

20mg/kg IV/IO, Max 1g

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20
Q

Calcium Gluconate Adult Hydrofluoric Acid Topical Dose

A

2.5% TD

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21
Q

Calcium Gluconate Adult Hydrofluoric Acid Inhalation Dose

A

4mL of 2.5% Nebulized

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22
Q

Dexamethasone Adult Bronchospasm Dose

A

16mg PO/IV/IO/IM

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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

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24
Q

Dextrose Adult Hypoglycemia Dose

A

25g IV/IO

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25
Q

Dextrose Pediatric Hypoglycemia Dose

A

0.5g/kg IV/IO

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26
Q

Diazepam Adult Seizure Dose

A

5mg IV/IM/IO, q2min prn, max 10mg

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27
Q

Diazepam Adult Agitated/Combative PT Dose

A

5mg IV, 10mg IM, max 10mg q5minute until max

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28
Q

Diazepam Adult Excited Delerium Dose

A

10mg IV/IM q5, repeat once prn

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29
Q

Diazepam Adult Post Intubation Sedation

A

5mg IV or 10mg IM, q2 min prn, max 10mg

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30
Q

Diazepam Pediatric Seizure Dose

A

“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”

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31
Q

Diltiazem Adult Narrow Complex Tachycardia Dose

A

10mg slow IV/IO push, q5min prn, max 20mg

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32
Q

Diphenhydramine Adult Anaphylaxis/Allergic Reaction Dose

A

50mg IV/IM (I/O Anaphylaxis)

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33
Q

Diphenhydramine Adult Phenothiazine (Dystonic Reaction) Overdose Dose

A

25-50mg IV/IO/IM

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34
Q

Diphenhydramine Pediatric Anaphylaxis/Allergic Reaction Dose

A

1mg/kg IV/IO/IM, max 50mg

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35
Q

Diphenhydramine Pediatric Phenothizine (Dystonic Reaction) Dose

A

1-2mg/kg IV/IM

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36
Q

Dopamine Adult CHF/Pulmonary Edema Dose

A

“5-20 mcg/min
Titrate to MAP > 65mmHg”

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37
Q

Dopamine Adult Post ROSC Hypotension Dose

A

5-20mcg/kg/min

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38
Q

Epinephrine Adult Anaphylaxis Dose

A

“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”

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39
Q

Epinephrine Adult Wheezing/Bronchospasm Dose

A

0.3-0.5mg IM (1:1,000)

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40
Q

Epinephrine Adult CHF/Acute Pulmonary Edema Dose

A

0.3-0.5mg IM (1:1,000)

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41
Q

Epinephrine Adult Cardiac Arrest Dose

A

1mg IV/IO (1:10,000), q 3-5min

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42
Q

Epinephrine Adult Post ROSC Dose

A

“2-30mcg/min, titrate to MAP ≥ 65mmHg
1mL Push Dose Epi q 3-5min prn”

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43
Q

Epinephrine Adult Shock Dose

A

“2-20mcg/min, titrate to MAP ≥ 65mmHg
1ml IV/IO Push Dose Epi, q 3-5min, prn, while preparing vasopressor infusion”

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44
Q

Epinephrine Adult Bradycardia Peri-Arrest Dose

A

1mL IV/IO Push Dose Epi, q 2min prn to maintain MAP ≥ 65mmHg

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45
Q

Epinephrine Adult Bradycardia Persistent Hypotension Dose

A

0.01mg/kg IV/IO (1:10,000), q 5min prn, max 1mg total

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46
Q

Epinephrine Adult Hypothermia Induced Cardiac Arrest Dose

A

1mg IV/IO (1:10,000) ONCE until temp > 86°

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47
Q

Epinephrine Pediatric Anaphylaxis Dose

A

”< 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”

