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Medic School > Medication Dosage > Flashcards

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
Q

Magnesium Sulfate Adult Dosage

A

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

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26
Q

Magnesium Sulfate Pediatric Dosage

A

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

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27
Q

Epinephrine Adult Dosage

A

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

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28
Q

Epinephrine Pediatric Dosage

A

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

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29
Q

Nitroglycerine Adult Dosage

A

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

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30
Q

Nitroglycerine Pediatric Dosage

A

N/A

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31
Q

Oxygen Adult Dosages

A

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%

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32
Q

Oxygen Pediatric Dosage

A

Dyspnea/Hypoxia- 1-6LPM Nasal Cannula, 10-15LPM NRB/BVM

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33
Q

Adenosine Adult Dosage

A

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

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34
Q

Adenosine Pediatric Dosage

A

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

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35
Q

Diltiazem/Cardizem Adult Dosage

A

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

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36
Q

Diltiazem/Cardizem Pediatric Dosage

A

N/A

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37
Q

Metoprolol Adult Dosage

A

5mg IV/IO push slow over 2 minutes, max 15mg (3x doses) every 5 minutes

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38
Q

Metoprolol Pediatric Dosage

A

N/A

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39
Q

Atropine Sulfate Adult Dosage

A

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

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40
Q

Atropine Sulfate Pediatric Dosage

A

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

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41
Q

Amiodarone Adult Dosage

A

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

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42
Q

Amiodarone Pediatric Dosage

A

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

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43
Q

Acetaminophen/Tylenol Adult Dosage

A

Pain-1g IV/IO infusion over 15 minutes or 1g PO

Fever- N/A

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44
Q

Acetaminophen/Tylenol Pediatric Dosage

A

Pain-15mg/kg (max 1g) PO every 4-6 hours

Fever- 15mg/kg (max 1g) PO every 4-6hours

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45
Q

Amiodarone HCl/Cordarone Adult Dosage

A

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

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46
Q

Amiodarone HCl/Cordarone Pediatric Dosage

A

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

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47
Q

Amyl Nitrate Adult Dosage

A

Cyanide Poisoning- 0.3mL ampule crushed, inhaled over 15-30 seconds, every 1min until sodium nitrate available

48
Q

Amyl Nitrate Pediatric Dosage

A

Cyanide Poisoning- 0.3mL ampule crushed, inhaled over 15-30secs ever 1min until sodium nitrate available

49
Q

Aspirin/Acetylsalicylic Acid/ASA/Bayer Adult Dosage

A

Chest pain- 324mg PO, 81mg Baby ASA tablets preferred as it can be chewed/swallowed

50
Q

Aspirin/Acetylsalicylic Acid/ASA/Bayer Pediatric Dosage

A

Chest Pain- N/A

51
Q

Calcium Chloride Adult Dosage

A

Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 1g slow IV/IO push over 5mins

52
Q

Calcium Chloride Pediatric Dosage

A

Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 20mg/kg (max 1g) slow IV/IO

53
Q

Calcium Gluconate Adult Dosage

A

Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 2g slow IV/IO push over 5mins

54
Q

Calcium Gluconate Pediatric Dosage

A

Hyperkalemia/Ca Channel Blocker OD/Cardiac Arrest/ABD Spasm- 60mg/kg (max 2g) slow IV/IO over 5mins

55
Q

Dextrose 10% Adult Dosage

A

Hypoglycemia- 25g slow IV/IO or until dose administered yields appropriate mental status

56
Q

Dextrose 10% Pediatric Dosage

A

Hypoglycemia- 0.5-1mg/kg slow IV/IO

57
Q

Dopamine HCl/Intropin Adult Dosage

A

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
Q

Dopamine HCl/Intropin Pediatric Dosage

A

Shock/Bradycardia- 2-20mcg/kg/min IV/IO infusion

59
Q

Etomidate/Amidate Adult Dosage

A

Induction- 0.3mg/kg (max 40mg) IV/IO over 15-30secs

60
Q

Etomidate/Amidate Pediatric Dosage

A

Induction- 0.3mg/kg (max 40mg) IV/IO over 15-30secs

61
Q

Famotidine/Pepcid Adult Dosage

A

Allergic Reaction/Anaphylaxis- 20mg slow IV/IO

62
Q

Famotidine/Pepcid Pediatric Dosage

A

Allergic Reaction/Anaphylaxis- 0.4mg/kg (max 20mg) slow IV/IO

63
Q

Fentanyl Citrate/Sublimaze Adult Dosage

A

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
Q

Fentanyl Citrate/Sublimaze Pediatric Dosage

A

Pain Management/Premedication RSI/Sedation- 1mcg/kg (max 100mcg) slow IV?IO?IM?IN

65
Q

Glucagon/Glucagen Adult Dosage

A

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
Q

Glucagon/Glucagen Pediatric Dosage

A

Hypoglycemia/Food Bolus- 0.02mg/kg IM (max 1mg)

