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Suffolk County Protocols > Medications > Flashcards

Medications Flashcards

1
Q

Adenosine

A 
INDICATIONS
- Conversion on PSVT to Sinus Rhythym
DOSE
Adult- 6 mg, repeat 12 mg RIVP
Pediatric- .1 mg/kg, repeat .2 mg/kg RIVP MAX 12 mg
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2
Q

Albuterol Sulfate

A

INDICATIONS
- Relief of bronchospasms
DOSE
Adult- 2.5 mg, one unit dose

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3
Q

Amiodarone

A

INDICATIONS
- V-fib/ Pulseless V-tach
DOSE
Adult-
V-Tach w/ pulse: 150 mg in 100 cc NS over 10 minutes
V-Tach/ Pulseless V-tach: 300 mg IV bolus; repeat 150 mg
Pediatric- 5 mg/kg IV/IO over 20-60 minutes

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4
Q

Aspirin

A

INDICATIONS
-New chest pain suggestive of AMI
DOSE
-324 mg PO

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5
Q

Atropine Sulfate

A 
INDICATIONS
- Hemodynamically significant bradycardia
DOSE
Adult-
Brady- .5 mg IV; MAX 3 mg
OD/ Nerve- 2 mg IV/IO
Pediatric-
Neonatal resus/Brady- .02 mg/kg IV/IO
Organophosphate- <12 yo: .02-.05 mg/kg; >12: 2 mg IV/IO
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6
Q

Calcium Chloride

A

INDICATIONS
- known or suspected hyperkalemia, Ca++ blocker OD
DOSE
Adult- .5g-1g IV/IO

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7
Q

Dextrose

A 
INDICATIONS
- Hypoglycemia
DOSE
Adult- 25g IV/IO of 50% soln
Pediatric- 
Neonatal resus: 5-10ml/kg of 10% soln
Hypoglycemia: 2-4ml/kg of 25% soln
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8
Q

Diazepam (Valium)

A 
INDICATIONS
- Seizure, muscle relaxant
DOSE
Adult-
Seizures: 5-10 mg IV/IO
Sedation: 5-15 mg IV/IO
Pediatric- 
Seizures: .5 mg/kg PR
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9
Q

Diltiazem (Cardizem)

A

INDICATIONS
- Rapid Ventricular rates w/ A-Fib/A-Flutter
DOSE
Adult- 20 mg (.25 mg/kg) over 2 minutes; repeat in 15 minutes at 20-25 mg

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10
Q

Diphenhydramine

A 
INDICATIONS
- Anaphylaxis/ Allergic rxn
DOSE
Adult- 25-50 mg IV/IM/IO
Pediatric- 1-2 mg/kg Slow IV/IM/IO
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11
Q

Dopamine

A

INDICATIONS
- Hypotension, Shock, Low CO
DOSE
Drip, supplied as 200 mg/ml, 400 mg/5 ml syringe

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12
Q

Duo-Dote Auto-Injector

A 
INDICATIONS
-SLUDGEM
DOSE
Adult- 1 unit for mild symptoms, 3 units for severe symptoms
Pediatric- Weight based by broslow tape
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13
Q

Epinephrine

A

INDICATIONS
Asthma, Allergic rxn, Cardiac Arrest, Asystole
DOSE
Adult-
Asthma/COPD/Anaphylaxis: .3-.5 mg IM, .3-.5mg infusion (1:10,000) over 5 minutes
Symptomatic Bradycardia: Infusion 2-10 ug/min IV/IO
Cardiac Arrest: 1 mg (1:10,000) IV/IO
Pediatric-

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14
Q

Etomidate

A 
INDICATIONS
To induce anesthetic sedation for medical procedures
DOSE
Adult-
.2-.4 mg/kg over 30-60 minutes for MFI
.15 mg/kg for sedation
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15
Q

Fentanyl Citrate

A 
INDICATIONS 
Severe pain and anesthesia
DOSE
Adult-
1 mcg/kg slow IV to maximum 100 mcg/dose
May be repeated to max individual dose of 200mcg
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16
Q

Furosemide

A 
INDICATIONS
Edema, CHF
DOSE
Adult- .5-1.0 mg/kg over 1 to 2 minutes, if no response double dose
Pediatric- 1 mg/kg IV; MAX 20 mg
17
Q

Glucagon

A 
INDICATIONS
AMS where hypoglycemia is suspected
DOSE
Adult-
.5-1.0 mg IM or 2 mg IN
Pediatric- 
.5-1.0 mg/kg IM or 2 mg IN
<20kg; 20-30 ug/kg IM/IN
18
Q

Haloperidol

A 
INDICATIONS
Adult Behavioral Emergency, Agitated, aggressive pt's
Dose
Adult
2-5 mg IV/IM
19
Q

Hydrocortisone Sodium Succinate

A 
INDICATIONS
Adrenal Insufficiency
DOSE
Adult- 4 mg/kg SIVB/IM
Pediatric- 2 mg/kg bolus IV/IM; Not to exceed 100 mg
20
Q

