General EM Flashcards
1
Q
epinephrine (code)
A
1 mg IV/IO q3-5 min
2
Q
Vasopressin
A
40 units IV/IO to replace first or second dose epi
3
Q
Amiodarone (pulseless)
A
300 mg bolus, second dose 150 mg bolus
4
Q
5H/4T’s
A
Hypovolemia, hypoxia, hydrogen ion (acidosis), hypo/hyperK, hypothermia, tension ptx, tamponade, toxins, thrombosis (PE or ACS)
5
Q
epinephrine gtt
A
0.1-0.5 mcg/kg/min (7-35 mcg/min for 70 kg adult)
6
Q
Atropine (code)
A
0.5 mg q3-5 min to 3 mg total
7
Q
Norepinephrine gt
A
0.1-0.5 mcg/kg/min (7-35 mcg/min for 70 kg adult)
8
Q
dopamine gtt
A
5-20 mcg/kg/min
9
Q
Synchronized cardioversion narrow regular
A
50-100J
10
Q
synchronized cardioversion narrow irregular
A
100-200J
11
Q
Synchronized cardioversion wide regular
A
100J
12
Q
Procainamide
A
25-50 mg/min until 17 mg/kg given, hypotension, QRS widens >50%
13
Q
Amiodarone (stable)
A
150 mg over 10 minutes followed by infusion 1 mg/min for 6 hrs
14
Q
Sotalol (stable)
A
100 mg
15
Q
Lidocaine (pretreatment)
A
100 mg
16
Q
Fentanyl (pretreatment)
A
200 mcg
17
Q
etomidate (RSI)
A
0.3 mg/kg (20 mg)
18
Q
succinylcholine (RSI)
A
1.5 mg/kg; 100-120 mg
19
Q
versed (RSI)
A
0.1 mg/kg; 7 mg
20
Q
ketamine (RSI)
A
2 mg/kg, 140 mg
21
Q
Vecuronium (RSI)
A
0.1 mg/kg; 7 mg
22
Q
Rocuronium (RSI)
A
1 mg/kg, 70 mg
23
Q
propofol (sedation)
A
10-80 mcg/kg/min or 40 mg boluses prn
24
Q
precedex (sedation)
A
1 mcg/kg load, 0.2-1.5 mcg/kg/hr
25
Defibrillation
200 J
26
Lidocaine (code)
1 mg/kg
27
Nitroglycerin
10-400 mcg/min
| SCAPE: bolus 200 mcg over 1 min, then start at 100mcg/min, titrate 20 mcg/min every 3 mins
28
Push dose epi
5-20 mcg q5-10 min
29
Push dose neo
50-200 mcg q2-5 min
30
Neosynephrine gtt
10-200 mcg/min
31
Vasopressin gtt
0.04 units/min
32
Dobutamine gtt
5-20 mcg/kg/min
33
Methergine
0.2 mg IM
34
Misoprostol
200-800 mcg buccal, vaginal, and rectal
35
RhoGam
13 weeks 300 mcg IM
36
Haldol
2-10 mg IV/IM
37
tPA
0.9 mg/kg to max 90 mg (10% as bolus and remaining 90% over 1 hour)
38
Heparin ACS
60 units/kg bolus followed by 12 units/kg/hr (max 4000 units bolus and 1000 units/hr)
39
Canadian CT head
GCS 15, open or depressed skull fx, vomiting >2, age >65, amnesia >30 mins, mechanism (pedi vs auto, ejection, fall >3 ft or 5 stairs)
40
ABCD2
Age>60, BP>140/90, clinical (2 for unilateral weakness, 1 for speech disturbance w/o weakness) Duration (2 for >60 min, 1 for 10-59 min) DM
0-3 =low risk
41
Nexus C spine
Midline Cspine ttp, intoxication, aloc, deficit, distracting injury
42
TIMI
Age >65, 3 RF (FH, male, HTN, HLD, DM, smoking, obesity), hx CAD, ASA use, severe recurrent sx, ST changes, trop
43
C5-6
Arm abduction, elbow flexion
44
C6-7
wrist extension
45
C7-8
elbow extension
46
T2-T7
chest/intercostal muscles
47
T9-T12
abdominal muscles
48
L1-L3
Hip flexion
49
L2-L4
knee extension
50
L4-S1
Knee flexion
51
L4-L5
Ankle dorsiflexion
52
L5-S1
Great toe dorsiflexion
53
S2-S4
voluntary rectal tone
54
Hydrocortisone (sepsis)
100 mg
55
Status Ativan
2 mg IV q2 min (max 8 mg)
56
Status fosphenytoin
