Exam 1 Meds and Dermatones Flashcards

1
Q

Acetaminophen (Tylenol) Adult Dose:
-oral:
-iv:

A

-oral: 325mg-650mg Q4-6H Max 4g/d or 1gQ4H
-IV: 1g Q6H max 4g/day or 650mg q4H prn pain

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2
Q

Acetaminophen (Tylenol) Peds Dose:
-oral:
-iv:

A

-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

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3
Q

What is the adult dose for cefazolin? half-life? redosing? and infusion time?

A

Dose: 2g, 3g if weight >120kg
T1/2: 1.2-2.2 hours
Redose: Q4H
Infusion time: 30 min

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4
Q

What is the pediatric dose for cefazolin? half-life? redosing? and infusion time?

A

Dose: 30mg/kg
T1/2: 1.2-2.2 hours
Redose: Q4H
Infusion time: 30 min

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5
Q

What is the adult dose for celecoxib?

A

100-200mg PO Q12-24H
max dose 400mg/d

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6
Q

What is the pediatric dose for celecoxib?

A

50mg PO BID

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7
Q

What is the adult dose for clindamycin? half-life? redosing? and infusion time?

A

Dose: 900mg
T1/2: 2-4 hours
Redose: Q6H
Infusion time: 30-60 min

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8
Q

What is the pediatric dose for clindamycin? half-life? redosing? and infusion time?

A

Dose: 10mg/kg
T1/2: 2-4 hours
Redose: Q6H
Infusion time: 30-60 min

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9
Q

What is the adult TD and IV dose of fentanyl?

A

TD: 12-25mcg/h Q72H
IV 50mcg Q1-2H

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10
Q

What is the pediatric TD and IV dose of fentanyl?

A

TD: 12-25mcg/h Q72H
IV: 1-2mcg/kg Q1-2H [max dose 50mcg/dose]

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11
Q

What is the onset and duration for TD fentanyl?

A

Onset: 12-24H
Duration: 72H per patch

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12
Q

What is the onset and duration for IV fentanyl?

A

Onset: immediate
Duration: 30-60min

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13
Q

What is the pediatric dose for Hydrocodone/APA (Norco), onset, and duration?

A

Dose: 0.1-0.2mg/kg PO Q4-6H
Onset: 30-60min
Duration: 4-6H

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14
Q

What is the adult dose for Hydrocodone/APA (Norco), onset, and duration?

A

Dose: 5-10mg PO Q6H
Onset: 30-60min
Duration: 4-6H

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15
Q

What is the adult PO and IV dose of hydromorphone [dilaudid]?

A

PO: 2-4mg Q4H
IV: .5-2mg Q2-4H

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16
Q

What is the pediatric PO and IV dose of hydromorphone [dilaudid]?

A

PO: 0.6mg/kg Q4H
IV: 0.015mg/kg Q4H

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17
Q

What is the onset and duration of PO hydromorphone [dilaudid]?

A

Onset: 15-30min
Duration: 4-6H

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18
Q

What is the onset and duration of IV hydromorphone [dilaudid]?

A

Onset: 15min
Duration: 4-6H

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19
Q

What is the adult dose of ibuprofen[motrin]?

A

400-800mg PO Q6-8H
max dose 3200mg/d

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20
Q

What is the pediatric dose of ibuprofen[motrin]?

A

10mg/kg PO Q6-8H
Max dose 40mg/kg/d or 2400mg/d

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21
Q

What is the intranasal and nebulizer dose of fentanyl 50mcg/ml?

A

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

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22
Q

What is the nebulizer dose of lidocaine 40mg/ml?

A

NEB: 100-200mg or 2.5-5 ml
Max dose: 4.5mg/kg total or 300mg
Note: >5mg/kg associated with serious toxicity

23
Q

What is the intranasal dose of midazolam 5mg/ml?

