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Drug Doses Flashcards

1
Q

Acetaminophen

A

Adult:
Fever:
1g IV/IO over 15 min
500mg-1000mg PO
Pain: 1g IV/IO
Peds:
10-15mg/kg PO
Max: 3-3.25g/daily

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2
Q

Adenosine

A

Adult: 6,12,12 rapid IVP followed by 10mL NS flush
Peds:0.1 mg/kg, (max 6mg) rapid IVP over 1-3 seconds followed by 5-10ml NS flush
If no response in 1-2 minutes, 0.2 mg/kg (max 12 mg) rapid IVP over 1-3 seconds followed by 5-10 ml NS flush
Max-Adults(Peds): 30mg (6mg 1st dose, 12mg 2d dose, 12mg 3d dose)

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3
Q

Albuterol

A

Adult: 2.5 mg in 2.5 ml NS (total 3ml) via nebulizer with 6-8 lpm oxygen over 5 minutes
Peds: Same
Max-Adults(Peds): none in EMS application

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4
Q

Alteplase

A

Adult: 0.9 mg/kg; first 10% administered over one minute; remaining 90% administered over 60 minutes
Peds: not recommended
Max-Adults(Peds): 0.9mg/kg (N/A)

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5
Q

Amiodarone

A

Adult: - VF/VT arrest: 300 mg IVP followed by 150 mg IV/IO in 3-5 minutes
- Perfusing VT/malignant PVCs: 150 mg in 100 ml NS or D5W over 10 minutes IV drip
- Maintenance infusion: 1 mg/min for 8 hours, then 0.5 mg/min
Peds: - VF/VT arrest: 5 mg/kg (max 300 mg) IV/IO every 3-5 minutes, maximum 15 mg/kg or 450 mg
- Perfusing VT/malignant PVCs: 5 mg/kg IV/IO over 20-60 minutes
Max-Adults(Peds):2.2g in 24hrs (450mg)

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6
Q

Aspirin

A

Adult: 324mg
Peds: Not recommended
Max-Adults(Peds): 324mg(N/A)

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7
Q

Atropine

A

Adult: -Bradycardia 0.5mg every 3-5 minutes. Max 3mg
-Organophosphate 2-5mg as needed
Peds: Bradycardia -0.02mg/kg Max 0.5mg
Max-Adults(Peds): 3mg & 0.5mg

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8
Q

Calcium Chloride

A

Adult: 1g IVP over 5-10 minutes
Peds: 20 mg/kg slow IV/IO push repeated in 10 minutes.
Max-Adults(Peds): 2g(2g)

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9
Q

Calcium Gluconate

A

Adult: 2 gm IV/IO over 5 minutes
2.5% calcium gluconate gel
Peds: 60-100mg/kg IV/IO over 5 minutes
Max-Adults(Peds): 2g(2g)

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10
Q

Cefazolin

A

Adult: Weight Based
>39kg - 2g slow IV/IO over 1-2 minutes
<39kg - 50mg slow IV/IO over 1-2 minutes
Peds: Weight Based
>39kg - 2g slow IV/IO over 1-2 minutes
<39kg - 50mg slow IV/IO over 1-2 minutes
Max-Adults(Peds): 6g/day

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11
Q

Dexamethasone

A

Adult: 0.6mg/kg
Peds: 0.6mg/kg
Max-Adults(Peds): 10mg

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12
Q

Dextrose 10%

A

Adult: 25g IV infusion
Peds: 5mL/kg infusion of prefilled syringe
Max-Adults(Peds): 25g(25g)

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13
Q

Diazepam

A

Adult:
2mg - Restraint, TBI, Hyperthermia, Sympathomimetic/Anticholinergic, TCP/DC
5mg - Organophosphate, Anxiety, Alcohol/Withdrawl
10mg- Seizure
Peds:
0.1mg/kg - Restraint, TBI, Hyperthermia, Sympathomimetic/Anticholinergic, TCP/DC
0.3mg/kg - Organophosphate, Anxiety, Alcohol/Withdrawl
0.2mg/kg - Seizure
Max-Adults(Peds): 20mg(10mg)

