Emergencies/drug Dosages

Question 1

ACS ANGINA

Answer 1

Aspirin 4x81

NTG .4mg q 3-5 min 3x 3max
BP >90, no signs RVI, ed drugs

Morphine 2-4 mg increments SIVP
max 10mg
BP >90

Question 2

Respiratory, restrictive, wheezing

Asthma, COPD

Answer 2

Albuterol 2.5mg/3ml

Atrovent .5mg 1 dose

Solumedrol 125mg IVP

Question 3

RESP, severe

Answer 3

MAG SULFATE
2G IV infusion in a 50ml NS over 5-10 min

EPI .3mg 1:1000 IM
<35 age, BP 180, no cardiac hx, preg

Question 4

RESP- rales- fluid,

CHF, pulmonary edema

Answer 4

NTG .4mg q 3-5 min x3 3max
BP>90, no signs of RVI, ed drugs

Lasix .5mg/kg SIVP
typical 40mg or 2x daily dose

Question 5

Sedation/seizures/chemical restraint

Answer 5

Versed
2.5-5mg SIVP or 5-10mg IM
MAX 20mg

Ketamine
2-4mg/kg IM
.5-2mg/kg IV

Question 6

Pulseless V-Fib/V-tach

Answer 6

EPI 1mg 1:10k IVP q3-5min no max

Lido 1-1.5mg/kg repeat q 3-5min
2nd .5-.75
Max 3mg/kg

Mag sulfate 2g IVP dilute in 10ml over 2min

Question 7

Symptomatic bradycardia

Answer 7

Atropine.5mg IVP over 1-2min
Repeat q 3-5 min 3mg max

Dopamine 2-10mcg/kg/min

EPI 2-10 mcg/kg/min

Question 8

Zofran

Answer 8

4-8mg SIVP or 4-8mg oral tab

Question 9

Ventricular arrhythmias with pulse

Answer 9

Lidocaine

Mag sulfate