A

IN: 0.3mg/kg
Max: 10mg or 1 ml per nostril (2ml total)
Note: divide dose equally between each nostril

24
Q

Ketamine Excited Delirium Syndrome IV & IM:

A

IV: 1mg/kg
IM: 4-5mg/kg

25
Q

Ketamine Procedural Sedation dose for adult IV, pediatric IV and IM:

A

Adult Dose IV: 0.5-1mg/kg
Peds Dose: IV: 1-2mg/kg
IM Dose: 4-5mg/kg

26
Q

Ketamine Subdissociative Analgesia dose IV, IM, and IN:

A

IV: 0.1-.3mg/kg
IM: 0.5-1mg/kg
IN: 0.5-1mg/kg use 50mg/ml concentration

27
Q

What is the adult dose (IV/IM) for ketorlac [toradol]?

A

IV/IM: 15-30mg Q6H
Max: 120mg/d x 5d

28
Q

What is the pediatric dose (IV/IM) for ketorlac [toradol]?

A

IV/IM: 0.5-1mg/kg Q6H
Max: 5-30mg q6H x 5d

29
Q

What is the adult dose ( PO & IV) for morphine?

A

PO: 15-30mg Q2-4H
IV: 2-10mg Q2-4H

30
Q

What is the pediatric dose ( PO & IV) for morphine?

A

PO: 0.3mg/kg Q4H
IV: 0.1mg/kg q2-4H

31
Q

What is the onset and duration of PO morphine?

A

Onset: 30-60min
Duration: 3-6H

32
Q

What is the onset and duration of IV morphine?

A

onset: 5-10min
duration: 3-6H

33
Q

What is the adult dose of Morphine ER [MS Contin]? Onset and Duration?

A

Dose: 15-30mg PO Q12
Onset: 30-90min
Duration: 8-12H

34
Q

What is the pediatric dose of Morphine ER [MS Contin]? Onset and Duration?

A

Dose: 0.3-0.6mg/kg PO Q12
Onset: 30-90min
Duration: 8-12H

35
Q

What is the adult dose of naproxen [naprosyn]?

A

PO: 250-500mg Q8-12H
Max: 1500mg/d

36
Q

What is the pediatric dose of naproxen [naprosyn]?

A

PO: 5mg/kg Q12H
Max: 1000mg/d

37
Q

What is the adult dose of vancomycin? What is the half life, redosing time, and infusion time?

A

Dose:15mg/kg
T1/2: 4-8 hours
Redose: NA
Infusion Time: 15mg/min

38
Q

What is the pediatric dose of vancomycin? What is the half life, redosing time, and infusion time?

A

Dose:15mg/kg
T1/2: 4-8 hours
Redose: NA
Infusion Time: 15mg/min

39
Q

What sensory dermatome is the perineum located?

A

S2-S4

40
Q

What sensory dermatome is the lateral foot located?

A

S1

41
Q

What sensory dermatome is the knee and distal thigh located?

A

L3-L4

42
Q

What sensory dermatome is the inguinal ligament located?

A

T12

43
Q

What sensory dermatome is the umbilicus located?

A

T10

44
Q

What sensory dermatome is the tip of the typhoid process located?

A

T6

45
Q

What sensory dermatome is the nipple located?

A

T4

46
Q

What sensory dermatome is the inner aspect of forearm located?

A

T1-T2

47
Q

What sensory dermatome is the thumb and index finger located?

A

C6-C7

48
Q

What sensory dermatome is the shoulder and clavicle located?

A

C5-C6

49
Q

What spinal level is responsible for the bicep tendon deep tendon reflex? and what is this reflex?

A

C5-C6
contraction of the bicep muscle

50
Q

What spinal level is responsible for the brachioradialis tendon deep tendon reflex? What is this reflex?

A

C5-C6
elbow flexion and/or forarm pronation

51
Q

What spinal level is responsible for the tricep tendon deep tendon reflex? What is this reflex?

A

C7-C8
elbow extension or contraction of the tricep muscle

52
Q

What spinal level is responsible for the patellar deep tendon reflex? What is this reflex?

A

L3-L4
knee extension

53
Q

What spinal level is responsible for the tibialis posterior tendon deep tendon reflex? What is this reflex?

A

L4-L5
plantar flexion/inversion of the foot

54
Q

What spinal level is responsible for the achilles tendon deep tendon reflex? What is this reflex?

A

S1-S2
plantar flexion of the foot