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Medication Dosage Flashcards

1
Q

Normal Saline/Lactated Ringers Adult Dosage

A

Dehydration/Shock/DKA- 200-250mL IV/IO until BP >90mmHg
Burns <1hr- 500mL
Burns >1hr- 1-2ml/kg x BSA% burned/8
Cardiogenic Shock- N/A consider early vasopressor

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2
Q

Normal Saline/Lactated Ringers Pediatric Dosage

A

Dehydration/Shock/DKA- >1month 20mL/kg, <1month 10mL/kg
Burns <1hr- 100-250mL
Burns >1hr- 2mL/kg x BSA% burned/8
Cardiogenic shock- 5-10mL/kg

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3
Q

Diazepam/Valium Adult Dosage

A

Seizure/Sedation/Withdrawal- 5-10mg IV/IO slow

Hyperthermia/Excited delirium/Anxiety/TBI/Premedication/Restraint/Poisoning- 2-5mg slow IV/IO, 5-10mg IM

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4
Q

Diazepam/Valium Pediatric Dosage

A

Sz/Sedation/Withdrawal- 0.2mg/kg (max 10mg) IV/IO slow

Hyperthermia/Excited Delirium/Premedication/Anxiety/TBI/Premedication/Restraint/Poisoning- 0.2mg/kg (Max 5mg) IV/IO

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5
Q

Lorazepam/Ativan Adult Dosage

A

Sz/Sedation/Withdrawal- 2-4mg IV/IO/IM every 5-10 minutes

Hyperthermia/ Excited Delirium/Premedication/Anxiety/TBI/Restraint/Poisoning- 0.5-1mg IV/IO slow, 1-4mg IM

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6
Q

Lorazepam/Ativan Pediatric Dosage

A

Sz/Sedation/Withdrawal- 0.05-0.1mg/kg(max 4mg) IV/IO/IM every 5-10minutes
Hyperthermia/Excited Delirium/Premedication/Anxiety/TBI/Premedication/Restraint/Poisoning- 0.05mg/kg (max 2mg) IV/IO/IM slow

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7
Q

Midazolam/Versed Adult Dosage

A

Sz- 5mg IV/IO/IN, 5-10mg IM every 5-10 minutes
Sedation/Withdrawal/Hyperthermia/Anxiety/Premedication/Excited Delirium/Restraint/TBI/Poisoning- 2.5-5mg IV/IO/IN/IM slow every 5-10 minutes

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8
Q

Midazolam/Versed Pediatric Dosage

A

Sz- 0.2mg/kg (max 5mg) IV/IO/IM/IN every 5-10 minutes
Sedation/Withdrawal/Hyperthermia/Excited Delirium/Premedication/Anxiety/TBI/Restraint/Poisoning- 0.2mg/kg (max 5mg) IV/IO/IM/IN

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9
Q

Metoclopramide/Reglan Adult Dosage

A

Nausea/Vomiting- 5-10mg IV/IO infusion over 15 minutes

Migraine- 10mg IV/IO infusion over 10 minutes or IM

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10
Q

Metoclopramide/Reglan Pediatric Dosage

A

Nausea/Vomiting- N/A

Migraine- N/A

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11
Q

Prochlorperazine/Compazine Adult Dosage

A

Nausea/Vomiting- 5-10mg IV/IO infusion over 15 minutes or 5mg IM
Migraine- 10mg IV/IO infusion over 15 minutes or 10mg IM

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12
Q

Prochlorperazine/Compazine Pediatric Dosage

A

Nausea/Vomiting- N/A

Migraine- N/A

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13
Q

Diphenhydramine/Benadryl Adult Dosage

A

Allergic Reaction/Anaphylaxis/Dystonic Reaction/Akathisia- 25-50mg IV/IO/IM/PO

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14
Q

Diphenhydramine/Benadryl Pediatric Dosage

A

Allergic Reaction/Anaphylaxis/Dystonic Reaction/Akathisia- 1mg/kg (max 50mg) IV/IO/IM/PO