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14
Q

Diltiazem

A

Adult: 10mg IV/IO over 2min, can repeat every 10min
Peds: not recommended
Max-Adults(Peds): 30mg(N/A)

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15
Q

Diphenhydramine

A

Adult: 20-50mg
Peds: 2-11y - 1-2mg/kg
Max-Adults(Peds): 400mg/day (IV/IO) 300mg/day (PO)
Ped: 2 to 5 years: max 37.5 mg/day
6 to 11 years: max 150 mg/day
12 years and older: use adult dosing

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16
Q

Dobutamine

A

Adult: 2-20 mcg/kg/min IV/IO drip
Peds: 2-20 mcg/kg/min IV/IO drip
Max-Adults(Peds): 40mcg/kg/min (40mcg/kg/min)

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17
Q

Dopamine

A

Adult: 2-5mcg/kg/min IV, 10 infusion (low dose) increases blood flow to meseniey and renal (GUT)
5-10mcg/kg/min IV, 10 infusion (medium dose) stimulates beta effects
10-20mcg/kg/min IV, 10 infusion (high dose) stimulates alpha effects
Peds: 2-20 mcg/kg/min IV, IO infusion
Max-Adults(Peds): None(50mcg/kg/min)

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18
Q

Droperidol

A

Adult: 1.0-2.5mg
Peds: 0.03-0.07mg/kg over 2-5min
Max-Adults(Peds): 2.5mg(0.1mg/kg)

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19
Q

Epinephrine

A

Adult:
-Cardiac arrest: 1 mg 1:10,000 IV/IO every 3-5 minutes
-Anaphylaxis/severe bronchospasm: 0.3-0.5 mg 1:1,000 IM
-Shock/bradycardia: 2-10 mcg/min IV/IO infusion
Peds:
-Cardiac arrest: 0.01 mg/kg (0.1ml/kg) 1:10,000 IV/IO every 3-5
minutes
-Anaphylaxis/severe bronchospasm: 0.01 mg/kg 1:1,000 IM
-Shock/bradycardia: 0.1-1.0 mcg/kg/min IV/IO infusion
Max-Adults(Peds): None(RAD and symptomatic bradycardia 0.3mg max single dose)

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20
Q

Etomidate

A

Adult: 0.3mg/kg
Peds: 0.3 mg/kg - Not approved for <10 years old
Max-Adults(Peds): 30mg(30mg)

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21
Q

Fentanyl

A

Adult: 1 mcg/kg every 5-10 minutes
Peds: 1 mcg/kg every 5-10 minutes
Max-Adults(Peds): Single Dose 100mcg, 300mcg total (Both)

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22
Q

Flumazenil

A

Adult: Initial does 0.2mg, increase by 0.1mg for effect up to 0.5mg/dose.
Peds: Not recommended
Max-Adults(Peds): 3mg

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23
Q

Furosemide

A

Adult: 40 mg or twice the patients prescribed daily dose, max 80 mg slow IVP
Peds: Not recommended
Max-Adults(Peds): 600mg

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24
Q

Glucagon

A

Adult:
- Hypoglycemia: 0.5-1.0 mg IM, repeat in 5-10 minutes
- Beta-blocker, calcium channel blocker toxicity: 3-10 mg IV/IO push followed by 3-5 mg/hr infusion.
Peds:
- Hypoglycemia: 0.05-0.1 mg/kg IM, maximum 1 mg
- Beta-blocker, calcium channel blocker toxicity: 0.03-0.15 mg/kg IV/IO push followed by 0.03-0.10 mg/kg/hr infusion
Max-Adults(Peds): Variable, dependant on theraputic affect(1mg)

