UCSF Drug Reference Flashcards

(132 cards)

1
Q

What is the Adult dose of ADENOSINE?

A

Adult: 6 mg IV push; then 12 mg IV q1min x2 PRN

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2
Q

What is the Peds dose of ADENOSINE?

A

Peds: 0.1 mg/kg IV push (max 6 mg/dose), may repeat 0.2 mg/kg IV (max 12 mg/dose)

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3
Q

What is the Adult dose of EPINEPHRINE for cardiac arrest?

A

Adult: Arrest: 1 mg q3-5min IV prn; ETT 2-2.5 mg q3-5min prn (dilute in 5-10 mL NS or sterile water)

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4
Q

What is the Adult dose of EPINEPHRINE for Anaphylaxis/Hypotension?

A

Adult: Anaphylaxis/Hypotension: 50 - 100 mcg IV q5min prn; 200 - 500 mcg IM q5min prn;

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5
Q

What is the general range of Adult gtt dose of EPINEPHRINE ?

A

Infusion: 0.5 - 20 mcg/min IV

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6
Q

What is the Adult dose of racemic EPINEPHRINE?

A

Racemic 2.25% solut. 0.5ml via neb

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7
Q

What is the Peds dose of EPINEPHRINE for cardiac arrest?

A

Peds: Arrest: 10 mcg/kg IV (max 1 mg) q3-5min prn; 100 mcg/kg ETT q3-5 min prn Note: 0.01 mg/kg = 10 mcg/kg and 0.1 mg/kg = 100 mcg/kg → ACLS lists doses in mg/kg

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8
Q

What is the Peds dose of EPINEPHRINE for anapylaxis?

A

Anaphylaxis: Children >6mo AND< 30kg: 10mcg/kg IM, >30kg then 300 mcg IM

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9
Q

What is the Peds dose of EPINEPHRINE for severe HOTN?

A

Severe Hypotension: 0.5-10 mcg/kg IV

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10
Q

What is the general Peds gtt dose of EPINEPHRINE?

A

Infusion: 0.02 - 1 mcg/kg/min IV

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11
Q

What is the Peds dose of racemic EPINEPHRINE?

A

Racemic 2.25% solut. 0.25-0.5 ml via neb

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12
Q

What is the Adult/Peds dose of ALBUTEROL for bronchodilation?

A

Adult & Peds: (bronchodilation) Nebulized: 2.5 mg in 3mL every 20 min or continuous (5-20 mg/hr)

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13
Q

What is the Adult dose of AMIODARONE?

A

Adult: 150-300 mg IV bolus (dependent on rhythm) then infusion @ 1 mg/min x 6hrs, then 0.5 mg/min x 18hrs

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14
Q

What is the Peds dose of AMIODARONE?

A

Peds: 5 mg/kg IV (max 300 mg) over 30 minutes, may repeat x2; Infusion: 5-15 mcg/kg/min IV

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15
Q

What is the Adult/Peds dose of ATRACURIUM?

A

Adult & Peds: 0.4-0.5 mg/kg IV. (t1⁄2 = ~20 min)

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16
Q

What is the Adult dose of ATROPINE?

A

Adult: Arrest/Bradycardia: 1mg IV q3-5min max 3mg; ETT 1-2 mg q3-5min prn Don’t go below 0.5mg → can get paradoxical results

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17
Q

What is the Peds dose of ATROPINE?

A

Peds: Arrest/brady: 0.02 mg/kg (max 0.5mg) IV,repeat x 1 q5min prn; ETT 0.04-0.06 mg/kg; repeat x 1 prn

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18
Q

What is the Adult dose of CALCIUM during cardiac arrest or CCB toxicity?

A

Adult: Arrest, CCB toxicity: 1-2 gm IV slowly; repeat q10min prn Note: CaCl is 2x more absorbable than Ca Gluconate

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19
Q

What is the Peds dose of CALCIUM during cardiac arrest or CCB toxicity?

A

Peds: Arrest, CCB toxicity: 20 mg/kg IV (max 2 gm); repeat q10min prn Note: CaCl is 2x more absorbable than Ca Gluconate

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20
Q

What is the adult and peds dose of CARBOPROST?

A

Adult: 250 mcg IM, repeat q15min prn. Max 2 mg. (See PPH for full details)

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21
Q

What is the Adult dose of CISATRACURIUM?

A

Adult: 0.1-0.2 mg/kg IV. (t1⁄2 = ~ 25 min); Infusion 0.5 - 10 mcg/kg/min IV

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22
Q

What is the Peds dose of CISATRACURIUM?

