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State Protocols > Formulary > Flashcards

Formulary Flashcards

1
Q

Vecuronium

Indications:

A

Long-acting non-depolarizing paralytic agent

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2
Q

Vecuronium

Contraindications:

A

Avoid in patients with chronic neuromuscular diseases (e.g., muscular dystrophy)

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3
Q

Vecuronium

Dosage (for Induced Therapeutic Hypothermia)

A

0.1 mg/kg IV

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4
Q

Vecuronium

Dosage (RSI):

A

0.1 mg/kg IV

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5
Q

Tetracaine

Indications:

A

Topical anesthetic

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6
Q

Tetracaine

Dose (eye & dental):

A

2 drops to affected eye; repeat every 5 min prn

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7
Q

Succinylcholine

Indications:

A

Paralytic agent used as a component of RSI

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8
Q

Succinylcholine

Contraindications (4):

A

Avoid in patients with burns > 24 hours old; chronic neuromuscular disease (e.g., muscular dystrophy); ESRD; any situation hyperkalemia likely

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9
Q

Succinylcholine

Dose (RSI):

A

1.5 mg/kg IV immediately after sedation

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10
Q

Succinylcholine

Max dose:

A

200 mg

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11
Q

Sodium bicarbonate indications (3)

A

1) buffer used in acidosis to increase pH in cardiac arrest
2) hyperkalemia
3) tricyclic overdose

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12
Q

Sodium bicarbonate dose (poisoning/OD/Substance abuse/tricyclic with symptomatic dysrhythmias such as tachycardia and wide QRS):

A

2 mEq/kg IV

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13
Q

Sodium bicarbonate dose (cardiac arrest):

A

2 mEq/kg IV

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14
Q

Rocuronium indications:

A

Non-depolarizing paralytic agent used as a component of RSI, when succinylcholine is contraindicated and for post intubation paralysis.

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15
Q

Rocuronium onset of action:

A

up to 3 minutes (much longer than succs)

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16
Q

Rocuronium dose (for RSI)

A

1 mg/kg IV

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17
Q

Proparacaine (Alcaine) Indications:

A

topical anesthetic

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18
Q

Proparacaine dose (eye & dental):

A

2 drops to affected eye

repeat q 5 min as needed up to 5 doses

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19
Q

Prochlorperazine (Compazine) Indications

A

Nausea and/or vomiting control

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20
Q

Prochlorperazine dose:

A

5-10 mg IV, or 5 mg IM

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21
Q

Procainamide Indications:

A

wide complex tachycardia

22
Q

Procainamide dose:

A

25-50 mg/min infusion until arrhythmia is suppressed, hypotension ensues, QRS duration increases by > 50% or max dose of 17 mg/kg

23
Q

Pralidoxime (2-PAM) indications:

A

nerve agent or organophosphate overdose

24
Q

Pralidoxime is administered with:

A

Atropine

25
Q

Pralidoxime dose:

A

1-2 g over 30-60 min

med control only: maintenance: up to 500 mg/hr (max 12 g/day)

26
Q

Phenylephrine (Neo-synephrine) indications (2):

A

Cardiogenic shock

Post resuscitative care

27
Q

Phenylephrine dose for cardiogenic shock:

A

100-180 mcg loading dose

infusion following @ 40-60 mcg/min titrated to effect

28
Q

Phenylephrine dose for post resuscitative care:

A

100-180 mcg loading dose

infusion following @ 40-60 mcg/min titrated to effect

29
Q

Goal oxygen saturation

A

94%

30
Q

Goal oxygen saturation for pre-oxygentation

A

100%

31
Q

Liter flow for NC

A

1-4L

32
Q

Liter flow for NRB

A

6-15 L

33
Q

Liter flow for BVM/ETT/Supraglottic airway

A

15 L or higher

34
Q

Oxygen is indicated for any condition with (3):

A

Increased cardiac work load
respiratory distress
illness/injury resulting in altered ventilation/perfusion

35
Q

Zofran indications

A

nausea

vomiting

36
Q

Zofran dose:

A

4 mg PO (ODT) or IV

37
Q

Olanzapine (Zyprexa) Indications:

A

assist with chemical restraint

38
Q

Olanzapine (Zyprexa) dose:

A

5-10 mg IM

39
Q

Norepinephrine (Levophed) indications:

A

alpha and beta 1 receptor adrenergic receptor agonist vasopressor

40
Q

norepinephrine (levophed) dose (bradycardia):

A

Infusion: 1-30 mcg/min titrated to effect

41
Q

norepinephrine (levophed) dose (post resuscitation):

A

Infusion: 1-30 mcg/min titrated to effect

42
Q

norepinephrine (levophed) dose (septic shock):

A

Infusion: 1-30 mcg/min titrated to effect

43
Q

Nitroglycerin Indications:

A

Vasodilator used in the treatment of chest pain secondary to acute coronary syndrome and CHF

44
Q

Nitroglycerin dose (ACS):

A

0.4 mg SL every 3-5 mins while symptoms persist and if SBP remains >100 mm/Hg

45
Q

Nitroglycerine dose (ACS Infusion):

A

10 mcg/min if symptoms persist after 3rd SL nitroglycerin; Increase IV nitroglycerin by 10 mcg/min every 5 minutes while symptoms persist and systolic remains >100 mm/Hg.

If IV nitroglycerin is not available, consider the application of nitroglycerin
paste 1 –2 inches transdermally

46
Q

Nitroglycerine dose (CHF):

A

Consider nitroglycerin 0.4
mg SL every 5 minutes while symptoms persist
and if the systolic BP is >140 mm/Hg.

IV nitroglycerin 20 micrograms/minute, increase by 10 -
20 mcg/min every 3–5 minutes (it is recommended two (2) IV lines should be in place). (Generally, accepted maximum dose: 400 mcg/min.)
OR

Nitroglycerin paste 1” – 2” transdermally.

47
Q

Naloxone (Narcan) Indications:

A

Narcotic overdose.

48
Q

Narcan dose (pain med antidote):

A

For hypoventilation from opiate administration by EMS personnel, assist ventilations and administer naloxone 0.4mg IV/IM or 2 mg IN. If no response, may repeat initial dose every 5 minutes to a total of 10 mg.

49
Q

Narcan dose (Poisoning/Substance Abuse/OD/Narcotic OD):

A

1 mg (1mL) per nostril (IN) via prefilled syringe and atomizer for a total of 2 mg.
OR
through the use of Auto-injector
OR
0.4-2 mg IV/IM
If no response, may repeat every 3 - 5 minutes to a total of 10 mg.

50
Q

Morphine sulfate indications:

A

Narcotic analgesic

51
Q

Morphine sulfate contraindications:

A

Use caution if BP < 100 mmHg.

52
Q

Morphine sulfate dose:

A

0.1 mg/kg IV/IM (single max dose of 10mg)

May repeat every 5 minutes to a total of 20 mg titrated to pain relief and if systolic BP is >100 mmHg.

Acute Coronary Syndrome

0.1 mg/kg IV/IM (up to 5 mg)

May repeat every 5 minutes to a maximum of 15
mg titrated to pain as long as systolic BP remains >100 mmHg

State Protocols (1 decks)

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