Protocols

Question 1

Adenosine

Answer 1

Adult:
6 mg RAPID IV push; followed by a 10cc flush
May repeat with 12 mg

Peds:
0.1 mg/kg (6 mg MAX) RAPID IV push; followed by a 10cc flush
May repeat with 0.2 mg/kg (12 mg MAX)

Question 2

Diltiazem

Answer 2

0.125 mg/kg (12.5 mg MAX)
Give over 2 min
May give a second dose in 10 min
Max of 10mg if > 65

Question 3

Amiodarone (Tachycardia)

Answer 3

Adult:
150 mg over 10 minutes
May repeat

Peds:
5 mg/kg (150 mg MAX) over 10 minutes

Question 4

Lidocaine (Tachycardia)

Answer 4

Adult:
1-1.5 mg/kg every 5 min
3 mg/kg MAX

Question 5

Magnesium Sulfate (Torsades)

Answer 5

2 Gm over 5-10 min

Question 6

Sync Cardioversion juul setting

Answer 6

Atrial rhythm (SVT): 50J - 100J - 200J - 300J - 360J

Ventricular rhythm: 100J - 200J - 300J - 360J

A-fib: 120J - 200J - 300J - 360J

Peds: 1 J/kg - 2 J/kg

Question 7

Morphine (Pain Management)

Answer 7

0.1 mg/kg (2-5 mg max per dose)
15 mg MAX total

Question 8

Fentanyl (Pain Management)

Answer 8

1 mcg/kg (100 mcg max per dose)
200 mcg MAX total

Question 9

Ketamine (Pain Management)

Answer 9

0.25 mg/kg (25 mg max per dose)
100 mg MAX total dose

Not for peds

Question 10

Midazolam (Seizures)

Answer 10

IM/IN:
0.2 mg/kg
5 mg MAX if < 40 kg
10 mg MAX if > 40 kg

IV/IO:
0.1 mg/kg
4 mg MAX

Question 11

Lorazepam (Seizures)

Answer 11

IV/IO
0.1 mg/kg
4 mg MAX

Question 12

Atropine (Bradycardia)

Answer 12

Adult:
1 mg every 3-5 min
3 mg MAX

Peds:
0.02 mg/kg; 0.5 mg MAX initial
3 mg MAX

Question 13

Epinephrine (Bradycardia)

Answer 13

Adult:
10-20 mcg bolus (push dose)

Peds:
0.01 mg/kg every 3-5 min

Question 14

Pacing Heart Rate Settings

Answer 14

Adult:
60-80 bpm

Peds:
100 bpm

Question 15

Midazolam (Pacing Sedation)

Answer 15

Adult:
1 mg slowly every 2-3 min
5 mg MAX

Peds:
0.1 mg/kg slowly every 2-3 min
5 mg MAX

Question 16

Lorazepam (Pacing Sedation)

Answer 16

Adult:
1 mg every 5-10 min
4 mg MAX

Peds:
0.1 mg/kg every 10 min
4 mg MAX

Question 17

Asprin

Answer 17

324 mg

Question 18

Nitroglycerin

Answer 18

0.4 mg, may repeat every 3-5 min
3 dose MAX

Question 19

Fentanyl (STEMI)

Answer 19

0.5 mcg/kg
200 mcg MAX

Question 20

Morphine (STEMI)

Answer 20

0.05 mg/kg, 3 mg MAX single dose
10 mg MAX total

Question 21

Epinephrine (Cardiac Arrest)

Answer 21

Adult:
1 mg every 3-5 min
3 mg MAX

Peds:
0.01 mg/kg (0.1 mL/kg) every 3-5 min
No Max dose from 0-17

Question 22

Amiodarone (Cardiac Arrest)

Answer 22

5 mg/kg
May repeat at half the dose in 5 min
300 mg MAX

Question 23

Lidocaine (Cardiac Arrest)

Answer 23

1 mg/kg
May repeat at half the original dose in 5 min
3 mg/kg MAX

Question 24

Calcium Gluonate (hyperkalemia)

Answer 24

100 mg/kg over 5 min
2 Gm MAX

Question 25

Calcium Chloride (Hyperkalemia)

Answer 25

20 mg/kg (0.2 mL/kg) over 5 min
1 Gm MAX

Question 26

Albuterol

Answer 26

5 mg

Question 27

Ipratropium Bromide

Answer 27

0.5 mg

Question 28

Epinephrine (Anaphylaxis)

Answer 28

0.01 mg/kg (1:1,000) IM
0.3 mg MAX

Question 29

Soul-Medrol

Answer 29

2 mg/kg IV/IO/IM
125 mg MAX

Question 30

Dexamethasone

Answer 30

0.6 mg/kg IV/IO/IM/PO
10 mg MAX

Question 31

Magnesium Sulfate (Respiratory)

Answer 31

50 mg/kg over 5-10 min
2 Gm MAX

Question 32

Magnesium Sulfate (Pre-eclampsia)

Answer 32

4 Gm over 5-10 min

Question 33

Atropine Sulfate (Organophosphate Poisoning)

Answer 33

Adult:
2-6 mg
Double the dose and repeat every 3-5 min as needed

Peds:
0.1 mg/kg up to 1-4 mg/dose
Double the dose and repeat every 3-5 min as needed

Question 34

Ketamine (Violent)

Answer 34

4 mg/kg IM/IN

250 mg MAX
May repeat once in 5 minutes

Question 35

Diphenhydramine (Allergy)

Answer 35

1 mg/kg IV/IO/IM/PO
50 mg MAX

Question 36

Diphenhydramine (Dystonia)

Answer 36

Adult:
25 mg IV/IO/IM

Peds:
1 mg IV/IO/IM
25 mg MAX