A

Peds: 0.1-0.15 mg/kg IV; Infusion 0.5-4 mcg/kg/min IV

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23
Q

What is the Adult dose of CODEINE?

A

Adult: 15-60 mg PO/IM/SQ; repeat q4h prn

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24
Q

What is the Peds dose of CODEINE?

A

Peds***: not recommended in children < 12 yo

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25
What is the Adult/Peds dose of DANTROLENE?
Adult & Peds: 2.5 mg/kg IV, repeat 1 mg/kg prn (max of 10 mg/kg) (see MH protocol)
26
What is the Adult dose of DEXMEDETOMIDINE?
Adult & Peds: Load: 0.5 -1 mcg/kg IV (over 10 min), Infusion: 0.2-1.5 mcg/kg/hr IV
27
What is the Adult/Peds dose of DEXAMETHASONE for airway edema and for PONV?
Adult & Peds: Airway edema: 0.5 mg/kg IV q6h PONV: Adults 4-8 mg IV; Peds 0.1 mg/kg IV
28
What is the Adult/Peds IV and PO dose of DIAZEPAM?
Adult: 5-10 mg or (0.1 mg/kg)IV; 0.2 mg/kg PO Peds: 0.2-0.3 mg/kg IV
29
What is the Adult dose of DICLOFENAC?
Adult: 50-100 mg PO
30
What is the Peds dose of DICLOFENAC?
Peds: 0.5 mg/kg IV/IM, 1 mg/kg PO/PR
31
What is the Adult dose of DIPHENHYDRAMINE?
Adult: 25-50 mg IV/IM/PO q4-6 hours
32
What is the Peds dose of DIPHENHYDRAMINE?
Peds: 0.5-1 mg/kg IV q 4-6 hours; Max 50 mg
33
What is the general Adult/Peds gtt dose of DOBUTAMINE?
Adult & Peds: 0.5-20 mcg/kg/min IV Infusion
34
What is the general Adult/Peds gtt dose of DOPAMINE?
Adult & Peds: 0.5-20 mcg/kg/min IV Infusion
35
What is the Adult dose of EPHEDRINE?
Adult: 5 - 10mg IV prn
36
What is the Peds dose of EPHEDRINE?
Peds: 0.1-0.2 mg/kg (max 25 g/dose) IV prn
37
What is the Adult dose of ERGOMETRINE?
Adult: 0.5 mg IV/IM slow
38
What is the Adult/Peds dose of ESMOLOL?
Adult & Peds: Bolus: 0.5 mg/kg IV prn; Infusion: 50-300 mcg/kg/min IV
39
What is the Adult/Peds dose of ETOMIDATE?
Adult & Peds: 0.2-0.3 mg/kg IV
40
What is the Adult IVP and gtt dose of FENTANYL?
Adult: Analgesia: 25-100 mcg IV prn; Infusion 25-200 mcg/hr (or higher)
41
What is the Peds dose of FENTANYL?
Peds: Analgesia: 0.5-1 mcg/kg IV prn; 1-2 mcg/kg intranasal prn; Infusion: 0.5-5 mcg/kg/hr IV
42
What is the Adult dose of GLYCOPYRROLATE?
Adult: Reversal: 0.1-0.2 mg IV (100-200 mcg) Note: Prob shouldn't slam 200 mcg in. Might need to give smaller doses depending on what your wanting to do.
43
What is the Pedi dose of GLYCOPYRROLATE?
Peds: Reversal: 0.015 mg/kg IV;
44
What is the Pedi dose of GLYCOPYRROLATE when used as antisialogogue?
Antisialogogue: 4 mcg/kg IM
45
What is the Adult dose of HYDRALAZINE?
Adult: 10-20 mg IV
46
What is the Pedi dose of HYDRALAZINE?
Peds: 0.1-0.2 mg/kg IV
47
What is the Adult dose of HYDROCODONE?
Adult: 20-40 mg PO
48
What is the Peds dose of HYDROCODONE?
Peds: 0.2 mg/kg PO
49
What is the Adult dose of HYDROCORTISONE both normal and stress dose?
Adult: 100 mg IV, Stress Dose 50 mg IV q6hr
50
What is the Peds stress dose of HYDROCORTISONE?
Peds: (stress dose) 1-2 mg/kg IV
51
What is the Adult dose of HYDROMORPHONE?
Adult: 0.5-2 mg IV prn
52
What is the Peds dose of HYDROMORPHONE?