20 PE/kg, may repeat 5-10 PE/kg x1
57
status thiamine
100 mg IV
58
Peds PRBC
10-20 mL/kg raises Hb by 1-2 pts
59
Peds FFP
10-20 mL/kg
60
Peds plts
0.1 units/kg raises plts by 10,000
61
PALS Adenosine
SVT 0.1 mg/kg rapid IV push, 2nd dose 0.2 mg/kg rapid IV push, max 12 mg
62
PALS Albumin
Shock, trauma, burns: 0.5-1 g/kg (10-20 mL/kg of 5%) IV/IO rapid infusion
63
PALS Albuterol
Asthma, anaphylaxis, hyperkalemia: MDI 4-8 puffs INH q20 min PRN with spacerNeb: 2.5 mg/dose (wt 20 kg) inh q20min PRNContinuous: 0.5 mg/kg per hour INH (max 20 mg/hr)
64
PALS Amiodarone
SVT, VT5 mg/kg IV/IO load over 20-60 min (max 300 mg), repeat to daily max 15 mg/kg (or 2.2 g)PEA5 mg/kg IV/IO bolus, repeat to daily max 15 mg/kg
65
PALS Atropine sulfate
Bradycardia (symptomatic)0.02 mg/kg IV/IO (min dose 0.1 mg, max single peds dose 0.5 mg) max total dose child 1 mg, adolescent 2 mg
66
PALS Calcium chloride 10%
Hypocalcemia, hyperkalemia, hypermagnesemia,CCB OD20 mg/kg IV/IO slow push
67
PALS Dexamethasone
Croup0.6 mg/kg PO/IM/IV (max 16 mg)
68
PALS Dextrose
Hypoglycemia0.5-1g/kg IV/IO (D25W 2-4 mL/kg, D10 5-10 mL/kg)
69
PALS Diphenhydramine
Anaphylactic shock1-2 mg/kg IV/IO/IM q4-6H (max 50 mg)
70
PALS Dobutamine
CHF, cardiogenic shock2-20 mcg/kg/min IV/IO infusion
71
PALS Dopamine
Cardiogenic, distributive shock2-20 mcg/kg/min IV/IO
72
PALS Epinephrine for pulseless arrest
0. 01 mg/kg IV/IO q3-5 min;
| 0. 1 mg/kg ETT q3-5 min
73
PALS Lasix
Pulmonary edema, fluid overload1 mg/kg IV/IM (usual max 20 mg)
74
PALS Ipratropium bromide
Asthma250-500 mcg inh q20 min PRN
75
PALS Lidocaine
VF/pulseless VT, wide complex tachy (with pulses)1 mg/kg IV/IO bolus20-50 mcg/kg/min IV/IO infusion maintenance (repeat bolus if started >15 mins after bolus)
76
PALS Magnesium sulfate
Asthma, torsades, hypomag25-50 mg/kg IV/IO bolus over 15-20 min (max 2g)
77
PALS Methylprednisone
Asthma, anaphylactic shockLoad 2 mg/kg IV/IO/IM (max 80 mg), then 0.5 mg/kg q6h
78
PALS Naloxone
Opioid reversalOD: 0.1 mg/kg IV/IO/IM/SQ q2min PRNslow: 1-5 mcg/kg titrated to effect
79
C8-T1
finger abduction, hand grasp
80
S1-S2
ankle plantar flexion
81
PALS Norepinephrine
Hypotensive shock0.1-2 mcg/kg/min
82
PALS Sodium Bicarbonate
Metabolic acidosis, hyerkalemia1 mEq/kg IV/IO slow bolus
83
PALS Procainamide
SVT, aflutter, VT (with pulses)15 mg/kg IV/IO load over 30-60 min
84
Curb 65
Confusion, bUn >19, Rr >29, low Bp, age>65
If 2 consider admit
If 3 def admit
85
Sf syncope
CHF, HCT, EKG, SBP<90, sob
86
Perc
Age less than 50, sat greater than 95%, no hemoptysis, no unilateral leg edema, no exo estrogen, no prior dvt/PE, no immob within last 4 weeks
87
PALS EPI for hypotension
0.1-1 mcg/kg/min IV/IO
88
PALS EPI for anaphylaxis or asthma
0.01 mg/kg IM q15m PRN
89
Parkland formula
4 * %BSA * weight (kg)
| Half over first 8 hrs and remaining over next 16 hrs
90
Rule of 9s for burn BSA
```
9 for head
18 for chest
18 for back
18 for each leg
9 for each arm
1 for groin
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