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CCT > Meds > Flashcards

Meds Flashcards

1
Q

RSI meds for adult

A 
Etomidate 0.3 mg/kg
Succinylcholine 2mg/kg
Rocuronium 1mg/kg
In rapid succession 
Propofol 2 mg/kg
Ketamine 1mg/kg
Vecuromium 0.1 mg/kg
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2
Q

What RSI drug would you NOT use if your pt was hyperkalemic, has a burn/crush injury, spinal cord injury or a myopathy?

A

Succinylcholine. You would want to use rocuronium 1mg/kg

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3
Q

For RSI if you have no succs or roc what drug would you use?

A

Vecuromium 0.1 mg/kg

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4
Q

For a hypotensive pt what drug would you use in RSI?

A

Ketamine 2mg/kg

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5
Q

For RSI if you have NO etom and pt bp good what drug would you use?

A

Diprivan 2mg/kg

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6
Q

RSI atropine dose for pt <8 yrs old?

A

Atropine 0.02 mg/kg

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7
Q

For RSI you want to pre-oxygenate w/NRB for 1-3 min and have NC on how many liters/min?

A

5

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8
Q

What is mallampati score?

A

Classification of ease of intubation.
Class 1: full visualization of tonsils, uvula, n soft palate
Class 2: visual of hard n soft palate n upper portion of tonsils n uvula.
Class 3: only soft n hard palate n base of uvula visible.
Class 4: only hard palate visible.

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9
Q

Airway assessment

LEMON

A 
Look
Evaluate 3-3-2
Mallampati
Obstruction
Neck mobility
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10
Q

What does LEMON stand for?

A 
Look
Evaluate (3-3-2, mouth opening 3        finger widths, norm mandible dimension, notch of thyroid cartilage 2 finger breadths below hyoid bone)
Mallampati 
Obstruction
Neck mobility
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11
Q

For RSI; in the septic pt you would use what drug in place of etomidate?

A

Ketamine 2mg/kg

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12
Q

What drug in RSI would you want to promedicate with for an actual or potential head injury pt?

A

Fentanyl 3-5 mcg/kg ivp

Lidocaine 1.5 mg/kg ivp

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13
Q

Allergic reaction..what drugs would you use?

A

Benadryl 50 mg ivp/im
Albuterol 5mg
NS bolus up to 2L
EPINEPHRINE (1:1,000) 0.3mg or 0.3 ml IM

If severe life threatening and IM not working; mix 10 ml of 1:10,000 (1mg) in 1L of NS start at 60 ml/hr and increase by 60 ml/hr every min

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14
Q

Drugs to use for combative pt?

A

Ativan (lorazepam) 1-2 mg IVP
Versed (midazolam) 2 mg IVP/IM
Ketamine (ketalar) 5 mg/kg IM or 1-2 mg/kg I’VE

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15
Q

COPD/asthma, bronchospasm..what meds would you give?

A 
Albuterol 5mg
Atrovent (ipratropium bromide) 0.5mg
Epinephrine (if life threatening) 0.3 mg (0.3 ml) of 1;1,000 IM (avoid if heart dx tachyarrhythmias or age >50
Solu-medrol 125 mg IVP
Epi aerosol 5 ml (or racemic epi 0.5ml)
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16
Q

Bradycardia

A

Atropine 0.5 mg IVP
Dopamine 5-20mcg/kg/min if pacing is ineffective

Epinephrine gtt 2-10 mcg/min

Transcutaneous pace for type 2 second degree or 3rd degree av block

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17
Q

Chest pain

A

Asa 81 mg
Nitro gtt 5 mcg/min titrate 5-10 mcg/min q 3 min
Fentanyl 50 mcg IV

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18
Q

Tachycardia >150 unstable

A

Immediate synchronized cardioversion w/ 150 joules

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19
Q

Tachycardia wide qrs

A

Adenosine (adenocard) 6mg

Amiodarone (cardarone) 150 mg IV over 10 min, repeat 150mg IV over 10min

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20
Q

Tachycardia narrow qrs

A

Vagal maneuver

Adenosine (adenocard) 6mg rapid push, may repeat 12 mg dose once

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21
Q

Tachycardia afib/flutter

A

Diltizem (cardizem) 0.25 mg/kg IVP over 2 min
May repeat 0.35 mg/kg in 15 min
Maintenance 5-15 mg/hr gtt

