Need to Know Meds

Question 1

Amiodarone

Answer 1

K/Na/Ca channel blocking

Pulseless VF/VT = 300 mg IV rapid push followed by 150 mg IV rapid push

Stable wide complex tachycardia = 150 mg IV over 10 min f/b infusion 1 mg/min x6hrs

Question 2

Atropine

Answer 2

Anticholinergic

Peds: 0.02 mg/kg IV, max 0.5 single dose, max 1 mg cumulative dose

Adult: 0.5 mg IV, max 3 mg cumulative

Organophosphate toxicity: 1-6 mg IV q3-5 min prn

Question 3

Diltiazem (Cardizem)

Answer 3

Prolongs AV nodal conduction

0.25 mg/kg IV
0.35 mg/kg IV
5-15 mg/hr continuous

Question 4

Dexamethasone

Answer 4

0. 15-0.6 mg/kg PO -OR-
1. 6 mg/kg IM

One dose for Croup

Question 5

Racemic epinephrine

Answer 5

0.5 ml of 2.25% solution in 3 ml NaCl

Tx: Croup

Question 6

Ketamine (trauma)

Answer 6

10 mg IV (repeat as needed x5)

Question 7

Ibuprofen

Answer 7

10 mg/kg

Question 8

Acetaminophen

Answer 8

15 mg/kg

Question 9

Peds Cardioversion

Answer 9

0.5 - 1 J/kg

Question 10

Epinephrine

Answer 10

ACLS: 1 mg 1:10,000 IV 
PALS: 0.01 mg/kg 1:10,000 IV
Anaphylaxis: 0.1-0.5 mg 1:1,000 IM
Peds anaphylaxis/asthma: 0.01 mg/kg 1:1,000 IM (max single dose 0.3 mg)
IVF: 1-10 mcg/min IV

Question 11

Esmolol

Answer 11

500 mcg/kg loading dose, then continuous infusion of 50-300 mcg/kg/min

Question 12

Etomidate

Answer 12

0.3 mg/kg IV

RSI induction

Question 13

Fentanyl

Answer 13

25-100 mcg IV q 1-2 hours; recommended dose 1 mcg/kg

Question 14

Fosphenytoin

Answer 14

15-20 mg/kg IV loading dose administered at 150 mg/min

status epilepticus

Question 15

Heparin

Answer 15

Venous thromboembolism: 80 units/kg IV x 1, then 18 units/kg/hour
ACS or Afib: 60 units/kg IV x 1, then 12 units/kg/hr

Question 16

Hydrocortisone

Answer 16

Adrenal insufficiency: 100mg IV bolus, then 50 mg IV q 6 hours x24 hours followed by
a taper
Septic shock: 50 mg IV q 6 hours
Status asthmaticus: 1-2 mg/kg IV q 6 hours x24 hours followed by a maintenance
regimen

Question 17

Ketamine

Answer 17

Subdissociative: 0.1-0.5 mg/kg IV (10 - 20 mg trauma)
Procedural sedation: 0.5-1 mg/kg IV (50 - 100 mg)
RSI induction: 2 mg/kg IV (150-200 mg)

Question 18

Etomidate

Answer 18

0.3 mg/kg (20 - 30 mg)

Question 19

Succinylcholine

Answer 19

1.5 mg/kg (100-150 mg for > 10 yo)
2.0mg/kg IV (<10 y/o)
(3-4 mg/kg IM)

Question 20

Mannitol

Answer 20

1 g/kg IV

Question 21

Midazolam - Versed

Answer 21

3 mg for sedation of agitation

Usual continuous infusion: 1-10 mg/hour (intubated agitiation)

Question 22

Nitroglycerin

Answer 22

5-200mcg/min, increase 10 mcg q 3-5 min until desired effect

Higher doses are usually
required for pulmonary edema

Question 23

Norepinephrine - Levophed

Answer 23

1-30 mcg/min IV

Question 24

Octreotide

Answer 24

Bleeding esophageal varices: 50 mcg IV bolus, then 50 mcg/hour IV

Question 25

Olanzapine – Zyprexa

Answer 25

5-10mg IM/ODT (max 30mg/day)

Question 26

Propofol - Diprivan

Answer 26

Procedural Sedation: 1 mg/kg IV bolus then 0.5 mg/kg q 3 min
RSI induction: 1-3 mg/kg IV x 1
Ventilator Sedation: 5-50 mcg/kg/min

Question 27

Rocuronium

Answer 27

1mg/kg IV

Question 28

Induction agents:

• Ketamine
• Etomidate
• Propofol

Answer 28

Ketamine 1.5-2 mg/kg
Etomidate 0.3-0.4 mg/kg
Propofol 1-2.5 mg/kg (1.5)

Question 29

Neumuscular blockers:

• Succ
• Roc

Answer 29

Suxamethonium 1-2 mg/kg (1.5)

Rocuronium 0.6-1.2 mg/kg (1)

Question 30

Intubation Combos

Answer 30

• etomidate 20-30 mg & Roc 70-100 mg
• propofol 100-150 mg & Succ 100-150 mg
• Ketamine 150-200 mg & Roc

Question 31

Glucose

• baby
• young kid
• adult

Answer 31

D10 @ 5 mg/kg
D25 @ 2 mg/kg
D50 @ 1 mg/kg

Question 32

Peds IV fluid Resus

Answer 32

20 ml/kg

Question 33

Peds Defib

Answer 33

2 J/kg

Question 34

Peds Epi

Answer 34

0.01 mg/kg

Question 35

Peds Ativan (seizures)

Answer 35

0.05 mg/kg

Question 36

Peds Ketamine (sedation)

Answer 36

1 mg/kg

Question 37

Propofol drip

Answer 37

5-50 mcg/kg/min, increase by 5 mcg/kg/min q10min

Question 38

Push dose Phenylepharine

Answer 38

w/ 3 ml syringe draw up 1 ml phenylepharine and inject into 100 ml bag NS == 100 mls of 100 mcg/ml (give 1 ml = 100 mcg q2m)

Question 39

Push dose Epinephrine

Answer 39

10 ml NS flush, replace 1 ml with 1 ml cardiac epi == 10 mls or 10 mcg/ml (give 1 ml q3m)