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Simplified Medications Flashcards

1
Q

Acetaminophen

A

Indications: Fever, analgesia
Adult dose: 15 mg/kg PO (max 1000 mg)
Peds dose: Same as adult

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2
Q

Activated Charcoal

A

Indications: Overdose, poisoning
Adult dose: 1 g/kg
Peds dose: Same as adult

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3
Q

Adenosine

A

Indications: Regular narrow-complex tachycardia, regular wide-complex tachycardia
Adult dose: Initial - 6 mg IVP Repeat - 12 mg IVP
Peds dose: Initial - 0.1 mg/kg IVP (max 6 mg) Repeat - 0.2 mg/kg IVP (max 12 mg)

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4
Q

Albuterol

A

Indications: Respiratory distress with bronchospasm, hyperkalemia
Adult dose: RD - 2.5-5 mg neb HK - 5 mg neb
Peds dose: 2.5 mg neb

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5
Q

Amiodarone

A

Indications: Cardiac arrest with v-fib/v-tach (pulseless), regular or irregular wide-complex tachycardia (w/ pulse)
Adult dose: Initial - 300 mg IVP Repeat 150 mg IVP (pulseless) 150 mg IV infusion diluted in 100 mL NS (w/ pulse)
Peds dose: Initial - 5 mg/kg IVP (max 300) Repeat - 5 mg/kg IVP (max 300 mg) (pulseless) Same as adult (w/ pulse)

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6
Q

Aspirin

A

Indications: Cardiac chest pain/acute coronary syndrome
Adult dose: 324 mg PO
Peds dose: None

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7
Q

Atropine

A

Indications: Symptomatic bradycardia, cholinergic toxicity
Adult dose: 1 mg IVP, may repeat every 3-5 mins (max 3 mg)
Peds dose: 0.02 mg/kg , may repeat once in 3-5 mins (min 0.1 mg, max 0.5 mg (single dose))

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8
Q

Calcium chloride

A

Indications: Hyperkalemia, calcium channel blocker toxicity, topical hydrofluoric acid burn
Adult dose: 1 g IV infusion diluted in 100 mL NS, apply gel for topical
Peds dose: 20 mg/kg IV infusion diluted in 100 mL NS (max 1 g), no topical

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9
Q

Calcium Gluconate

A

Indications: Hyperkalemia, calcium channel blocker toxicity, topical hydrofluoric acid burn
Adult dose: 3 g IV infusion diluted in 100 mL NS, apply gel for topical
Peds dose: 50 mg/kg IV infusion diluted 100 mL NS (max 2 g), no topical

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10
Q

Dexamethasone

A

Indications: Respiratory distress w/ reactive airway disease, moderate to severe allergic reaction, profound shock
Adult dose: 0.6 mg/kg IVP/IM/PO (not PO w/ shock) (max 16 mg)
Peds dose: same as adult

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11
Q

Dextrose (D10/D25/D50)

A

Indications: Hypoglycemia
Adult dose: 25 g IV (10,25,50%)
Peds dose: 0.5-1 g/kg IV (10,25%)

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12
Q

Diazepam*

A

Indications: Persistent seizure/status epilepticus, anxiety/agitation
Adult dose: None for seizures, 5 mg IVP/10 mg IM
Peds dose: 0.2 mg/kg IVP/PR (max single 10 mg), none for anxiety

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13
Q

Diphenhydramine*

A

Indications: Allergic reaction, nausea/vomiting, dystonic/extrapyramidal reaction
Adult dose: 1 mg/kg IV/IM (max 50 mg) AR, 12.5-25 mg/kg IV/IM N/V, 5-50 mg IV/IM D/ER
Peds dose: No AR dose, 1 mg/kg IVP/IM (max 50 mg) N/V, 1-1.25 mg/kg IVP/IM (max 25 mg) D/ER

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14
Q

Dopamine*

A

Indications: hypotension/shock
Adult dose: 2-20 mcg/kg/min IV infusion *
Peds dose: none
*0.5-2 mcg/kg/min - dopaminergic effects
*2-10 mcg/kg/min -beta 1 effects
*>10 mcg/kg/min - alpha effects

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15
Q

Droperidol

A

Indications: anxiety/agitation, nausea/vomiting
Adult dose: 2.5 mg IVP 5-10 mg IM A/A, 1.25 mg IVP/IM N/V
Peds dose: none

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16
Q

Epinephrine (IM)

A

Indications: anaphylaxis
Adult dose (>25kg): 0.3 mg (adult EpiPen)
Peds dose (<25kg): 0.15 mg (Peds EpiPen)

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17
Q

Epinephrine (IVP/IV infusion)(adult)*

A

Indications: cardiac arrest, hypotension/shock, severe respiratory distress with bronchospasm, symptomatic bradycardia
Dose: 1 mg IVP every 3-5 min CA, push - 10-20 mcg/mL IVP (1 mL of 0.1 mg/mL + 9 mL NS) infusion - 2-10 mcg/min IV infusion H/S, 0.3 mg IM RDw/B, 2-10 mcg/min IV infusion SB

