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Advanced Care Paramedic > Pharmacology YT > Flashcards

Pharmacology YT Flashcards

1
Q

ASA Ped Dose

A

324mg PO only if ischemic cardiac hx

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2
Q

Ketamine Adult Dose (induction)

A

1-2mg/kg SIVP PRN. Maintain with 1/2 induction dose q5-15 mins

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3
Q

Magnesium Sulfate Contraindications (3)

A

Hypersensitivity, myocardial damage, heart block

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4
Q

Ketorolac Ped Dose

A

0.5mg/kg (max 30mg) IV

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5
Q

Calcium Gluconate Ped Dose (BB/CCB OD)

A

20mg/kg IV (max 1g) over 5mins, q5 mins x1 repeat

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6
Q

Nitroglycerine Indications (2)

A

C/P, APE

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7
Q

Salbutamol Ped Dose (bronchospasm) (2)*

A
  • Ped dosage only applies if weight under 20kg*
  • 2.5mg Neb, repeat PRN
  • 5x100mcg, repeat PRN
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8
Q

Glucagon Adult Dose (anaphylaxis)

A

1mg IV, q5 mins max of 5mg total (especially effective for pts on BB/CCB patients)

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9
Q

Ipratropium Bromide Adult Dose (2)

A
  • 500mcg Neb, repeat prn max 1500mcg.

- 3-6 sprays (18mcg/spray) MDI, x1 repeat

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10
Q

Ketamine Ped Dose (induction)

A

1-2mg/kg SIVP PRN. Maintain with 1/2 induction dose q5-15 mins

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11
Q

Calcium Gluconate Indications (3)

A

Hypocalcemia, hyperkalemia/crush injury, OD (BB/CCB)

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12
Q

Magnesium Sulfate Adult Dose (torsades)

A

1-2g IV over 15 mins, q5-15 mins PRN

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13
Q

Salbutamol Adult Dose (hyperkalemia)

A

20mg Neb

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14
Q

Morphine Adult Dose (2)

A
  • 2-10mg IV/IM, q5-15 mins

- 0.5-4mg/h infusion IV

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15
Q

Midazolam (Versed) Contraindications (3)

A

Hypersensitivity, narrow-angle glaucoma, myasthenia gravis

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16
Q

Midazolam (Versed) Ped Dose (seizure) (2)

A
  • 0.1mg/kg IV (5mg max), q5 mins PRN

0. 2mg/kg IM/IN (10mg max), q5 mins PRN

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17
Q

Nitroglycerine Adult Dose (C/P) (2)

A
  • 0.4mg SL q5 mins

- 10-20mcg/min IV increase by 5-10mcg/min every 5-10 mins PRN

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18
Q

Magnesium Sulfate Adult Dose (asthma)

A

2g IV over 10 mins

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19
Q

Fentanyl Adult Dose (for pain)

A

25-50mcg IV, q5-15 mins PRN

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20
Q

Midazolam (Versed) Adult Dose (intubation)

A

0.1mg/kg IV

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21
Q

Fentanyl Contraindications (1)

A

Hypersensitivity to opiates

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22
Q

Glucagon Adult Dose (BB/CCB OD)

A

5mg IV, q10 mins x2 repeats

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23
Q

Haloperidol Contraindications (4)

A

Hypersensitivity, Parkinson’s, CNS depression, 1/2 doses or alternate medication for hypotension

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24
Q

Magnesium Sulfate Indications (4)

A

Torsades, eclamptic seizure, TCA OD, asthma

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25
Q

Glucagon Ped Dose (hypoglycemia)*

A
  • Ped dosage only applies if weight is less than 25kg*

0. 5mg IM

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26
Q

Haloperidol Adult Dose

A

2.5-10mg IM, q5-10 mins max 100mg

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27
Q

Calcium Gluconate Ped Dose (hyperkalemia/crush injury)

A

20mg/kg IV (max 1g), q5 mins x1 repeat

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28
Q

Glucagon Contraindications (2)

A

Hypersensitivity, pheochromocytoma

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29
Q

Ephedrine Indications (1)

A

Post-intubation hypotension (persistant)

