Medications Flashcards
Adenosine
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
Albuterol Sulfate
INDICATIONS
- Relief of bronchospasms
DOSE
Adult- 2.5 mg, one unit dose
Amiodarone
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
Aspirin
INDICATIONS
-New chest pain suggestive of AMI
DOSE
-324 mg PO
Atropine Sulfate
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
Calcium Chloride
INDICATIONS
- known or suspected hyperkalemia, Ca++ blocker OD
DOSE
Adult- .5g-1g IV/IO
Dextrose
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
Diazepam (Valium)
INDICATIONS - Seizure, muscle relaxant DOSE Adult- Seizures: 5-10 mg IV/IO Sedation: 5-15 mg IV/IO Pediatric- Seizures: .5 mg/kg PR
Diltiazem (Cardizem)
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
Diphenhydramine
INDICATIONS - Anaphylaxis/ Allergic rxn DOSE Adult- 25-50 mg IV/IM/IO Pediatric- 1-2 mg/kg Slow IV/IM/IO
Dopamine
INDICATIONS
- Hypotension, Shock, Low CO
DOSE
Drip, supplied as 200 mg/ml, 400 mg/5 ml syringe
Duo-Dote Auto-Injector
INDICATIONS -SLUDGEM DOSE Adult- 1 unit for mild symptoms, 3 units for severe symptoms Pediatric- Weight based by broslow tape
Epinephrine
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-
Etomidate
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
Fentanyl Citrate
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
Furosemide
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
Glucagon
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
Haloperidol
INDICATIONS Adult Behavioral Emergency, Agitated, aggressive pt's Dose Adult 2-5 mg IV/IM
Hydrocortisone Sodium Succinate
INDICATIONS Adrenal Insufficiency DOSE Adult- 4 mg/kg SIVB/IM Pediatric- 2 mg/kg bolus IV/IM; Not to exceed 100 mg
Hydroxocobalamin
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
Ipratropium Bromide
INDICATIONS Asthma, Bronchospasm, COPD DOSE Adult- unit dose Pediatric- .5 mg
Ketrolac
INDICATIONS
Moderate to severe pain relief
DOSE
Adult- 30 mg IV over 15 seconds, 60 mg IM
Lidocaine
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
Lorazepam (Ativan)
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
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
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
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
Metoprolol
INDICATIONS Rapid Ventricular rates associated with A-FIb/A-Flutter DOSE Adult- 5 mg SIVP q 5 min; MAX 15 mg
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
Morphine
INDICATIONS Chest pain associated with MI DOSE Adult- up to 10 mg IV/IM Pediatric- .1 mg/kg IM/IO; MAX 10 mg
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
Nitroglycerin
INDICATIONS
Ischemic chest pain, hypertension, CHF
DOSE
Adult- .4 mg SL q 5 minutes; MAX 3 doses
Nitrous Oxide
INDICATIONS
Pain Management
DOSE
Adult- self dosing inhalation, PRN
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
Rocuronium
INDICATIONS
RSI
DOSE
Adult- 1 mg/kg IVP
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
Succinylcholine
INDICATIONS RSI DOSE Adult- 1.25-1.75 mg/kg IVP Pediatric- Infants: 2 mg/kg Children: 1-1.5 mg/kg
Thiamine
INDICATIONS Coma of unknown origin, Delirium Tremens, Anemia DOSE Adult- 100 mg Slow IV/IM Pediatric- 10-25 mg slow IV/IM
Vecuronium
INDICATIONS RSI DOSE Adult- .1 mg/kg IVP Pediatric- .1-.3 mg/kg IV/IO
