Medications Indication and Dose Only

Question 1

Adenosine

Answer 1

Converts PSVT to normal sinus rhythm

Dose: 6 mg fast IV push. Repeat dose after 1-2 minutes 12 mg fast IV push

Question 2

Abuterol (Proventil, Ventolin)

Answer 2

Treatment of bronchospasms in patients with COPD and asthma

DOSE: 2.5 mg in 2.5 mg of NS and administer over 10-15 mins

Question 3

Amiodarone (Cordarone)

Answer 3

Suppression of Ventricular Fibrillation

Pulseless Ventricular Tachycardia refractory to defibrillation

Suppression of Ventricular Tachycardia with a pulse

DOSE:

VF/Pulseless VT: 300 mg, repeat dose 150 mg

V-Tac with a pulse: 150 mg in 100mL NS over 10 mins

Question 4

Aspirin

Answer 4

Chest pain suggestive of acute myocardial infarction

324 mg PO

Question 5

Atropine Sulfate

Answer 5

Hemodynamically significant bradycardia

DOSE:
1 mg IV every 3-5 minutes max of 3 mg

Question 6

Calcium chloride

Answer 6

INDICATIONS:

• hyperkalemia
• magnesium sulfate overdose
• calcium channel blocker toxicity
• crush syndrome

DOSE:

• 500-1000 mg IV over 5 minutes, may repeat in 10 minutes
• max dose of 1g

Question 7

Dextrose

Answer 7

Altered LOC secondary to hypoglycemia

DOSE:
12.5-25 grams slow IV

Question 8

Diazepam Valium

Answer 8

Seizure

DOSE:
5-10 mg IV slow IV every 10-15 minutes

Max 30 mgs

Question 9

DILTIAZEM (CARDIZEM)

Answer 9

Aflutter
Afib

DOSE:
0.25 mg/kg IV over 2 minutes. Repeat as needed in 15 minutes at 0.35 mg/kg IV

Question 10

Diphenhydramine (Benadryl)

Answer 10

• Allergic reactions
• anaphylaxis
• acute dystonic reactions
• blood administration reaction

DOSE:

25-50 mg IM or IV

Question 11

Dopamine (Inotropin)

Answer 11

• cardiogenic shock
• septic shock
• spinal shock
• distributive shock
• hypotension with low cardiac output

DOSE:
2-20 mcg/kg/min
start at 4 mcg/kg/min for cardiac efects

Question 12

Epinephrine

Answer 12

• Cardiac arrest
• Asystole
• PEA
• VF unresponsive to initial defib
• severe bronchospasm
• asthma
• bronchiolitis
• Anaphylaxic
• Acute allergic reactions

DOSE:
-allergic reaction and asthma: 0.3 mg 1:1000 IM

• Cardiac: 1 mg IV push 1:10,000 every 3-5 minutes
• IV infusion 2-10 mcg/min

Question 13

Fentanyl Citrate (Sublimaze)

Answer 13

Analgesic

1 mcg/kg max of 150 mcg

Question 14

Furosemide (Lasix)

Answer 14

• CHF
• Pulmonary edema

DOSE:
0.5-1.0 mg/kg slow IV

Question 15

Glucagon

Answer 15

Altered LOC when hypoglycemia is suspected

Inotropic agent when beta-blocker overdose is suspected

DOSE:
Hypoglycemia: 1mg

Beta Blocker OD: 2-5 mg titrated to effect

Question 16

Glucose - Oral

Answer 16

Suspected hypoglycemia

DOSE:
1 tube 25 mg

Question 17

Haloperidol (Haldol)

Answer 17

Acute psychotic episodes

DOSE:
5 mg IM

Question 18

Hydrocortisone/methylprednisolone (Solu-Cortef, Solu-medrol)