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48
Q

Epinephrine Pediatric Croup/Stridor Dose

A

3mg (1:1,000) in Nebulizers, repeat PRN if stridor still present at rest

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49
Q

Epinephrine Pediatric Lower Airway / Bronchiolitis Dose

A

3mg (1:1,000) via Nebulizer with Medical Control orders

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50
Q

Epinephrine Pediatric Asthma/Wheezing Dosage

A

“≥ 25kg = O.3mg IM (1:1,000)
< 25kg = 0.15mg IM (1:1,000)”

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51
Q

Epinephrine Pediatric Cardiac Arrest Dose

A

0.01mg/kg IV/IO (1:10,000), q 3-5min, max 1mg/dose

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52
Q

Epinephrine Pediatric Shock Dose

A

“0.01-0.5mcg/kg/min Infusion
Consider 1mL (10mcg) IV/IO Push Dose Epi”

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53
Q

Epinephrine Pediatric Neonatal Resuscitation Dose

A

0.01-0.03mg/kg IV/IO, 0.1mg/ml (1:10,000)

54
Q

Epinephrine Adult Push Dose Preparation

A

“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
Q

Epinephrine Pediatric Push Dose Preparation

A

“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
Q

Epinephrine Infusion Preparation

A

“Mix 2mg Epinephrine (1:1,000) into 250mL NS/D5W = 8mcg/ml
Infuse using microdrip (60gtt/ml) set”

57
Q

Etomidate Adult Dosage

A

0.3 mg/kg IV/IO

58
Q

Fentanyl Adult Post Intubation Dosages

A

25-50mcg IV/IO, q 2min prn, max 200mcg

59
Q

Fentanyl Adult Non Traumatic ABD Pain/NV Dose

A

“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
Q

Fentanyl Adult Chest Pain Dose

A

25-50mcg IV/IO/IN/IM, q 2min prn, max 200mcg

61
Q

Fentanyl Adult Traumatic Pain Management

A

25-50mcg IM or slow IV push, q 2min prn, max 150mcg

62
Q

Fentanyl Pediatric Traumatic Pain Management Dose

A

1mcg/kg IV, 1-2mcg/kg IN, max 100mcg, may repeat x1 with Medical Control orders

63
Q

Hydroxycobalamin Adult Dosage

A

5g IV/IO

64
Q

Hydroxycobalamin Pediatric Dosage

A

70mg/kg IV/IO, max 5g

65
Q

Ipratropium Bromide Adult Dosages

A

0.5mg Nebulized

66
Q

Ipratropium Bromide Pediatric Dosage

A

”> 2yo
0.5mg Nebulized, may repeat x2 while administering other treatments”

67
Q

Ketamine Adult Dosage Excited Delirium

A

“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
Q

Ketamine Adult Post Intubation Sedation Dosage

A

2mg/kg IV/IO or 4mg/kg IM, q 10min prn, may repeat x1

69
Q

Ketamine Adult Post ROSC Sedation

A

“for occurrence of varying states of consciousness
1mg/kg IV/IO for sedation/amnesia”

70
Q

Ketamine Adult Transcutaneous Pacing Sedation Dosage

A

Premedicate with 1mg/kg IV/IO/IM, max 200mg, if possible

71
Q

Ketamine Adult Traumatic Pain Management Dosage

A

“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
Q

Lidocaine Adult Cardiac Arrest Dosage

A

“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
Q

Lidocaine Adult IO Access Dosage

A

20-40mg IO after IO insertion for pain relief in conscious patients

74
Q

Lorazepam Adult Seizure Dosage

A

2mg IV/IM/IO, q2min prn, max 8mg

75
Q

Lorazepam Adult Combative PT Dosage

A

“2mg IV or 4mg IM, max 8mg
If agitation persists after 5min, repeat initial dose if max dose not already reached”

76
Q

Lorazepam Adult Excited Delerium Dosage

A

“4mg IV/IM
If agitation persists after 5min, repeat initial dose”

