Exam 1: Meds and dermatones Flashcards
Acetaminophen (Tylenol) Adult Dose:-oral:-iv:
Oral: 325mg-650mg Q4-6H
Max 4g/d or 1gQ4H
IV: 1g Q6H max 4g/day or 650mg q4H
Acetaminophen (Tylenol) Peds Dose:-oral:-iv:
Oral: 15mg/kg 4-6H
Max dose 90mg/kg/d
IV [<50kg]: 15mg/kg Q6H or 12.5 mg/kg Q4H
max dose 75mg/kg/day
What is the adult dose for cefazolin? half-life? redosing? and infusion time?
Dose: 2g, 3g if weight >120kg
T1/2: 1.2-2.2 hours
Redose: Q4H
Infusion time: 30 min
What is the pediatric dose for cefazolin? half-life? redosing? and infusion time?
Dose: 30mg/kg
T1/2: 1.2-2.2 hours
Redose: Q4H
Infusion time: 30 min
What is the adult dose for celecoxib?
100-200mg PO Q12-24H
Max dose 400mg/d
What is the pediatric dose for celecoxib?
50mg PO BID
What is the adult dose for clindamycin? half-life? redosing? and infusion time?
Dose: 900mg
T1/2: 2-4 hours
Redose: Q6H
Infusion time: 30-60 min
What is the pediatric dose for clindamycin? half-life? redosing? and infusion time?
Dose: 10mg/kg
T1/2: 2-4 hours
Redose: Q6H
Infusion time: 30-60 min
What is the adult TD and IV dose of fentanyl?
TD: 12-25mcg/h Q72H
IV 50mcg Q1-2H
What is the pediatric TD and IV dose of fentanyl?
TD: 12-25mcg/h Q72H
IV: 1-2mcg/kg Q1-2H
Max dose 50mcg/dose
What is the onset and duration for TD fentanyl?
Onset: 12-24H
Duration: 72H per patch
What is the onset and duration for IV fentanyl?
Onset: immediate
Duration: 30-60min
What is the pediatric dose for Hydrocodone/APA (Norco), onset, and duration?
Dose: 0.1-0.2mg/kg PO Q4-6H
Onset: 30-60min
Duration: 4-6H
What is the adult dose for Hydrocodone/APA (Norco), onset, and duration?
Dose: 5-10mg PO Q6H
Onset: 30-60min
Duration: 4-6H
What is the adult PO and IV dose of hydromorphone [dilaudid]?
PO: 2-4mg Q4H
IV: .5-2mg Q2-4H
What is the pediatric PO and IV dose of hydromorphone [dilaudid]?
PO: 0.6mg/kg Q4H
IV: 0.015mg/kg Q4H
What is the onset and duration of PO hydromorphone [dilaudid]?
Onset: 15-30min
Duration: 4-6H
What is the onset and duration of IV hydromorphone [dilaudid]?
Onset: 15min
Duration: 4-6H
What is the adult dose of ibuprofen[motrin]?
400-800mg PO Q6-8H
Max dose 3200mg/d
What is the pediatric dose of ibuprofen[motrin]?
10mg/kg PO Q6-8H
Max dose 40mg/kg/d or 2400mg/d
What is the intranasal and nebulizer dose of fentanyl 50mcg/ml?
IN: 1.5-2mcg/kg Q1-2H
NEB: 1.7-3mcg/kg Q2-4H
Max dose: 3mcg/kg or 100mcg
Note: want to divide does equally between each nostril
What is the nebulizer dose of lidocaine 40mg/ml?
NEB: 100-200mg or 2.5-5 ml
Max dose: 4.5mg/kg total or 300mg
Note: >5mg/kg associated with serious toxicity
What is the intranasal dose of midazolam 5mg/ml?
IN: 0.3mg/kgMax: 10mg or 1 ml per nostril (2ml total)
Note: divide dose equally between each nostril
Ketamine Excited Delirium Syndrome IV & IM:
IV: 1mg/kg
IM: 4-5mg/kg
Ketamine Procedural Sedation dose for adult IV, pediatric IV and IM:
Adult Dose IV: 0.5-1mg/kg
Peds Dose: IV: 1-2mg/kg
IM Dose: 4-5mg/kg
Ketamine Subdissociative Analgesia dose IV, IM, and IN:
IV: 0.1-.3mg/kg
IM: 0.5-1mg/kg
IN: 0.5-1mg/kg use 50mg/ml concentration
What is the adult dose (IV/IM) for ketorlac [toradol]?
IV/IM: 15-30mg Q6H
Max: 120mg/d x 5d
What is the pediatric dose (IV/IM) for ketorlac [toradol]?
IV/IM: 0.5-1mg/kg Q6H
Max: 5-30mg q6H x 5d
What is the adult dose ( PO & IV) for morphine?
PO: 15-30mg Q2-4H
IV: 2-10mg Q2-4H
What is the pediatric dose ( PO & IV) for morphine?
PO: 0.3mg/kg Q4H
IV: 0.1mg/kg q2-4H
What is the onset and duration of PO morphine?
Onset: 30-60min
Duration: 3-6H
What is the onset and duration of IV morphine?
onset: 5-10min
Duration: 3-6H
What is the adult dose of Morphine ER [MS Contin]? Onset and Duration?
Dose: 15-30mg PO Q12
Onset: 30-90min
Duration: 8-12H
What is the pediatric dose of Morphine ER [MS Contin]? Onset and Duration?
Dose: 0.3-0.6mg/kg PO Q12
Onset: 30-90min
Duration: 8-12H
What is the adult dose of naproxen [naprosyn]?
PO: 250-500mg Q8-12H
Max: 1500mg/d
What is the pediatric dose of naproxen [naprosyn]?
PO: 5mg/kg Q12H
Max: 1000mg/d
What is the adult dose of vancomycin? What is the half life, redosing time, and infusion time?
Dose:15mg/kg
T1/2: 4-8 hours
Redose: NA
Infusion Time: 15mg/min
What is the pediatric dose of vancomycin? What is the half life, redosing time, and infusion time?
Dose:15mg/kg
T1/2: 4-8 hours
Redose: NA
Infusion Time: 15mg/min
What sensory dermatome is the perineum located?
S2-S4
What sensory dermatome is the lateral foot located?
S1
What sensory dermatome is the knee and distal thigh located?
L3-L4
What sensory dermatome is the inguinal ligament located?
T12
What sensory dermatome is the umbilicus located?
T10
What sensory dermatome is the tip of the typhoid process located?
T6
What sensory dermatome is the nipple located?
T4
What sensory dermatome is the inner aspect of forearm located?
T1-T2
What sensory dermatome is the thumb and index finger located?
C6-C7
What sensory dermatome is the shoulder and clavicle located?
C5-C6
What spinal level is responsible for the bicep tendon deep tendon reflex? and what is this reflex?
C5-C6 contraction of the bicep muscle
What spinal level is responsible for the brachioradialis tendon deep tendon reflex? What is this reflex?
C5-C6 elbow flexion and/or forarm pronation
What spinal level is responsible for the tricep tendon deep tendon reflex? What is this reflex?
C7-C8 elbow extension or contraction of the tricep muscle
What spinal level is responsible for the patellar deep tendon reflex? What is this reflex?
L3-L4 knee extension
What spinal level is responsible for the tibialis posterior tendon deep tendon reflex? What is this reflex?
L4-L5 plantar flexion/inversion of the foot
What spinal level is responsible for the achilles tendon deep tendon reflex? What is this reflex?
S1-S2 plantar flexion of the foot