Formulary

Question 1

Aspirin adult dose

Chest pain ACS, Chest pain, STEMI

Answer 1

324mg PO (81mg tablets x4)

Question 2

Adenosine adult dose

Tachycardia stable, Tachycardia unstable

Answer 2

6-12mg rapid IV/IO push

Question 3

Albuterol adult dose

Allergic reaction, Drowning, Hyperkalemia, Respiratory distress

Answer 3

2.5mg in 3.0ml SVN; repeat until improvement

Question 4

Amiodarone adult dose

Cardiac arrest, Tachycardia stable, Tachycardia unstable

Answer 4

300mg IV/IO; may repeat one dose of 150mg if refractory after 5th shock

Question 5

Atropine adult dose

Bradycardia, Organophosphate poisoning

Answer 5

Bradycardia: 0.5mg IVP; may repeat q 3-5min

Organophosphate poisoning: 2.0mg IV/IO q 15 min as needed to decrease secretions and ventilatory resistance.

Question 6

Calcium chloride adult dose

Bradycardia, Hyperkalemia, Overdose/Poisoning

Answer 6

1.0gm (10% solution) slow IV/IO push

Question 7

Diazepam adult dose

Behavioral emergency, Obstetrical emergency, Seizure, Ventilation management, Electrical therapy/Transcutaneous pacing

Answer 7

5.0mg IV/IM/IO may repeat titrating to effect

Question 8

Benadryl adult dose

Allergic reaction

Answer 8

50mg IM/IV/IO/PO

Question 9

Dopamine adult dose

Bradycardia, Pulmonary edema/CHF, Target temperature management &post resuscitation

Answer 9

5-20mcg/kg/min; Titrate to SBP >90mmHg

Question 10

Droperidol adult dose

Abdominal/flank pain nausea vomiting, Behavioral emergency, Pain management

Answer 10

1.25mg IM/IV/IO followed by a saline flush or bolus; may repeat the dose after 5 minutes

Question 11

Epinephrine adult dose

Allergic reaction, Cardiac arrest

Answer 11

Allergic reaction: 1:1000, 0.5mg IM; may repeat q 15 min up to 1.5mg max
Push dose epi: 1:100000 5.0mcg-10.0mcg IV/IO may repeat q 2-5min to maintain SBP>90 ( 1mL epi 1:10000 + 9mL normal saline = 10mcg/mL)
Cardiac arrest: 1.0mg IV/IO q 3-5min (ETT administration requires 2-2.5 times the dose)

Question 12

Etomidate adult dose
(Tachycardia stable, Tachycardia unstable, Ventilation management, Electrical therapy/Synchronized cardioversion, Electrical therapy/Transcutaneous pacing, Endotracheal intubation)

Answer 12

Induction: 0.3mg/kg IV/IO
Sedation: 0.15mg/kg IV/IO

Question 13

Fentanyl adult dose

Pain management, Electrical therapy/Synchronized cardioversion, Electrical therapy/Transcutaneous pacing

Answer 13

Up to 1.0mcg/kg IN/IM/IV/IO to a max single dose of 100mcg. May repeat dose after 10 minutes. Additional doses require physicians order

Question 14

Glucagon adult dose

Altered mental status/Syncope, Bradycardia, Overdose/Poisoning, Seizure

Answer 14

Low BGL: 1.0mg IM for no IV access
Bradycardia: 1mg IV/IO for patients on beta blockers
Beta blocker OD: 1.0mg IM/IV/IO may repeat once in 3-5 min

Question 15

Glucose adult dose

Altered mental status/Syncope, Seizure

Answer 15

Oral: 15gm glucose between the gum and cheek if gag reflex is present
D10 (10% dextrose in 250mL NS): 25gm IV/IO may repeat x1 in 5 minutes

Question 16

Hydromorphone adult dose

Pain management, Electrical therapy/Transcutaneous pacing

Answer 16

Up to 1.0mg IV/IO/IM may repeat after 10 minutes. Additional doses require physician order

Question 17

Hydroxocobalamin adult dose

Overdose/Poisoning, Smoke inhalation

Answer 17

5.0g IV over 15 minutes

Question 18

Ipratropium bromide adult dose

Respiratory distress

Answer 18

2.5mL of 0.02% solution

Question 19

Ketamine adult dose

Behavioral emergency, Pain management, Ventilation management

Answer 19

Behavioral emergencies: 2.0mg/kg IV/IO or 2-4mg/kg IM
Pain management (NOT ACS/STEMI): 0.2mg/kg IM/IN/IO/IV No repeat dose
Sedation: 2mg/kg IV/IO or 4mg/kg IM

Question 20

Magnesium Sulfate adult dose

Obstetrical emergency, Respiratory distress, Tachycardia/Stable, Tachycardia/Unstable

Answer 20

2.0gm in 50mL NS over 10min IV/IO

Question 21

Metoclopramide adult dose

(Abdominal/Flank pain, Chest pain and ACS, Pain management, STEMI,

Answer 21

10mg slow IV/IO bolus over 1-2 minutes or IM

Question 22

Midazolam adult dose
(Behavioral emergency, Obstetrical emergency, Seizure, Ventilation management, Electrical therapy/Transcutaenous pacing, Endotracheal Intubation)

Answer 22

0.1mg/kg IN/IM/IV/IO, may repeat after 5 minutes at 0.05mg/kg IN/IM/IV

Question 23

Morphine adult dose

Pain management, Electrical therapy/Transcuatenous pacing

Answer 23

0.1mg/kg IM, slow IV/IO to a max single dose of 10mg; may repeat at 10 minute intervals until pain is relieved or respiratory/mental status depression occur.

Question 24

Narcan adult dose

Altered mental status/Syncope, Overdose/poisoning

Answer 24

0.4-2mg IN/IM/IV/IO; May repeat 2.0mg if patient slow to respond to max 10mg. Titrate to effect.

Question 25

Nitroglycerin adult dose

Acute coronary syndrome, Pulmonary edema/CHF

Answer 25

0.4mg SL may repeat q 5min x2

SBP >100

Question 26

Ondansetron adult dose

Abdominal/Flank pain, Chest pain, ACS, Pain management

Answer 26

4mg ODT/IM/IV/IO

Question 27

Afrin adult dose

Epistaxis, Endotracheal intubation

Answer 27

2 sprays each nostril

Question 28

Phenylephrine adult dose

Endotracheal intubation, Epistaxis

Answer 28

2-3 drops or 1-2 sprays in each nostril and Lidocaine 2% lubricant

Question 29

Prochlorperazine adult dose

Abdominal/Flank pain, Chest pain, ACS, STEMI, Pain management

Answer 29

Up to 10mg IV/IO/IM

Question 30

Sodium Bicarbonate adult dose

Hyperkalemia, Overdose/Poisoning

Answer 30

1.0mEql/kg; 50mEql/50mL (8.4% solution) IV/IO