77
Q

Lorazepam Adult Post Intubation Sedation

A

2-4mg IV/IM, q2min prn, max 10mg

78
Q

Lorazepam Pediatric Seizure Dosage

A

0.1mg/kg IV/IO/IM, max 4mg, may repeat x1

79
Q

Magnesium Sulfate Adult Wheezing/Bronchospasm Dosage

A

2g IV/IO over 10min (mixed in 100mL NS/D5W)

80
Q

Magnesium Sulfate Adult Ecclampsia Dosage

A

“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
Q

Magnesium Sulfate Adult Cardiac Arrest Torsades Dosage

A

“Cardiac Arrest – Torsade de Pointes / Polymorphic VT
2g IV/IO”

82
Q

Magnesium Sulfate Adult Torsades/Polymorphic VT Dosage

A

“Tachycardia – Torsade de Pointes / Polymorphic VT
1-2g IV/IO over 10min”

83
Q

Magnesium Sulfate Pediatric Asthma/Wheezing Dosage

A

“Asthma/Wheezing > 2yo: Severe
50mg/kg IV over 10min, max 2g”

84
Q

Magnesium Sulfate Pediatric Cardiac Arrest Torsades/Polymorphic VT Dosage

A

“Torsade de Pointes / Polymorphic VT
50mg/kg IV/IO, max 2g”

85
Q

Magnesium Sulfate Pediatric Torsades / Polymorphic VT Dosage

A

“Tachycardia – Torsade de Pointes / Polymorphic VT
50mg/kg IV/IO over 10-20min”

86
Q

Magnesium Sulfate Infusion Set Up

A

“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
Q

Methylprednisolone Adult Wheezing / Bronchospasm Dosage

A

125mg IV/IO/IM

88
Q

Methylprednisolone Adult Anaphylaxis Dosage

A

125mg IV/IO/IM

89
Q

Methylprednisolone Adult Shock with Adrenal Sufficiency (Addisons Disease) Dosage

A

“Shock – if patient has Addison’s Disease or other forms of Adrenal Sufficiency
125mg IV/IO/IM with *Medical Control orders”

90
Q

Methylprednisolone Pediatric Asthma / Wheezing Dosage

A

”> 2yo
2mg/kg IV/IM/IO, max 125mg”

91
Q

Methylprednisolone Pediatric Anaphylaxis Dosage

A

2mg/kg IV/IM/IO, max 125mg

92
Q

Metoprolol Adult Narrow Complex Tachycardia Dosages

A

5mg slow IV/IO push, q5min prn (max 15mg total)

93
Q

Midazolam Adult Seizure Dosage

A

“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
Q

Midazolam Adult Combative Patient Dosage

A

“2.5-5mg IV/IM/IN, max 10mg
If agitation persists after 5min, repeat initial dose if max dose not at max”

95
Q

Midazolam Adult Excited Delirium Dosage

A

“5mg IV/IM
If agitation persists after 5min, repeat initial dose”

96
Q

Midazolam Adult Post Intubation Sedation Dosage

A

5mg IV/IO/IM, q2min prn, max 20mg

97
Q

Midazolam Adult Pre TCP / Cardioversion Dosage

A

2.5-5mg IV/IO/IN, if possible, for sedation

98
Q

Midazolam Adult Anxiolytic pre CPAP Dosage

A

2.5 mg IV/IO/IM x1 prn

99
Q

Midazolam Pediatric Seizure Dosage

A

“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
Q

Morphine Adult Chest Pain Dosage

A

2-4mg IV/IO/IM, q2min prn, max 10mg

101
Q

Morphine Adult Pain Management Dosage

A

“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
Q

Morphine Pediatric Pain Management Dosage

A

”< 1yo: 0.05mg/kg IV/IO
≥ 1yo: 0.1mg/kg IV/IO max 4mg
May repeat x1 with Medical Control orders”

103
Q

Naloxone Adult Overdose Dosage

A

“0.5-2 mg IV/IM/IO, q2-3 min prn
2-4 mg IN, q2-3min prn”

104
Q

Naloxone Adult Cardiac Arrest Dosage

A

2mg IV/IO if suspected opioid overdose (should not delay CPR)

