TFD Drug Box Doses Flashcards
Nitroglycerin
Carried: 0.4mg Tablets
Taken sublingually up to 3x
SBP > 110
Same dose for CHF/Pulmonary edema
Aspirin
Carried: 81mg chewable tablets
Dose: 324mg
Morphine
Carried: 10mg/mL vial
Chest pain: 0.1mg/kg IV/IO
(2-5mg every 5 mins to max 20mg)
Pain Management: 0.1mg/kg IV/IO
Max single dose of 10mg
Max dose 20mg
Ketamine
Carried: 500mg/5mL vial
Dose: 0.2mg/kg (max 20mg) Slow push
May repeat 1x
Glucagon
Carried: 1mg/mL
Dose: 0.1mg/kg (max 1mg)
May repeat 1x after 10 mins
Use if you can’t get IV access
Diltiazam
Carried: 100mg vial
Dose:
Afib/Aflutter : 20mg IV/IO,
1st -10mg over 2 mins
2nd -10mg slow as BP allows
**Can repeat x 1
Over 65: 10mg IV/IO
1st- 5mg over 2 mins
2nd- 5mg slow as BP allows
**May repeat 1 more time
**SVT: Consider administering if adenosine and vagal maneuvers do not work
Use same dosages as above
EPI ( 1:1000)
Anaphylaxis/Allergic reaction dose
Carried : 1mg/mL
Dose: 0.01mg/kg IM (max 0.3mg)
Repeat every 5-15 mins
Peds Croup
Consider nebulized epinephrine (1mg/mL)
3mL by SVN
May repeat x 1 in 20 minutes
EPI (1:10,000)
Cardiac dose
Carried: 1mg/10mL
Dose:
1mg/10mL Push dose (max 2mg)
1st dose- ASAP
2nd dose- 8 min mark during CPR
*ROSC down trending (HR and BP)- Push epi
Peds: 0.01mg/kg (max 1mg)
Benadryl
Carried: 50mg/mL vial
Dose:
Anaphylaxis
Adult : 1mg/kg (Max 50mg) IV/IM/PO
Peds: 1mg/kg (Max 25mg) IV/IM/PO
Solumedrol (methylprednisone)
Carried: 125mg powder
Dose:
Allergic Reaction/ANA:2mg/kg IV/IM (Max125mg)
Peds: same dose
Magnesium
Carried: 5mg/10mL
Dose:
Torsades: 25mg/kg IV/IO (Max 2g) over 15 mins
50 mL NS, 15 drop set - 1 drop every second over 15 mins
Peds: same
Adenosine
Carried: 6mg/2mL
1st dose: 6mg rapid IV bolus over 1-3 seconds
20mL saline bolus
2nd dose, 12mg rapid IV bolus
Peds:
1st: 0.1mg/kg IV/IO (max6)
2nd: 0.2mg/kg IV/IO (max12)
* follow with 5-10 mL NS flush
Amiodarone
Carried: 150mg/mL
Cardiac arrest:
1st: 300mg IV/IO push
2nd: 150 mg
Vtach w/pulse
1st: 150mg IV/IO push over 10 mins
2nd: 300mg IV/IO push
Peds: 5mg/kg IV/IO (max150) over 20 mins
50mL NS , 10 drop set, 1 drop every second
Narcan
Carried: 2mg/2mL
Dose :naloxone 0.4-2 mg IV/IM/IN/IO
Repeat every 3-5 mins
Atropine
Carried: 1mg/10mL
Dose: 1mg rapid IV/IO / repeat 3-5 mins (max 3mg)
Peds (>1yr) : 0.02mg/kg rapid IV/IO push
Min single dose 0.1mg
Max single dose 1mg
Repeat every 3-5 mins
Max total dose 3mg
-Anticholinergic
-Stops the parasympathetic (acetylcholine reaction)(slows down) response
-Allows for increase in HR and blood pressure
Indications- Bradycardia and organophosphate poisoning
1st degree and 2nd degree, type 1
Contraindications
Tachycardia
Hypersensitivity
TXA
Carried: 1,000mg/ mL
>14 years: Administer TXA 2 grams slow IV/IO push (over at least 2 minutes) if shock index >1 (HR/SBP)
Peds <14 years: Administer TXA 30 mg/kg slow IV/IO push (over at least 2 minutes) for patients with shock (per age-based cutoff)
Zophran (Ondansetron)
Carried: 4mg/2mL
Administer ondansetron 0.15 mg/kg IV/PO/SL ODT
Max single dose 4mg
Max total dose 8mg
May repeat x 1 in 15 min
Do not give if age <3mos
Midazolam (Versed)
Behavioral
Carried: 10 mg/ 2mL
Administer midazolam 0.1 mg/kg IM/IN
Max initial dose 10 mg IM/IN
May repeat x 1 at half initial dose after 10 minutes to a max total dose of 15 mg IM/IN
or
Administer midazolam 0.05 mg/kg IV/IO
Max initial dose 5 mg IV/IO
May repeat x1 at half initial dose after 10 minutes to a max total dose of 7.5 mg IV/IO
For patients with agitation that interferes with necessary patient care
Administer midazolam 0.05 mg/kg IM/IV/IO (max dose 2.5 mg) May repeat x1 after 10 minutes to a max total dose of 5mg IV/IO
14 or > 65 years max initial and total doses are half
8 yrs: Contact Medical Direction for orders
Midazolam (Versed)
Seizure
Carried: 10mg/ 2 mL
Administer benzodiazepines.
If age >60, consider reducing dose by half
0.2 mg/kg IM
Max 5mg if <40kg
Max 10mg if >40kg
Repeat x 1 if seizure continues
If seizure onset after IV established, administer Midazolam 0.1 mg/kg IV
Max single dose 5 mg
Administer slowly over 2 minutes
Albuterol
Carried: 2.5mg/3mL SVN
Asthma: repeat as needed
ANA: SVN Max 3 doses
Dextrose 10%
Dose :1mL/kg IV/IO
Max 250mL
May repeat x 1
Hydroxocobalamin (cyano kit)
Dose: 70mg/kg
Max 5g dose
May repeat x1
Calcium Chloride
Brady: Dose 1g IVP
Wide complex Brady and history of renal failure, consider hyperkalemia
Cardiac arrest: 20mg/kg IV/IO (max 1g)