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25
Q

Haloperidol

A

Adult: 5-10 IM
Peds: 1-3 IM
Max-Adults(Peds): 30mg/24 hours(20mg in 24 hours)

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26
Q

Heparin

A

Adult: Bolus: 60 U/kg, max 4,000 U IV/SQ
Infusion: 12-15 U/kg/hr, max 1,000 U/hr
Peds: Not recommended
Max-Adults(Peds): 1,000 - 4,000 Units depending on underlying condtion.(N/A)

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27
Q

Hydrocortisone

A

Adult: 4mg/kg
Peds: 2mg/kg
Max-Adults(Peds): None(100mg)

28
Q

Hydromorphone

A

Adult: 0.5-1mg via slow IVP
Peds: No recommended
Max-Adults(Peds): 4mg

29
Q

Ibuprofen

A

Adult: 200-400mg every 4 to 6 hours
Peds: 5-10mg/kg every 4 to 6 hours
Max-Adults(Peds): 400mg

30
Q

Insulin

A

Adult: Indication dependent but N/A for EMS
Peds: Indication dependent but N/A for EMS
Max-Adults(Peds): N/A for EMS

31
Q

Ipratropium bromide

A

Adult: 0.5 mg nebulized at 6-8 lpm at 5 minutes
Peds: 0.5 mg nebulized at 6-8 lpm at 5 minutes
Max-Adults(Peds): 3 doses(3 doses)

32
Q

Ketamine

A

Adult:
Restraint: 4mg/kg IM (500mg single dose, 150mg addt’l in 5-10min)
Induction for RSI: 2 mg/kg IV/IO
Post Intubation: 1mg/kg every 5-15 min.
Pain management: 0.2mg/kg IV/IO (max. 20mg/dose in 10mL over 2-3 minutes) 0.3mg/kg IM (max. 30mg/
Peds:
Induction for RSI: 1-2 mg/kg IV/IO
Excited delirium: 2-4 mg/kg IM
Pain management: 0.2mg/0.3 mg/kg IV/IO/IM
Restraint: 4mg/kg IM
Max-Adults(Peds):
Pain management: 30mg IM, 20mg IV/IO
Restraint: 500mg/150mg

33
Q

Ketorolac

A

Adult: 15-30mg IV/IO/IM
Peds: Not recommended
Max-Adults(Peds): 30mg single dose. No more than 120mg in 24 hours.

34
Q

Lactated Ringer’s

A

Adult: Variable
Peds: Varbiable
Max-Adults(Peds): Variable

35
Q

Levalbuterol

A

Adult: 1.25 mg in 3ml NS via nebulizer at 6-8 lpm oxygen
Peds: 0.63 mg in 3ml NS via nebulizer at 6-8 lpm oxygen
Max-Adults(Peds): 4 doses

36
Q

Lidocaine

A

Adult:
Cardiac arrest: 1.5mg/kg IV over 2-3 min, followed by 0.75 mg/kg q 5-10 minutes up to 3 mg/kg
Monomorphic VT: 1-1.5mg/kg IV/IO. Repeat x 1 after 5 min. up to 3mg/kg followed by 1-4 mg/min
Peds:
Cardiac arrest: 1mg/kg up to 100mg followed by 20-50mcg/kg/min
Max-Adults(Peds): 3 mg/kg (100mg) for both

37
Q

Lorazepam

A

Adult: 1mg - 4mg
1mg (0.1mg/kg)- TBI, Hyperthermia, Sympathomimetic/Anticholinergenic, TCP/DC, Organophosphate, Anxiety, Alcohol W/D,
2mg (0.1mg/kg) - Restraint
4mg - (0.1mg/kg) Seizure
Peds: 1/2 of the adult dose
Max-Adults(Peds): 8mg and 2mg respectively but highly dependeng on indication

