Meds Flashcards
Acetaminophen Dose
15mg/kg up to max dose 1g PO/PR
Adenosine Dose (adult)
1st: 6mg RIVP followed by 10mL NaCl flush
2nd: 12mg RIVP followed by 10mL NaCl flush
CI’s for Adenosine
2nd or 3rd degree, SSS, WPW.
Albuterol Dose
2.5mg bullet NEB (max 2 doses)
Albuterol Sulfate also known as…
Proventil
Amiodarone Dose (adult VF/PVT)
1st: 300mg IV/IO. Dilute with 20ml saline.
2nd:150mg in 5 minutes.
Max total dose 450mg
Amiodarone Dose (adult VT)
150mg IV/IO. Piggyback with 100ml NACL over 10 minutes.
Max total dose 450mg
Amiodarone Dose (post-cardiac arrest)
900mg mixed into 500ml NACL. Run at 33.3ml/hr (1mg/min)
Amiodarone Dose (ped VF/PVT) 🐥
5mg/kg IV/IO. Diluted with 15ml saline. May repeat in 5 minutes.
Max 15mg/kg
Amiodarone Dose (ped VT) 🐥
5mg/kg IV/IO. Piggyback over 20-60 minutes
Not to be used with Lidocaine, 2nd/3rd Degree heart block, sinus bradycardia
CI’s for Amiodarone
To be used with suspected cyanide exposure
Amyl Nitrate is indicated for this poison…
Method for Amyl Nitrate administration
Adult and Peds:
* Crush pearl between fingers. Wave under nose for 30 seconds with 30 seconds off. Up to three
minutes per pearl. PRN. No max dose.
Cefazolin is also known as…
Ancef is also known as…
Prophylactic coverage for open fractures or presumably contaminated wounds.
Ancef/Cefazolin indication
Cautions for Ancef/Cefazolin
PCN allergy
Hx of seizure disorders
Ancef dose (adult only)
1g IV/IO over 60min infusion
This ACS platelet aggregate inhibitor is not to be used where choking hazard exists, pediatric patients, or in presence of allergies.
CI’s for ASA
Precautions for ASA
Bleeding
Use of other blood thinners
Suspect CVA/Stroke
Ativan is also known as…
Lorazepam is also known as…
Seizures
Anxiety
Combativeness
Skeletal Muscle Spasms
Withdrawal symptoms
Indications for Ativan
Narrow angle glaucoma
Shock
Allergies to Benzo’s
CI’s for Ativan
Caution should be used when giving this medication for ETOH withdrawal…
Ativan should be used for ETOH withdrawal
Ativan dose (adult seizure)
2-6mg IV/IO/IM repeat x 2 prn q 5 mins
Ativan dose (adult other)
1-2mg IV/IO/IM x2 prn q 5 mins
Ativan dose (peds) 🐥
0.05mg/kg IV/IO
May be used for symptomatic bradycardia or nerve agent exposure
Uses for Atropine
Not to be used with A-Fib/A-Flutter, Tachycardia, Glaucoma pt’s
CI’s for Atropine
Atropine dose (adult bradycardia) per ACLS
1mg IV/IO
Atropine dose (adult nerve agent)
1mg IV/IO q 5 min until symptoms resolve. No max.
Atropine dose (peds) 🐥
0.02mg/kg IV/IO (max 0.5mg dose)
Indications for use:
HypoCa
HyperK
HyperMg
Hydrogen Fluoride Toxicity
Ca channel blocker toxicity
Multiple blood transfusion
Calcium Gluconate indications
Do not piggyback this electrolyte medication with sodium bicarbonate…
Contraindicated for V-Fib
CI’s for Calcium Gluconate
Rapid infusion may cause Bradycardia, hypotension, or Asystole
May cause tissue necrosis
May cause V-Fib
Precautions for Calcium Gluconate
Calcium Gluconate dose (adult)
500mg-2g IV/IO over 10 mins q 20 mins prn
Calcium Gluconate (peds) 🐥
60mg/kg IV/IO over 10 mins q 20 mins prn
Diltiazem is also known as…
Cardizem is also known as…
A-Fib with RVR
A-Flutter with RVR
PSVT
Indications for Diltiazem
Do not use with patients who have…
2nd/3rd degree heart blocks
SSS
Severe hypotension
WPW
Rx Beta blockers (may cause profound bradycardia, AV block, depression of contractility)
CI’s for Dilitiazem
This medication should be used cautiously in pt’s with hx of hepatic/renal impairment, or CHF.