Answer 18

• Asthma
• Anaphylaxis

DOSE:
Hydrocortisone (SOLU-CORTEF): 2 mg/kg IV max of 100 mg

Methylprednisolone (Solu-Medrol): 2mg/kg IV max 125 mg

Question 19

Ipratropium Bromide (Atrovent)

Answer 19

Bronchospasm especially associated with COPD and emphysema

DOSE: 0.5 mg via Neb mixed with 2.5 mg of Albuterol

Question 20

Ketamine

Answer 20

• Excited delirium
• Pain

DOSE:
-Excited delirium: 4mg/kg IM

-Pain: 0.3-0.5 mg/kg IV may repeat once in 10 minutes

Question 21

Lidocaine

Answer 21

Suppression of V-Tach, VF, PVCs

DOSE:

• Cardiac arrest VT/VF: 1-1.5 mg IV push, repeat dose half of first dose, max of 3 mg/kg.
• Maintenance dose of 2-4 mg/min

IV:
1-4 mg/min

Question 22

Ativan

Answer 22

Seizure

2-4 mg

Question 23

MAGNESIUM SULFATE

Answer 23

Indications 
Acute Asthma / Bronchospasm 
Seizures of eclampsia (Toxemia of pregnancy). 
Torsades de Pointes. 
Hypomagnesemia. 
TCA overdose-induced dysrhythmias. 
Digitalis-induced dysrhythmias.

Dosage and Administration
Adult: Seizure activity associated with pregnancy: 1-4 gm IV over 10 minutes.
Torsades de Pointes or Refractory VF/VT: 1-2 grams IV over 1-2 minutes.
For Bronchospasm: 2-4 gm IV in 100ml of NS over 5 minutes

1-2 for me (MAGnum condoms) and you 2-4 for the whore

Question 24

METOPROLOL (Lopressor)

Answer 24

Indications: Atrial fibrillation, Atrial flutter

Dosage and Administration:
Adults: 5 mg over 1- 2 minutes slow IVP (Medical Control Option) May repeat every 5
minutes to a maximum of 15mg

Question 25

MIDAZOLAM (Versed)

Answer 25

Status Seizure

Dosage and Administration
Adult: 2-6 mg slow IV push; (may be repeated to total maximum: 0.1 mg/kg).

Question 26

MORPHINE SULFATE

Answer 26

Analgesia

0.1 mg/kg max of 10mg

Question 27

NALOXONE (Narcan)

Answer 27

Respiratory Depression Secondary to Opiate overdose

2 mg IM, IV max of 10 mg

Question 28

NITROGLYCERIN

Answer 28

Indications
Acute angina pectoris.
Ischemic chest pain.
CHF, pulmonary edema.

Dosage and Administration

Tablets: 0.3 mg SL; may repeat in 3-5 minutes to maximum of 3 doses.

NTG spray: 0.4 mg on or under the tongue; 1-2 sprays, may repeat in 3-5 minutes

Question 29

ONDANSETRON (Zofran)

Answer 29

Nausea and vomiting

DOSE:
4-8 mg IV

Question 30

RACEMIC EPINEPHRINE

Answer 30

Indications:
Croup, laryngeal edema, bronchial asthma

Dosage and Administration:
Adult: 11.25 mg (0.5 ml) Dilute 0.5 ml solution for inhalation with 2.5 ml
normal saline in nebulizer

Question 31

SODIUM BICARBONATE 8.4

Answer 31

Indications
Hyperkalemia
TCA overdose
Phenobarbital overdose
Known pre-existing bicarbonate-responsive acidosis.
Upon return of spontaneous circulation after long arrest interval.
Alkalinization for treatment of specific intoxication.

Dosage and Administration
Adult: 1 mEq / kg IV; may repeat with 0.5 mEq / kg every 10 minutes.

Question 32

THIAMINE (Vitamin B1)

Answer 32

Indications
Delirium tremens.
Wernicke’s encephalopathy.

Dosage and Administration
Adult: 100 mg slow IV or IM.