Drug Prep Psychomotor

Question 1

Albuterol

Ipratropium Bromide

Answer 1

Albuterol:

• Adult = 5mg
• Ped = 2.5mg

Ipratropium Bromide:

• Adult = 0.5mg
• Ped = 0.25mg (if below 15kg)

Question 2

Aspirin

Answer 2

324-325mg (comes in 81mg pills normally)

Question 3

Calcium (look at S&Ss of hyperkalemia)

Answer 3

Adult & Ped = 10mg/kg

Question 4

D50

Answer 4

Adult = 1mg/kg up to 50ml
Ped = must use D25 and give 2mg/kg up to 50ml (if under 25kg)

(There’s 25g in a bag of 50ml)
Look up how to give this on youtube

Question 5

Versed (Midazolam)

Answer 5

Adult & Ped = 0.1mg/kg to max of 5

Question 6

Diltiazem

Answer 6

• Adult = 0.25mg/kg slow IVP

Indication = Tachycardia - Stable
(Sustained narrow-complex tachycardia > 150 bpm in adults WITH systolic BP ≥ 100 mmHg)
**OLMC Order Only

Question 7

Diphenhydramine

Answer 7

• Adult = 50mg

- Ped = 1mg/kg

Question 8

Dopamine

Answer 8

• Adult = 5-20mcg/kg/min

Colorado down and dirty = (pt lbs/10) - 2 = 5mcg/min with 10 gtts

how to calculate and admin

Question 9

Etomidate

Answer 9

• Adult = 0.3mg/kg over 15-30sec

Question 10

Fentanyl

Answer 10

• Adult = 1mcg/kg up to 100mg (IV, IN, IM) (Can repeat every 10 min up to 3mcg or 250mg max)
• Ped = OLMC ONLY but typically 1mcg/kg up to 50mg max

Question 11

Morphine

Answer 11

• Adult = 2-4mg can repeat every 5 to max of 10mg

- Ped = OLMC ONLY 0.1mg/kg to max of 2mg per dose

Question 12

Glucagon

Answer 12

• Adult = 1mg IM

- Ped = 0.5mg IM

Question 13

Oral Glucose

Answer 13

• Adult = 15g (1 tube)

- Ped = 7.5g (1/2 tube)

Question 14

Haloperidol

Answer 14

Adult = 5mg IM

Question 15

Hydroxocobalamin (Cyanokit for Cyanide Poisoning)

Answer 15

• Adult = 5g
• Ped = 70mg/kg

(both done over 15 minutes)

Question 16

Magnesium Sulfate

Answer 16

1g

Question 17

Solu-Medrol

Answer 17

• Adult = 125mg

- Ped = 2mg/kg (max of 125mg)

Question 18

Naloxone

Answer 18

• Adult = 0.5mg, may repeat to max of 4mg (can do 2mg if severe)
• Ped = 0.5mg to max of 2mg

Question 19

Nitro

Answer 19

• Adult = 0.4mg every 5 minutes so long as BP is above 100 and chest pain persists

Question 20

Sodium Bicarb

Answer 20

Adult & Ped = 1mEq/kg to max of 50mEq

Question 21

Epinephrine (asthma/dyspnea; anaphylaxis)

Answer 21

DYSPNEA - ASTHMA (Severe & Refractory to Nebulization)
- Adult = 1:1000 0.3 mg IM

• Pediatric = 1:1000 0.01 mg/kg (0.01 mL/kg) not to exceed 0.3 mg (0.3 mL) IM

ANAPHYLAXIS
- Adult = 1:1000 0.5 mg IM
AND IF anaphylaxis refractory to above IM dose:
1:10,000 1 mg slow IVP/IOP over 3 minutes

• Pediatric
  1:1000 0.01 mg/kg (0.01 mL/kg) not to exceed 0.3 mg (0.3 mL) IM
  AND IF anaphylaxis refractory to above IM dose:
  1:10,000 0.01 mg/kg slow IVP/IOP over 3 minutes

Question 22

Rocuronium

Answer 22

• Adult = 1mg/kg

- Ped = 0.6mg/kg

Question 23

Pediatric Arrest Cardioversion, Epi and Amio

Answer 23

Cardioversion = First shock - 2J/kg ;  Second shock 4J/kg ;  all after shocks - 4-10J/kg
Epi = 0.01mg/kg max of 1mg every 3-5
Amiodarone = 5mg/kg repeat up to 3 times

Question 24

Pediatric Brady Epi and Atropine

Answer 24

Epi = 0.01mg/kg up to 1mg

Atropine = 0.02mg/kg (min is 0.1mg and max is 0.5mg) may repeat 1 time

Question 25

Pediatric Tachycardia Sync Cardiovert and Adenosine

Answer 25

Sync Cardiovert = 1J/kg and if not effective move up to 2J/kg

Adenosine = First dose - 0.1mg/kg ; Second dose - 0.2mg/kg (max of both is what the adult dose is (6&12))

Question 26

Pediatric Intubation Tube size calc

Answer 26

Cuffed = (age in years/4) + 3.5

Knowles said never use uncuffed