MD Drugs Dosing Flashcards
Acetaminophen (Tylenol) - Dose
2-4 - 160mg/5ml
5-12 2x 160mg/5ml
13+ 4x160mg/5ml or 2x 325mg pill w sips of water
Acetaminophen (Tylenol) - Indications
Pt 2 yo+ mild to moderate pain (1-5)
Activated Charcoal - Dose
1g/kg PO
Adenosine (Adenocard) - Adult Dose
1 - 6mg w IV bolus w rapid 20ml flush (wait 2 min)
2 - 12mg IV bolus w rapid 20ml flush (wait 2 min)
3 - 12mg IV bolus w 20 mL flush (wait 1-2 min)
Adenosine (Adenocard) - Indications
Narrow complex tachycardia (SVT, PSVT w WPW)
No effect on Afib, Aflutter or VT
Pedi wide complex tachycardia (possible VT) can be used w caution
Adenosine (Adenocard) - Pedi Dose
1 - 0.1mg/kg (max 6mg)
2 - 0.2mg/kg (max 12mg)
3 - 0.2mg/kg (max 12mg)
Albuterol - Adult Dose for bronchospasm
Inhaler - 2 doses (4 puffs) over 30 min
Neb - 2.5mg w 6-8 lpm. repeat 1x
Albuterol - Adult Dose for Hyperkalemia
Neb - 20mg w 6-8 lpm
Albuterol - Indications
1 - bronchospasm
2 - hyperkalemia
Albuterol - Pedi Dose for bronchospasm
Inhaler - 2 doses (4 puffs) over 30 min
Neb 2yo+ - 2.5mg w 6-8 lpm. repeat 1x
Neb <2yo - 1.25mg w 6-8 lpm. repeat 1x
Albuterol - Pedi Dose for Hyperkalemia
Neb 2yo+ - 2.5mg w 6-8 lpm.
Neb <2yo - 1.25mg w 6-8 lpm.
Amiodarone - Adult Dose
- w pulse 150mg in 100ml over 10 min (repeat 1x)
- wo pulse - VF/VT/TdP (after mag w TdP) 300mg IV then 150mg after 3-5 min
Amiodarone - Indications
- Prevent recurrence of VFib/VT after defib or conversion
- VT
- VF
Amiodarone - Pedi Dose (Medical Direction)
- w pulse 5mg/kg in 100 ml over 20 min
- w/o pulse 5mg/kg max does 300mg. May repeat twice to max dose of 15mg/kg
ASA - Dose
81mg x 4 = 324mg or 325 chewed
ASA - Indications
ACS or STEMI
Atropine - Adult Dose - Bradycardia
0.5-1mg IVP every 3-5 min. Max dose 0.04mg/kg
Atropine - Adult Dose - Organophosphate Poison
2-4mg 3-5min (IVP or IM) every 5-10 min
Atropine - Indications
- Bradycardia
- Organophosphate poison
- Nerve agents
Atropine - Pedi Dose - Bradycardia
0.02mg/kg. Max single dose 0.5mg - repeat 1x
ET - 0.04-0.06mg/kg dilute in 5mL - repeat 1x
Atropine - Pedi Dose - Organophosphate Poison
0.02mg/kg IVP or IM every 5-10 min
Calcium Chloride - Adult Dose
- 0.5 - 1g SLOW IVP over 10 min. Max dose 1g
- 0.5g SLOW IVP for hypotension following
- dilt administration
- Resp depression, decreased reflexes, flaccid
paralysis and apnea following mag sulfate admin
Calcium Chloride - Indications
- Hypocalcemia
- Hyperkalemia
- CCB OD
- Hypotension due to dilt administration
- Mag sulfate admin complications
Calcium Chloride - Pedi Dose
20mg/kg SLOW IVP/IO 50mg/min. Max dose 1g
Dexamethasone (Decadron) - Adult Dosage
10mg IV or PO
Dexamethasone (Decadron) - Indications
- Moderate to severe asthma exacerbation
- Croup
- Anaphylaxis
Dexamethasone (Decadron) - Pedi Dosage
Asthma - 0.5mg/kg (PO preferred) or IV to a max of 10mg
- Croup 0.5mg/kg PO/IV/IM max dose of 10mg
Dextrose - Adult Dose
- If blood is less than 70mg/dL admin 10% dextrose in 50mL (5g) bolus one min apart to max of 250mL or 25g of D50 IVP until
- Normal mental status
- Blood glucose is grater than 90mg/dL
- or if fully dosed and blood glucose less than
90mg/dL redose
Dextrose - Indications
- Hypoglycemia
Dextrose - Pedi Dose
NEED TO DO
Diazepam (Valium) - Adult Dose
- 2.5mg SLOW IVP/IM
- Medical direction if IM
- Max of 10mg.
