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ICEMA Protocols > Medications / Standard Orders > Flashcards

Medications / Standard Orders Flashcards

1
Q

Adenosine

A

Stable Narrow Complex SVT or Wide Complex Tachycardia:
6 mg RIVP followed immediately by a 20 cc NS bolus, and
12 mg RIVP followed immediately by a 20 cc NS bolus if the patient does not convert.
May be repeated one time.

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2
Q

Albuterol

A

2.5 mg nebulized

May repeat 2 times.

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3
Q

Albuterol MDI

A

4 puffs every 10 minutes for continued SOB and wheezing.

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4
Q

Albuterol (Ped.)

A

2.5 mg nebulized

May repeat 2 times.

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5
Q

Albuterol MDI (Ped.)

A

4 puffs every 10 minutes for continued SOB and wheezing.

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6
Q

Aspirin

A

325 mg PO chewed (1 adult non-coated tablet) OR

4 chewable 81 mg tablets.

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7
Q

Atropine

A

Symptomatic Bradycardia:
0.5 mg IV/IO.
May repeat every 5 minutes to a MAX of 3 mg or 0.04 mg/kg.
Organophosphate Poisoning:
2 mg Iv/IO.
Repeat every 5 minutes if patient remains symptomatic.

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8
Q

Calcium Chloride

A

Calcium Channel Blocker Poisoning:
1 g IV/IO.
BASE ORDER ONLY.

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9
Q

Dextrose

A

Dextrose 10% / 250 mL (D10W 25g) IV/IO Bolus.

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10
Q

Dextrose (Ped.)

A 
Hypoglycemia:
0 - 4 weeks with BGL <35.
4 weeks + with BGL <60.
Dextrose 10% / 250 mL (D10W 25g) IV/IO Bolus.
0.5 g/kg (5mL/kg).
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11
Q

Benadryl

A

Allergic/Dystonic Reaction:
25 mg IV/IO
50 mg IM

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12
Q

Benadryl (Ped.)

A

Allergic/Dystonic Reaction:
1 mg/kg IV/IO MAX 25 mg
2 mg/kg IM MAX 50 mg

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13
Q

Dopamine

A

400 mg / 250 mL NS IV/IO.
5 - 20 mcg/kg/min.
Titrate to maintain signs of adequate tissue perfusion.

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14
Q

Dopamine (Ped.)

A

9 - 14 years
400 mg / 250 mL NS IV/IO.
5 - 20 mcg/kg/min.
Titrate to maintain signs of adequate tissue perfusion.

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15
Q

Epinephrine 1:1000

A

Severe Bronchospasm / Asthma / Allergic Reaction / Anaphylactic Shock:
0.3 mg IM.

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16
Q

Epinephrine 1:1000 (Ped.)

A

Severe Bronchospasm / Asthma / Allergic Reaction / Anaphylactic Shock:
0.01 mg/kg IM.
MAX 0.3 mg.

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17
Q

Epinephrine 1:10000

A 
Persistent Severe Anaphylactic Shock:
0.1 mg SIVP/IO.
May repeat every 5 minutes, MAX 0.5 mg.
Cardiac Arrest:
1 mg IV/IO.
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18
Q

Epinephrine 1:10000 (Ped.)

A

Anaphylactic Shock (No radial pulse / depressed LOC):
0.01 mg/kg IV/IO, MAX 0.1 mg PER DOSE.
May repeat to a TOTAL MAX of 0.5 mg.
Cardiac Arrest:
1 day - 8 years: 0.01 mg/kg IV/IO MAX 1 mg
9 - 14 years: 1 mg IV/IO
Newborn Care:
0.01 mg/kg IV/IO if HR < 60 after 1 min and hypoxia and hypothermia has been treated.
0.005 mg/kg IV/IO every 10 minutes for persistent hypotension.
BASE ORDER / RCF ONLY.
Post ROSC with Inadequate Perfusion:
1 day - 8 years: 0.5 mcg/kg/min IV/IO drip.

19
Q

Fentanyl

A 
50 mcg IV/IO SIVP.
May repeat every 5 minutes.
MAX 200 mcg.
100 mcg IM/IN.
May repeat in 50 mcg doses every 10 minutes.
MAX 200 mcg.
*IM NOT APPROPRIATE FOR TCP*
20
Q

Fentanyl (Ped.)

A 
0.5 mcg/kg IV/IO SIVP.
MAX 50 mcg.
May repeat every 5 minutes.
TOTAL MAX 100 mcg.
1 mcg/kg IM/IN.
MAX 100 mcg.
May repeat in IV dose every 10 minutes.
MAX 200 mcg.
21
Q

Oral Glucose

A

1 tube

22
Q

Oral Glucose (Ped.)

A

1 tube

23
Q

Glucagon

A 
Hypoglycemia:
1 mg IM/SQ/IN 
Beta Blocker Poisoning:
1 mg IV/IO
BASE ORDER ONLY
24
Q

Glucagon (Ped.)