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15
Q

Albuterol Sulfate Adult Dosage

A

Asthma/COPD/RAD/Anaphylaxis- 2.5mg nebulized at 8LPM every 5 minutes
Hyperkalemia- 2.5mg nebulized at 8LPM continuous up to 20mg

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16
Q

Albuterol Sulfate Pediatric Dosage

A

Asthma/COPD/RAD/Anaphylaxis- 2.5mg nebulized at 8LPM every 5 minutes
Hyperkalemia- N/A

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17
Q

Levalbuterol/Xopenex Adult Dosage

A

Asthma/COPD/RAD/Anaphylaxis- 1.25 mg nebulized at 8LPM every 5 minutes

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18
Q

Levalbuterol/Xopenex Pediatric Dosage

A

Asthma/COPD/RAD/Anaphylaxis- 0.31mg nebulized at 8LPM every 5 minutes

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19
Q

Ipratropium Bromide Adult Dosage

A

Asthma/COPD/RAD- 500mcg nebulized at 8LPM every 5 minutes up to 3x doses

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20
Q

Ipratropium Bromide Pediatric Dosage

A

Asthma/COPD/RAD- 500mcg nebulized at 8LPM every 5 minutes up to 3x doses

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21
Q

Methylprednisolone/Solu-Medrol Adult Dosage

A

Asthma/Anaphylaxis/Adrenal Insufficiency- 125mg IV/IO slow

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22
Q

Methylprednisolone/Solu-Medrol Pediatric Dosage

A

Asthma/Anaphylaxis/Adrenal Insufficiency- 2mg/kg (mas 125mg) IV/IO

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23
Q

Dexamethasone/Decadron Adult Dosage

A

Asthma/COPD/RAD/Anaphylaxis/Adrenal Insufficiency- 10mg IV/IO
Croup- N/A

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24
Q

Dexamethasone/Decadron Pediatric Dosage

A

Asthma/COPD/RAD/Anaphylaxis/Adrenal Insufficiency- 0.6mg/kg (max 10mg) IV/IO
Croup- 0.6mg/kg (max 10mg) IV/IO/IM/PO (preferred)