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30
Q

Ondansetron Ped Dose

A

0.1mg/kg IM/IV, max 4mg

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31
Q

Morphine Contraindications (2)

A

Hypersensitivity, MAOI use in last 14 days

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32
Q

Ipratropium Bromide Ped dose (2)*

A
  • Ped dosage applies only if weight less than 30kg*
  • 250mcg Neb, q15mins x2 repeats.
  • 4 sprays (18mcg/spray) MDI, q15mis x2 repeats
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33
Q

Adenosine Ped Dose

A

0.1mg/kg RIVP (max 6mg), q1-2 mins x1 repeat of 0.2mg/kg (max 12mg)

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34
Q

Salbutamol Indications (2)

A

Bronchospasm, hyperkalemia

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35
Q

Magnesium Sulfate Adult Dose (TCA OD)

A

1-2g IV over 5 mins

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36
Q

Magnesium Sulfate Adult Dose (eclamptic seizure)

A

4g in 100cc IV over 15 mins

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37
Q

Ketamine Indications (3)

A

Induction, pain, combative

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38
Q

Glucagon Adult Dose (hypoglycemia)

A

1mg IM

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39
Q

Ephedrine Adult Dose

A

0.2mg/kg IV (max 10mg), q5 mins PRN

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40
Q

Ketamine Contraindications (4)

A

Hypersensitivity, HTN/CHF, high ICP, thyrotoxicosis (increased thyroid hormone causing psychosis)

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41
Q

Ketorolac Contraindications (2)

A

Bleeds, advanced renal/hepatic impairment

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42
Q

Ketamine Adult Dose (combative)

A

1mg/kg SIVP PRN
4-5mg/kg IM

Infuse at 1-2mg/kg/h

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43
Q

Haloperidol Indications (1)

A

Chemical restraint

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44
Q

Nitroglycerine Contraindications (5)

A

Hypersensitivity, BP less than 100, ED drugs last 2/48h, severe anemia, cardiac tamponade/restrictive pericarditis

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45
Q

Fentanyl Indications (2)

A

Severe pain, adjunct for intubation

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46
Q

Ketamine Adult Dose (pain)

A

0.25-0.5mg/kg SIVP, q3-5mins max 35mg

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47
Q

Fentanyl Adult Dose (for intubation)

A

1-3mcg/kg IV. Maintain with 50-200mcg/h

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48
Q

Succinylcholine Adult Dose

A

1.5mg/kg IV, maintain with Rocuronium or analgesic maintenance

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49
Q

Calcium Gluconate Adult Dose (hypocalcemia)

A

7-14mEq IV over 15-30 mins

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50
Q

Magnesium Sulfate Ped Dose (asthma)

A

50mg/kg (max 2g) IV over 20 mins

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51
Q

Calcium Gluconate Contraindications (3)

A

Known hypercalcemia, VF, digoxin toxicity (as it may delay depolarization causing VF/VT)

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52
Q

Succinylcholine Ped Dose

A

2mg/kg IV, maintain with Rocuronium or analgesic maintenance

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53
Q

Nitroglycerine Adult Dose (APE)

A

0.4mg SL (or 0.8mg if BP over 160mmHg systolic), then maintain with 20mcg/kg IV, titrate to effect

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54
Q

Morphine Ped Dose (2)

A
  • 0.1mg/kg IV/IM (max 5mg) q5-15 mins

- 0.02-0.06mg/kg/h infusion IV

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55
Q

Ketorolac Adult Dose

A

15-30mg IM/IV, q6h max 120mg/day

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56
Q

Glucagon Indications (3)

A

Hypoglycemia, BB/CCB OD, anaphylaxis refractory to fluids/epinephrine

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57
Q

ASA Contraindications (4)

A

Hypersensitivity, ongoing bleed, peds with viral symptoms, asthma with hx of ASA causing exacerbation

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58
Q

Adenosine Adult Dose

A

6mg RIVP, q1-2 mins x1 repeat of 12mg

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59
Q

Ipratropium Bromide Contraindications (2)