If unresponsive Amiodarone 150mg IVP over 10min

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22
Q

CHF

A

Cpap
Nitro 50 mcg/min titrate 5-10 mcg/min q 3 min up to 200 mcg keep sbp >100
Lasix (furosemide) 0.5-1.0 mg/kg IVP

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23
Q

Hypoglycemia

A

D50 25grams repeat in 10 prn

Glucagon 1mg IM

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24
Q

Hyperglycemia

A

BS. >300 w/change in LOC, increased resp

250 ml NS bolus

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25
Q

Heat emergency

A

NS 500 ml bolus

Ativan (lorazepam) 1-2 mg for shivering prn

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26
Q

What meds would u use for a K greater then 7, or >5.5 w/ EKG changes..loss of P wave, widening QRS, tall peaked T waves, or arrhythmias..weakness or paralysis?

A 
Ca Gluconate 10ml of 10% in 5 min(do not use if dig tox)
NA bicarbonate 50 meq (no if chf)
Insulin 10units IVP
Glucose 25 G IVP
Consider albuterol 5mg/5ml nebs
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27
Q

HTN >200/120

A

Ntg gtt 10 mcg/min titrate q 3 min

Nicardipine (cardene) bolus 5mg/hr increase by 2.5 mg q 5-15 min max 15 mg/hr..when bp improved, quick ween to 3 mg/hr

Labetalol (trandate) 10-20 mg IVP q5-10 min max 150 mg

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28
Q

OD..what drugs and dose?

A

Narcan (naloxone) 0.4 mg IV/im/in

Tricyclics 8.4%NA bicarbonate
Organophosphate atropine

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29
Q

Pain mgmt meds

A

Diludid 0.5-1 mg IV/IM q10 min
Fentanyl (sublimaze) 1mcg/kg q5 (no more then 100mcg per dose)

MS up to 4mg q5

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30
Q

Sedation

A

Versed (midazolam) 2-5mg

Ativan (lorazepam) 1-2 mg

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31
Q

Cardioversion sedation meds?

A

Fentanyl (sublimaze)1mcg/kg
And
Etomidate (amidate) 0.1 mg/kg
Immediately prior if pt awake

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32
Q

Sedation for intubated pt?

A 
Ativan (lorazepam) 1-2 mg
Versed (midazolam) 2-5 mg
Fentanyl (sublimaze) 1mcg/kg q5min
Propofol (Diprivan) 20-40mg bolus q2min...gtt 5-50 mcg/kg/min
Ketamine (ketalar) 1mg/kg over 1min
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33
Q

Seizure meds?

A

Check BS
Versed (midazolam) 0.1 mg/kg max dose of 5 mg
Ativan (lorazepam) 2mg q10 slow push

34
Q

Non-traumatic shock meds?

A

250 NS bolus prn
Dopamine 5-20 mcg/kg/min
Dobutamine 2-20 mcg/kg/min

Sepsis: norepinephrine (levophed) 0.5-12 mcg/min

35
Q

N/V?

A

Zofran (ondansetron) 4mg
NS bolus 250 ml
Reglan (metoclopride) 10mg IVP/IM
Benadryl (diphenhydramine) 25 mg IVP for restlessness

36
Q

Adenocard (adenosine)..what’s it for and adult dose?

A

Narrow tachycardia
6 mg rapid IVP then
12 mg rapid IVP x1 prn

37
Q

Albuterol (Proventil)..what’s it for and adult dose?

