Drug List

Question 1

Acetaminophen

Answer 1

Adult- N/A

Ped- 20mg/kg

Indication- Fever > 103 F

Question 2

Activated Charcoal

Answer 2

Adult- 50gm PO

Peds- 1-2g/kg

Indication- Ingestion

Question 3

Adenocard (Adenosine)

Answer 3

Adult- 6mg, 12mg, 12mg

Peds- 0.1mg/kg, 0.2mg/kg (Max single peds dose 12 mg)

Indication- PSVT (12, 12, 18 if pt is on theophyline, 1/2 dose if hx of heart transplant, Persantine, or Tegretol)

Question 4

Albuterol (Proventil)

Answer 4

Adult- 2.5mg-10mg Neb

Peds- 15kg 5-10mg

Indications- Bronchospasm/wheezing due to asthma, COPD, anaphylaxis, inhalation, OD, PE, near drowning; Hyperkalemia

Question 5

Amiodarone (Cordarone)

Answer 5

Adult- a) 300mg IV/IO may repeat 150mg in 3-5 min.
b) 150mg over 10min x2 prn

Peds- 5mg/kg bolus

Indication- a) VF/ pulseless V-Tach
b) VT/ WCT (Wide Complex Tachycardia)

Question 6

Atropine

Answer 6

Adult- a) 0.5mg max 3mg
b) 1-2mg q 5min

Peds- 0.02mg/kg

Indication- a) Bradycardia/RSI
b) Organophosphate poisoning

Question 7

Atrovent (Ipratroprium Bromide)

Answer 7

Adult- 500mcg/ 2.5ml Neb

Peds- >5 y/o 1/2 dose

Indications- same as albuterol

Question 8

Calcium Chloride

Answer 8

Adult- a) 500mg
b) 250-500 mg

Peds- 20mg/kg

Indications- a) Hyperkalemia
b) Calcium channel blocker OD

Question 9

Dextrose

Answer 9

D10
Adult- 10gm (100ml) repeat 5gm prn to normal CBG max is 25 gm

Peds- 0.1gm/kg

D50- 25 gm

Indications- ALOC, Hyperkalemia, Hypoglycemia

Question 10

Diltiazem (Cardizem)

Answer 10

Adult- 0.25 mg/kg over 2min, repeat 0.35 mg/kg (max. of 20-25mg) if successful, then drip 10mg/hr

Indication- A-Fib, A- Flutter with RVR, PSVT refractory to Adenosine

Question 11

Diphenhydramine (Benadryl)

Answer 11

Adult- 12.5-50mg

Peds- 1mg/kg

Indications- Allergic reaction, Anaphylaxis, Dystonic reaction

Question 12

Dopamine

Answer 12

Dose- 2-10mcg/kg/min

Indicaton- Shock, non-hypovalemic

Question 13

Droperidol (Inapsine)

Answer 13

Adult- 0.625-2.5mg IV/IM

Peds- 0.1mg/kg

Indication- Sedation/ chemical restraint

Question 14

Epinephrine

Answer 14

Adult- a) 1mg q 3-5min

b) 0.3mg IM, SL or 0.1mg IV bolus q 3mins prn max 0.5mg
c) 2-10mcg/min IV

Peds- a) 0.01 mg/kg

b) 0.01 mg/kg IM/SL or 0.01 mg/kg IV
c) 0.1mcg/kg/min

Indications- a) Cardiac arrest

b) Anaphylaxis
c) Hypotension/profound bradycardia

Question 15

Etomidate

Answer 15

Dose- 0.3mg/kg max dose 20mg (Don’t use in pediatric septic shock)

Indication- RSI

Question 16

Fentanyl

Answer 16

Adult- 25-50 mcg IV/IO/IM/IN max 3mcg/kg (no more than 200 mcg/hr)

Peds- 1-2 mcg/kg

Indication

• Chest pain
• Musculoskeletal pain

Question 17

Furosemide (Lasix)