A

Hypersensitivity, Allergy to peanuts/soy

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60
Q

Fentanyl Ped Dose (for pain)

A

0.5mcg/kg IV (max 50mcg), q5-15 mins PRN

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61
Q

Salbutamol Adult Dose (bronchospasm) (2)

A
  • 5mg Neb, repeat PRN

- 8x100mcg MDI, repeat PRN

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62
Q

Midazolam (Versed) Ped Dose (intubation)

A

0.1mg/kg IV

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63
Q

Glucagon Ped Dose (BB/CCB OD)

A

0.1mg/kg IV (max 5mg), q5 mins total max 10mg

64
Q

Calcium Gluconate Adult Dose (BB/CCB OD)

A

1g IV over 5 mins, q10-15 mins x2 repeat

65
Q

Fentanyl Ped Dose (for intubation)

A

0.5-1mcg/kg IV. Maintain with 0.5-5mcg/kg/h

66
Q

Midazolam (Versed) Adult Dose (seizure) (2)

A
  • 5mg IV q5-10 mins PRN

- 10mg IM/IN q5-10 mins PRN

67
Q

Midazolam (Versed) Adult Dose (violent)

A

2-5mg IM/IN, repeat PRN max 10mg

68
Q

Ketamine Ped Dose (pain)

A

0.3mg/kg SIVP

69
Q

Ephedrine Contraindications (1)

A

Hypersensitivity to sympathomimetics

70
Q

Ephedrine Ped Dose

A

Epinephrine preferred for pediatrics

71
Q

Midazolam (Versed) Ped Dose (violent)

A

0.2mg/kg IM/IN, repeat PRN max 8mg

72
Q

ASA Adult Dose

73
Q

Succinylcholine Contraindications (4)

A

Hypersensitivity, hyperkalemia, hx of malignant hyperthermia, major burns/trauma in last 24h

74
Q

Salbutamol Contraindications (2)

A

Hypersensitivity, hemodynamically significant tachyarrythmias

75
Q

Salbutamol Ped Dose (hyperkalemia)

A

2.5-5mg Neb continuous

76
Q

Ondansetron Contraindications (3)

A

Hypersensitivity, current apomorphine use, congenital long QT syndrome

77
Q

Midazolam (Versed) Indications (3)

A

Seizure, violent, adjunct for intubation

78
Q

Adenosine Contraindications (4)

A

Hypersensitivity, poison/drug-induced tachycardia, 2nd/3rd-degree heart block, A-fib/sick sinus syndrome with rate above 220

79
Q

Ondansetron Adult Dose

A

4-8mg IV/IM, max 8mg

80
Q

Haloperidol Ped Dose

A

0.05-0.15mg/kg IM/IV (max 2mg IV and 5mg IM), q1h PRN

81
Q

Calcium Gluconate Adult Dose (hyperkalemia/crush injury)

A

1g IV over 5mins, q20 mins x1 repeat

82
Q

Amiodarone Adult Dose (refractory VF/VT)

A

300mg IV, q3-5 mins x1 repeat of 150mg

83
Q

Amiodarone Ped Dose (refractory VF/VT)

A

5mg/kg IV (max 300mg), q5 mins x 2 repeats

84
Q

Amiodarone Adult Dose (VT with pulse)

A

150mg IV over 10 mins

85
Q

Amiodarone Ped Dose (VT with pulse)

A

5mg/kg IV (max 300mg) over 20-60 mins

86
Q

Amiodarone Contraindications (4)

A

Hypersensitivity, 2nd/3rd-degree heart block, prolonged QT, pre-excitation a-fib

87
Q

Acetaminophen Indications (2)

A

Mild to moderate pain, Fever (38.5 degrees+)

88
Q

Acetaminophen Adult Dose

A

500-1000mg PO/PR

89
Q

Acetaminophen Ped Dose

A

10-15mg/kg PO/PR (max 1000mg)

90
Q

Acetaminophen Contraindications (2)

A

Hypersensitivity, hepatic failure

91
Q

Norepinephrine Adult Dose

A

0.1-1mcg/kg/min IV, titrate to effect

92
Q

Norepinephrine Ped Dose

A

0.05-0.1mcg/kg/min IV titrate by 0.02mcg/kg/min PRN (max 2mcg/kg/min)

