Drug Doses

Question 0

Epinephrine 1:1000

Answer 0

Adult: asthma 0.3-0.5 mg sq, repeat in 20 min; severe 0.3-0.5 mg 1:10,000 IV
Allergic- 0.3-0.5 mg sq unless poor perfusion, can repeat on 20 min; severe 0.3-0.5 mg 1:10,000 IV
Peds: 0.01 mg/kg, can repeat in 20 min, max 0.3 mg

Question 1

Albuterol

Answer 1

Adult- 2.5 mg/3mL

Peds- 1.75 mg/3mL

Question 2

Terbutaline

Answer 2

Bronchospasm: 0.25 mg sq, can repeat 15-30 min; Neb 1 mg/ 3mL nss
Peds: 0.01 mg/kg to max of 0.4 mg/dose, can repeat in 15-20 min, 2 dose max
Preterm Labor- 2.5-10 mcg/min IV to max 30 mcg/min

Question 3

Methylprednisolone

Answer 3

Adult: all uses 125-150 mg IV slowly over 3 min
Peds: 30 mg/kg IV slowly

Question 4

Ipatropium

Answer 4

Adult: 18 mcg or 2 inh 4x/day, no more than 12x/day (3 doses); Neb 500 mcg 3-4x/day
Peds: 1-2 inh 3x/day, 6 inh max; Neb 125-250 mcg 3x/day

Question 5

Aminophylline

Answer 5

Adult: all uses 5mg/kg IV Bolus over 20-30 min, followed by 0.5-0.8 mg/kg/hr continuous infusion
Peds: same

Question 6

Ondansetron

Answer 6

Adult: 4 mg undiluted IV in 2-5 min

Peds: 40kg give adult dose

Question 7

Meperidine

Answer 7

Adult: all uses: 50-100 mg IV slowly/IM; may repeat in 3-4 hours
Peds: 1 mg/kg IV slowly/IM max dose of 50 mg

Question 8

Fentanyl

Answer 8

Adult: all uses- 0.5-1mcg/kg IV/IM slowly, repeat 30-60 min as needed

Peds: all uses- 2-3mcg/kg IV/IM slowly

Question 9

Morphine

Answer 9

Adult: all uses- 1-3mg/ IV slowly, repeat in 5 min to desired effect

Peds: all uses- 0.1 mg/kg IV slowly

Question 10

Oxygen

Answer 10

NC 1-6 lpm
SM 6-10 lpm
NRB 10-15 lpm
BVM 15+ lpm

Question 11

Aspirin

Answer 11

Adult: 2-4 tablets orally (chew); 162-324 mg

Peds: none prehospital

Question 12

Nitroglycerin

Answer 12

Adult: all uses- 0.4mg SL, repeat 3-5 min if systolic >90mmHg, 3 dose max (1.2 mg); IV-5mcg/min, increase by 5mcg/min every 3-5 min until response

Peds: none

Question 13

Promethazime

Answer 13

Adult: all uses- 12.5-25mg IV slowly, can give IM.

Peds: all uses- 0.2-0.5 mg/kg IV slowly, max dose 25 mg

Question 14

Diphenhydramine

Answer 14

Adult: 25-50 mg OV slowly, can repeat to 150 mg max
Peds: 1-2 mg/kg IV slowly, 25 mg max dose, 50 mg total dose
Phenothiazine Reactions- 10-25 mg IV push

Question 15

Midazolam

Answer 15

Adult: All Uses- 2-5 mg IV slowly to desired effects
Peds: All Uses- 0.03 mg/kg IV slowly

Question 16

Naloxone

Answer 16

Adult: All Uses- 2mg IV push, may repeat in 3 min, 3 dose max
Peds: All Uses- 0.1 mg/kg IV push (single max dose 2.0 mg), may repeat every 3 minutes to 3 dose max

Question 17

Diazepam

Answer 17

Adult: All Uses- 5-10 mg IV push slowly, can repeat every 10 min to max of 30 mg
Peds: 0.1-0.3 mg/kg IV push slowly, can repeat every 2 minutes to max of 1.0 mg; may admin PR @ 0.5 mg/kg, repeated in 10 min @ 0.25 mg/kg

Question 18

Lorazepam

Answer 18

Adult: All Uses- 0.05 mg/kg IV slowly to single max dose of 4 mg, can repeat in 10-15 min @ same dosage, max 12 hour dose is 8 mg

Question 19

Flumazenil

Answer 19

Adult: Sedation Reversal- 0.2 mg IV over 15 sec, after 45 sec repeat dose, continue 1 min intervals until 1 mg total; Benzo OD: 0.2 mg over 30 sec, no response give 0.3 mg over 30 sec, then 0.5 mg over 30 sec to max of 3 mg
Peds: Sedation Reversal- 0.01 mg/kg over 15 seconds, repeat after 45 seconds, continue every min to 0.05 mg/kg or 1 mg total