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Residency > Emergency > Flashcards

Emergency Flashcards

1
Q

Emergent indications for Adenosine

A

stable SVT, stable narrow complex tachycardias

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2
Q

Adenosine dose

A

6 mg IV RAPID push

may give 12 mg IV q2 minutes if no effect x2

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3
Q

Emergent indications of Amiodarone

A

pulseless VF/VT

Wide complex tachydysrhythmias

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4
Q

Amiodarone dose for pulseless VF/VT

A

300 mg IV rapid push followed by 150 mg IV rapid push if necessary at next pulse check

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5
Q

Atropine dose for pediatric and adult bradycardia

A

Ped Bradycardia: 0.02 mg/kg IV x 1; 0.5 mg maximum single dose; 1 mg max cumulative dose
Adult bradycardia 0.5 mg IV, 3 mg max cumulative dose

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6
Q

Emergent indications for Atropine

A

Organophosphate/carbamate toxicity

Bradycardia

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7
Q

Calcium Gluconate/Chloride dose

A

10% IV solution (gluconate or chloride) contains 1 gram per 10 mL
1.5-3 g IV q2-5 min prn
Max: 200 mg/min; 3g/episode; 15 g/day

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8
Q

Emergent indications for calcium gluconate/chloride

A

hyperkalemia, hypocalcemia with dysrhythmia

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9
Q

Diltiazem (Cardizem) dosing

A

0.25 mg/kg IV x 1; may give 0.35 mg/kg IV x 1 after 15 minutes
Continous infusion 5-15 mg/hr

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10
Q

Indictions for Diltiazem (Cardiazem)

A

Stable Afib with RVR, stable SVT

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11
Q

Emergent indications for droperidol

A

vomiting prevention, migraine abortion

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12
Q

Dosing for emergent dosing of droperidol

A

1.25 - 2.5 mg IV q 4 hours PRN

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13
Q

Emergent indications for epinephrine

A

anaphylaxis, ACLS arrest, PALS/NRP arrest, severe asthma

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14
Q

Dosing for emergent use of epinephrine

A

1 mL vial = 1 mg
10 mL vial = 1 mg
ACLS: 1 mg
PALS: 0.01 mg / kg
Anaphylaxis 0.1-0.5 mg IM
Peds anaphylaxis/asthma: 0.01 mg/kg IM (max single dose 0.3 mg)
Hypotension refractory to IVF: 1-10 mcg/min IV

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15
Q

Emergent indication for esmolol

A

aortic dissection

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16
Q

Dosing for emergent use of esmolol

A

500 mcg/kg loading dose, then continuous infusion of 50-300 mcg/kg/min

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17
Q

Emergent use of etomidate

A

RSI induction

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18
Q

Dosing for emergent use of etomidate

A

0.3 mg/kg IV

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19
Q

Emergent use of glucagon

A

BB/Ca channel blocker toxicity, hypoglycemia

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20
Q

Dosing for emergent use of glucagon

A

BB/CCB toxicity 3-10 mg IV loading dose, then 1-10 mg/hr IV continuous infusion if responsive to loading dose

Hypoglycemia: 1 mg IV/SQ/IM

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21
Q

Emergent use holoperidol

A

5-10 mg PO/IM/IV q 2 hours (max 100 mg/day)

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22
Q

Emergent indications for enoxaparin (Lovenox)

A

PE, NSTEMI, unstable angina

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23
Q

Dosing for emergent use of enoxaparin (Lovenox)

A

1 mg/kg SQ q 12 hours OR 1.5 mg/kg SQ q 24 hrs

24
Q

Emergent indications for heparin

A

Venous thromboembolism

ACS (enoxaparine preferred for NSTEMI)

25
Q

Dosing for emergent use of Heparin

A

VTE: 80 units/kg IV x 1, then 18 units/kg/hr

ACS or Afib: 60 units/kg IV x 1, then 12 units/kg/hr

26
Q

Insulin dosing for hyperkalemia

A

5-10 units IV x1

27
Q

Insulin dosing for CCB overdose

A

1 unit/kg bolus given with 25 grams of dextrose if initial BG <250 mg/dL; then initiate insulin drip at 0.1-1.0 unit/kg/hr titrated to SBP along with 0.5 g/kg/hr of dextrose titrated to maintain BG 100-200 mg/dL.

28
Q

Insuling dosing for DKA/HHS

A

0.1 unit/kg bolus followed by continuous infusion of 0.1 unit/kg/hr

29
Q

Emergent indication of insulin

A

hyperkalemia, DKA/HHS, CCB overdose

30
Q

Emergent indications of ketamine

A

analgesia, sedation, RSI induction

31
Q

Subdissociative dosing for ketamine

A

0.1-0.5 mg/kg IV

32
Q

Procedural sedation dosing for ketamine

A

0.5-1 mg/kg IV

33
Q

RSI induction dosing for ketamine

A

2 mg/kg IV

34
Q

Labatolol dosing for hypertensive emergency

A

Bolus dose 20-80 mg IV q 10 minutes PRN

Continous infusion: 1-8 mg/min titrated to effect

35
Q

Emergent indications of magnesium sulfate

A

torsades, ventricular dysrhythmias, eclampsia, status asthmaticus

36
Q

Eclapsia dosing with magnesium sulfate

A

2-4 grams IV over 5 minutes

37
Q

Pulseless torsades dosing with magnesium sulfate

A

2 grams IV push

38
Q

Asthma exacerbation dosing with magnesium sulfate

A

2 grams over 15 minutes

39
Q

Elevated ICP or impending herniation dosing with mannitol

A

1 gram/kg IV x1

40
Q

Emergent indications for midazolam (Versed)

A

seizure abortion (nasal for fake), procedural sedation, ventilator sedation, RSI

41
Q

RSI induction with midazolam dosing

A

0.1 mg/kg IV

42
Q

Emergent indications for nimodipine

A

SAH

43
Q

SAH dosing with nimodipine

A

60 mg PO ah4

44
Q

Nitroglycerin dosing

A

5-200 mcg/min, increase 10 mcg q3-5 min until desired effect

45
Q

Norepinephrine (Levophed) dosing for hoptensive refractory to IVF

A

1-30 mcg/min IV

46
Q

Octreotide dosing for bleeding esophageal varices

A

50 mcg IV bolus, then 50 mcg/hr IV

47
Q

Octreotide dosing for sulfonylurea toxicity

A

50 mcg SQ q6 hours PRN

48
Q

Status epilepticus dosing with phenobarbital

A

20 mg/kg IV x 1, may repeat with an additional 5-10 mg/kg dose in 20 minutes (max dose 30 mg/kg), max infusion rate 50 mg/min

49
Q

Emergent indications for phenobarbital

A

status epilepticus

50
Q

Emergent indications for protamine sulfate

A

heparin induced bleeding

51
Q

Protamine sulfate dosing for heparin induced bleeding

A

1 mg neutralizes 100 units of heparin (max dose 50 mg); administer at arate of 5 mg/minute

52
Q

Emergent indications for succinylcholine

A

RSI paralysis

53
Q

Succinylcholine dosing for RSI paralysis

A

1.5 mg/kg (or 3-4 mg/kg IM)

54
Q

Amiodarone dose for stable wide complex tachycardias:

A

150 mg IV over 10 minutes, followed by infusion of 1 mg/min x 6 hours, then 0.5 mg/min thereafter

55
Q

Atropine dose for organophosphate/carbamate toxicity:

A

1-6 mg IV q3-5 minutes PRN, until dry secretions (can double dose each time until adequate response)

Residency (1 decks)

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