93
Q

Norepinephrine Contraindications (2)

A

Hypersensitivity, hypovolemia

94
Q

Pantoprazole Indications (2)

A

GERD/ulcers, GI bleed

95
Q

Pantoprazole Adult Dose (GERD/ulcers)

A

40mg IV/PO

96
Q

Pantoprazole Adult Dose (GI bleed)

A

80mg IV over 15 mins, then an additional 40mg @8mg/h

97
Q

Pantoprazole Contraindications (2)

A

Hypersensitivity, lactation

98
Q

Atropine Indications (2)

A

Symptomatic bradycardia, organophosphate poisoning

99
Q

Atropine Adult Dose (bradycardia)

A

0.5mg IV, q3-5 mins max 3mg

100
Q

Atropine Ped Dose (bradycardia)

A

0.02mg/kg IV (min of 0.1mg, max of 0.5mg), q3 mins x1 repeat

101
Q

Atropine Adult Dose (organophosphate poisoning)

A

2-5mg IV, q2-5 mins PRN

102
Q

Atropine Ped Dose (organophosphate poisoning)

A

0.05mg/kg IV (min 0.1mg, max 5mg), q2-5mins PRN

103
Q

Atropine Contraindications (2)

A

Hypersensitivity to anticholinergics, tachycardia

104
Q

Diphenhydramine Adult Dose

A

50mg IV/IM/PO

105
Q

Diphenhydramine Ped Dose

A

1mg/kg IM/IV/PO (max 40mg)

106
Q

Diphenhydramine Contraindications (1)

A

Hypersensitivity

107
Q

Dopamine Adult Dose

A

Renal: 0.5-2mcg/kg/min IV
Beta 1: 2-10mcg/kg/min IV
Alpha: 10-20mcg/kg/min IV

108
Q

Dopamine Ped Dose

A

Increase the following by 1mcg/kg/min:
Renal: 0.5-2mcg/kg/min IV
Beta 1: 2-10mcg/kg/min IV
Alpha: 10-20mcg/kg/min IV

109
Q

Dopamine Contraindications (1)

A

Hypersensitivity

110
Q

Dimenhydrinate Adult Dose

A

25-50mg IM/IV (12.5mg if frail or elderly)

111
Q

Dimenhydrinate Ped Dose

A

1.25mg/kg SIVP (max 40mg)

112
Q

Dimenhydrinate Contraindications (1)

A

Hypersensitivity to Gravol, Benedryl, or caffeine

113
Q

Thiamine Indications (2)

A

Hypoglycemia with ETOH abuse/malnourishment, methanol ingestion

114
Q

Thiamine Adult dose (hypoglycemia)

A

100mg IV/IM

115
Q

Thiamine Adult dose (methanol ingestion)

A

100mg IV/IM

116
Q

Thiamine Contraindications (1)

A

Hypersensitivity

117
Q

Oxytocin Adult Dose

A

10 units IM, then maintain with: 40 units in 1000mL, bolus 500mL then 125mL/h infusion

118
Q

Oxytocin Contraindications (1)

A

Pt candidate for multiple births

119
Q

TXA Adult Dose

A

1g IV over 10 mins

120
Q

TXA Ped Dose

A

15mg/kg IV (max 1g) over 10 mins

121
Q

TXA Contraindications (3)

A

Hypersensitivity, over 3h past injury, ongoing thromboembolism

122
Q

Sodium Bicarbonate Indications (4)

A

Acidosis, OD (sympathomimetic, BB, TCA, ASA, methanol), anticholinergic poisoning, crush syndrome/hyperkalemia

123
Q

Sodium Bicarbonate Adult Dose (acidosis)

A

2-5 mEq/kg IV over 4-8 hours

124
Q

Sodium Bicarbonate Ped Dose (acidosis)

A

1 mEq/kg IV (max 50 mEq)

125
Q

Sodium Bicarbonate Adult Dose (OD)

