Drugs, Doses and Uses / Related MDSO - memorize Flashcards
3% - which MDSO
A: TBI, Stoke
P: DKA
*both for Neuro decline 2nd to cerebral edam
*may consider possibly in CNS Infection, Hepatic Encephalopathy
3% A/P dosing*
A: 3 mL/kg @ 20mL/min / 800 mL/hr
P: 3 mL/kg > 20 min - rate depends on kg. 40 kg x 3 = 120 mL/20 min = 360 mL/hr would be the highest
Ampicillin - MDSO / Dosing
PRE TERM
2g IV q 6 hrs , given with the other ABX
Atropine - which MDSO
Pediatric - Pre-intubation
Adult - Neurogenic Shock
OD - BB/CCB/Cholinestrase Inhibitor
Atropine - Dosing A/P
A: same for all A MDSO , except for CCB OD
A: all other : 0.5 mg q 3-5 min , Max 3 mg
A: Cholinesterase Inhib OD - 2 to 5 mg q 5 min, Titrate to Dry Mucous Membranes, Tachycardia does NOT
rule it out
P: only used in pre-intubation @ 0.02 mg/kg, Max 0.5 mg (at 25 kg)
Atrovent for SOB/Wheeze, MDSO dosing A/P
A: 5 puffs (5 x 20mcg) q 15 x 3
500 mcg (2 mL) q 15 x3
P: 4 puffs q 20 x 3
250 mcg (1 mL) q 20 x 3
Benadryl - which MDSO ? Dosing
Only : A: Anaphylaxis
50 mg IV/IM - (1mg/kg to max 50 mg at 50 kg)
Betamethasone - MDSO / Dosing
PRE TERM , 24-35 w (+ 36 +6)
12 mg IM q 24 hrs x 2
CaCl / CaGluc - MDSO
A: Hyperkalemia -
A: CCB - OD
Obs: Pre Eclamp (for MgTox)
CaCl*1g/10 or 50 mL > 5 min CVL > 20 min PIV q 5 min x 2for allabove**
(technically 20mg/kg, to max 1 g at 50 kg)
CaGluc 1g/10mL > 2-3 min PIV Push
Ceftiraxone - MDSO/Dosing
Only:
P: Septic Shock
100mg/kg/dose
Dexamethasone - MDSO / Dosing
A: Broncho @ 8mg IM/IV/IO (or Methylprednisolone)
P: SOB/Wheeze@ 0.3 mg/kg PO/IM/IV - Max 12 mf (at 40 kg), or two other choices)
Obs: Preterm @ 6 mg IM q 12h x 4
Dextrose - which MDSO / Does
A: Hypoglycemia - 25g, then D10W or D10NS at 100mL/hr
P: Hypoglycemia - 0.5 g/ kg
< 10 with D10W at 5 mL/kg
10-20 - with D25W at 2mL/kg
> 20 -with D50W at 1 mL/kg
NEO: 0.2g/kg (2mL/kg) or D10W
Overdoses - BB, CCB and ASA
- all 1 amp (25g of D50W)
-check sugars q 15 min
-for ASA - follow up with 2mL/kg/hr or D10W
Dobutamine
Only for A: Cardiogenic Shock
5-20 mcg/kg/min, start at 5, titrate to perfusion.
MAP must be > 60 to start
DOPAMINE
P : “Cardiovas Support”
A: Cariogenic Shock
A: Neurogenic Shock (target > 80)
All of the above at 5-20 mcg/kg/min
*rarely used, ask for Epi Inf instead
Also,
P: Septic Shock (Cold Shock)
at 5-10 mcg/kg/min (again ask for Epi)
EPI IM
A: Bronchonstriction
A: Anaphylaxis
P: SOB
Dose same 0.01 mg/kg, Max 0.5 mg
*note A: Anaphylaxis can give x 2
EPI Infusion MDSO / Doses
P: “Cardiovasc Support”
A: Boncho, Neurogenic Shock, Septic Shock, Anaphylaxis
Dose always the same - standard:
0-0.5 mcg/kg/min in Adults
For P: 0.05 - 3 mcg/kg/min
Erythromycin
Only in PreTerm, along with Ampicillin
250 mg IV q 6 hr x 48 hrs
Fentanyl
1-2 mcg/ kg for
A & P Pre Intubation Bolus
P vented Pain Bolus
50 -100 mcg q 5 for A vented Pain Bolus
25-50 mcg q 10 min for A: Pain - general, max 300 mcg
Infusions:
1-3 mcg/kg/hr - A: Vented
1-4 P Vented
FFP
specifically only in one MDSO
Hypovolemia - from blood loss
10-20 mL/kg > 30 min - - , max speed
Humulin R
MDSO: A: Hyperkalemia
A: OD - CCB
A: OD - BBlock
A: DKA ? no MDSO
Dosing:
OD - 1 u/kg bolus, then 0.5-2.0 u/kg/hr
Hyper K - 10 units IV, no infusion
MDSO: P - DKA
No Bolus
Infuse: 0.05-0.1 u/ kg/hr
Gravol
A: 50 mg IM/PO or IV in 10 mL / slow
P: 1mg/kg IV/IM/PO, give slow
Hydrocortizone
Just used for SEPTIC SHOCK, both A and P
A: 100 mg IV/IO
P: 2mg/kg to max 100mg
Ibuprophen
A: Pain and Fever - 400mg
P: Fever - 10 mg/kg PO
Keppra
Considered in A and P Seizures:
20-60 mg/kg IV
