Medication Dosages

Question 1

Acetaminophen Dosage and Administration

Answer 1

Adult: 500-1000mg PO q 6 hours
Peds: 15mg/kg PO q 6 hours MAX 1000mg/dose

Question 2

Activated Charcoal Dosage and Administration

Answer 2

Adult and Peds: 1g/kg PO

Question 3

Albuterol Dosage and Administration

Answer 3

Single Dose Neb - Adult and Peds: 2.5mg/3ml, q 10 min, first two should be duoneb
Continuous Neb - Adult and Peds: 7.5mg/9ml, may repeat once
HyperK - Adult and peds: 10mg/12ml

Run neb at 6-8lpm

Question 4

Aspirin Dosage and Administration

Answer 4

Adult: Two 81mg tabs PO (total 162mg) not repeated
Peds: Not allowed

Question 5

Diphenhydramine Dosage and Administration

Answer 5

Allergic Reaction/Anaphylaxis
Adult: 50mg PO q 6 hours
Peds: 2mg/kg PO q 6 hours max 50 mg

Headache
Adult: 25mg PO, may repeat x1 for dystonic reaction
Peds: 1mg/kg PO, may repeat x1 for dystonic reaction max 25mg

Question 6

Epinephrine 1:1000 Dosage and Administration

Answer 6

Adult: 0.3mg IM as needed q 3-5min
Peds: >30kg - adult dose <30kg - 0.15mg IM as needed q 3-5min

Question 7

Famotidine Dosage and Administration

Answer 7

Adult: 20mg PO not repeated
Peds: 0.5mg/kg PO not repeated max 20mg

Question 8

Dextrose

Answer 8

Adult and Peds: D10W titrate to effect

To make D10: Draw out 50ml from 250 NS bag, add 25mg D50

Question 9

Instaglucose

Answer 9

Adults and Peds: 15-30 grams buccal, q 10 min as needed

Question 10

Ibuprofen Dosage and Administration

Answer 10

Pain Management
Adult: 400mg PO q 6 hrs
Peds: >6mo - 10mg/kg PO q 6 hrs max 400mg/dose, <6mo - not allowed

Frost Bite
Adult: 800mg PO q 8 hrs
Peds: >6mo - 10mg/kg PO q 6 hours max 800mg/dose

Question 11

Atrovent Dosage and Administration

Answer 11

Adult and Peds: 0.5mg given w/ first two doses of albuterol in neb

Question 12

IV Solutions - Hypovolemia Dosage and Administration

Answer 12

Adult: 20ml/kg as needed until improved perfusion, reassess q 5 min or 500ml
Peds: 10ml/kg as needed until improved perfusion, reassess q 5 min or 250ml

Question 13

IV Solutions Hemorrhagic Shock Dosage and Administration

Answer 13

Adult: limited crystalloids as needed until restoration of distal pulses, improved mental status, and/or permissive hypotension (70-90 systolic, severe TBI > 90)
Peds: 10ml/kg as needed until restoration of distal pulses, improved mental status, and/or permissive hypotension (70 + (2 x age in years), severe TBI > than that)

Question 14

IV Solutions Septic Shock Dosage and Administration

Answer 14

Adult: 30ml/kg as needed until improved perfusion
Pediatric: 10ml/kg as needed until improved perfusion

Question 15

IV Solutions Burn Therapy Dosage and Administration

Answer 15

Adult: 500ml/hr
Peds: <5y/o 125ml/hr, 5-13 250ml/hr, >14 500ml/hr

Question 16

Naloxone Dosage and Administration

Answer 16

Adult: 0.25-0.5mg bolus IV/IO/IM/IN, repeat as needed
Peds: >20kg 0.5mg, <20kg 0.01mg/kg max dose 2mg *neonate not allowed
Drip - 2/3rds of dose required to wake pt/hour

Question 17

Naloxone Dosage and Administration - Clonidine Overdose

Answer 17

Adult: max available dose up to 10mg IV/IO
Peds: >20kg 2mg IV/IO, <20kg 0.04mg/kg IV/IO max 2mg

Question 18

Nitroglycerin Dosage and Administration

Answer 18

Vocal Order for pt assisted ONLY

Question 19

Zofran Dosage and Administration

Answer 19

Adult: 4mg IV/IN/IO/IM/ODT as needed q 10 min, max 32mg total
Peds: >40kg adult dose, max 16mg total
<40kg 0.1mg max 4mg/dose, max 8mg total

Question 20

Phenylephrine Dosage and Administration

Answer 20

Have pt forcefully blow nose to expel clots. Administer sprays to both nostrils w/ pt gently sniffing until pt can taste the medication. Apply pressure to soft nasal portion for 20-30min after