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Paramedic Drugs > Drug Dose/Route > Flashcards

Drug Dose/Route Flashcards

1
Q

Glucagon

A

Adults and peds 5+ years: IM - 1.0mg
Peds <20 kg: 0.5mg
Adult OD: 5mg IV slow IV push

Form: 1mg/mL

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2
Q

Sodium Bicarbonate

A

Adults and Peds IV/IO: 1 mEq/kg followed by 0.5 mEq/kg in 10 mins if needed
*for TCA OD continue giving 1 mEq/kg every 3 mins until QRS narrows

Form: 50mEq/50mL

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3
Q

Tranexamic acid
(TXA)

A

Adult IV/IO: 1g over 10 mins (followed by 1g over 8 hours)

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4
Q

Diphenhydramine
(Benadryl)

A

Adult: 25-50 mg IV/IM
Peds: 1mg/kg IV/IM
Form: 50mg/mL

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5
Q

Acetaminophen
(Tylenol)

A

Adult PO: 325-1,000 mg
Peds PO: 15 mg/kg
Form: 160mg/5mL

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6
Q

Flumazenil
(Romazicon)

A

Adult: 0.2 mg IV/IO
* if needed after 2 mins give 0.3 mg; may give final dose of 0.5 mg (1 mg max)
Peds: 0.01 mg/kg IV/IO

Form:0.1mg/mL

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7
Q

Ondansetron
(Zofran)

A

Adult: IV/IO/IM - 4.0 mg
PO tablet: 8 mg
Peds: IV/IO: 0.15 mg/kg (max 4.0 mg)

Form: 4mg/2mL

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8
Q

Succinylcholine (SUX)
(Anectine)

A

Adult and peds IV/IO: 1-2 mg/kg = 100 mg common
Form: 200mg/10mL

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9
Q

Magnesium sulfate

A

Adults IV: 1-2 g over 10 minutes (or fast in cardiac arrest)
Peds: 50 mg/kg over 10 minutes

Form: 1g/2mL

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10
Q

Calcium gluconate 10%

A

Adult IV/IO: 1 g over 10 mins
Peds IV/IO: 50 mg/kg over 10 mins
Form: 100mg/mL

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11
Q

Naloxone
(Narcan)

A

Adult/Peds: IV/IO/IM- 0.4 mg - 2 mg
IN- 2mg
*newborn: 0.1 mg/kg
2mg/2mL

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12
Q

Dextrose

A

IV/IO: 0.5 g/kg
*neonates: 0.2 g/kg
D10 - waste 50ml of 250ml and fill with D50

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13
Q

Diltiazem
(Cardizem)

A

Adults: 0.2 mg/kg over 2 minutes (20 mg) - 15 minutes after 0.35 mg/kg (25 mg)

Form: 100mg/100mL

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14
Q

Labetalol
(Trandate)

A

Adult IV: 10 mg over 2 mins
Peds IV: 0.4 mg/kg over 2 mins - max 40mg

Form: 5mg/mL

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15
Q

Epinephrine 1:10,000
(Cardiac epi)

A

Adult IV/IO: 1 mg every 3-5 mins
Peds IV/IO: 0.01 mg/kg every 3-5 mins
Neonates IV/IO: 0.02 mg/kg every 3-5 mins

Form: 1mg/10mL

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16
Q

Amiodarone
(Corderone)

A

Adult IV: V fib/pulseless V tach - 1st dose 300 mg, 2nd dose 150 mg after 3-5 mins
V tach with a pulse - 150 IV/IO over 10 mins
Peds IV: 5 mg/kg every 5 minutes for 2 doses; max 300 mg for single dose

Form: 150mg/3mL

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17
Q

Atropine Sulfate

A

Adult IV/IO: symptomatic bradycardia - 1 mg every 5 mins; max 3 mg total
Organophosphate poisoning - 2-4 mg every 5 mins until symptoms resolve
Pediatric IV/IO: symptomatic bradycardia- 0.02 mg/kg (min 0.1 mg and max 1 mg) every 5 mins; max 2 mg total
Organophosphate poisoning - 0.05 mg/kg every 10 mins *titrate

Form: 1mg/10mL

18
Q

Hydralazine
(Apresoline)

A

Adult IV: 10 mg
Peds IV: 0.1 mg/kg

Form: 20mg/mL

19
Q

Aspirin
(ASA)

A

Adult: 324-325 mg oral

20
Q

Adenosine
(Adenocard)