A

Allergic reaction, bronchospasm, wheezing

5mg nebs, repeat prn

38
Q

Amiodarone (cordarone)..what’s it for and adult dose?

A

Antiarrhythmic..wide tachycardia
300mg IVP n repeat 150 mg-arrhythmias

150 mg IVP over 10 min-tachycardia

39
Q

Amiodarone kit…what’s it for and how is it dosed?

A

Antiarrhythmic n wide tachycardia

1mg/min

40
Q

Atropine…what’s it for and adult dose?

A

Asystole, PEA, 1mg IVP q 3-5 min

Symptomatic bradycardia 0.5 mg q3-5 min

41
Q

Atrovent (ipratropium)..what’s it for and the adult dose?

A

Bronchospasm or wheezing

0.5 mg nebs

42
Q

Benadryl (diphenhydramine) what’s it for and the adult dose?

A

Allergic reaction and anaphylaxis 50mg IVP/IM

Akathisa (restlessness) 25 mg IVP

43
Q

Calcium Gluconate..,what’s it used for and the adult dose?

A

Hyperkalemia 10 ml of 10% IVP over 5 min

44
Q

Dextrose (D50W)..what’s it for and the adult dose?

A

Glucose <70

25gm IVP

45
Q

Dilaudid (hydromorphone HCL)…adult dose and what’s it for?

A

Pain mgmt
0.5-1 mg IVP q10 min
>65 yo..0.5 mg IVP q10

46
Q

Diltiazem 25mg/ml (cardizem)…what’s it for and adult dose?

A

Tarcardia
0.25 mg/kg IV over 2 min
May repeat 0.35 mg/kg in 15 min

47
Q

Diltiazem 125mg/25ml (cardizem)…gtt..

What’s it for and adult dose?

A

Tachycardia

5-15 mg/hr titrate for hr

48
Q

Dopamine (intropin)…what’s it for and the adult dose?

A

Shock..non-traumatic, n bradycardia
5-20 mcg/kg/min
Keep bp >100

49
Q

Dobutamine…what’s it for and adult dose?

A

Non-traumatic shock
2.5-20 mck/kg/min
Titrate keep bp >100

50
Q

Epinephrine (1:1000, 1:10,000)..what’s it for and the adult dose?

A

Vfib, pulseless VT, PEA, asystole, asthma, anaphylaxis, shock

Card arrest: 1mg of 1:10,000 q3-5min

Anaphylaxis/asthma.. 0.3 mg 1:1000 sq/im q5-10 min x2
Severe; 1:10,000 (1 ml IV)

Epi gtt: 2-10 mcg/min

51
Q

Etomidate..when do we use it and adult dose?

A

RSI, 0.3 mg/kg IV

Sedation, 0.1 mg/kg for cardioversion

52
Q

Fentanyl (sublimaze)..what’s it for and adult dose?

A

Pain, airway, sedation

1mcg/kg IVP q5 min..(max single dose 100 mcg)

53
Q

Glucagon..what’s it for and adult dose?

A

Glucose <70 and no IV site

1 mg IM, repeat in 20 min

54
Q

Haloperidol (haldol)…what’s it for and adult dose?

A

Combative pt

10 mg IVP

55
Q

When would we use insulin and what adult dose?

A

Hyperkalemia 10 units of reg. IV

56
Q

Ketamine (ketalar)..what’s it for and adult dose?

A

Sedation
Induction 2mg/kg IV over 1 min
Sedation 1mg/kg IV over 1min

57
Q

Labetalol (trandate)..what’s the dose and what’s it for?

A

Hypertension
10-20 mg q5-10 min IVP
Max dose 150 mg

58
Q

Lasix (furosemide) ..what’s the adult dose and what’s it for ?

A

CHF/pulm edema

0.5-1.0 mg/kg IV

59
Q

Lidocaine 2% (xylocaine)…what’s the adult dose and what’s it for?

