DRUG CARDS (ADULT DOSING)

Question 1

Adenosine

(Adenocard)

Answer 1

Initial dose: 6 mg rapid IVP, IO
Repeat dose: 12 mg rapid IVP, IO(after 1 -2 minutes)
May repeat x 1 at 12 mg rapid IVP, IO

Question 2

Albuterol Sulfate

(Proventil, Ventolin)

Answer 2

2.5 mg (0.083%) in 3 ml Saline, via nebulizer @ 6 liters/minute over 10 minutes
Patient may wear nasal cannula if additional oxygen is needed during treatment. Better response using mouthpiece instead of aerosol mask.

Question 3

Amiodarone

(Cordarone)

Answer 3

300 mg IVP May repeat at half dose (150 mg) in 3-5 min
150mg IVP over 10 min. or 15 mg/min IVP
Mix Drip: 500 mg 1250 ml .9 NS or D5W = 15 mg/min

Question 4

Aspirin

(Ascriptin, Bayer, Ecotrin, Empirin)

Answer 4

162 mg (2 tablets, 81 mg each) chewable PO

Question 5

Atropine Sulfate

Answer 5

Bradycardia- 0.5 mg IVP, 10 repeat every 3-5 min. Maximum of 3 mg
Organophosphate Exposure- 2 mg every 15 minutes Until following appear: flushed appearance, dry mouth, dilated pupils. Observe for tachycardia.
May be given via ET tube at 2 - 2.5 times the IV dose

Question 6

Brilinta

(Ticagrelor)

Answer 6

90mg x 2 PO

180mg total

Question 7

Dextrose

Answer 7

Dextrose 50%: 25 g (50 ml) IVP, IO Slowly

Question 8

Diazepam

(Valium)

Answer 8

5 - 10 mg slow IVP (no faster than 5 mg/min)
For seizures from heat stroke/neurological trauma- titrate
2.5 mg increments. Maximum 10 mg

Question 9

Diphenhydramine

(Benadryl)

Answer 9

25mg IV, IO or 50 mg Deep IM

Question 10

Dopamine

(Dopastat, lntropin)

Answer 10

Mix 400 mg in 250 ml (1600 mg/ml) 5-15 mcg/kg/min

Question 11

Epinephrine 1:1,000

Answer 11

Allergic Reaction/Anaphylaxis or Bronchospasm
0.3- 0.5 mg SQ May repeat x 2 every 5 minutes PRN

Question 12

Epinephrine 1:10,000

Answer 12

Cardiovascular
1 mg IVP, 10 every 3-5 min. ( 2-2.5 mg ET every 3-5 min.)

Question 13

Eptifibatide

(lntegrilin)

Answer 13

180 mcg/kg Bolus IVP, IO

Question 14

Etomidate

(Amidate)

Answer 14

0.2 - 0.4 mg/kg IVP, IO
May repeat initial dose in 2 minutes if needed

Question 15

Flumazenil

(Romazicon)

Answer 15

0.2 mg over 30 seconds
Repeat after 30 seconds with 0.3 mg then 0.5 mg

Question 16

Furosemide

(Lasix)

Answer 16

0.5 - 1 mg/kg IVP, IO Slowly
Hold for systolic BP <100mmHg

Question 17

Glucagon

Answer 17

1 mg IM (slowly) mix with a gentle rolling (do not shake)

Question 18

Heparin

Answer 18

80 units/kg over 1 minute
Maximum: 10,000 Units (5,000 units/ml)

Question 19

lpratropium

(Atroventl)

Answer 19

Unit dose of 2.5 mg (0.5 ml of drug) diluted in 2.5 ml NS.
Empty drug into chamber of nebulizer, attach to high flow
oxygen and administer over 10 -15 min. Patient may wear
nasal cannula if additional oxygen is needed during treatment.
Better response using mouthpiece instead of aerosol mask

Question 20

Ketorlac

(Toradol)

Answer 20

15-30 mg IVP, IO over 15 seconds

Question 21

Lidocaine

(Xylocaine)

Answer 21

IO: 40-50 mg
RSI: 1 mg/kg IV, IO

Question 22

Lidocaine Jelly

(Xylocaine)

Answer 22

Varies with application

Question 23

Magnesium Sulfate

Answer 23

Torsades de Pointes: 1 - 2 grams IVP, IO (50% solution)
Eclampsia: 1 -4 grams bolus IVP, IO Slowly

Question 24

Metoprolol

(Lopressor)

Answer 24

5 mg IVP, IO over 1 - 2 minutes
Repeat every 5 minutes
Maximum 15 mg
Administer only if pulse > 60 bpm and
BP > 100 mmHg Systolic

Question 25

Midazolm

(Versed)

Answer 25

1 - 2 mg Slow IVP ( 0.1 mg/kg)
MAD: 10 mg (5 mg/1 ml) each nares
If seizure persists longer than 5 min may repeat 2.5 mg IN

Question 26

Morphine

Answer 26

1 - 2 mg IVP, IO
Maximum of 10- 15 mg

Question 27

Nalbuphine

(Nubain)

Answer 27

up to 10 mg IVP, IO, IM titrate to effect
IVP over 3 - 5 minutes

Question 28

Naloxone

(Narcan)

Answer 28

0.4-2 mg IV, IO, MAD
May repeat x 2 at 2 - 3 minutes intervals

Question 29

Nitroglycerin

(Nitrolingual)

Answer 29

Spray/Tablet:
0.4 mg SL may be repeated 2 times every 3 - 5 minutes
Check BP before and between each dose
hold for systolic BP < 90 mmHg

Question 30

Nitrous Oxide

(N2O2)

Answer 30

Self Administered: Instruct patient to inhale deeply through patient-held mask or mouthpiece

Question 31

Ondansetron

(Zofran)

Answer 31

2-4 mg IVP, IO Slowly over 2-5 minutes
2-4 mg IM

Question 32

Oral Glucose

(lnsta-Glucose, Glutose 15)

Answer 32

15 Grams PO (37. 5 ounce tube)
Squeeze tube between cheek and gum in small amounts,
allowing time for patient to absorb and swallow.

Question 33

Oxygen

Answer 33

2 - 6 LPM via nasal cannula
1 0 - 15 LPM via non-rebreather mask
15 LPM or greater via BVM / ET

Question 34

Procainamide

(Pronestyl)

Answer 34

20 - 50 mg/min
Until arrhythmia suppresses, hypotension ensues,
QRS duration increases > 50%, or
Maximum dose 17 mg/kg administered
Maintenance Infusion: 1-4 mg/min
avoid if prolonged QT or CHF

Question 35

Sodium Bicarbonate

Answer 35

1 mEq/kg of body weight IVP, IO
Repeat with 0.5 mEq/kg every 10 minutes of cardiac arrest

Question 36

Succinylcholine

(Anectine, Quelicin)

Answer 36

1.5 mg/kg IVP, IO

Question 37

Tetracaine

(Pontocaine)

Answer 37

1 - 2 drops in affected eye

Question 38

Vasopressin

(Pitressin)

Answer 38

40 units IVP/IO (1) time dose 1st or 2rd round of arrest

Question 39

Vecuronium

(Norcuron)

Answer 39

0.1 mg/kg IVP, IO
Maintenance : 0.01 - 0.05 mg/kg