jfrd drugs and indications Flashcards
rescue unit narcotic min and max
Minimum Etomidate/Amidate - 60 mg Fentanyl - 200 mcg Ketamine - 500 mg Midazolam - 15 mg Maximum Etomidate/Amidate - 100 mg Fentanyl - 400 mcg Ketamine - 1500 mg Midazolam - 25 mg
pain management drug
fentanyl
fentanyl dose
1mcg/kg max single dose 100mcg
may repeat in 10
max dose 200mcg
fentanyl contraindications
respiratory depression
systolic less than 90
crush injury drug(s)
sodium bicarb
sodium bicarb for crush injury dose
1meq/kg
*Life threatening dysrhythmias, peaked T waves or widening QRS complex-Calcium Chloride 5 mg/kg (Max dose 500 mg) IV/IO over 2 minutes
max dose fentanyl for burn
400mcg
eye trauma drug and dose
tetracaine 2 drops per eye
stemi drugs
aspirin and nitro
*fentanyl for pain
aspirin dose
324mg
nitro dose
0.4mg SL
max fentanyl dose for stemi
200mcg
hypotensive chest pain drug
dopamine
dopamine hypotensive dose
5-10 mcg/kg/min
BGL ≤50
dextrose 12.5g D50
BGL ≤50 with no IV access
glucagon 1mg IM
heart failure/pulmonary edema drug and dose
nitro 0.4mg SL
heart failure/pulmonary edema drug and dose with CPAP in place
nitropaste 1”
V Fib/pulseless V tach drugs
Epi
Amidarone
V Fib/pulseless V tach drug doses
Epi 1mg (1:10,000) Amiodarone 300mg repeat at 150mg
Torsades de Pointes, Polymorphic VT, or refractory VF/VT drug
mag sulfate
Torsades de Pointes, Polymorphic VT, or refractory VF/VT drug and dose
mag sulfate 2G
H&T
Hyperkalemia drug
*dialysis
Calcium chloride 5 mg/kg max of 500
*precaution when mixed with sodium bicarb due to crystallization
H&T
Hypovolemia treatment
fluid challenge 2L
H&T
Hypoxia treatment
100% o2
H&T
Hydrogen ion
*acidosis
Sodium Bicarbonate 1 mEq/kg IV/IO
H&T
Hyperthermia/Hypothermia treatment
cool/warm as needed
H&T
tension pneumo treatment
needle decompress
H&T
toxins treatment drugs
Narcotic & calcium channel blocker
narcotic-narcan 2mg
calcium channel-Calcium Chloride 5 mg/kg IV/IO
Max dose 500 mg
Asystole drug
1mg epi every 3-5minutes
post rosc care sedation drug
midazolam
midazolam sedation dose
2-5mg
hypotension without bradycardia drug and dose
dopamine 5-10mcg/kg/min
If rhythm was converted with defibrillation prior to administering initial Amiodarone dose-drug and dose?
150 mg Amiodarone in 100cc intravenous fluid bag over 10 mins
Bradycardia with hypotension (systolic BP <90 mmHg)
drug and dose
Atropine 0.5 mg IV/IO every 5 to minutes
max atropine dose
3 mg
if brady persists after atropine consider what drug and dose?
