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SNHD Adult Med Dosages Flashcards

1
Q

adult trauma patient who is breathing with no palpable pulse gets how much fluid bolus?

A

1L

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2
Q

adult ondansetron dose for patient in abdominal pain with nausea

A

4mg IV/IM (always) >>>ondansetron droperidol metoclopramide prochlorperazine

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3
Q

adult droperidol dose for patient in abdominal pain with nausea

A

1.25mg IV/IM (always) ondansetron >>>droperidol metoclopramide prochlorperazine

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4
Q

adult metoclopramide dose for patient in abdominal pain with nausea

A

10mg IV/IM slow over 1-2 minutes (always) ondansetron droperidol >>>metoclopramide prochlorperazine

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5
Q

adult prochlorperazine dose for patient in abdominal pain with nausea

A

up to 10mg IV/IM (always) ondansetron droperidol metoclopramide >>>prochlorperazine

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6
Q

adult ab pain patient with hypovolemia gets how much fluid bolus?

A

500ml may repeat up to 2000ml

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7
Q

adult diphenhydramine dose for allergic reaction with no airway/breathing difficulties

A

50mg (always) reassess after 5 minutes

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8
Q

adult epinephrine dose for allergic reaction with airway/breathing difficulties

A

1:1000 of .5 mg IM repeat every 15 minutes max of 1.5

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9
Q

adult albuterol dose for allergic reaction with airway/breathing difficulties

A

2.5mg SVN (always)

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10
Q

adult epinephrine dose for allergic reaction with airway/breathing difficulties and signs of shock

A

5mcg-10mcg of 1:100,000 may repeat every 2-5mins

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11
Q

adult dopamine dose for allergic reaction with airway/breathing difficulties and signs of shock

A

5-20mcg/kg get SBP to at least 90

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12
Q

adult allergic patient with airway/breathing difficulties gets how much fluid bolus?

A

500ml may repeat up to 2000ml

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13
Q

Adult D10 dose for hypoglycemic patient

A

25G from (250ml of 10% solution) (always) >>>D10 glucagon

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14
Q

Adult glucagon dose for hypoglycemic patient with no IV access

A

1mg IM (always) D10 >>>glucagon

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15
Q

Naloxone dose for adult patient thats unresponsive, resp distress with suspected opiod OD

A

.4mg-2mg may repeat 2mg if slow to respond max of 10mg

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16
Q

adult ketamine dose for excited delirium

A

2mg/kg IV (always) or 2-4mg/kg IM

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17
Q

adult midazolam dose for persistent risk to self/others

A

.1mg/kg IV/IM (always) may repeat @ 5 mins with .05mg/kg >>>midazolam diazepam droperidol

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18
Q

adult diazepam dose for persistent risk to self/others

A

5mg IV (always) repeat every 5 mins midazolam >>>diazepam droperidol

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19
Q

adult droperidol dose for persistent risk to self/others

A

1.25mg IM/IV (always) with saline flush may repeat at 5 minutes midazolam diazepam >>>droperidol

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20
Q

adult atropine dose for bradycardia

A

.5mg IVP/IO may repeat every 3-5mins to max of 3mg

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21
Q

adult dopamine dose for bradycardia with failure to capture on transcutaneous pacing

A

5-10 mcg/kg IV titrate to get SBP of 90 Max of 20mcg/kg

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22
Q

adult glucagon dose for bradycardia with failure to capture on transcutaneous pacing and patient is on beta blockers

A

1mg IV (always)

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23
Q

adult calcium chloride dose for bradycardia with failure to capture on transcutaneous pacing and patient is on beta blockers

A

1g (always)

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24
Q

adult fluid bolus given to burn patient if signs of hypoperfusion, OR >20% BSA burn present

A

500ml contact med control for further fluid

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25
Q

Adult epinephrine dose for cardiac arrest

A

1mg IV/IO (1:10,000) every 3-5 minutes ETT administration requires 2 to 2.5 times the dose

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26
Q

Adult amiodarone dose for cardiac arrest patient with shockable rhythm

A

300mg IV may repeat with 150mg if refectory after 5th shock

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27
Q

adult nitro dose in suspected ACS with no STEMI

A

.4mg SL or 2 sprays (almost always) may repeat @ 5minutes with 2 sprays

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28
Q

adult ondansetron dose in suspected ACS with nausea/vomiting and no STEMI

A

4mg IV/IM (always) >>>ondansetron metoclopramide prochlorperazine same as ab pain protocol

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29
Q

adult metoclopramide dose in suspected ACS with nausea/vomiting and no STEMI

A

10mg IV/IM slow over 1-2 minutes (always) ondansetron >>>metoclopramide prochlorperazine

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30
Q

adult prochlorperazine dose in suspected ACS with nausea/vomiting and no STEMI

A

up to 10mg IV/IM (always) ondansetron metoclopramide >>>prochlorperazine

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31
Q

pregnant patient with hypovolemia gets how much fluid bolus?

