Medications

Question 1

RSI sedation

Answer 1

Etomidate

Propofol

Ketamine

Question 2

RSI paralytic

Answer 2

Rocuronium 1mg/kg (70mg)

Succinylcholine 1.5mg/kg (100mg)

1/2 life

Question 3

Sedation Maintanence

Answer 3

Propofol
Ketamine
Versed

1/2 life

Question 4

Procedural Sedation

Answer 4

5mg etomidate (short, ex cardioversion) (15mg fentanyl)

Ketamine

Propofol

Question 5

Excited Delerium

Question 6

Seizures 1st line

Answer 6

Midazolam
IM
IV

Lorazepam
IV

Question 7

Seizures Second Line

Answer 7

Fosphenytoin

Leviteracetam

Phenobarbital

Propofol

Question 8

Amiodarone

Answer 8

Pulseless vtach 300mg then 150mg

Question 9

Atropine

Answer 9

1mg x3

Question 10

Adenosine

Answer 10

6mg rapid, followed by 12mg

Question 11

Epinephrine code dose

Answer 11

1 mg (1/10,000) 10 cc = 1 amp

Question 12

Epinephrine Anaphylaxis

Answer 12

0.5 mg IM (1/1,000)

Shock:
0.1mg (1/10,000) slow push 5 min

Question 13

Epinephrine Push Dose and Dirty Drip

Answer 13

Dirty drip:
code-cart epi - 1mg into a liter bag of NS. Final concentration is 1mcg/ml. Run at 1ml/min and titrate to effect.
(0.1mcg/kg/min)
Or 60ml/hr = 1mcg/min
600ml/hr = 10mcg/min

Push dose:
1ml code dose epi (100mcg/ml) into 9 cc NS flush
Now 1ml = 10mcg epi

Question 14

Norepinephrine

Answer 14

Drip: 10mcg/min

Start

Titrate

Question 15

Vasopressin

Answer 15

0.01-0.04
Usually 0.03

2nd line

Question 16

Dobutamine

Question 17

HTN emergency

Answer 17

Labetalol - 20mg-80mg q10
0.5-2mg/min

Nicardipine (avoid acs/chf) 2mg bolus, 5mg/hr

Hydralazine - 10-20mg Q2H

Nitroglycerine (5-100mcg/min)
Ideal in acs, higher dose in scape

Question 18

Atrial Fibrillation w/ rvr stable

Answer 18

Metoprolol (avoid HF, copd/asthma) 5mg max 3 doses
Then po 50mg

Diltiazem (avoid HF) 20mg, can rebolus x1
Drip 5-15mg/kg, or PO 60mg wud

Amiodarone (good in hf, accessory pathway)
3-7mg/kg

<48 hrs cardiovert w/ electricity (5mg etomidate)
anticoagulation w/ heparin or lmwh

Question 19

pain

Answer 19

fentanyl
morphine
dilaudid (hydromoporphone)

1/2 lives

Question 20

Push Dose Pressors

Answer 20

epi
10mcg
1mcg/min

Peds epi
0.01mg/kg
0.1-1 mcg/min

NE
10mcg/min

phenylephrine
100mcg/min

Question 21

Hypoglycemia

Answer 21

1 amp (50ml) D50 (1ml/kg)

Question 22

hypocalcemia

Answer 22

Calcium gluconate
3g (severe)

Calcium chloride
1g (severe)

Question 23

Magnesium

Answer 23

Torsades 1-2g q5
Eclampsia 6g bolus (2-3g/hr)
*[labetolol or hydras for htn]

Question 24

Bicarb

Question 25

Nitroglycerine conversion tab to drip

Answer 25

tabs - 0.4mg = 80mcg/min drip

Question 26

Anticoagulant reversal

Answer 26

Apixaban - andexanet

apixaban, rivaroxaban (xarelto), fondaparinux - 4PCC

Dabigatran (Pradaxa) - Praxbind (idarucizumab) and hemodialysis

Warfarin - Vit k, 4-PCC, FFP

UF heparin, LMWH - Protamine

PCC- II, IX, X ; 4PCC VII

Question 27

Scape

Answer 27

Nitroglycerine 100mcg/min titrate rapidly to 400mcg/min for 2 minutes

Question 28

A fib

Answer 28

0.25mg/kg Diltiazem

5mg metoprolol tartrate q5 min max 15 mg

Question 29

Stable v tech meds

Answer 29

Procainamide 20-50 mg/min or 100 mg IV q5min

Amiodarone IV bolus 150 mg IV over 10 min followed by continuous infusion at 1mg/min IV

Lidocaine IV bolus 1-1.5 mg/kg followed by 0.5-0.75 mg/kg up to total of 3 mg/kg followed by a continuous IV Infusion at 1-4 mg/min

Question 30

Lidocaine in code ventricular dysthymia

Answer 30

1mg/kg