Emergency Drugs

Question 1

Stable svt, narrow complex tachycardia

Answer 1

Adenosine 6 mg Iv rapid push
12 mg in 2 min if no effect

Question 2

Pulseless VF/VT

Answer 2

Amiodarone 300 mg ivp
Followed by 150 mg ivp at next pulse check

Question 3

Stable wide complex tachycardia

Answer 3

Amiodarone 150 mg IV over 10 min
Followed by 1mg/min x 6 hrs
Followed by 0.5 mg/ min thereafter

Question 4

Anaphylaxis

Answer 4

0.1-0.5 mg 1:1000 IM
0.3 max single dose!

Question 5

Rapid sequence intubation

Answer 5

Etomidate 0.3mg/kg
Usually 20 mg IV

Question 6

Heparin reversal

Answer 6

Protamine sulfate 1mg neutralizes 100 units

5mg/min

Question 7

Bowel motility/ nausea

Answer 7

Metoclopramide 10 mg IV

Question 8

Hypotension refractory to IVF

Answer 8

Levophed 1-30 mcg/min IV

Question 9

Bleeding esophageal varices

Answer 9

Octreotide 50 mcg IV bolus + 50 mcg/ hr IV

Question 10

Nausea

Answer 10

Ondansetron (zofran) 4 -8 mg IV Q4-Q6 prn

Question 11

Metabolic acidosis

Answer 11

50 meq of sodium bicarbonate

Question 12

Beta blocker reversal

Answer 12

Glucagon 3-10 mg IV loading dose

Question 13

Torsades

Answer 13

Magnesium sulfate 2g IV push

Question 14

NSTEMI anticoagulation

Answer 14

Lovenox 1 mg/kg q12 hrs

Question 15

Stable afib with RVR/ Stable SVT

Answer 15

Cardizem 0.25 mg/kg IV x1
5-15 mg/hr after

Question 16

Decompensated HF inotrope

Answer 16

Donutamine 2-20 mcg/kg/min IV