A

500ml max of 200ml

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32
Q

adult dose for oxymetazoline OR phenylephrine for epistaxis

A

2 sprays (always)

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33
Q

fluids for heat cramps

A

PO fluids as tolerated

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34
Q

Fluid for heat exhaustion or heat stroke

A

500ml to max of 2000

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35
Q

adult calcium chloride dose for hyperkalemia

A

1g (always)

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36
Q

adult sodium bicarbonate dose for hyperkalemia

A

1 mEq/kg IVP/IO SLOW (always)

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37
Q

adult dose for mag sulfate for pregnant patient having seizure (remember, 2 patients)

A

4gm in 50cc NS over 20 minutes (always)

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38
Q

adult dose for midazolam for pregnant patient having seizure after being given mag sulfate

A

.1mg/kg IM/IV (always) repeat @ 5 minutes with .05mg/kg try diazepam afterwards

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39
Q

adult dose for diazepam for pregnant patient having seizure after being given mag sulfate

A

5mg IV (always) may repeat @ 5 mins try midazolam first

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40
Q

adult dose for mag sulfate for pregnant patient having pre-eclampsia

A

2gm in 50cc NS over 10 minutes (always)

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41
Q

adult naloxone dose for confirmed opioid OD

A

2mg IM/IV may repeat to a max of 10mg

42
Q

adult hydroxocobalamin dose for cyanide poisoning

A

5g over 15 minutes (always)

43
Q

adult diphenhydramine dose for dystonic reaction

A

50mg IV/IM (always)

44
Q

Adult sodium bicarbonate dose for TCA/ASA OD

A

1mEq/kg of 8.4% solution (always) may repeat once in 3-5 minutes

45
Q

Adult calcium chloride dose for calcium channel blocker OD

A

1g of 10% (always)

46
Q

adult glucagon dose for beta blocker OD

A

1mg IM/IV (always)

47
Q

Atropine dose for organophosphate toxicity

A

2mg every 15 mins as needed to decrease secretions and ventilatory resistance

48
Q

Adult ketamine dose for pain

A

.2mg/kg IV/IM (always) NOT for chest pain/ACS/STEMI

49
Q

Adult morphine dose for pain

A

.1mg/kg IV/IM max of 10 mg repeat dose 10 mins after 1st or until pain relieved or respiratory depression occurs

50
Q

Adult fentanyl dose for pain

A

1mcg/kg IV/IM max of 100mcg may repeat after 10 mins

51
Q

Adult hydromorphone dose for pain

A

.01mg/kg IV/IM max of 1mg may repeat after 10 mins

52
Q

adult ondansetron dose for nausea from pain meds

A

4mg IV/IM (always) >>>ondansetron droperidol metoclopramide prochlorperazine

53
Q

adult droperidol dose for nausea from pain meds

A

1.25mg IV/IM (always) ondansetron >>>droperidol metoclopramide prochlorperazine

54
Q

adult metoclopramide dose for nausea from pain meds

A

10mg IV/IM slow over 1-2 minutes (always) ondansetron droperidol >>>metoclopramide prochlorperazine

55
Q

adult prochlorperazine dose for nausea from pain meds

A

up to 10mg IV/IM (always) ondansetron droperidol metoclopramide >>>prochlorperazine

56
Q

adult nitro dose for pul edema/CHF with normal normal tensive Pt AND what does their SBP need to be

A

.4mg SL (almost always) may repeat at 5 mins as long as HR is over 60 SBP needs to be over 100mmHG

57
Q

adult nitro dose for pul edema/CHF with hypertensive Pt AND what does their SBP need to be

A

1.6mg SL (usually .4 but this is the one exception) may repeat every 5 mins DBP must be over 100

58
Q

adult dopamine dose for pul edema/CHF with hypotensive Pt AND what does their SBP need to be

A

5-20mcg/kg/min to get SBP over 100 SBP must be under 100

59
Q

Adult dopamine dose to increase myocardial contractility and HR, and improve BP via vasoconstriction

A

2-10mcg/kg/min

60
Q

Adult dopamine dose to cause vasoconstriction of renal, mesenteric and peripheral blood vessels that can result in poor perfusion and renal failure

A

10-20 mcg/kg/min

61
Q

adult ipratropium dose for respiratory distress

A

2.5ml of .02% solution in SVN albuterol >>>ipratropium mag sulf

62
Q

Adult mag sulf dose for resp distress

A

2g in 50ml NS over 10min (always) albuterol ipratropium mag sulf

63
Q

adult dose midazolam for seizure pt with BGL over 60 and/or history of seizures

A

.1mg/kg MAX of 5mg IM/IV/IN/IO (always)

64
Q

adult dose diazepam for seizure pt with BGL over 60 and/or history of seizures

A

5mg IM/IV (always)

65
Q

adult dose D10 for seizure pt with BGL under 60

A

25g IV/IO (250ml of 10% solution) (always) >>>D10 Glucagon

66
Q

adult dose glucagon for seizure pt with BGL under 60 and no IV access

A

1mg IM (always) D10 >>>Glucagon

67
Q

adult dose of midazolam for persistent (status) or recurrent seizure

A

.1mg/kg MAX of 5mg IM/IN/IV/IO (always) repeat dose at .05mg/kg >>>midazolam diazepam

