medications Flashcards
Adenosine dose(s)
adult
6mg then 12mg
Albuterol dose
Adult
2.5 mg with 2.5 ml NaCl Nebulized max dose of 2 Tx’s
Amiodarone dose(s)
Adult
Pulseless VF VT (Dead man’s Dose) 300mg’s IV / IO 2nd dose 150 mg’s IV/IO. Other indications 150 mg’s IV/IO over 10 mins may repeat every 10 mins as needed. After conversion hang a drip
Aspirin
160 mg-325mg PO.
Atropine sulfate
Brady or blocks 0.5-1mg every 3-5 max of 3mg
organophosphate poisoning 2-4mg or higher
Bumetanide
0.5-1mg IVP or IM
Calcium chloride
500-1000 IVP
Dextrose
25G D50 repeat as necessary
Diazepam/valium
Seizures-5mg IV over 5 mins or IO 10 mg
Anxiety–2-10mg IV/IM
Premedication for Cardioversion–5-15mg over 5 mins 10 mins prior to cardioversion
Diltiazem/cardizem
Initial dose 0.25 mg/kg IV over 2 mins.
This may be repeated in 15 minutes @ 0.35 mg/kg IV
Diphenhydramine
25-50mg iv/im/io/po
Dopamine
5-20mcg/kg/min titrate to affect
Epinephrine
Anaphylaxis or asthma 0.3–0.5 mg of 1:1000
For cardiac arrest 1mg of 1:10,000 every 3-5 mins
For continued refractory hypotension/bradycardia ,administer epinephrine infusion at 2-10 mcg/minute IV/IO
Etomidate/Amidate
0.2-0.6 mg/kg over 30-60
Fentanyl
50–100 mcg (1 mcg/kg) IV/IO slow push up to 2 mins.
Max dose 150 mcg. IN is rapid push
Furosemide/lasix
0.5-1 mg/kg IV over 1-2 mins if no response double the
dose to 2 mg/kg
Glucagon
1 mg IM/IN may repeat in 7-10 mins
Ipratropium/Atrovent
adult and pediatric 250-500 mcg neb with a max of 3
times
Ketamine
adult and pediatric 1-2 mg/kg IVP over 1-2 minutes
Labetalol
10 mg IVP over 1-2 mins may repeat or double every 10 mins to a max of 150 mg
Levalbuterol / Xopenex
1.25–2.5 mg in 3 ml via Neb
Lidocaine
Pulseless VF /VT 1-1.5 mg/kg IV/IO repeat dose 0.5-0.75mg/kg IV/IO with a max dose of 3 mg/kg
Drip 1-4 mg/min in Cardiac arrest conversion or Stable VT and wide complex Tachycardia
Lorazepam/Ativan
Anxiety / Sedation 2 mg IV or 4 mg IM.
For seizures 0.1 mg/kg IV max dose of 4 mgs
Magnesium sulfate
Polymorphic VT or Torsades de Points 1-2G in a 100 cc bag IV/IO over 5-20 minutes.
Wheezing–1-2G in 100 ml bag NSS IV/IO over 15-30 minutes.
For seizure associated with eclampsia 1-4 g in a 100 cc bag over 10 mins max dose of 30-40 g / day
Methylprednisolone Sodium Succinate/Solu-medrol
1-2mg/kg
Midazolam/Versed
Seizures 0.2 mg/kg IM/IN max of 10 mg or 0.1 mg /kg IV max of 4 mg
Sedation0.5–2.5 mg max of 0.1 mg/kg
Chemical restraint 5 mg IV/IM/IN
Morphine sulfate
2–4mg IV may repeat 2–8 mg max of 10 mg
Naloxone/Narcan
0.4-2mg
Nitroglycerin
0.4 mg SL may repeat every 3-5 mins for a max dose of 3 doses.
Paste ½ inch–¾ inch (15-30 mg) Transdermal to chest
Ondansetron/Zofran
4mg IV/IM/PO/SL may repeat once in 10 mins
Oral glucose
25g PO
Promethazine / Phenergan
12.5–25 mg IV / deep IM
Propofol / Diprivan
1.5-3mg/kg
Sodium bicarbonate
1meq/kg slow IVP/IO may repeat every 10 mins at 0.5meq/kg
Succinylcholine
1–2 mg/kg rapid IVP repeat once if needed
May be repeated in 5 min on adult and adolescent ONLY
Vecuronium
0.1-0.2mg/kg