A

RSI (consider), arrhythmia: 1-1.5 mg/kg IV

EZ IO insertion; 40-60 mg IO slowly before fluid bolus

60
Q

Lidocaine 1% (xylocaine)…what’s it for and adult dose?

A

Local anesthesia; prn up to 4.5 mg/kg

61
Q

Lorazepam (Ativan)..what’s the adult dose and what’s it for?

A

Behavioral, heat emergency, seizure, sedation; 1-2 mg IVP

62
Q

Magnesium sulfate..what’s it for and the adult dose?

A

Torsades de pointes…1-2 gm IV

63
Q

Morphine sulfate..what’s it for adult dose?

A

Pain, sedation, airway;
4mg IV q5 min prn
Geriatric; up to 2 mg IV q5min prn

64
Q

Narcan (naloxone)..what’s it for and adult dose?

A

Narc OD

0.4 mg IV may repeat up to 2 mg

65
Q

Nicardipine (cardene)…what’s it dot and adult dose?

A

Hypertension

Begin 5 mg/hr titrate q5-10 min 2.5 mg up to max of 15 mg/hr. when goal bp reached change to 3 mg/hr

66
Q

Nitroglycerin (tridil)..what’s it for and the adult dose?

A

CHF; begin w/ 10 mcg/min, titrate to 50 mcg /min keeping bp >100

CP; begin at 5 mcg/min, titrate by 5mcg/min q5 min

67
Q

Nitro spray..what’s it for and adult dose?

A

CP or pulm edema; 0.4 sl q5 min keep sbp >100

68
Q

Norepinephrine (levophed)..when do we use it and what’s the dose?

A

Septic shock

0.5 mcg/min titrate up to 30 mcg/min

69
Q

Oxytocin (pitocin)..what’s it for and what’s the dose?

A

OB emergencies, postpartum hemorrhage

10 units

70
Q

Plavix (clopidogrel)..what’s it for and dose?

A

CP w/ allergy to asa; 300 mg

71
Q

Procainamide (pronestyl)..what’s it for and adult dose?

A

Antiarrhythmic; 15mg/kg @ 20-30 mg/min to a total loading dose of 1000 mg

72
Q

Propofol (Diprivan)..what’s it for and adult dose?

A

Sedation..bolus of 2mg/kg and gtt 5-50 mck/kg/min

73
Q

Reglan (metoclopride)..whats it for and adult dose?

A

N/V; 10 mg IV/IM

74
Q

Rocuronium bromide (zemuron)..what’s it for and adult dose?

A

Neuromuscular relaxant..
1mg/kg IV

Defasiculating (muscle twitching) dose 0.1 mg/kg IV

75
Q

Nitroprusside..adult dose and use?

A

Acute CHF

0.3 mcg/kg/min

76
Q

Sodium bicarbonate 8.4%…what’s it for and adult dose?

A

Prolonged cardiac arrest, hyperkalemia; 1meq/kg IV

77
Q

Solu-medrol..what’s it for and adult dose?

A

Bronchospasm (asthma/copd) 125mg IV

78
Q

Succinylcholine (anectine)..adult dose and use?

A 
Neuromuscular relaxant (short term)
2mg/kg IV
79
Q

Valium (diazepam)..use and adult dose?

A

Sedation, airway,

Up to 5 mg IV may repeat as needed

80
Q

Vecuronium (norcuron)..adult dose and use?

A

Neuromuscular relaxant: 0.1 mg/kg IV

Defasciulating (twitching) dose; 0.01 mg/kg IV

81
Q

Versed (midazolam)..use and adult dose?

A

Sedation, airway, burns, seizures;
2mg IV increments up to 10mg

2-5 mg IV q10 severe burn
discomfort

82
Q

Zofran (ondansetron)..use and adult dose?

A

Vomiting; 4 mg IV slow 2-5 min
Or
4mg oral disintegrating tab (ODT)

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