Answer 17

Adults- 20-40mg (use 20 if pt new to Lasix)

Peds- 1mg/kg

Indication- CHF/Pulmonary Edema, HTN crisis

Question 18

Glucagon

Answer 18

Adult- a) 1mg SC/IM
b) 5mg IV

Peds- a) 0.5mg SC/IM
b) 0.1mg/kg

Indications- a) Hypoglycemia
b) Beta blocker, Calcium Channel Blocker OD

Question 19

Ketamine

Answer 19

Dose- a) 2mg/kg max dose 200mg
b) 0.5mg/kg

Indication- a) RSI
b) Sedation for CPAP

Question 20

Lidocaine

Answer 20

Adult- a)1-1.5mg/kg repeat 0.5-0.75mg prn to max 3mg/kg
b) 40mg slow IO

Peds- 1mg/kg

Indications- a) VF, VT, WCT (Wide Complex Tachycardia), RSI w/ Reactive Airway disease or suspected increase in ICP
b) local pain control after IO insertion

Question 21

Magnesium Sulfate

Answer 21

Adult-a) 2gm over 5-10mins

b) 2gm over 5-10mins
c) 2gm over 4-5 mins
d) 2gm over 5-20mins
e) 2gm over 5-10 mins

Peds- 25-50 mg/kg

Indication- a) Torsades VT

b) TCA OD
c) WCT (Wide Complex Tachycardia), status asthmaticus
d) ETOH seizure
e) Eclamptic seizure

Question 22

Methylprednisolone (Solumedrol)

Answer 22

Adult- 125mg IV

Peds- 2mg/kg IV

Indication- Asthma, Anaphylaxis

Question 23

Midazolam (Versed)

Answer 23

Adult- 2.5-10mg IV, deep IM

Peds- 0.1-0.2mg/kg IV, deep IM

Indications- Seizures, Sedation (RSI, pacing, cardioversion), OD (cocaine, meth, MDMA, hyperadrenergic), chemical restraint

Question 24

Naloxone (Narcan)

Answer 24

Adult- 0.4-2mgx2 prn IV/IM/IN/SL/IO

Peds- if >5y/o (or >20kg) 0.1mg/kg; 0.5mg prn (max same as above)

Indications- Narcotic OD w/ respiratory depression, ALOC w/ respiratory depression

Question 25

NTG (Nitroglycerine)

Answer 25

Dose- 0.4 mg SL (spray or tablet) q 3-5 x2

Indications- Chest pain, CHF/ Pulmonary edema, HTN crisis

Question 26

Racemic Epinephrine

Answer 26

Peds- 0.5cc if child is 20-40kg, 0.25cc if child

Question 27

Sodium Bicarbonate

Answer 27

Dose- a) 1mEq/kg (add 1 amp to IV bag in TCA OD)
b) 50mEq/50cc

Indications- a) Cardiac Arrest, VF in hypothermia, TCA OD, near drowning
b) Hyperkalemia

Question 28

Sodium Thiosulfate

Answer 28

Adult- 50ml 25% solution IV over 10 mins

Peds- 1.65mL/kg IV/IO infused over 10-20 mins

Indication- Cyanide poisoning

Question 29

Succinylcholine

Answer 29

Dose- 1.5mg/kg x2 prn max single dose 200mg

Indication- Facilitate intubation

Question 30

Vecuronium (Norcuron)

Answer 30

Dose- 0.1mg/kg

Indication- Long-term paralytic

Question 31

Verapamil

Answer 31

Dose- 5mg may repeat q 15min, max 30mg

Indication- Narrow complex SVT

Question 32

Ziprasadone (Geodon)

Answer 32

Dose- 10-20 mg IM only

Indication- Chemical restraint

Question 33

Zofran (Ondansetron)

Answer 33

Adult- 8mg

Peds- >2 years (20 kg) 0.1mg/kg, do not exceed adult dose

Indication- N/V, prevent N/V with fentanyl administration