A

Hypoglycemia:
0.025 mg/kg IM/IN.
May repeat 1 time after 20 minutes.
TOTAL MAX 1 mg.

25
Q

Atrovent

A

0.5 mg nebulized.

One dose only.

26
Q

Atrovent (Ped.)

A

1 day - 1 year: 0.25 mg nebulized.
1 - 14 years: 0.5 mg nebulized.
One dose only.

27
Q

Lidocaine

A 
Intubation:
1.5 mg/kg IV/IO
VT/VF: 
1.5 mg/kg IV/IO
May administer additional 0.75 mg/kg IV/IO.
May repeat once after 5 - 10 minutes.
Infusion:
2 mg/min IV/IO Drip
VT / Wide Complex Tachycardia with Pulses:
1.5 mg/kg IV/IO
May administer additional 0.75 mg/kg IV/IO.
May repeat once after 5 - 10 minutes.
Initiate Infusion:
2 mg/min IV/IO Drip
28
Q

Lidocaine (Ped.)

A 
Intubation:
1.5 mg/kg IV/IO.
Cardiac Arrest:
1.0 mg/kg IV/IO.
May repeat at 0.5 mg/kg after 5 minutes.
MAX 3 mg/kg.
29
Q

2% Lidocaine

A

Pain with IO Infusion:
.5 mg/kg IO.
MAX 40 mg.

30
Q

Magnesium Sulfate

A 
Polymorphic VT:
2 g IV/IO bolus over 5 minutes.
Eclampsia:
4 g IV/IO SIVP over 3 - 4 minutes.
Maintenance Drip: 10 mg/min IV/IO.
31
Q

Midazolam

A 
Seizure: 
2.5 mg IV/IO/IN.
May repeat in 5 minutes.
5 mg IM.
May repeat in 10 minutes.
MAX of 3 doses, any combination of routes.
Pacing / Cardioversion:
2 mg SIVP/IO/IN
32
Q

Midazolam (Ped.)

A 
Seizure:
0.1 mg/kg IV/IO, MAX 2.5 mg
May repeat in 5 minutes.
0.2 mg/kg IM/IN, MAX 5 mg.
May repeat in 10 minutes.
MAX of 3 doses, any combination of routes.
33
Q

Narcan

A

0.5 mg IV/IO/IM/IN.
May repeat every 2-3 minutes.
MAX 10 mg.

34
Q

Narcan (Ped.)

A

1 day - 8 years: 0.1 mg/kg IV/IO/IM/IN
9 - 14 years: 0.5 mg IV/IO/IM/IN.
May repeat every 2-3 minutes.
MAX 10 mg.

35
Q

Nitroglycerin

A

0.4 mg SL.

May repeat every 3 minutes with adequate perfusion.

36
Q

Zofran

A

Nausea / Vomiting:
4 mg SIVP/IO/ODT.
4 - 8 years: MAX 4 mg.
9+ years: MAX 12 mg.

37
Q

Oxygen

A

General:
Titrate to maintain SPO2 of 94% or greater.
COPD:
Titrate to maintain SPO2 of 91% or greater.

38
Q

Phenylephrine

A

0.5 mg IN.

May be repeated 1 time prior to second NTI attempt.

39
Q

Sodium Bicarbonate

A

TCA Poisoning:
1 mEq/kg IV/IO.
BASE ORDER ONLY.

40
Q

Normal Saline (Non-trauma)

A 
Bradycardia:
300 mL IV/IO Bolus, may repeat.
Tachycardia:
300 mL IV/IO Bolus
PEA/Asystole:
300 mL IV/IO Bolus, may repeat.
Nontraumatic Hypovolemia:
500 mL IV/IO Bolus, may repeat 1 time.
Burns:
Unstable: 250 mL IV/IO Bolus, may repeat to a MAX of 1000 mL.
Stable: 500 mL/hour IV/IO drip.
41
Q

Normal Saline (Non-trauma) (Ped.)

A

Hypovolemia:

20 mL/kg IV/IO Bolus, may repeat 1 time for tachycardia, change in pulses, limb temperature change, or ALOC.

42
Q

Normal Saline (Trauma)

A

Blunt-
Unstable: IV/IO open until stable, MAX 2000 mL.
Stable: IV/IO TKO.
Penetrating-
Unstable: IV/IO 500 mL Bolus. One dose only.
Stable: IV/IO TKO.
Closed Head Injury-
Unstable: IV/IO 250 mL Bolus, may repeat 1 time.
Stable: IV/IO TKO.

43
Q

Normal Saline (Trauma) (Ped.)

A

Unstable: 20 mL/kg IV/IO Bolus, may repeat once.
Stable: IV/IO TKO.

ICEMA Protocols (1 decks)

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