Precautions for Diltiazem
Diltiazem dose (adult only)
0.25mg/kg IV/IO over 2 mins.
Repeat prn in 15 mins @ 0.35mg/kg IV/IO
Clonidine is also known as…
Catapres is also known as…
Clonidine is indicated for…
This medication is used to treat symptomatic hypertension
This hypertension medication is not to be used in pt’s with…
CVA
2nd/3rd degree heart blocks
Hypotension
CI’s for Clonidine
Clonidine dose (adult only)
0.1-0.2mg PO x 1 dose
Used to treat hypoglycemia
Dextrose
Questionable or unstable IV
Hyperglycemia
CI’s for dextrose
Dextrose dose (D10 infusion)
10-50g IV infusion. Titrate to effect.
Diphenhydramine is also known as…
Benadryl is also known as…
Indicated for…
anaphylaxis
dystonic reactions
severe combative subjects
Indications for Benadryl
This antihistamine is not to be used in breastfeeding or pregnant mothers…
Contraindications for Benadryl
Benadryl dose (adult)
25-50mg IV/IM/IO
Benadryl dose (peds) 🐥
1-2mg/kg IV/IO/IM (max total dose 25mg)
Duoneb is also known as…
Combivent is also known as…
Indications for this medication include…
-Asthma
-COPD
-CHF
-Smoke Inhalation
-Epiglottitis
-Infection process of lung/airway
Duoneb indications
What does a Duoneb bullet consist of?
2.5mg Albuterol Sulfate
0.5mg Ipratropium Bromide in 3.0ml NS
Indications for this medication include…
-Pulseless arrest (VF, pVT, PEA, Asystole)
-Bronchospasm
-Anaphylaxis
-Hypotension
Indications for Epi
Hypertension
Labor
Contraindications for Epi
Caution should be used with epinephrine as it will precipitate this medication…
Sodium bicarbonate will be precipitated from this medication.
Epinephrine dose (adult anaphylaxis)
0.3mg 1:1,000 (1mg/mL) SQ/IM q 3-5 minutes
Epinephrine dose (peds anaphylaxis) 🐥
0.01mg/kg 1:1,000 (1mg/mL) SQ/IM q 3-5 min
Epinephrine dose (adult cardiac arrest)
1mg 1:10,000 (1mg/10ml) IV/IO q 3-5 min
Epinephrine dose (peds cardiac arrest) 🐥
0.01mg/kg 1:10,000 (1mg/10ml) IV/IO q 3-5 min
Epinephrine dose (adult hypotension)
“Push Dose Pressor” 5-10mcq/1ml of diluted concentration IV/IO q 3 minutes
until desired effect.
Epinephrine dose (adult infusion)
0.5-1.0 mcg/kg/min
Etomidate is also known as…
Amidate is also known as…
This medication is used for general anesthesia to facilitate intubation…
Etomidate is used as general anesthesia to facilitate intubation.
Side effects of etomidate..
Can cause uncontrolled skeletal muscle activity.
Etomidate dose (adult)
0.4mg/kg IV/IO
Etomidate dose (peds) 🐥
> 10 yrs old 0.4mg/kg IV/IO
Fentanyl is also known as…
Sublimaze is also known as…
This medication is contraindicated for use in pt’s who are…
<2 yrs of age
bradycardic
ALOC
Head injury w/suspected ICP
Contraindications of fentanyl use
Fentanyl dose (adult/peds pain)
1-2mcg/kg SIVP/IO/IM/IN (may repear prn at 1/2 initial dose)
Fentanyl dose (adult/peds post-sedation)
1-2mcg/kg/hr IV/IO
True or false. The doses mcg/kg for fentanyl are the same for adult and pediatrics?
True. Fentanyl doses for adult and pediatrics are the same.
GlucaGen is also known as…
Glucagon is also known as…
Hypoglycemia (if dextrose unavailable)
Beta Blocker Overdose
and Calcium Toxicity
Indications for Glucagon
The effects of this medication are inhibited by Dilantin
Glucagon is inhibited by Dilantin
Glucagon dose (adult hypoglycemia)
1mg SQ/IM (may repeat every 20 mins, Total max dose 4mg)
True or false. Glucagon is indicated in pediatric patients?
False, glucagon is not indicated for pediatric patients.
Indications for this medication…
Minor hypoglycemia with patent airway
Oral glucose
True or false. Oral glucose may be used in patients with ALOC or non-patent airway?
False, oral glucose is contraindicated for these patients.
Oral glucose (adult dose)
15g (1 tube) buccal
-repeat prn to maintain glucose levels