A

Adult IV: 6 mg rapid IV push, 2nd dose if needed 12 mg 1-2 mins after
Peds IV: 0.1 mg/kg rapid IV push, 2nd dose if needed 0.2mg/kg (do not exceed adult dose)

Form: 6mg/2mL

21
Q

Heparin
(Lovenox)

A

Adult IV slow: loading dose - 60 units/kg, max 4,000 units
Maintenance dose - 12 units/kg/hr

Form: 5000 units/mL

22
Q

2% lidocaine
(Xylocane)

A

IV: V fib/pulseless V tach - 1 mg/kg (repeat once after 5 minutes at 0.5 mg/kg)
V tach with a pulse - 1-4 mg/min (20-50 mcg/kg/min)
IO anesthetic - 40 mg over 2 minutes, wait 2 minutes, give 20 mg over 2 minutes

Form: 100mg/5mL

23
Q

Nitroglycerin
(Nitrostat)

A

SL: 0.4 mg every 3-5 mins, max 3 doses

24
Q

Furosemide
(Lasix)

A

Adult IV/IO: 40 mg, if second dose is needed 1 hour late 80 mg
Peds IV/IO: 1 mg/kg

Form: 10mg/mL

25
Q

Albuterol
(Proventil/Ventolin)

A

Adults and peds: 2.5-5 mg nebulized as needed

26
Q

Ipratropium bromide
(Atrovent)

A

Adult and peds: 0.5 mg nebulized, repeat once at 20 mins if needed

27
Q

Epinephrine 1:1,000

A

Adult IM: 0.3-0.5 mg every 10 mins
Peds IM: 0.01 mg/kg every 10 mins (max 0.5 mg)
Upper airway swelling - nebulized for adult or peds: 5 mg

Form: 30mg/30mL

28
Q

Dexamethasone
(Decadron)

A

Adult IV/IO/IM: 10 mg
Peds IV/IO/IM: 0.5 mg/kg (max adult dose)

Form: 10mg/mL

29
Q

Methylprednisolone
(Solu-Medrol)

A

Adult IV/IO/IM: 125 mg slow push
Peds IV/IO/IM: 2 mg/kg (max 60 mg)

Form: 125mg/2mL

30
Q

Droperidol

A

N/V: 1.25 mg IV/IM
Headache: 2.5 mg IV/IM
Psychosis: 10 mg IV/IM

Form: 5mg/2mL

31
Q

Morphine

A

Adult: 2-10 mg IV/IO/IM
Peds: 0.1 mg/kg IV/IO/IM
* can give more after 5 mins

Form: 5mg/mL

32
Q

Midazolam
(Versed)

A

Adult/peds: IM/IN - 0.2 mg/kg (10 mg adults)
IV/IO - 0.1 mg/kg (5 mg adults)
Adult mild sedation: 1-2 mg slow IV, repeat if needed
Agitated adults: 2-5 mg Versed + 5 mg Haldol or Droperidol

Form: 5mg/5mL

33
Q

Haloperidol
(Haldol)

A

Adult: 5 mg IM/IN (usually with versed)
Peds: med control

Form: 5mg/mL

34
Q

Ketorolac
(Toradol)

A

Adult: IV - 15-30 mg
IM - 30-60 mg
*Cut in half for 65+
Peds: 0.5 mg/kg

35
Q

Ketamine
(Ketalar)

A

Disassociation: 4-5 mg/kg IM (300-400 mg) OR 1-2 mg/kg IV
Pain: 0.15-0.3 mg/kg 10-15 slow infusion

Form: 500mg/5mL

36
Q

Fentanyl
(Sublimaze)

A

Adult and Peds: IV/IO/IM - 1 mcg/kg (50-100 mcg)
*cut dose in half for 65+
IN - 2 mcg/kg

Form: 50mcg/mL

37
Q

Etomidate
(Amidate)

A

Adult and Peds: IV/IO - 0.3 mg/kg

Form: 2mg/mL

38
Q

Norepinephrine
(Levophed)

A

0.1-0.5 mcg/kg/min (5-30 mcg/min)

Form: 4mg/4mL
4mg in 250mL bag
(Desired dose x 60)/16 = gtts/min

39
Q

Epinephrine drip

A

Adult hypotension/bradycardia/anaphylactic shock: 2-10 mcg/min
Peds hypotension: 0.1 mcg/kg/min
1mg/250mL bag

40
Q

Dopamine
(Intropine)

A

5-20 mcg/kg/min
Form: 1600 mcg/mL
(Desired dose x 60 gtts/ml)/1600

Paramedic Drugs (3 decks)

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