emergency drugs

Question 1

Sync. Cardioversion

Answer 1

Use: Tachydysrhythmia
Dose:
Peds: Start 0.5-1 J/kg, Increase to 2 J/kg if needed
Adult:
Narrow regular: 50-100 J
Narrow irregular: 120-200 J biphasic (200 J monophasic)
Wide regular: 100 J
Wide irregular: defibrillation dose (not synchronized)

Question 2

Dantrolene IV

Answer 2

Use: Malignant hyperthermia
Dose: 2.5 mg/kg IV prn, up to 10 mg/kg

Question 3

Atropine IV

Answer 3

Use: Hypotension, bradycardia
Dose:
Adults: 1 mg (MAX 3 mg total)
Peds: 0.02 mg/kg/dose IV (MAX: 0.5 mg/dose)

Question 4

Succinylcholine IM

Answer 4

Use: Laryngospasm, ventilation & oxygenation
Dose: 4 mg/kg IM, MAX: 100mg

Question 5

Methylprednisolone IV

Answer 5

Use: Allergic reaction
Dose: 2mg/kg IV

Question 6

Phenylephrine IV

Answer 6

Use: Hypotension, PSVT
Dose:
Adult: 50-100 mcg bolus; titrate 10-20 mcg/min
Peds: 0.1 mg/kg SC/IM, MAX: 5 mg/dose IM

Question 7

Ondansetron IV

Answer 7

Use: Nausea / vomiting
Dose: 0.1 mg/kg IV, MAX: 4mg

Question 8

Racemic Epinephrine

Answer 8

Use: Suggest non-rebreather nebulizer
Dose: 0.05 mL/kg (Max 0.5mL) of 2.25% solution

Question 9

Succinylcholine IV

Answer 9

Use: Chest wall rigidity, laryngospasm
Dose:
Peds: 0.5 mg/kg IV, MAX: 20 mg/dose
Adult: 20+ mg IV up to 0.5 mg/kg

Question 10

Epinephrine IV (Pre-puberty/Cardiac Arrest)

Answer 10

Use: Cardiac arrest
Dose:
Pre-puberty: 0.01 mg/kg IV push q2m, MAX: 1 mg
Adult: 1 mg IV push

Question 11

Nitroglycerin PO (Adult)

Answer 11

Use: Chest pain, hypertension
Dose:
Spray: 1-2 SL q5m prn (0.4mg per actuation)
Tab: 0.4mg SL q5m, MAX: 3 doses within 15 min

Question 12

50% Dextrose IV

Answer 12

Use: Hypoglycemia
Dose: 0.5 g/kg IV, MAX: 25 grams

Question 13

Adenosine IV

Answer 13

Use: Tachycardia
Dose:
1st dose: 0.1 mg/kg IV, MAX: 6 mg
2nd dose: 0.2 mg/kg IV, MAX: 12 mg

Question 14

Amiodarone IV (Tachycardia)

Answer 14

Use: Tachycardia
Dose:
Peds & Adult: 5 mg/kg IV over 10 minutes, MAX: 150 mg
Adult specific scenarios provided

Question 15

Oxygen

Answer 15

Use: Chest pain
Dose: Titrate to ≥ 94% SpO2 for <94% SpO2

Question 16

Diltiazem IV (Adult only)

Answer 16

Use: Tachycardia
Dose: 1st dose: 5 mg IV over ten minutes

Question 17

Diphenhydramine PO/IM/IV

Answer 17

Use: Allergic reaction
Dose: 2 mg/kg PO/IM/IV, MAX: 50 mg

Question 18

Dexamethasone

Answer 18

Use: Croup
Dose: 0.3 mg/kg IV

Question 19

Propofol IV

Answer 19

Use: Nausea & vomiting
Dose: 20-40 mcg/kg/min or equivalent boluses

Question 20

Amiodarone IV (Code)

Answer 20

Use: Cardiac arrest
Dose:
Peds: 5 mg/kg IV q3-5m x2, MAX: 300 mg
Adult: 300 mg IV - 1st dose, 150 mg IV - 2nd dose

Question 21

Aspirin PO

Answer 21

Use: Chest pain
Dose: 325 mg or four 81 mg PO

Question 22

Labetalol IV

Answer 22

Use: Hypertension
Dose: Adult and Peds dosages provided

Question 23

Ephedrine IM (Peds)

Answer 23

Use: Bradycardia, hypotension
Dose: 0.5 mg/kg IM, MAX: 3 mg

Question 24

Hydralazine IV

Answer 24

Use: Hypertension
Dose: Adult and Peds dosages provided

Question 25

Furosemide IV

Answer 25

Use: Pulmonary edema
Dose: Adult and Peds dosages provided

Question 26

Fentanyl IV

Answer 26

Use: Chest pain, pain
Dose: 25 - 50 mcg IV

Question 27

Flumazenil IV (Adult)

Answer 27

Use: Benzodiazepine overdose
Dose: 0.5 mg IV q1m, MAX: 5 mg total dose

Question 28

Albuterol inhaled

Answer 28

Use: Allergic reaction, asthma
Dose: 2 puffs inhaled

Question 29

Midazolam IV/IM

Answer 29

Use: Local anesthesia toxicity, seizure
Dose: 0.1 mg/kg IV/IM, MAX: 5 mg

Question 30

Ephedrine IV (Adult)

Answer 30

Use: Hypotension, bronchospasm
Dose: 10 mg IV q5m prn, MAX: 50 mg/total dose

Question 31

Esmolol IV

Answer 31

Use: Tachycardia
Dose: 0.5 mg/kg IV, Adult Max: 200 mcg/kg/min, Peds Max: 1000 mcg/kg/min

Question 32

Rocuronium

Answer 32

Use: Laryngospasm
Dose: 1.2 mg/kg IV

Question 33

Epinephrine IV

Answer 33

Use: Allergic reaction, asthma
Dose: Dosages for IV infusion and bolus provided

Question 34

Epinephrine IV (Cardiac Arrest)

Answer 34

Use: Cardiac arrest
Dose: Pre-puberty and Adult dosages provided

Question 35

Morphine IV

Answer 35

Use: Chest pain, pain
Dose: Adult and Peds dosages provided

Question 36

20% Intralipid IV

Answer 36

Use: Local anesthesia toxicity
Dose: 1.5 mL/kg IV (bolus), then 0.25 mL/kg/min

Question 37

Lidocaine IV

Answer 37

Use: Cardiac arrest
Dose: Progressive dosing for 1st, 2nd, and 3rd doses

Question 38

Epinephrine IM

Answer 38

Use: Allergic reaction, asthma
Dose: Dosages for <30 kg and >30 kg provided

Question 39

Flumazenil IV (Peds)

Answer 39

Use: Benzodiazepine overdose
Dose: 0.2 mg IV q1m, MAX: 1 mg total dose

Question 40

Naloxone IV/IM

Answer 40

Use: Opioid overdose
Dose: Dosages for <40 kg and >40 kg provided, with second dose details

Question 41

Midazolam IN

Answer 41

Use: Local anesthesia toxicity, seizure
Dose: 0.2 mg/kg IN, MAX: 10 mg