Misc

Question 1

Misc:

Dextrose Peds

Answer 1

0-1yo (D10) 5 ml/kg IV
1-8yo (D25) 2 ml/kg IV
>8yo (D50) 1 ml/kg IV

Question 2

Misc:

Dextrose Adult

Answer 2

Amp D50 (25g dextrose in 50mL) IV

Question 3

Misc:
Glucagon:

Answer 3

• Hypoglycemia: 0.5mg, 1mg IM/IV/SQ injector kit
• CCB/BB OD: 5mg IV x 2 q20mins, then start gtt at total dose which response was noted-

Question 4

Misc:
Heparin ACS:
Heparin PE/DVT:

Answer 4

Heparin ACS: 60u/kg load (max 5000u), then 12u/kg/hr
Heparin PE/DVT: 80u/kg load, then 18u/kg/hr

Question 5

Misc:
Insulin for CCB overdose:

Answer 5

Insulin for CCB overdose: 1u/kg IV (+1 amp D50), then 0.5-1u/kg/hr gtt (+D10 gtt @ 1.5-2x MIVF)

Question 6

Misc:
Intralipid:

Answer 6

1.5mg/kg bolus, then 0.25 ml/kg/min

for 30 to 60 minutes, repeat bolus if no improvement

Question 7

Misc:
NAC:

Answer 7

load 150mg/kg IV → 50mg/kg over 4hr → 100mg/kg over 16hr

Question 8

Misc:

Narcan Peds

Answer 8

0.1mg/kg

Question 9

Misc: Adult

Narcan

Answer 9

If naïve: 0.4-2mg (q1min to max 10mg). If addict 0.1-0.4mg and titrate up. If code 2mg
*2/3 dose per hr for narcan drip

Question 10

Misc:

NTG

Answer 10

0. 3-0.6mg SL tab q5mins x3 hold for low SBP
1. 4mg SL spray q5mins x3
2. 5-10mcg/kg/min (start ~40mcg/min, ↑10mcg/min q3mins)

Question 11

Misc:

Octreotide Peds

Answer 11

1-2mcg/kg bolus then 1-2mcg/kg drip

Question 12

Misc:

Octreotide Adult

Answer 12

25-50mcg bolus then 25-50mcg/hr drip

Question 13

Misc:

Prostaglandin E1

Answer 13

0.1 mcg/kg/min IV/IO

Watch for apnea/hypotension/bradycardia (give IVF 1st)

Question 14

Misc:

Protonix

Answer 14

80mg IV bolus, then 8mg/hr drip