105
Q

Naloxone Pediatric Overdose Dosage

A

0.1mg/kg IV/IO/IN, q2-3min, titrate prn (max 2mg/dose

106
Q

Naloxone Pediatric Cardiac Arrest Dosage

A

1-2mg IV/IO if suspected opioid overdose (should not delay CPR)

107
Q

Nitroglycerin Adult Chest Pain / ACS Dosage

A

“0.4mg SL, q 3min prn for chest pain, max 3 doses
– followed by –
1in paste TD, applied to left anterior chest wall”

108
Q

Nitrolgycerin Adult CHF / Pulmonary Edema Dosage

A

“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
Q

Norepinephrine Adult Shock Dosage

A

2-12mcg/min IV/IO infusion, titrate to MAP ≥ 65mmHg

110
Q

Norepinephrine Adult CHF Dosage

A

2-12mcg/min IV/IO infusion, titrate to MAP ≥ 65mmHg

111
Q

Norepinephrine Adult Post ROSC Dosage

A

2-12mcg/min IV/IO infusion, titrate to MAP ≥ 65mmHg

112
Q

Norepinephrine Pediatric Shock Dosage

A

0.01-0.5mcg/kg/min Infusion

113
Q

Norepinephrine Infusion Preparation Instructions

A

“Mix 4mg Norepinephrine into 250mL NS/D5W = 16mcg/ml
Infuse using microdrip (60gtt/mL) set”

114
Q

Ondansetron Adult Dosage

A

4mg IV/IO/PO, q 15min prn, max 8mg

115
Q

Oral Glucose Adult Dosage

A

15g PO

116
Q

Oral Glucose Pediatric Dosage

A

15g PO

117
Q

Rocuronium Adult Dosage

A

“1.2 mg/kg IV/IO
1.6 mg/kg IV/IO if patient is hypotensive”

118
Q

Sodium Bicarbonate Adult ASA/TCA Overdose Dosage

A

1-2mEq/kg IV/IO, repeat prn until QRS ≤ 120ms *w/Medical Control orders

119
Q

Sodium Bicarbonate Adult Cardiac Arrest Acidosis Dosage

A

1mEq/kg IV/IO

120
Q

Sodium Bicarbonate Adult Excited Delirium Cardiac Arrest Dosage

A

“100mEq (2 amps) early in resuscitation
-followed by-
50mEq (1 amp) q10min for remainder of resuscitation”

121
Q

Sodium Bicarbonate Adult Sodium Channel Blocker OD Dosage

A

1mEq/kg IV/IO, w/ Medical Control orders

122
Q

Sodium Bicarbonate Adult Crush Injury without Hyperkalemia Dosage

A

50mEq added per liter of NaCl

123
Q

Sodium Bicarbonate Adult Crush Injury with Hyperkalemia Dosage

A

100mEq Bolus IV/IO

124
Q

Sodium Bicarbonate Adult Irritant Gas / Simple Asphyxiant / Chlorine Exposure Dosage

A

2.5ml mixed with 2.5mL sterile water Nebulized

125
Q

Sodium Bicarbonate Pediatric Cardiac Arrest with Acidosis Dosage

A

1mEq/kg IV/IO of 8.4% solution

126
Q

Succinylcholine Adult Dosage

A

2 mg/kg IV/IO

127
Q

Tranexamic Acid Adult Dosage

A

2g IV/IO over 10 min, if available

128
Q

Transcutaneous Pacing Rate

A

70 - 80 bpm

129
Q

Transcutaneous Pacing Starting Strength Adult

A

50mA

130
Q

Synchronized Cardioversion Regular Rhythm Strength

A

100 joules Synchronized

131
Q

Synchronized Cardioversion Irregular Narrow Rhythm Strength

A

200 joules Synchronized

132
Q

Synchronized Cardioversion Wide Irregular Rhythm Strength

A

200 joules Synchronized, max joules defibrillation if unable to capture

ROPE March 2022 (3 decks)

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