SNHD Adult Med Dosages Flashcards by Ross Craft

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

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adult ondansetron dose for patient in abdominal pain with nausea

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

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adult droperidol dose for patient in abdominal pain with nausea

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

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adult metoclopramide dose for patient in abdominal pain with nausea

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

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adult prochlorperazine dose for patient in abdominal pain with nausea

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

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

500ml may repeat up to 2000ml

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

50mg (always) reassess after 5 minutes

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adult epinephrine dose for allergic reaction with airway/breathing difficulties

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

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adult albuterol dose for allergic reaction with airway/breathing difficulties

2.5mg SVN (always)

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

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

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

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

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

500ml may repeat up to 2000ml

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Adult D10 dose for hypoglycemic patient

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

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Adult glucagon dose for hypoglycemic patient with no IV access

1mg IM (always) D10 >>>glucagon

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

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

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adult ketamine dose for excited delirium

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

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adult midazolam dose for persistent risk to self/others

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

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adult diazepam dose for persistent risk to self/others

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

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adult droperidol dose for persistent risk to self/others

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

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adult atropine dose for bradycardia

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

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

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

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

1mg IV (always)

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

1g (always)

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

500ml contact med control for further fluid

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Adult epinephrine dose for cardiac arrest

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

Adult amiodarone dose for cardiac arrest patient with shockable rhythm

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

adult nitro dose in suspected ACS with no STEMI

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

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

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

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

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

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

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

pregnant patient with hypovolemia gets how much fluid bolus?

500ml max of 200ml

adult dose for oxymetazoline OR phenylephrine for epistaxis

2 sprays (always)

fluids for heat cramps

PO fluids as tolerated

Fluid for heat exhaustion or heat stroke

500ml to max of 2000

adult calcium chloride dose for hyperkalemia

1g (always)

adult sodium bicarbonate dose for hyperkalemia

1 mEq/kg IVP/IO SLOW (always)

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

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

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

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

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

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

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

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

adult naloxone dose for confirmed opioid OD

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

adult hydroxocobalamin dose for cyanide poisoning

5g over 15 minutes (always)

adult diphenhydramine dose for dystonic reaction

50mg IV/IM (always)

Adult sodium bicarbonate dose for TCA/ASA OD

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

Adult calcium chloride dose for calcium channel blocker OD

1g of 10% (always)

adult glucagon dose for beta blocker OD

1mg IM/IV (always)

Atropine dose for organophosphate toxicity

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

Adult ketamine dose for pain

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

Adult morphine dose for pain

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

Adult fentanyl dose for pain

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

Adult hydromorphone dose for pain

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

adult ondansetron dose for nausea from pain meds

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

adult droperidol dose for nausea from pain meds

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

adult metoclopramide dose for nausea from pain meds

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

adult prochlorperazine dose for nausea from pain meds

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

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

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

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

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

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

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

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

2-10mcg/kg/min

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

10-20 mcg/kg/min

adult ipratropium dose for respiratory distress

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

Adult mag sulf dose for resp distress

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

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

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

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

5mg IM/IV (always)

adult dose D10 for seizure pt with BGL under 60

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

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

1mg IM (always) D10 \>\>\>Glucagon

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

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

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

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

Fluids for adult with suspected sepsis

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

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

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

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

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

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

1L may repeat once with no rales

fluids for adult in cardiogenic shock with no rales

500ml may repeat once

Adult dose of epi for schock

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

Adult dose of dopamine for schock

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

Fluids for adult with smoke inhalation emergency with hypoperfusion

500ml max of 2000ml

Adult dose of hydroxocobalamin for smoke inhalation emergency

5g over 15mins (always)

adult dose of aspirin with suspected STEMI

324mg PO

adult dose of nitro with suspected STMI

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

adult ondansetron dose for patient in chest pain with nausea

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

adult metoclopramide dose for patient in chest pain with nausea

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

adult prochlorperazine dose for patient in chest pain with nausea

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

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

6mg rapid IVP/IO

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

150mg in 50cc MS over 10min

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

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

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

12mg IVP/IO

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

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

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

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

adult dose of adenosine for untable pt with narrow complex tachy

12mg rapid IVP

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

.15mg/kg (almost always)

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

.15mg/kg (almost always)

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

.15mg/kg (almost always)

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

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

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

150mg in 50cc NS over 10 min

Fluid for adult ROSC

COLD 250ml/hr up to 1L

adult dose for dopamine for ROSC

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

Adult dose for nastracheal intubation preparation with phenylephrine and oxymetazoline

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

adult dose for etomidate for intubation

.3mg/kg IV \>\>\>etomidate ketamine

adult dose for ketamine for intubation

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

adult dose of midazolam to maintain sedation in RSI

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

adult dose of diazepam to maintain sedation in RSI

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