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25
Magnesium Sulfate Adult Dosage
Asthma- 2g in 100mL NS over 10 minutes Cardiac Arrest- 25-50mg/kg (mx 2g) IV/IO over 1-2minutes Torsades- 1-2g in 50-100mL over 5 minutes Eclampsia- 4g in 100mL over 10 minutes, 1g/hr maintenance dose
26
Magnesium Sulfate Pediatric Dosage
Asthma- 25-50mg/kg (max 2g) in 100mL NS over 15-30 minutes Cardiac Arrest- 25-50mg/kg (max 2g) IV/IO over 2 minutes Torsades- 25-50mg/kg (max 2g) in 100mL over 10-20 minutes Eclampsia- N/A
27
Epinephrine Adult Dosage
Cardiac Arrest- 1mg of 1:10,000 IV/IO every 3-5minutes Asthma/Allergic Reaction/Anaphylaxis- 0.3mg IM of 1:1,00 every 5 minutes up to 3x doses Refractory Anaphylaxis/Hypotension- 2-10mg/min IV/IO infusion of 1:1,000 Bradycardia- 2-10mg/min IV/IO infusion
28
Epinephrine Pediatric Dosage
Cardiac Arrest- 0.01mg/kg (max 1mg) of 1:10,000 every 3-5minutes Asthma/Anaphylaxis- 0.01mg/kg (max 0.3mg) of 1:1,000 every 5 minutes until S/S resolve Refractory Anaphylaxis/Hypotension: 0.1-2mg/kg/min (max 10mcg/min) of 1:1,000 infusion IV/IO Bradycardia- 0.01mg/kg(max 1mg) IV/IO of 1:10,000 every 3-5 minutes
29
Nitroglycerine Adult Dosage
Chest pain/Pulmonary Edema- 0.4mg SL spray/tablet every 3-5minutes up to 3x doses in 25 minutes until relief provided or drop in sBP 1-2 inches of topical paste
30
Nitroglycerine Pediatric Dosage
N/A
31
Oxygen Adult Dosages
Dyspnea/Hypoxia- 1-6LPM Nasal Cannula, 12-15LPM NRB/BVM; CPAP/Vent- flow rate varies by O2 demand to meet cmH2O requirement; Venturi Mask- Flow rate varies by adaptor to meet specific O2 ranging 24-40%
32
Oxygen Pediatric Dosage
Dyspnea/Hypoxia- 1-6LPM Nasal Cannula, 10-15LPM NRB/BVM
33
Adenosine Adult Dosage
SVT/WCT- 1st dose 6mg IV/IO rapid push in proximal vein followed by 20mL NS flush, 2nd dose 12mg IV/IO rapid push followed by 20mL NS flush
34
Adenosine Pediatric Dosage
SVT/WCT- 1st dose 0.1mg/kg (max 6mg) rapid IV/IO push in proximal vein followed by 20mL NS flush, 2nd dose 0.2mg/kg (max 12mg) rapid IV/IO push followed by 20mL NS flush
35
Diltiazem/Cardizem Adult Dosage
NCT- 0.25mg/kg (max 20mg) IV/IO push slow over 2 minutes 0.35mg/kg (max 20mg) IV/IO push over 2 minutes Maintenance dose 5-15mg/hr IV/IO infusion
36
Diltiazem/Cardizem Pediatric Dosage
N/A
37
Metoprolol Adult Dosage
5mg IV/IO push slow over 2 minutes, max 15mg (3x doses) every 5 minutes
38
Metoprolol Pediatric Dosage
N/A
39
Atropine Sulfate Adult Dosage
Bradycardia- 0.5-1mg slow IV/IO push every 3-5 minutes, max 3mg (min. dose 0.5mg) RSI with bradycardia <50bpm- 0.5mg slow IV/IO push (min. dose 0.5mg) Organophosphate Poisoning- 2mg IV/IO/IM then double dose every 5 minutes until S/S resolve or out of atropine
40
Atropine Sulfate Pediatric Dosage
Bradycardia- 0.02mg/kg (max 0.5mg) IV/IO push every 3-5minutes (min dose 0.1mg) RSI with bradycardia <50bpm- 0.02mg/kg IV/IO (Min dose of 0.1mg) Organophosphate poisoning- 0.05-0.1mg/kg (max 5mg) IV/IO/IM every 5 minutes until S/S resolve
41
Amiodarone Adult Dosage