Ca Channel/Beta-Blocker OD- 0.05mg/kg IV/IO

67
Q

Haloperidol/Haldol Adult Dosage

A

Psychotic episode/restraint- 5-10mg IM

68
Q

Haloperidol/Haldol Pediatric Dosage

A

Psychotic episode/restraint- 1-3mg IM

69
Q

Hydromorphone/Dilaudid Adult Dosage

A

Pain Management- 0.5-1mg slow IV/IO every 5mins, max 4mg

70
Q

Hydromorphone/Dilaudid Pediatric Dosage

A

Pain Management- 0.015mg/kg slow IV/IO

71
Q

Hydroxocobalamin/CyanoKit Adult Dosage

A

Cyanide Poisoning- 5g slow IV/IO over 15mins (One CyanoKit), may repeat once

72
Q

Hydroxocobalamin/CyanoKit Pediatric Dosage

A

Cyanide Poisoning- N/A

73
Q

Ibuprofen/Advil Adult Dosage

A

Pain Management- 400mg PO

74
Q

Ibuprofen/Advil Pediatric Dosage

A

Pain Management- 10mg/kg (max 400mg) PO

75
Q

Ketamine/Ketalar Adult Dosage

A

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
Q

Ketamine/Ketalar Pediatric Dosage

A

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
Q

Ketorolac/Toradol Adult Dosage

A

Pain Management- 15-30mg IV/IO/IM

78
Q

Ketorolac/Toradol Pediatric Dosage

A

Pain Management- N/A

79
Q

Lidocaine/Xylocaine Adult Dosage

A

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
Q

Lidocaine/Xylocaine Pediatric Dosage

A

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
Q

Morphine Sulfate Adult Dosage

A

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
Q

Morphine Sulfate Pediatric Dosage

A

Pain Management- 0.1mg/kg slow IV/IO/IM

83
Q

Naloxone/Narcan Adult Dosage

A

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
Q

Naloxone/Narcan Pediatric Dosage

A

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
Q

Norepinephrine/Levophed Adult Dosage

A

Shock- 1-30mcg/min IV/IO infusion- titrate to sBP >90mmHg

86
Q

Norepinephrine/Levophed Pediatric Dosage

A

Shock- 0.1-2mcg/kg/min IV/IO infusion- titrate to normotensive sBP

87
Q

Olanzapine/Zyprexa Adult Dosage

A

Psychotic Episode/Restraint- 10mg IM

88
Q

Olanzapine/Zyprexa Pediatric Dosage

A

Psychotic Episode/Restraint- N/A

89
Q

Ondansetron/Zofran Adult Dosage

A

Nausea/Vomiting- 4mg IV/IO/IM/PO, may repeat once

90
Q

Ondansetron/Zofran Pediatric Dosage

A

Nausea/Vomiting- 0.1mg/kg (max 4mg) slow IV/IO/IM or 4mg PO if patient is >5yo

91
Q

Oral Glucose Adult Dosage

A

Hypoglycemia- 15g (one tube)

92
Q

Oral Glucose Pediatric Dosage

A

Hypoglycemia- 15g (one tube)

93
Q

Oxytocin/Pitocin Adult Dosage

A

Post-partum hemorrhage- 3-30 units IM or 10-20 units in 500-1000mL NS IV/IO infusion

94
Q

Oxytocin/Pitocin Pediatric Dosage

A

Post-partum hemorrhage- N/A

95
Q

Phenylephrine/Neo-Synephrine Adult Dosage

A

Shock- 100-180mcg/min IV/IO infusion until sBP>90mmHg

96
Q

Phenylephrine/Neo-Synephrine Pediatric Dosage

A

Shock- 0.1-0.5mcg/kg/min IV/IO infusion

97
Q

Pralidoxime Chloride/2-PAM Adult Dosage

A

Organophosphate Poisoning- 600mg IM, repeat with escalating doses of 1200mg and 1800mg if symptoms worsening/severe

98
Q

Pralidoxime Chloride/2-PAM Pediatric Dosage

A

Organophosphate Poisoning- 600mg IM

99
Q

Procainamide/Pronestyl Adult Dosage

A

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
Q

Procainamide/Pronestyl Pediatric Dosage

A

Cardiac Arrest- 15mg/kg IV/IO infusion over 30-60mins
WCT- 15mg/kg IV/IO infusion over 30-60mins
WCT Maintenance- N/A

101
Q

Proparacaine/Alcaine Adult Dosage

A

Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10 mins, max 6 drops/eye

102
Q

Proparacaine/Alcaine Pediatric Dosage

A

Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10mins, max 6 drops/eye

103
Q

Racemic Epinephrine/Racepinephrine Adult Dosage

A

Croup- N/A

104
Q

Racemic Epinephrine/Racepinephrine Pediatric Dosage

A

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
Q

Rocuronium/Zemuron Adult Dosage

A

RSI- 1mg/kg IV/IO

106
Q

Rocuronium/Zemuron Pediatric Dosage

A

RSI- 0.6mg/kg IV/IO

107
Q

Sodium Bicarbonate Adult Dosage

A

OD (TCA/Cocaine/Benadryl/ASA)/Crush Syndrome/Metabolic Acidosis/Hyperkalemia- 2mEq/kg IV/IO

108
Q

Sodium Bicarbonate Pediatric Dosage

A

OD(TCA/Cocaine/Benadryl/ASA)/Crush Syndrome/Metabolic Acidosis/Hyperkalemia- 2mEq/kg IV/IO

109
Q

Sodium Thiosulfate Adult Dosage

A

Cyanide Poisoning- 12.5g IV/IO infusion over 10mins, repeat once with 1/2 dose PRN

110
Q

Sodium Thiosulfate Pediatric Dosage

A

Cyanide Poisoning- 300-500mg/kg IV/IO infusion over 10mins, repeat once with 1/2 dose PRN

111
Q

Succinylcholine/Anectine Adult Dosage

A

RSI- 1.5mg/kg IV/IO

112
Q

Succinylcholine/Anectine Pediatric Dosage

A

RSI- 1mg/kg IV/IO

113
Q

Tetracaine Adult Dosage

A

Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10mins, max 6 drops/eye

114
Q

Tetracaine Pediatric Dosage

A

Pain/Morgan Lens- 1-2 drops 0.5% solution every 5-10mins, max 6 drops/eye

115
Q

Vecuronium/Norcuron Adult Dosage

A

RSI- 0.1mg/kg IV/IO

116
Q

Vecuronium/Norcuron Pediatric Dosage

A

RSI- 0.1mg/kg IV/IO

Medic School (2 decks)

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