Indications & Doses

Question 2

Drugs for ACS (Unstable, STEMI, NSTEMI)?

Answer 2

Aspirin (324mg)

Nitro (0.4mg q 3-5min x3 (BP>100))

O2 (95%)

Morphine (2-4mg max=10mg) or Fentanyl (25-50mcg max=200mcg)

Question 3

Drugs for Pain Management?

Answer 3

Morphine (2-10mg max=20mg)

Fentanyl (25-50mcg max=200mcg)

Question 4

Drugs for heart rate too slow (Narrow QRS)?

Answer 4

Atropine (0.5-1mg q 3-5min max=3mg)

Pacing- mechanical function

Dopamine (5mcg/kg/min IV infusion)= B₁ inotropic, chronotropic, dromotropic

Epi (2-10mcg/min IV infusion titrated for effect) Mix is 1mg 1:1000 in 250mL NS which = 4mcg/mL

Question 5

Drugs for Seizure?

Answer 5

Ativan 2-4mg SIVP

Versed (2.5-5mg IV or IM max=20mg)

Valium (2-5mg IV or IM max=10mg)

Question 6

Drugs for RSI/Airway?

Answer 6

Etomidate (0.3mg/kg SIVP over 30-60sec)

Succs (1.5mg/kg SIVP over 60sec repeat after conf ETT)

Versed (5mg SIVP over 2min)

Morphine (2-4mg) or Fentanyl (25-50mcg)

Question 7

Drugs for Restrictive Airway (asthma/COPD/chronic bronchitis)?

Answer 7

Albuterol (2.5mg/3mL SVN)

Atrovent (0.5mg/2.5mL SVN)

Solu-Medrol (125mg SIVP)

Epi (0.1-0.5 1:1000 SIVP or 0.3 IM)

Mag Sulfate (1-2g IV infusion diluted in 50 or 100mL over 10min)

Question 8

Drugs for Restrictive Airway (wet)?

Answer 8

Nitro (0.4mg q 3-5min max=3 doses)

Lasix (0.5-1mg/kg typical 40mg or 2x daily dose)

CPAP or ETT w/ PPV (both mechanically clear lungs of fluid with pressure)

Question 9

Drugs for Asystole/PEA?

Answer 9

Epi (1:10,000 1mg q 3-5min)

Vasopressin (40u after 2nd dose of Epi)

Question 10

Drugs for ALOC (low glucose)?

Answer 10

Dextrose 50% (25g SIVP)

Glucagon (1mg IM q 7-10min)

Thiamine (100mg SIVP for ETOH/malnutrition)

Question 11

Drugs for Atrial Arrhythmias (Non WPW)?

Answer 11

Adenosine (6mg repeated once @ 12mg)

Diltiazem (0.25mg/kg repeated 0.35mg/kg q 15min)

Verapamil (2.5-5mg repeat 5-10mg q 15-30min)

Calcium Chloride (2-4mg/kg to pretreat for Verapamil)

Question 12

Drugs for Atrial Arrhythmias (Suspected WPW)?

Answer 12

Amiodarone (150mg diluted in 50-100mL infused over 10min)

Question 13

Drugs for Pulseless V-Fib/V-Tach?

Answer 13

Epi (1:10,000 1mg q 3-5min)

Vasopressin (40u after 2nd dose of Epi)

Amiodarone (300mg SIVP q 3-5min with 150mg)

Lidocaine (1-1.5mg/kg SIVP q 3-5min @ 0.5-0.75mg max=3mg/kg)

Mag (1-2g SIVP diluted in 10mL over 2min)

Question 14

Drugs for Hypoglycemia?

Answer 14

Dextrose 50% (12.5-50g SIVP)

Glucagon (1mg IM q 7-10min)

Thiamine (100mg IV or IM for ETOH malnourishment)

Question 15

Drugs for Alkalizing Agent?

Answer 15

Sodium Bicarb (1mEq/kg)

Question 16

Drugs for Vasopressors/Shock Management?

Answer 16

Dopamine (5-20mcg/kg/min IV infusion)

Epi (2-10mcg/min IV infusion)

Question 17

Drugs for Nausea/Vomiting?

Answer 17

Ondansetron (4-8mg SIVP over 2-5min or 4-8mg oral)

Question 18

Drugs for Ventricular Arrhythmias (with a pulse)?

Answer 18

Amiodarone (150mg diluted in 50-100mL infused over 10min)

Lidocaine (1-1.5mg/kg SIVP q 3-5min 0.5-0.75mg max=3mg/kg)

Mag (1-2g diluted in 50-100mL infused over 10min)

Question 19

Drugs for Allergy/Anaphylaxis?

Answer 19

Epi (1:1,000 0.1-0.3mg IM) or (1:10,000 0.3-0.5mg IV)

Benadryl (25-50mg SIVP or IM)

Solu-Medrol (125mg SIVP)

Decadron (8-24mg SIVP)

Question 20

Drugs for Nasal Intubation?

Answer 20

Neo-Synephrine (2-4 sprays/nostril)

Question 21

Drugs for OB Emergencies?

Answer 21

Mag (4-6g diluted in 100mL infused over 10min)

Question 22

Drugs for Oral Toxin Ingestion?

Answer 22

Charcoal (25-50g or 1-2mg/kg)

Question 23

Drugs for Opiate Overdose?

Answer 23

Narcan (2mg SIVP as needed @ 2mg max=6mg)

Question 24

Drugs for Beta Blocker Overdose?

Answer 24

Glucagon (2mg IM q 7-10min)

Question 25

Drugs for Alcoholism/Malnourishment?

Answer 25

Thiamine (100mg SIVP)

Question 26

Drugs for Extrapyramidal/Acute Dystonic Reaction?

Answer 26

Benadryl (25-50mg SIVP)

Question 27

Drugs for SLUDGE (Organophosphates, Carbamates)?

Answer 27

Atropine (2-5mg SIVP q 5-10min until symptoms subside)

Question 28

Drugs for ASA/Tricyclic Overdose?

Answer 28

Sodium Bicarb (1mEq/kg SIVP)

Question 29

Dopamine infusion dose for Bradycardia?

Answer 29

5mcg/kg/min

Question 30

Dopamine infusion dose for Shock?

Answer 30

BP\<70= 5-20mcg/kg/min

Question 31

Lidocaine infusion dose following bolus?

Answer 31

2-4mg/min (+1mg than total IVP dose) -Note: unless over 70 and/or known liver or kidney history

Question 32

Epinephrine infusion dose for Bradycardia?

Answer 32

2-10mcg/min

Question 33

Epinephrine infusion dose for Hypotension?

Answer 33

2-10mcg/min

Question 34

Drugs for heart rate too slow (wide QRS)?

Answer 34

Pacing Dopamine (5mcg/kg/min infused) Epinephrine (2-10mcg/min titrated for effect mixed 1mg of 1:1000 in 250mL NS = 4mcg/mL)

Question 35

Drugs for violent/combative?

Answer 35

Versed (2.5-5mg SIVP or IM) Ativan (2-4mg SIVP) Valium (2-5mg SIVP)

Question 36

Drugs for anxiety?

Answer 36

Ativan (2-4mg SIVP) Valium (2.5-5 mg SIVP) Versed (2-5mg SIVP)

Question 37

Drugs for ALOC (opiate OD)?

Answer 37

Narcan (2mg SIVP) Revex