A

1-2 mEq/kg IV, if no response infuse 150 mEq in 1000mL @ 250mL/h IV

126
Q

Sodium Bicarbonate Ped Dose (OD)

A

1-2 mEq/kg IV, if no response infuse 150 mEq in 1000mL @ 250mL/h IV

127
Q

Sodium Bicarbonate Adult Dose (anticholinergic poisoning)

A

1 mEq/kg SIVP, q5 mins x1 repeat, if no response: infuse 150 mEq in 1000mL @ 250mL/h IV

128
Q

Sodium Bicarbonate Adult Dose (crush/hyperkalemia)

129
Q

Sodium Bicarbonate Ped Dose (crush/hyperkalemia)

A

1 mEq/kg SIVP (max 50 mEq)

130
Q

Sodium Bicarbonate Contraindications (2)

A

Early cardiac arrest, early respiratory arrest

131
Q

Dextrose Adult Dose

A

10-25g IV, repeat PRN

132
Q

Dextrose Ped Dose

A

0.5g/kg IV (max 25g), repeat PRN

133
Q

Dextrose Ped Younger Than 6w Dose

A

0.2g/kg IV (max 25g), repeat PRN

134
Q

Furosemide Indications (2)

A

APE, hyperkalemia with ECG changes

135
Q

Furosemide Adult Dose (APE)

A

40-80mg IV (consider larger dose if they take large dose furosemide)

136
Q

Furosemide Adult Dose (hyperkalemia with ECG changes)

A

20-40mg IV

137
Q

Furosemide Ped Dose (hyperkalemia with ECG changes)

A

0.5-1mg/kg IV (max 40mg)

138
Q

Furosemide Contraindications (3)

A

Hypersensitivity, anuria, severe hypotension

139
Q

Diazepam (Valium) Adult Dose

A

5mg IV, q5-10mins PRN

140
Q

Diazepam (Valium) Ped Dose

A

0.3mg/kg IV (max 5mg), q5-10 mins PRN

141
Q

Diazepam (Valium) Contraindications (2)

A

Hypersensitivity, hypoglycemic seizures

142
Q

Lorazepam (Ativan) Indications (3)

A

Seizure, violent, anxiety

143
Q

Lorazepam (Ativan) Adult Dose (seizure)

A

2mg IV, q5 mins PRN

144
Q

Lorazepam (Ativan) Ped Dose (seizure)

A

0.1mg/kg SIVP (max 4mg), q5 mins x1 repeat

145
Q

Lorazepam (Ativan) Adult Dose (violent)

A

2-4mg IV/IM/PO, q10 mins until sedation

146
Q

Lorazepam (Ativan) Ped Dose (violent)

A

0.1mg/kg IV (max 4mg), q5 mins 1/2 doses PRN

147
Q

Lorazepam (Ativan) Adult Dose (anxiety)

A

1-2mg IV/PO, q10 mins max 8mg

148
Q

Lorazepam (Ativan) Contraindications (3)

A

Hypersensitivity, narrow-angle glaucoma, myasthenia gravis

149
Q

Epinephrine Indications (4)

A

Severe bronchospasm, anaphylaxis, cardiac arrest, croup

150
Q

Epinephrine Adult Dose (bronchospasm)

A

0.3mg IM, q5-10 mins x2 repeats

151
Q

Epinephrine Ped Dose (bronchospasm)

A

0.01mg/kg IM (max 0.3mg), q5-10 mins x 2 repeats

152
Q

Epinephrine Adult Dose (anaphylaxis)

A

0.3mg IM, q5 mins PRN

153
Q

Epinephrine Ped Dose (anaphylaxis)

A

0.01mg/kg IM (max 0.3mg), q5 mins PRN

154
Q

Epinephrine Adult Dose (cardiac arrest)

A

1mg IV (1:10’000), q3-5 mins PRN

155
Q

Epinephrine Ped Dose (cardiac arrest)

A

0.01mg/kg IV (1:10’000) (max 1mg), q3-5 mins PRN

156
Q

Epinephrine Ped Dose (croup)

A

0.5mg/kg Neb (max 5mg), mixed with 5mL of NS

Advanced Care Paramedic (2 decks)

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