Hydroxocobalamin

A 
INDICATIONS
Known or suspected Cyanide Poisoning
DOSE
Adult- IVP 5g/200ml NS in 15 minutes (15 ml/min)
Max total dose of 10g
Pediatric- 70 mg/kg over 15 minutes
21
Q

Ipratropium Bromide

A 
INDICATIONS
Asthma, Bronchospasm, COPD
DOSE
Adult- unit dose
Pediatric- .5 mg
22
Q

Ketrolac

A

INDICATIONS
Moderate to severe pain relief
DOSE
Adult- 30 mg IV over 15 seconds, 60 mg IM

23
Q

Lidocaine

A

INDICATIONS
anesthetic for conscious pt. during IO
DOSE
Adult-
Pre-intubation w/ suspected ICP: 1-1.5 mg/kg IV
MAX IND. dose 100 mg
Topical Anesthetic: 20-40 mg 2% at the injection site

24
Q

Lorazepam (Ativan)

A 
INDICATIONS
Seizure, Muscle Relaxant
DOSE
Adult-
MFI/RSI: 1-2 mg SIVP; may repeat to total of 4 mg after 5 min. MAX 8mg total
Cardioversion: 2-4 mg IV/IM; may be repeated once, MAX 8 mg total
Seizure: 2-4 mg IV/IM; MAX 8 mg
Pediatric-
.05-.2 mg IV/IM/IO; MAX .2mg/kg
25
Magnesium Sulfate
INDICATIONS Seizures fro Eclampsia, Torsades de pointes DOSE Adult- Pre-eclampsia: 1-4g IV/IO Torsades VT w/o Pulse: 2 g/10 cc IV/IO/EJ Torsades VT w/ pulse: 1g/100cc over 10 minutes Asthma: 2g/100 cc over 10 minutes Pediatric- Torsades VT w/o pulse: 25-50 mg/kg IV/IO Torsades VT w/ Pulse: 25-50 mg over 10-20 minutes MAX 2g
26
Mark 1 Auto Injector
INDICATIONS SLUDGEM ``` DOSE Adult- 1 kit for Mild/Moderate symptoms 3 kits for severe symptoms Pediatric- Weight based with Broselow tape ```
27
Methylprednisolone
``` INDICATIONS Severe Anaphylaxis DOSE Adult- 125 mg IV/IO/IM (1-2 mg/kg) Pediatric- 2 mg/kg IV/IO/IM MAX 60 mg ```
28
Metoprolol
``` INDICATIONS Rapid Ventricular rates associated with A-FIb/A-Flutter DOSE Adult- 5 mg SIVP q 5 min; MAX 15 mg ```
29
Midazolam
``` INDICATIONS Sedation, Seizure, Agitation DOSE Adult- Seizure: 2.5 mg IVP; 5 mg IM/IN Agitation: 2.5 mg IVP; 5 mg IM/IN RSI: 5 mg IVP Cardioversion: 5mg IV/IM; 10 mg IM/IN ``` Pediatric- .1 mg/kg IM/IN <6yo: 6 mg MAX >6yo: 10 mg MAX
30
Morphine
``` INDICATIONS Chest pain associated with MI DOSE Adult- up to 10 mg IV/IM Pediatric- .1 mg/kg IM/IO; MAX 10 mg ```
31
Naloxone
INDICATIONS Complete of partial reversal of CNS and respiratory depression DOSE Adult- .4-2mg IV/IM; 2 mg IN; Can give 10 mg over time period Pediatric- .1 mg/kg IV/IO; may repeat 2 mg total dose
32
Nitroglycerin
INDICATIONS Ischemic chest pain, hypertension, CHF DOSE Adult- .4 mg SL q 5 minutes; MAX 3 doses
33
Nitrous Oxide
INDICATIONS Pain Management DOSE Adult- self dosing inhalation, PRN
34
Ondansetron
INDICATIONS Prevention and control of nausea or vomiting DOSE Adult- 4 mg IV/IM; may be repeated once; MAX 8 mg Pediatric- 40kg or less: .1 mg/kg single dose IV/IM Over 40 kg: 4 mg single dose IV/IM
35
Rocuronium
INDICATIONS RSI DOSE Adult- 1 mg/kg IVP
36
Sodium Bicarb
INDICATIONS Acidosis, Intubated pt. with long arrest interval, TCA OD, Hyperkalemia DOSE Adult- Cardiac Arrest: 1 mEq/kg (8.4%) IV/IO Crush: 50 mEq (8.4%) IV/IO over 5 minutes q 30 minutes Pediatric- Neonatal resuscitation: 1 mEq/kg (4.2%) Slow IV/IO
37
Succinylcholine
``` INDICATIONS RSI DOSE Adult- 1.25-1.75 mg/kg IVP Pediatric- Infants: 2 mg/kg Children: 1-1.5 mg/kg ```
38
Thiamine
``` INDICATIONS Coma of unknown origin, Delirium Tremens, Anemia DOSE Adult- 100 mg Slow IV/IM Pediatric- 10-25 mg slow IV/IM ```
39
Vecuronium
``` INDICATIONS RSI DOSE Adult- .1 mg/kg IVP Pediatric- .1-.3 mg/kg IV/IO ```

Suffolk County Protocols (3 decks)

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