38
Q

Magnesium Sulfate

A

Adult:
Cardiac: 1 g over 1 minute IV/IO
Respiratory: 2 g in 100 ml of NS over 10 minutes IV/IO
Eclampsia: 4g in 100 ml over 5-10 minutes IV/IO
Peds: 25-50 mg/kg in 100 ml over 10 minutes
Max-Adults(Peds): 10g/day(2g/day)

39
Q

Mannitol

A

Adult: 0.25-2.0 g/kg over 5-10 minutes
Peds: 0.25-2.0 g/kg over 5-10 minutes
Max-Adults(Peds): none

40
Q

Methylprednisolone

A

Adult: 125mg
Peds: 2mg/kg
Max-Adults(Peds): None(125mg)

41
Q

Metoclopramide

A

Adult:
Nausea/Vomiting
-5-10 mg IV/IO/IM; May repeat once after 10 minutes if nausea/vomiting persists.
Pain Management - Migraine
-10 mg IV/IO infusion over 15 minutes or
-10 mg IM
Peds: Not recommended
Max-Adults(Peds): 40-60mg/day(N/A)

42
Q

Metoprolol

A

Adult: 5mg slow IVP every 5 minutes
Peds: Not recommended
Max-Adults(Peds): 15mg(N/A)

43
Q

Midazolam

A

Adult: 2-10 mg repeated in 5-10 minutes
Peds: 0.1 mg/kg repeated in 5-10 minutes
Max-Adults(Peds): 10mg/dose

44
Q

Morphine

A

Adult: 0.1mg/kg
Peds: 0.1mg/kg
Max-Adults(Peds): max 10mg/dose (up to 3 doses)

45
Q

Naloxone

A

Adult: 0.4 - 2.0mg repeat at 5-minute intervals to a max of 10 mg
Peds: 0.1 mg/kg (max 2 mg/dose); repeat at 5-minute intervals as needed
Max-Adults(Peds): 10mg(2mg)

46
Q

Nitroglycerin

A

Adult:
ACS: 0.4 mg SL every 3-5 minutes; max 3 doses
CHF: 0.4-0.8 mg SL every 3-5 minutes
(0.5-2.0 inches of transdermal NTG paste can be administered if SL NTG is effective)
IV infusion: Begin at 10 mcg/min; increase by 10 mcg/min every 3-5 minutes until desired effect; max 200 mcg/min
Peds: Not recommended
Max-Adults(Peds):
ACS/SL: 1.2mg (3 doses)
CHF/SL: 2.4mg
IV: 200mcg/min

47
Q

Norepinephrine

A

Adult: 0.5-30 mcg/min IV/IO infusion
Peds: 0.01-0.5 mcg/kg/min IV/IO infusion
Max-Adults(Peds): None(1-2mcg/kg/min)

48
Q

Normal Saline

A

Adult: Variable
Peds: Variable
Max-Adults(Peds): Variable

49
Q

Olanzipine

A

Adult: 5-10mg IM
Peds: Not recommended
Max-Adults(Peds): 10mg

50
Q

Ondansetron

A

Adult: 4mg
Peds: 0.15mg/kg
Max-Adults(Peds): 16mg(16mg)

51
Q

Oxygen

A

Adult:
2-6L NC-12-15L NRB-15L BVMCPAP/VENT (Adult): Varies by O2 demand to meet cmH2O requirement
Peds:
2-6L NC-12-15L NRB-15L BVMCPAP/VENT (Adult): Varies by O2 demand to meet cmH2O requirement
Max-Adults(Peds): 15lpm

52
Q

Oxytocin

A

Adult: 10 units IM after placental delivery
Peds: N/A
Max-Adults(Peds): 40 units (N/A)

53
Q

Phenylephrine

A

Adult:
Hypotension/ Shock: 40-100mcg q 1-2 min. PRN
Continuous infusion: 10-35 mcg/min
RSI: 50-200 mcg slow IVP q 2-5 min. PRN
Peds:
0.1-0.5mcg/kg/min IV/IO infusion - titrate to normotensive systolic blood pressure
Max-Adults(Peds): None