68
Q

adult dose of diazepam for persistent (status) or recurrent seizure

A

5mg IM/IV (always) midazolam >>>diazepam

69
Q

Fluids for adult with suspected sepsis

A

500ml may repeat 3 times to get SBP over 90 with no rales MAX of 2L

70
Q

Adult dose for epi for sepsis patient with SBP under 90 after 2L of fluid

A

1:100,000 5mcg-10mcg may repeat every 2-5 mins to keep SBP over 90

71
Q

Adult dose for dopamine for sepsis patient with SBP under 90 after 2L of fluid

A

5-20mcg/kg/min to keep SBP over 90

72
Q

fluids for adult in non-traumatic, non-cardiogenic shock

A

1L may repeat once with no rales

73
Q

fluids for adult in cardiogenic shock with no rales

A

500ml may repeat once

74
Q

Adult dose of epi for schock

A

5mcg - 10mcg IV/IO repeat every 2-5 mins to keep SBP over 90

75
Q

Adult dose of dopamine for schock

A

5-20mcg/kg/min to keep SBP over 90

76
Q

Fluids for adult with smoke inhalation emergency with hypoperfusion

A

500ml max of 2000ml

77
Q

Adult dose of hydroxocobalamin for smoke inhalation emergency

A

5g over 15mins (always)

78
Q

adult dose of aspirin with suspected STEMI

A

324mg PO

79
Q

adult dose of nitro with suspected STMI

A

.4mg SL (almost always) may repeat 5 mins with 2 sprays

80
Q

adult ondansetron dose for patient in chest pain with nausea

A

4mg IV/IM (always) >>>ondansetron metoclopramide prochlorperazine

81
Q

adult metoclopramide dose for patient in chest pain with nausea

A

10mg IV/IM slow over 1-2 minutes (always) ondansetron >>>metoclopramide prochlorperazine

82
Q

adult prochlorperazine dose for patient in chest pain with nausea

A

up to 10mg IV/IM (always) ondansetron metoclopramide >>>prochlorperazine

83
Q

Adult dose for adenosine for stable pt with narrow complex (under .11sec) tachy with unsuccessful vagal maneuvers

A

6mg rapid IVP/IO

84
Q

Adult dose of amiodarone for stable pt with regular monomorphic VT with wide complex (over .12sec)

A

150mg in 50cc MS over 10min

85
Q

Adult dose of Mag Sulf for torsades de pointes in stable pt

A

2g IV/IO in 50cc NS of 10min

86
Q

2nd adult dose of Adenosine after 1st was not successful for narrow complex (under .11sec) stable tachy with unsuccessful vagal maneuvers

A

12mg IVP/IO

87
Q

Adult dose for etomidate for synchronized cardioversion sedation of stable tachy patient after amiodarone was unsuccessful at treating regular monomorphic VT

A

.15mg/kg IV/IO (almost always)

88
Q

Adult dose for etomidate for synchronized cardioversion sedation of stable tachy patient after mag sulf was unsuccessful at treating torsades de pointes

A

.15mg/kg IV/IO (almost always)

89
Q

adult dose of adenosine for untable pt with narrow complex tachy

A

12mg rapid IVP

90
Q

adult dose of etomidate to sedate and synchronize cardioconvert unstable pt with narrow complex tachy and adenosine didn’t help

A

.15mg/kg (almost always)

91
Q

adult dose of etomidate to sedate defib unstable pt with wide complex torsades dep pointes/polymorphic v-tach

A

.15mg/kg (almost always)

92
Q

adult dose of etomidate to sedate defib unstable pt with wide monomorphic v-tach

A

.15mg/kg (almost always)

93
Q

adult dose of mag sulf if defib of torsades de pointes with wide complex in unstable pt didnt work

A

2mg IV in 50cc NS over 10 min (always)

94
Q

adult dose of amiodarone if cardioversion of wide complex monomorphic VT didn’t help

A

150mg in 50cc NS over 10 min

95
Q

Fluid for adult ROSC

A

COLD 250ml/hr up to 1L

96
Q

adult dose for dopamine for ROSC

A

5-20mcg/kg/min to keep SBP over 90

97
Q

Adult dose for nastracheal intubation preparation with phenylephrine and oxymetazoline

A

1-2 sprays add lidocaine 2% lube if using oxy

98
Q

adult dose for etomidate for intubation

A

.3mg/kg IV >>>etomidate ketamine

99
Q

adult dose for ketamine for intubation

A

2mg/kg IV (always) or 4mg/kg IM etomidate >>>ketamine

100
Q

adult dose of midazolam to maintain sedation in RSI

A

.1mg/kg IV/IM (always) may repeat 5mins @ .05mg/kg IV/IM >>>midazolam diazepam

101
Q

adult dose of diazepam to maintain sedation in RSI

A

5mg IV (always) may repeat after 5 mins with physician order midazolam >>>diazepam

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