dopamine 5-10mcg/kg/min
Stable V tach or runs of v tach (≥pvcs)
Amiodarone 150 mg in 100 mL intravenous fluid bag over 10 mins
Tach with Narrow regular QRS (SVT) drug and doses
Adenosine 6 mg rapid IV (may attempt Vagal maneuvers before administration of Adenosine). If Adenosine 6mg unsuccessful, administer Adenosine 12 mg rapid IV
A Flutter & A Fib with sustained heart rates >140 drug and dose
Amiodarone 150 mg in 100 mL intravenous fluid bag over 10 mins
unstable tach treatment
synchronized cardiovert
sedation for cardiovert drug and dose
Ketamine 1 mg/kg IV/IO
SVT cardiovert Joules
50
work up to 200
Narrow irregular QRS cardiovert joules
120
work up to 200
Wide regular QRS cardiovert joules
100
work up to 200
unstable brady drug and dose
atropine 0.5 mg
after fluids, atropine, and pacing for unstable brady consider what drug and dose
dopamine 5-10 mcg/kg/min
pneumonia drugs and doses
albuterol 5mg
atrovent 0.5mg
*nebulized
subsequent neb treatment drug and dose
albuterol 5mg
Wheezing (mild distress) drugs and doses
albuterol 5mg
atrovent 0.5mg
*nebulized
Moderate Distress - Wheezes/decreased breath sounds/accessory muscle use drugs and doses
albuterol 5mg
atrovent 0.5mg
*nebulized
Magnesium Sulfate 2 grams IV in 100 mL of intravenous fluid
Solu-Medrol 125 mg IV
Solumedrol dose
125 mg
Severe Distress - Wheezes/stridor/decreased breath sounds with little or no air movement/accessory muscle use/tripoding
Drugs/doses/treatment
Epinephrine 1:1000 0.3 - 0.5 mg IM
(0.3 mg appropriate for >50 years old)
CPAP with neb treatment
albuterol 5mg
atrovent 0.5mg
*nebulized
Magnesium Sulfate 2 grams IV in 100 mL of intravenous fluid
Solu-Medrol 125 mg IV
malnourished alcohol illness drug and dose
thiamine 100mg
allergic reaction Mild/Moderate reaction without respiratory compromise drugs and doses
Benadryl 25 mg IV/IM
Solu-Medrol 125 mg IV
allergic reaction Moderate reaction with respiratory compromise drugs and doses
Benadryl 25 mg IV/IM
Albuterol 5 mg and Atrovent 0.5 mg. Subsequent nebulizer treatments will contain only Albuterol 5 mg
Solu-Medrol 125 mg IV
Severe reaction/Anaphylaxis (severe respiratory distress and/or cardiovascular compromise) drugs and doses
- Epinephrine 1:1,000 0.3 - 0.5 mg IM. (0.3 mg appropriate for >50 years old)
- May repeat once after 15 minutes if needed, at different site
- Albuterol 5 mg and Atrovent 0.5 mg. Subsequent nebulizer treatments will contain only Albuterol 5 mg
- Benadryl 25 mg IV/IO/IM
- Solu-Medrol 125 mg IV/IO
- If hypotensive after fluid administration, administer:
- Dopamine 5-10 mcg/kg/min IV/IO and titrate to systolic BP of 90 mmHg
Conscious and alert patient with BGL <60 mg/dL drug and dose
glucose paste 15G (1 tube)
Decreased level of consciousness with BGL <60 mg/dL drug and dose
D50W 25 grams IV/IO
repeat at 12.5G
nose bleed treatment
Neo-Synephrine 2 sprays
nausea/vomiting drug and dose
Zofran 4 mg IV
active seizures drug
midazolam
midazolam for seizures dose
2-5mg max of 10
combative pt drug with no iv access drug and dose
ketamine 4mg/kg im
combative pt with iv access drug and dose
midazolam 2-5mg
Organophosphate exposure drugs
duodote kit
atropine 2-4mg no max dose
Calcium Channel Blocker toxicity drug and dose
Calcium Chloride 5 mg/kg IV/IO (Max dose 500 mg) over 2 minutes
Tricyclic Antidepressant overdose with hypotension, ALOC, tachycardia, seizures, ventricular arrhythmias or a wide QRS complex drug and dose
Sodium bicarb 1meq/kg
seizures of eclampsia drug and doses
mag sulfate 4G
midazolam secondary to mag 2-5mg
ASTHMA, ANAPHYLAXIS, SHOCK sedation intubation drug and dose
Ketamine 2 mg/kg IV/IO
all other sedation intubation drug and dose
Etomidate 0.5 mg/kg
if ketamine/etomidate not successful at completing sedation (e.g., trismus, combative) and systolic BP is greater than 100 mm/Hg, administer drug and dose
midazolam 2-5mg