ED Med dosing Flashcards
Ibuprofen (Motrin) Adult strength
200 mg tab
Ibuprofen (Motrin) Ped strength
100 mg tab
Ibuprofen/Motrin
Adult dose
1-2 pills every 4-6 hr prn
Max: 6 pills
Weight chart for Peds dosing
25-35 lbs 35-47 48-60 60-70 70-95
goes from 25-95 lbs
Tab dosing for BOTH Ibuprofen/Motrin and Tylenol/Acetaminophen
q 6-8 hours
1 1.5 2 2.5 3
then liquid suspension is: 5 7.5 10 12.5 15 mL
How is dosing diff in Ibuprofen/Motrin
Adults: every 4-6 hrs
Peds: every 6-8 hrs
Tylenol (Acetaminophen) dosing is diff than Ibuprofen how
Can give Tylenol more frequently
every 4 hours with peds
To get max dose for Ibuprofen (Motrin)
Multiply dose x4
To get max dose for Acetaminophen (Tylenol)
Multiply dose x5
Ibuprofen (Motrin) tabs
Peds: 100 mg
Adults: 200 mg
Tylenol (Acetaminophen) tabs
Peds: 160 mg
Adults: 325 mg
Peds tylenol suspension
160 mg per 5 mL
If using 325 mg tablets of Tylenol on kids 6-11 yo
only 1 tab every 4-6 hr
Tylenol dosing for Adults (12 YO and older)
1-2 tabs every 4-6 hours
max: 10 tabs
Morphine dosing for <6 mo
0.05-0.2
mg/kg/dose every 4h
Morphine dosing for 6 mo- 12 YO
0.1-0.2
mg/kg/dose every 2-4h
(can give it a little more often than under 6mo)
Morphine parenteral dosing for Adult (>12 YO)
2-10 mg every 4h
Morphine rectal dosing for Adult
10-20 mg every 4h
ER tabs of Morphine
opioid naive: 15 mg q8 hr
tolerant: 100-200 mg q8hr
Morphine in tx of Unstable Angina or MI (heart attack)
2-5 mg q5-30 MINUTES
then maybe 4-8 every 4-6h
Morphine in tx of Pulmonary Edema
1-3 mg IV q5 min
Morphine in tx of Dyspnea
5-10 mg PO, or
2-10 mg SC/IV q4
2-5 mg of IV Morphine q 5-30 min for tx of
MI, Unstable angina
2-10 mg of IV Morphine every 2-6 hours, or q4h
Standard Parenteral dosing for Adult
Narcan (Naloxone) dosing for <1 mo
0.1 mg/kg/dose (IV) q2-3 min, OR
q3-8 min if (IM)
Narcan (Naloxone) dosing for 1mo- 5 YO and less than 45 lbs
still 0.1 mg/kg/dose
IV: q 2-3 min
other options include: ETT/SC/IM/IO q 3-8 min
Narcan (Naloxone) dose if over 5 YO or greater than 45 lbs
2 mg IV q2-3 min
2 mg ETT/SC/IM/IO q3-8 min
Narcan (Naloxone) dosing if adult, >12 YO
Parenteral:
0.4-2mg SC/IM/IV q2-3 min
Narcan (Naloxone) dosing for nostril
1 mg each nare once
repeat 3-5 min if sx recur
Narcan (Naloxone) dosing for ETT- endotrach tube
0.8- 5 mg q2-3 min
When does Narcan dosing change from per mg/kg/dose to just in mg?
Once child reaches over 45 lbs
under 45 lbs: 0.1 mg/kg/dose
over 45 lbs: 2 mg