54
Q

Pralidoxime

A

Adult:
600mg IM x 3 doses q 15 min; if symptoms persist, 1g IV/IO x 60 min
Peds:
< 40kg: 15mg/kg/dose IM x 3 dose q 15 min.
> 40kg: 600mg IM x 3 doses q 15 min
25 mg/kg IV/IO/IM (max 2 grams), rep. PRN within 30-60 min.
Max-Adults(Peds): Adults and peds over 40kg: 1800mg. (Peds <40kg: 45mg/kg)

55
Q

Procainamide

A

Adult:
20-50 mg/min slow IV/IO infusion until any one of following occur:
- Dysrhythmia is suppressed
- Hypotension
- QRS widens by > 50%
- Total dose of 17 mg/kg
Maintenance Infusion: 1-4 mg/min
Peds:
15 mg/kg slow IV/IO infusion until any one of following occur:
- Dysrhythmia is suppressed
- Hypotension
- QRS widens by > 50%
Max-Adults(Peds): 50mg/kg/day(4g/day)

56
Q

Prochlorperazine

A

Adult:
- Nausea/Vomiting: 5 ? 10 mg IV/IO, or 5 mg IM; may repeat once after 10 minutes if nausea/vomiting persists.
- Migrane: 10 mg IV/IO infusion over 15 minutes or 10 mg IM.
Peds: Not recommended
Max-Adults(Peds): 40mg/day(not recommended)

57
Q

Propofol

A

Adult:
Induction: 40mg IVP q 10 seconds until onset (>55-20mg IVP)
Maintenance: 0.1-.02mg/kg/min IV (>55-0.05 0.1mg/kg/min)
Peds: N/A
Max-Adults(Peds): None listed

58
Q

Racemic epinephrine

A

Adult: N/A
Peds: 0.25-0.75ml of 2.25% solution in total of 3ml via small volume
nebulizer
Max-Adults(Peds): none

59
Q

Rocuronium

A

Adult: 1mg/kg
Peds: 0.6-1.2 mg/kg
Max-Adults(Peds): none in an emergency setting

60
Q

Sodium bicarbonate

A

Adult: 2 mEq/kg IV/IO
Repeat at 0.5mEq/kg IV/IO every 10 minutes
Peds: 2 mEq/kg IV/IO
Repeat at 0.5mEq/kg IV/IO every 10 minutes
Max-Adults(Peds): none in emergency setting

61
Q

Succinylcholine

A

Adult: 1-1.5 mg/kg
Peds: 1-1.5 mg/kg
Max-Adults(Peds): 200mg

62
Q

Terbutaline

A

Adult:
Bronchospasm: 0.25mg IM q 15-30min x 3 doses
Preterm labor: 2.5-5mcg/min IV increase q 20-30min. Typical effective does is 17.5-30mcg/min
Peds:
< 12 years: 0.005-0.01mg/kg q 15-30min x3 up to 0.4mg
>12 years: 0.25mg IM q 15-30min x 3 doses
Max-Adults(Peds): 0.5mg/ 4 hrs (< 12 years, 0.4mg; > 12 years 0.5mg/ 4hrs.)

63
Q

Tetracaine

A

Adult: 1-2 drops 0.5% solution every 5-10min
Peds: 1-2 drops 0.5% solution every 5-10min
Max-Adults(Peds): 6 drops/eye for both

64
Q

Tranexamic Acid

A

Adult: Loading: 1g in 50mL NS over 10 minutes
Maintenance: 1g over 8 hours
Peds: Note recommended
Max-Adults(Peds): None noted

65
Q

Vecuronium

A

Adult: 0.1mg/kg
Peds: 0.1mg/kg
Max-Adults(Peds): note for both

66
Q

Whole blood

A

Adult: 500-1000mL
Peds: 10-20mL/kg
Max-Adults(Peds): none(500mL)

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