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18
Q

Epinephrine (IVP/IV infusion)(Peds)*

A

Indications: cardiac arrest, hypotension/shock, severe respiratory distress with bronchospasm, symptomatic bradycardia
Dose: 0.01 mg/kg IVP (max 1 mg) repeat 3-5 mins CA, push - 10 mcg/mL solution (1 mL of 0.1 mg/mL + 9 mL NS) (max 10 mcg single dose) H/S, 0.15 mg IM RDw/B, 0.01 mg/kg IVP (max 1 mg single dose) SB

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19
Q

Epinephrine (nebulized)

A

Indications: bronchiolitis, croup
Adult dose: 5 mg (5 mL of 1 mg/mL), 0.5 mL of 2.25% in 2.5 mL NS Racemic
Peds dose: same as adult

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20
Q

Etomidate

A

Indications: general anesthesia induction (medication-assisted airway management)
Adult dose: 0.3 mg/kg IVP
Peds dose: none

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21
Q

Famotidine

A

Indications: allergic reaction
Adult dose: 0.5 mg/kg (max 20 mg single)
Peds dose: none

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22
Q

Fentanyl

A

Indications: analgesia
Adult dose: 1 mcg/kg IVP/IN/IM (max 100 mcg single)
Peds dose: same as adult

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23
Q

Glucagon

A

Indications: hypoglycemia, beta or calcium channel blocker toxicity
Adult dose: 1 mg IM HG, 5 mg IVP repeat 5 mins (max 10 mg) B/CCBT
Peds dose <20 kg / < 5 y/o: 0.5 mg IM HG, 0.5 mg IM repeat 5 min B/CCBT
Peds dose >20 kg / > 5 y/o: 1 mg IM HG, 1 mg IM repeat 5 min B/CCBT

24
Q

Glucose (oral)

A

Indications: hypoglycemia
Adult dose: 25 g
Peds dose: 0.1-1 g/kg

25
Q

Haloperidol*

A

Indications: anxiety/agitation
Adult dose: 5 mg IVP / 10 mg IM
Peds dose: 1-3 mg IM (max 0.15 mg/kg)

26
Q

Hydralazine

A

Indications: Hypertensive crisis associated with eclampsia/pre-eclampsia
Adults dose: 5 mg IV repeat at 10 mg after 20 min
Peds dose: none

27
Q

Hydromorphone

A

Indications: analgesia
Adult dose: 0.015 mg/kg IVP/IM max single dose 2 mg (max 4 mg)
Peds dose: none

28
Q

Hydroxocobalamin

A

Indications: cyanide toxicity
Adult dose: prepare - 5 g w/ 200 mL NS administer - IV infusion over 15 min
Peds dose: prepare - 5 g w/ 200 mL NS administer - 70 mL/kg IV infusion over 15 min (max 5 g)

29
Q

Ibuprofen

A

Indications: analgesia, fever
Adult dose: 10 mg/kg PO (max 800 mg)
Peds dose: same as adult

30
Q

Ipratropium Bromide

A

Indications: respiratory distress with bronchospasm
Adult dose: 0.5 mg neb (may repeat 3x)
Peds dose: none

31
Q

Isotonic Intravenous Fluids (0.9% sodium chloride/lactated ringer’s)

A

Indications: shock
Adult dose: 500-1000 mL IV Bolus (max 30 mL/kg)
Peds dose: 20 mL/kg max single 1000 mL (max 60 mL/kg)
*treatment goals: restore perfusion to vital organs and have palpable distal pulses

32
Q

Ketamine

A

Indications: analgesia, agitation with violent behavior, general anesthesia induction (medication-assisted airway management), post-intubation sedation
Adult dose: 0.25 mg/kg IVP/IM max single 25 mg (max 100 mg) A, 2 mg/kg IVP 4 mg/kg IM VB, 1-2 mg/kg IVP GAI, 0.5-1 mg IVP PIS
Peds dose: same as adult

33
Q

Ketorolac

A

Indications: analgesia
Adult dose: 30 mg IM 15 mg IVP
Peds dose: 0.5 mg/kg (max 30 mg IM 15 mg IVP)

34
Q

Labetalol

A

Indications: hypertensive crisis
Adult dose: 20 mg IVP over 2 minutes
Peds dose: none

35
Q

Lidocaine

A

Indications: regular wide complex tachycardia w/ pulse, cardiac arrest w/ v-tach or v-fib, analgesia for IO insertion
Adult dose: first - 1-1.5 mg/kg slow IVP second - 0.5-0.75 mg/kg slow IVP (max 3 mg/kg) RWCT and CA, 20-40 mg slow IO infusion A
Peds dose: 0.5 mg/kg slow IO infusion (max 40 mg) A