Cardiac Arrest- 300mg IV/IO followed by 150mg IV/IO in 3-5minutes PRN WCT- 150mg IV/IO infusion over 10minutes, may repeat once in 10 minutes WCT Maintenance- 1mg/min IV/IO infusion first six hours, 0.5mg/min for 18 hrs
42
Amiodarone Pediatric Dosage
Cardiac Arrest- 5mg/kg IV/IO (max 300mg), max total dose 15mg/kg WCT- 5mg/kg (max 300mg) IV/IO infusion over 20-60 minutes, may repeat once WCT Maintenance- N/A
43
Acetaminophen/Tylenol Adult Dosage
Pain-1g IV/IO infusion over 15 minutes or 1g PO | Fever- N/A
44
Acetaminophen/Tylenol Pediatric Dosage
Pain-15mg/kg (max 1g) PO every 4-6 hours | Fever- 15mg/kg (max 1g) PO every 4-6hours
45
Amiodarone HCl/Cordarone Adult Dosage
Cardiac Arrest- 300mg IV/IO, repeat dose 150mg IV/IO every 3-5 minutes PRN WCT- 150mg IV/IO infusion over 10 minutes, may repeat once in 10 minutes WCT Maintenance- 1mg/min first 6hours, 0.5mg/min for 18 hours
46
Amiodarone HCl/Cordarone Pediatric Dosage
Cardiac Arrest- 5mg/kg (max dose 300mg) IV/IO, max dose total of 15 mg/kg WCT- 5mg/kg (max 300mg) IV/IO over 20-60 minutes, repeat once WCT Maintenance- N/A
47
Amyl Nitrate Adult Dosage
Cyanide Poisoning- 0.3mL ampule crushed, inhaled over 15-30 seconds, every 1min until sodium nitrate available
48
Amyl Nitrate Pediatric Dosage
Cyanide Poisoning- 0.3mL ampule crushed, inhaled over 15-30secs ever 1min until sodium nitrate available
49
Aspirin/Acetylsalicylic Acid/ASA/Bayer Adult Dosage
Chest pain- 324mg PO, 81mg Baby ASA tablets preferred as it can be chewed/swallowed
50
Aspirin/Acetylsalicylic Acid/ASA/Bayer Pediatric Dosage
Chest Pain- N/A
51
Calcium Chloride Adult Dosage
Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 1g slow IV/IO push over 5mins
52
Calcium Chloride Pediatric Dosage
Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 20mg/kg (max 1g) slow IV/IO
53
Calcium Gluconate Adult Dosage
Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 2g slow IV/IO push over 5mins
54
Calcium Gluconate Pediatric Dosage
Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 60mg/kg (max 2g) slow IV/IO over 5mins
55
Dextrose 10% Adult Dosage
Hypoglycemia- 25g slow IV/IO or until dose administered yields appropriate mental status
56
Dextrose 10% Pediatric Dosage
Hypoglycemia- 0.5-1mg/kg slow IV/IO
57
Dopamine HCl/Intropin Adult Dosage
Shock/Bradycardia- 2-5mcg/kg/min IV/IO infusion (low dose) increases blood flow to the mesentery and renal 5-10mcg/kg/min IV/IO infusion (medium dose) stimulates Beta effects 10-20mcg/kg/min IV/IO (high dose) stimulates Alpha effects
58
Dopamine HCl/Intropin Pediatric Dosage
Shock/Bradycardia- 2-20mcg/kg/min IV/IO infusion
59
Etomidate/Amidate Adult Dosage
Induction- 0.3mg/kg (max 40mg) IV/IO over 15-30secs
60
Etomidate/Amidate Pediatric Dosage
Induction- 0.3mg/kg (max 40mg) IV/IO over 15-30secs
61
Famotidine/Pepcid Adult Dosage
Allergic Reaction/Anaphylaxis- 20mg slow IV/IO
62
Famotidine/Pepcid Pediatric Dosage
Allergic Reaction/Anaphylaxis- 0.4mg/kg (max 20mg) slow IV/IO
63
Fentanyl Citrate/Sublimaze Adult Dosage
