Medications

Question 1

IM Epi dose

Answer 1

Adults: 0.2-0.5 mg
Pediatric: 0.01 mg/kg
IM lateral thigh

Question 2

Anaphalxisis Meds

Answer 2

Epi: 0.3 mg
Diphenhydramine: 25-50 mg PO/IV/IM
Famotidine: 20 mg IV
Methylprednisolone: 125 mg

Question 3

Angioedema Meds

Answer 3

Epi 0.2-0.5 mg
Diphenhydramine: 25-50 mg PO/IV/IM
Famotidine: 20 mg IV
Methylprednisolone: 125 mg

*** Consider FFP

Question 4

Hypertensive Emergency Meds

Answer 4

obviously lots, but 10-40 mg IV Labetolol is a good starting place =)
(just not with resp failure)

Question 5

Benzo Options for seizures

Answer 5

• Lorazepam/ ativan 2 mg IV/IM
• Midazolam 10 mg IV/IM/intranasal
• Diazepam 5 mg IV

Question 6

Escalating Medical Strategy in Status Epilepticus

Answer 6

1st- Lorazepam/ Ativan, 2- 4 mg

**Benzo may be repeated before moving on to the next line

2nd- Levetiracetam/ Keppra, 2-3 g

3rd- Phenobarbital, 15-20 mg/kg

Question 7

Concerning Phenytoin Toxicity Reaction

Answer 7

Cardiovascular collapse due to rapid infusion of phenytoin

hypotension, bradycardia, cardiac toxicity (due to propylene glycol diluent)

Question 8

HTN emergency Acute Pulmonary Edema Rx

Answer 8

Nitroglycerin: 0.4 mg q5min sublingual PRN
or
Nitroglycerin IV

Bonus:
Enalaprilat: 0.625-1.25 mg IV bolus or
Captopril: 25-50 mg PO/sublingual or
Nitroprusside: Initial dose 0.3 µg/kg/min IV titrate to effect by 0.5 µg/kg/min q5 min (max 10 µg/kg/min)