Mass Adult Med Reference

Question 1

Lidocaine: Indications

Answer 1

Indications:

• Antiarrhythmic used for control of ventricular dysrhythmias
• Prior to intubation of pt with suspected increased intracranial pressure
• Anesthetics for nasotracheal intubation and intraosseous procedures.

Question 2

Lidocaine: Dosages

• Cardiac Arrest
• V-tach
• Post-Resuscitation
• Nasotracheal
• Intraosseous

Answer 2

Cardiac Arrest/V-tach w/ pulses
- 1-1.5 mg/kg IV/IO
> repeat dose at 0.5-0.75 mg/kg q 3-5 min, max of 3 mg/kg
> Maint Infusion: 2-4 mg/min

Post Resuscitation:

• 1-1.5 mg/kg IV/IO, followed by
• Maint Infusion: 2-4 mg/min

Nasotracheal Intubation:
- 2% Lido Jelly

Intraosseous
- 0.5 mg/kg, max of 40 mg of 2% lidocaine, IO slow bolus, followed by 10 mL NS flush.

Question 3

Lorazepam: Indications

Answer 3

• Seizures
• Sedation
• Antianxiety

Question 4

Lorazepam: Dose

• Behavioral
• Nerve Agents/Seizures

Answer 4

Behavioral
- 2-4 mg IV/IO/IM

Nerve Agent/Seizures
- 2-4 mg slow IV/IO/IM

Question 5

Mag: Indications

Answer 5

• Asthma/RAD
• Seizures
• Cardiac Arrest/Tachycardia -Torsades

Question 6

Mag:

Answer 6

Asthma/RAD
- 2 G in 100 mL NS given over 10 min

Seizures/Eclampsia
- 4 G IV over 10 min

Cardiac Arrest/Tachycardia - Torsades de Pointes
- 1-2 G IV over 5 min