Pain Management/Premedication RSI/Sedation Adult- 1mcg/kg (max 100mcg) slow IV/IO/IM/IN every 5mins, max 300mcg >65 yo- 0.5mcg/kg (max 50mcg) slow IV/IO/IM/IN every 5mins up to 3x doses
64
Fentanyl Citrate/Sublimaze Pediatric Dosage
Pain Management/Premedication RSI/Sedation- 1mcg/kg (max 100mcg) slow IV?IO?IM?IN
65
Glucagon/Glucagen Adult Dosage
Hypoglycemia/Food Bolus- 1mg IM, repeat once in 15mins if no change Ca Channel/Beta-Blocker OD- 5mg IV/IO, repeat in 5mins PRN
66
Glucagon/Glucagen Pediatric Dosage
Hypoglycemia/Food Bolus- 0.02mg/kg IM (max 1mg) | Ca Channel/Beta-Blocker OD- 0.05mg/kg IV/IO
67
Haloperidol/Haldol Adult Dosage
Psychotic episode/restraint- 5-10mg IM
68
Haloperidol/Haldol Pediatric Dosage
Psychotic episode/restraint- 1-3mg IM
69
Hydromorphone/Dilaudid Adult Dosage
Pain Management- 0.5-1mg slow IV/IO every 5mins, max 4mg
70
Hydromorphone/Dilaudid Pediatric Dosage
Pain Management- 0.015mg/kg slow IV/IO
71
Hydroxocobalamin/CyanoKit Adult Dosage
Cyanide Poisoning- 5g slow IV/IO over 15mins (One CyanoKit), may repeat once
72
Hydroxocobalamin/CyanoKit Pediatric Dosage
Cyanide Poisoning- N/A
73
Ibuprofen/Advil Adult Dosage
Pain Management- 400mg PO
74
Ibuprofen/Advil Pediatric Dosage
Pain Management- 10mg/kg (max 400mg) PO
75
Ketamine/Ketalar Adult Dosage
Induction/Sedation- 2mg/kg slow IV/IO Excited Delirium/Restraint- 1-2mg/kg slow IV/IO, 4-5mg/kg IM, 2-3mg/kg IN Analgesia- 0.1-0.3mg/kg slow IV/IO
76
Ketamine/Ketalar Pediatric Dosage
Induction/Sedation- 2mg/kg slow IV/IO Excited Delirium/Restraint- 1-2mg/kg slow IV/IO, 4-5mg/kg IM Analgesia- 0.5-2mg/kg slow IV/IO
77
Ketorolac/Toradol Adult Dosage
Pain Management- 15-30mg IV/IO/IM
78
Ketorolac/Toradol Pediatric Dosage
Pain Management- N/A
79
Lidocaine/Xylocaine Adult Dosage
Cardiac Arrest- 1st dose- 1-1.5mg/kg IV/IO 2nd dose- 0.5-0.75mg/kg IV/IO, repeat every 5-10mins up to 3 doses or max 3mg/kg WCT- 0.5-1.5mg/kg IV/IO WCT Maintenance- 1-4mg/min IV/IO Anesthetic- 0.5mg/kg (max 40mg) IV/IO
80
Lidocaine/Xylocaine Pediatric Dosage
Cardiac Arrest- 1mg/kg IV/IO repeat after 15mins WCT- 1mg/kg IVP, repeat after 15mins WCT Maintenance- 20-50mcg/kg/min Anesthetic- 0.5mg/kg (max 40mg) IV/IO
81
Morphine Sulfate Adult Dosage
Pain Management Adult- 0.1mg/kg (max 10mg) slow (2mg/min) IV/IO/IM every 10mins up to 3x doses >65yo- 0.05mg/kg (max 10mg) slow (2mg/kg) IV/IO/IM every 10mins up to 3x doses
82
Morphine Sulfate Pediatric Dosage
Pain Management- 0.1mg/kg slow IV/IO/IM
83
Naloxone/Narcan Adult Dosage
Opiate-Induced Respiratory Depression- 0.04-2mg IV/IO/IM or 0.4-4mg IN every 3-5mins until respiratory status improves, max total 10mg
84
Naloxone/Narcan Pediatric Dosage
Opitate-Induced Respiratory Depression- 0.1mg/kg IV/IO/IM or 0.4-4mg IN every 5mins until respiratory status improves, max total dose 10mg
85
Norepinephrine/Levophed Adult Dosage
Shock- 1-30mcg/min IV/IO infusion- titrate to sBP >90mmHg
86
Norepinephrine/Levophed Pediatric Dosage
Shock- 0.1-2mcg/kg/min IV/IO infusion- titrate to normotensive sBP
87
Olanzapine/Zyprexa Adult Dosage
Psychotic Episode/Restraint- 10mg IM
88
Olanzapine/Zyprexa Pediatric Dosage
