TFD Drug Box Doses

Question 1

Nitroglycerin

Answer 1

Carried: 0.4mg Tablets

Taken sublingually up to 3x

SBP > 110

Same dose for CHF/Pulmonary edema

Question 2

Aspirin

Answer 2

Carried: 81mg chewable tablets

Dose: 324mg

Question 3

Morphine

Answer 3

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

Question 4

Ketamine

Answer 4

Carried: 500mg/5mL vial

Dose: 0.2mg/kg (max 20mg) Slow push
May repeat 1x

Question 5

Glucagon

Answer 5

Carried: 1mg/mL

Dose: 0.1mg/kg (max 1mg)
May repeat 1x after 10 mins

Use if you can’t get IV access

Question 6

Diltiazam

Answer 6

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

Question 7

EPI ( 1:1000)
Anaphylaxis/Allergic reaction dose

Answer 7

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

Question 8

EPI (1:10,000)
Cardiac dose

Answer 8

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)

Question 9

Benadryl

Answer 9

Carried: 50mg/mL vial

Dose:
Anaphylaxis
Adult : 1mg/kg (Max 50mg) IV/IM/PO
Peds: 1mg/kg (Max 25mg) IV/IM/PO

Question 9

Solumedrol (methylprednisone)

Answer 9

Carried: 125mg powder

Dose:
Allergic Reaction/ANA:2mg/kg IV/IM (Max125mg)

Peds: same dose

Question 10

Magnesium

Answer 10

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

Question 11

Adenosine

Answer 11

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

Question 12

Amiodarone

Answer 12

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

Question 13

Narcan

Answer 13

Carried: 2mg/2mL

Dose :naloxone 0.4-2 mg IV/IM/IN/IO
Repeat every 3-5 mins

Question 14

Atropine

Answer 14

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

Question 15

TXA

Answer 15

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)

Question 16

Zophran (Ondansetron)

Answer 16

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

Question 17

Midazolam (Versed)
Behavioral

Answer 17

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

Question 18

Midazolam (Versed)
Seizure

Answer 18

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

Question 19

Albuterol

Answer 19

Carried: 2.5mg/3mL SVN

Asthma: repeat as needed

ANA: SVN Max 3 doses

Question 20

Dextrose 10%

Answer 20

Dose :1mL/kg IV/IO

Max 250mL

May repeat x 1

Question 21

Hydroxocobalamin (cyano kit)

Answer 21

Dose: 70mg/kg

Max 5g dose

May repeat x1

Question 22

Calcium Chloride

Answer 22

Brady: Dose 1g IVP

Wide complex Brady and history of renal failure, consider hyperkalemia

Cardiac arrest: 20mg/kg IV/IO (max 1g)