Diazepam (Valium) - Indications
- Seizures
- Severe nerve agent exposure
Diazepam (Valium) - Nerve agent exposure
- No consult
- Adult 10mg IM
- Pedi if greater than 30kg - 0.1mg/kg max of 10mg
Diazepam (Valium) - Pedi Dose
- 0.1 mg/kg SLOW IVP/IM.
- max single dose 2.5mg.
- Max total dose 5mg
- Rectal dose 0.2mg/kg max dose of 10mg
Diltiazem (Cardizem) - Adult Dose
- 0.25 mg/kg (max 20mg) over 2 min
- 15 min
- 0.35 mg/kg (max 25mg) over 2 min
- IF PT over 50yo w borderline BP, known renal failure, or CHF consider 5-10mg over 2 min
Diltiazem (Cardizem) - Indications
Afib and Aflutter
Diltiazem (Cardizem) - OD
- If hypotensive and clear lungs - fluid bolus of 20mL/kg of LR - titrate to systolic of 100
- If hypotensive and rales - max fluid bolus of 250mL of LR stop if obtain systolic of 100
- Calcium Chloride 500mg SLOW IVP
- If bradycardic consider 1mg of Atropine
- If unstable consider pacing
Diltiazem (Cardizem) - Pedi Dose
Consult
DIPHENHYDRAMINE (Benadryl) - Adult Dosing
25-50mg SLOW IVP or IM
DIPHENHYDRAMINE (Benadryl) - Indications
- Allergic reaction
- Anaphylaxis
- Dystonic reactions
DIPHENHYDRAMINE (Benadryl) - Pedi Dosing
1mg/kg SLOW IVP or IM
Dopamine (Intropin) - Adult Dose
5-20 mcg/kg/min. Start at 5mcg. Titrate to 100 systolic
Dopamine (Intropin) - Indications
(1) Cardiogenic shock
(2) Septic shock
(3) Anaphylactic shock
(4) Hypovolemic shock (after sufficient volume
replacement)
Dopamine (Intropin) - Pedi Dose
2-20 mcg/kg/min Start at 2mcg. Titrate to age appropriate BP
Epinephrine (0.1mg/mL and 1mg/mL) - Indications
(1) Medical cardiac arrest and pediatric traumatic arrest
(2) Moderate to severe allergic reaction/anaphylaxis
(3) Epinephrine infusion (IV/IO) should be reserved for patients in shock refractory to fluid bolus or for patients in anaphylactic shock
(4) Severe asthma
(5) Respiratory stridor (suspected croup)
Epinephrine - Bradycardia Adult Dose
1mg in 100ml = COH of 10mcg/mL. Administer 10mcg/min on a 60 drop set
Infusion - 2-10 mcg/min
Epinephrine - Bradycardia Pedi Dose
(0.1mg/mL) - 0.01mg/kg IV/IO every 3-5 min (KEY for PEDS…..0.1mL/kg so 10kg kid gets 1mL of 0.1mg/mL)
Epinephrine - Cardiac Arrest Adult Dose
1mg 0.1mg/mL IVP/IO every 4 min (max dose of 4). If arrest after ROSC max dose of 2 more
Epinephrine - Cardiac Arrest Pedi Dose
0.01mg/kg of 0.1mg/mL IV/IO every 4 min (max dose of 4) if arrest after ROSC max dose of 2 more (KEY for PEDS…..0.1mL/kg so 10kg kid gets 1mL of 0.1mg/mL
Epinephrine - Croup Pedi Dose
(1mg/mL) 2.5mL via neb. (2 dose max)
Resp Distress/eminent failure - 0.01mg/kg IM (max dose of 0.5mg)
Epinephrine - Reaction/Anaphylaxis/Asthma Adult Dose
(1mg/mL) 0.5 mg every 5 min - (max dose 3x)
Epinephrine - Reaction/Anaphylaxis/Asthma Pedi Dose
(1mg/mL) > 5 yo 0.15mg every 5 min (3 dose max)
< 5yo 0.5mg every 5 min (3 dose max)