Psychotic Episode/Restraint- N/A
89
Ondansetron/Zofran Adult Dosage
Nausea/Vomiting- 4mg IV/IO/IM/PO, may repeat once
90
Ondansetron/Zofran Pediatric Dosage
Nausea/Vomiting- 0.1mg/kg (max 4mg) slow IV/IO/IM or 4mg PO if patient is >5yo
91
Oral Glucose Adult Dosage
Hypoglycemia- 15g (one tube)
92
Oral Glucose Pediatric Dosage
Hypoglycemia- 15g (one tube)
93
Oxytocin/Pitocin Adult Dosage
Post-partum hemorrhage- 3-30 units IM or 10-20 units in 500-1000mL NS IV/IO infusion
94
Oxytocin/Pitocin Pediatric Dosage
Post-partum hemorrhage- N/A
95
Phenylephrine/Neo-Synephrine Adult Dosage
Shock- 100-180mcg/min IV/IO infusion until sBP>90mmHg
96
Phenylephrine/Neo-Synephrine Pediatric Dosage
Shock- 0.1-0.5mcg/kg/min IV/IO infusion
97
Pralidoxime Chloride/2-PAM Adult Dosage
Organophosphate Poisoning- 600mg IM, repeat with escalating doses of 1200mg and 1800mg if symptoms worsening/severe
98
Pralidoxime Chloride/2-PAM Pediatric Dosage
Organophosphate Poisoning- 600mg IM
99
Procainamide/Pronestyl Adult Dosage
Cardiac Arrest- 20mg/min IV/IO infusion, max total dose 17mg/kg WCT- 20-50mg/min IV/IO infusion until of D/C precautions (dysrhythmia suppressed, hypotension, QRS widens by 50%, or 17mg/kg administered) WCT Maintenance- 1-4mg/min
100
Procainamide/Pronestyl Pediatric Dosage
Cardiac Arrest- 15mg/kg IV/IO infusion over 30-60mins WCT- 15mg/kg IV/IO infusion over 30-60mins WCT Maintenance- N/A
101
Proparacaine/Alcaine Adult Dosage
Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10 mins, max 6 drops/eye
102
Proparacaine/Alcaine Pediatric Dosage
Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10mins, max 6 drops/eye
103
Racemic Epinephrine/Racepinephrine Adult Dosage
Croup- N/A
104
Racemic Epinephrine/Racepinephrine Pediatric Dosage
Croup- 5mg 1:1,000 Epi in 2.5-3.0mL nebulized with O2 | or 0.5mL of 2.25% solution of Vaponephrine/Racepinephrine in 2mL NS nebulized with O2
105
Rocuronium/Zemuron Adult Dosage
RSI- 1mg/kg IV/IO
106
Rocuronium/Zemuron Pediatric Dosage
RSI- 0.6mg/kg IV/IO
107
Sodium Bicarbonate Adult Dosage
OD (TCA/Cocaine/Benadryl/ASA)/Crush Syndrome/Metabolic Acidosis/Hyperkalemia- 2mEq/kg IV/IO
108
Sodium Bicarbonate Pediatric Dosage
OD(TCA/Cocaine/Benadryl/ASA)/Crush Syndrome/Metabolic Acidosis/Hyperkalemia- 2mEq/kg IV/IO
109
Sodium Thiosulfate Adult Dosage
Cyanide Poisoning- 12.5g IV/IO infusion over 10mins, repeat once with 1/2 dose PRN
110
Sodium Thiosulfate Pediatric Dosage
Cyanide Poisoning- 300-500mg/kg IV/IO infusion over 10mins, repeat once with 1/2 dose PRN
111
Succinylcholine/Anectine Adult Dosage
RSI- 1.5mg/kg IV/IO
112
Succinylcholine/Anectine Pediatric Dosage
RSI- 1mg/kg IV/IO
113
Tetracaine Adult Dosage
Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10mins, max 6 drops/eye
114
Tetracaine Pediatric Dosage
Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10mins, max 6 drops/eye
115
Vecuronium/Norcuron Adult Dosage
RSI- 0.1mg/kg IV/IO
116
Vecuronium/Norcuron Pediatric Dosage
RSI- 0.1mg/kg IV/IO

Medic School (2 decks)

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