36
Q

Lorazepam*

A

Indications: persistent seizure/status epilepticus, agitation
Adult dose: 0.1 mg/kg IVP (max 4 mg) PS/SE, 2 mg/kg IVP 4 mg IM A
Peds dose: 0.1 mg/kg IVP (max 4 mg) PS/SE, 0.05 mg/kg IVP/IM (max 2 mg) A

37
Q

Magnesium Sulfate*

A

Indications: respiratory distress with bronchospasm, eclampsia, cardiac arrest torsades or refractory VT/VF, irregular wide complex tachycardia w/ pulse
Adult dose: 2 g IV infusion (100 mL NS) over 20 min RDB, 4-6 g IV Infusion E, 2 g slow IVP CAT, 2 g IV infusion (100 mL NS) over 20 min IWCT
Peds dose: 50 mg/kg slow IVP CAT, 50 mg/kg IV infusion (100 mL NS) over 20 min IWCT

38
Q

Methylprednisolone

A

Indications: moderate to severe allergic reaction, profound shock, respiratory distress with bronchospasm
Adult dose: 125 mg IVP/IM
Peds dose: none

39
Q

Metoclopramide

A

Indications: nausea/vomiting
Adult dose: 10 mg IVP/IM
Peds dose: 0.1 mg/kg IVP/IM (max 10 mg)

40
Q

Metoprolol

A

Indications: regular narrow complex tachycardia, irregular narrow complex tachycardia
Adult dose: 5 mg slow IVP every 5 min total 3 doses
Peds dose: none

41
Q

Midazolam*

A

Indications: persistent seizure/status epilepticus, behavioral sedation, general anesthesia induction (madeication-assisted airway management), post-intubation sedation
Adult dose: 0.1 mg/kg IVP (max 4 mg) 0.2 mg/kg IM/IN (max 10 mg) PS/SE, 5 mg IVP/IM/IN BS, 0.05-0.1 mg/kg IVP GAI & PIS
Peds dose: same as adult

42
Q

Morphine

A

Indications: analgesia
Adult dose: 0.1 mg/kg IVP/IM (max 10 mg)
Peds dose: same as adult

43
Q

Naloxone

A

Indications: opioid overdose
Adult dose: 0.4-2 mg IVP/IM/IN
Peds dose: 0.1 mg/kg IVP/IM/IN (max 2 mg)

44
Q

Nitroglycerin

A

Indications: cardiac chest pain (angina), cardiogenic pulmonary edema
Adult dose: 0.4 mg SL CCP, SBP < 160 - 0.4 mg SL SBP > 160 0.8 mg SL CPE
Peds dose: none

45
Q

Norepinephrine*

A

Indications: hypotension/shock (non-hemorrhagic)
Adult dose: 0.05-0.3 mcg/kg/min IV infusion
Peds dose: same as adult
*treatment goals to restore perfusion to vital organs and have palpable distal pulses

46
Q

Olanzapine*

A

Indications: behavioral sedation
Adult dose: 10 mg IM/ODT/PO/SL
Peds dose: 6-11 y/o - 5 mg IM 12-18 y/o 10 mg IM 5 mg ODT/PO/SL

47
Q

Ondansetron

A

Indications: nausea/vomiting
Adult dose: 4 mg IVP
Peds dose: 0.15 mg/kg IVP

48
Q

Oxymetazoline*

A

Indications: Epistaxis
No dosing available

49
Q

Pralidoxime chloride (2-PAM)*

A

Indications: Organophosphate poisoning
Different dosings based on toxicity

50
Q

Procainamide

A

Indications: tachycardic dysrhythmias
Adult dose: 20-50 mg/min IV infusion until change in condition maintenance 1-4 mg/min
Peds dose: none

51
Q

Prochlorperazine

A

Indications: nausea/vomiting
Adult dose: 5 mg IVP/IM
Peds dose: >2 y/o / > 12 kg 0.1 mg/kg slow IVP/IM (max 10 mg)

52
Q

Rocuronium

A

Indications: paralysis induction (medication assisted airway management)
Adult dose: 1 mg/kg IVP
Peds dose: same as adult

53
Q

Sodium Bicarbonate

A

Indications: hyperkalemia, crush syndrome, sodium channel blocker toxicity
Adult dose: 1 mEq/kg IVP over 5 min (max 50 mEq)
Peds dose: same as adult

54
Q

Succinylcholine

A

Indications: induction of paralysis (medication assisted airway management)
Adult dose: 1-2 mg/kg IVP
Peds dose: 1-2 mg/kg IVP (may need higher dose)

55
Q

Tranexamic Acid

A

Indications: Severe hemorrhage < 3 hours from time of injury if traumatic
Adult dose: 1000 mg IV infusion (100 mL NS) over 10 min
Peds dose: same as adult

Paramedic (3 decks)

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