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Emergency Medicine > Resuscitation dosages > Flashcards

Resuscitation dosages Flashcards

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Royal College: Emergency Medicine flashcards
0
Q

Bolus fluids in normal adult

A

1.5L

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1
Q

Cc/kg bolus fluids

A

20cc/kg

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2
Q

Bolus fluids in large adult

A

2L

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3
Q

Bolus fluids for 2Kg premie

A

40cc

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4
Q

Bolus fluids for 3.5kg newborn

A

70cc

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5
Q

Bolus fluids for 5kg 2month old

A

100cc

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6
Q

Maintenance fluids dose

A

4-2-1 cc/kg

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7
Q

Maintenance fluids for 70kg normal adult

A

125cc/hr

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8
Q

Maintenance fluids for 100kg large adult

A

150cc/hr

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9
Q

Maintenance fluids for 2kg premie

A

8cc/hr

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10
Q

Maintenence fluids for 3.5kg newborn

A

14cc/hr

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11
Q

Maintenance fluid for 5kg 2mo

A

20cc/hr

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12
Q

How many cc’s are 1 unit of PRBCs?

A

250cc’s

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13
Q

Bolus of PRBCs in normal 70kg adult

A

2units

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14
Q

Bolus of PRBCs in large 100kg adult

A

2 units

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15
Q

Bolus of PRBCs in 2 kg premie

A

20cc

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16
Q

Bolus of PRBCs in a 3.5 kg newborn

A

35cc

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17
Q

Bolus of PRBCs in a 5kg 2mo

A

50cc

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18
Q

CPR rate in adult

A

100 compressions

8 breaths

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19
Q

CPR rate in a 2 kg preemie or 5kg newborn

A

Compressions 120/min

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20
Q

Defibrillation in joules per kilogram in a cardiac arrest in an adult

A

2j/kg first shock then double it

Start with 1/2 that if biphasic used

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21
Q

Defibrillation dose in 2kg premie

A

4 joules

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22
Q

Defibrillation dose in 3.5 kg newborn

A

7 joules

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23
Q

Defibrillation dose in 5kg 2mo

A

10j

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24
Q

Dose and concentration of epinephrine in cardiac arrest

A

0.01mg/kg

1:10,000
1mg/10cc=1amp

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25
Q

PRBCs Bolus dose

A

10cc/kg

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26
Q

Amiodarone dose

A

5mg/kg slow IVP

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27
Q

Adult amiodarone dose

A

300mg

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28
Q

Procainamide dose

A

3mg/kg slow IVP

Max dose 15mg/kg

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29
Q

Cardiac arrest lidocaine dose

A

1mg/kg

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30
Q

Cardiac arrest atropine dose

A

0.02mg/kg

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31
Q

Adenosine dose

A

0.1mg/kg then double

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32
Q

CaCl dose (100mg/cc)

A

0.2cc/kg

Give it by amps in adults
1 amp = 10cc = 1000mg per amp

33
Q

Narcan dose

A

0.1mg/kg up to 2mg/dose

34
Q

D25W dose

A

2cc/kg

35
Q

Bicarb dose 8.4% - 1mEq/cc

A

1mEq/kg (dilute for neonates)

36
Q

RSI etomidate dose

A

0.3mg/kg

37
Q

RSI Etomidate and succinylcholine dosages for normal - large adults

A

21-30 mg Etomidate

105-150 mg succinylcholine

38
Q

RSI succinylcholine dose

A

1.5mg/kg

39
Q

RSI versed dose

A

0.1mg/kg

40
Q

RSI ketamine dose

A

2mg/kg

41
Q

RSI atropine peds dose

A

0.02mg/kg

42
Q

RSI Rocuronium dose

A

1mg/kg

43
Q

RSI Vecuronium dose

A

0.1mg/kg

44
Q

RSI Pavulon (pancuronium) dose

A

0.1mg/kg

45
Q

RSI Propofol dose

A

2mg/kg

46
Q

Moderate sedation Versed dose

A

0.05 mg/kg

47
Q

Moderate sedation morphine dose

A

0.1 mg/kg

48
Q

Moderate sedation fentanyl dose

A

1mcg/kg

49
Q

Moderate sedation ketamine dose

A

1mg/kg

50
Q

Moderate sedation propofol dose

A

0.5mg/kg IVP

20mcg/kg/min gtt

51
Q

Moderate sedation ketofol dose

A

Ketamine + Propofol

0.5mg/kg each

52
Q

ET tube size (cuffed)

A

(16+age)/4

53
Q

Adult laryngoscope blade size

A

4

54
Q

ETT cm to teeth

A

(12+age)/2

55
Q

Adult ETT cm to teeth

A

22-24

56
Q

LMA adult size

A

5

57
Q

NG tube and foley size in adults

A

16-18

58
Q

Adult chest tube size

A

36-38fr

Larger if Hemo or pyothorax

59
Q

Adult suction catheter size

A

12fr

60
Q

Transtracheal jet insufflation PSI adults

A

50psi

61
Q

Vent setting: SIMV PEEP 4 FiO2 100% wean to <50%

Tidal Volume

A

5-7ml/kg tidal volume

62
Q

Vent setting: SIMV PEEP 4 FiO2 100% wean to <50%

Rate in adults?

A

12 (slower if air trapping)

63
Q

Vasopressin dose in cardiac arrest

A

40U x1

64
Q

Vasopressin dose in GI bleed

A

0.2-0.4U/min

65
Q

Vasopressin dose in shock

A

0.01-0.04U/min

66
Q

Phenylephrine Bolus dose

A

50mcg Bolus

67
Q

Phenylephrine drip dose

A

100mcg/min

Peds 0.1-0.5 mcg/kg/min

68
Q

Norepinephrine & Epinephrine drip dose

A

1-4 mcg/min adults

0.1-1 mcg/kg/min peds

69
Q

Dopamine & Dobutamine drip

A

2-20 mcg/kg/min

70
Q

fosPhenytoin drip dose

A

10-20 mg PE/kg

Rate not to exceed 3 mg PE/kg/min

71
Q

Bicarb drip dose

A

2 amps bicarb/1L D5W @ 200/hr

Goal = urine pH>7.5

72
Q

Difficult airway Mneumonic

A

3-3-2 MOANS

Mask seal
Mallampati
Obese
Obstruction
Age
No teeth
Stiff neck & lungs
73
Q

Difficult airway prep

A

Preoxygenate with 100%o2, position, adjuncts (suction, bougie, extraglottic device, surgical backup)

74
Q

Vasodilator: nipride, NTG, nicardipine gtt dose

A

0.5-10 mcg/kg/min

75
Q

Vasodilator: nesiritide drip dose

A

0.01mcg/kg/min

76
Q

Diltiazem drip dose

A

Bolus: 0.25mg/kg Bolus (20mg)
Gtt: 5-15mg/hr

77
Q

Labetalol dose

A

20mg IVP, then 40mg q10min, gtt 2-8mg/min

Alpha + Beta blocker

78
Q

Esmolol dose

A

500mcg/kg load, then 50-300mcg/kg/min

Beta blocker

79
Q

Vasotec dose

A

0.625 IVP

ACEi rapid afterload reducer for HTN emergency

80
Q

4-2-1 rule for Maintenence fluids

A 
FORMULA
Calculated Using the "4-2-1" Rule:
For 0-10kg: 4 mL/kg/hr
For 10-20kg: + 2 mL/kg/hr
For >20kg: + 1 mL/kg/hr

Emergency Medicine (14 decks)

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