Peds: IV: 5-10 mcg/kg IV prn PO/PR: 50-80 mcg/kg q3-6h prn
53
What is the Adult dose of INTRALIPID?
Adult & Peds: LAST: 1.5 mL/kg followed by infusion 0.25 mL/kg/min up to 0.5 mL/kg/min (see LAST protocol); use ideal body weight; NTE 12 ml/kg in peds
54
What is the Adult induction dose of KETAMINE?
Adult: Induction: 0.5-2 mg/kg IV, 4-10 mg/kg IM;
55
What is the Adult analgesia only dose of KETAMINE?
Adult: Analgesia: 0.2-0.8 mg/kg IV; 2-4 mg/kg IM; Infusion 2-15 mcg/kg/min IV
56
What is the Peds induction dose of KETAMINE?
Peds: Induction: 2-3 mg/kg IV, 5-8 mg/kg IM, 5-10 mg/kg PR;
57
What is the Peds analgesia only dose of KETAMINE?
Peds: Analgesia: 0.2-0.5 mg/kg IV, 2-4 mg/kg IM, Infusion: 2-10 mcg/kg/min IV
58
What is the Adult dose of KETOROLAC?
Adult: 15-30 mg IV/IM q6h prn; Max 60-120mg
59
What is the Peds dose of KETOROLAC?
Peds: 0.5 mg/kg (max 30 mg) IV q6h prn; 1 mg/kg IM
60
What is the Adult dose of LABETALOL?
Adult: 10-20 mg IV, double dose q15min prn; Max 300mg; infusion 0.5-2 mg/min (or higher)
61
What is the Peds dose of LABETALOL?
Peds: 0.1 mg/kg IV q5-10min
62
What is the Adult cardiac arrest dose of LIDOCAINE?
Adult: Arrest: 1-1.5 mg/kg IV, 0.5-0.75 mg/kg q5-10ming prn (max 3 mg/kg), ETT 2-3.75 mg/kg, infusion 1-4 mg/min;
63
What is the Adult analgesia only dose of LIDOCAINE?
Adult: Analgesia: 1-2 mg/kg IV, infusion: 0.5-3 mg/kg/hr IV
64
What is the Peds cardiac arrest dose of LIDOCAINE?
Peds: Arrest: 1 mg/kg IV, repeat x1 prn, ETT 2-3 mg/kg infusion 20-50 mcg/kg/min IV;
65
What is the Peds analgesia only dose of LIDOCAINE?
Peds: Analgesia: 1 mg/kg IV, infusion: 1.5-2 mg/kg/hr IV
66
What is the Adult dose of LORAZEPAM?
Adult: 1-4 mg IV prn (0.04 mg/kg)
67
What is the Peds dose of LORAZEPAM?
Peds: 0.1 mg/kg IV prn (max 4 mg/dose)
68
What is the Adult dose of MAGNESIUM for asthma patient?
Adult: Asthma: 2 gm IV over 20 min;
69
What is the Adult dose of MAGNESIUM for eclampsia/preecleampsia?
Eclampsia/preeclampsia: Load 4-6 gm IV, infusion 1-2 gm/hr IV;
70
What is the Adult dose of MAGNESIUM for Torsades?
TdP: 1-2 gm IV, infusion 0.5-1 gm/hr IV
71
What is the Peds dose of MAGNESIUM for asthma?
Peds: Asthma: 25-75 mg/kg (max 2 gm) IV over 20min;
72
What is the Peds dose of MAGNESIUM for Torsades?
TdP: 25-50 mg/kg/dose (max 2 gm) IV
73
What is the Adult dose of METARAMINOL?
Adult & Peds: 0.5 mg IV bolus, repeat q2-3min prn (avoid in children <12) Note: This is a pressor. metaradrine, is a stereoisomer of meta-hydroxynorephedrine(3,ß-dihydroxyamphetamine), is a potent sympathomimetic amine used in the prevention and treatment of hypotension, particularly as a complication of anesthesia. It is an a1-adrenergic receptor agonist with some ß-adrenergic effect.
74
What is the Adult dose of METHADONE?
Adult: Analgesia: 2.5-10 mg PO/IM/IV/SQ (based on opioid tolerance), repeat q8-12hr prn;
75
What is the Peds dose of METHADONE?
Peds: Analgesia: 0.05-0.1 mg/kg PO/IM/IV/SQ; (t1⁄2 = 18-24 hrs)
76
What is the Adult induction dose of METHOHEXITAL?
Adult: Induction: 1-1.5 mg/kg IV
77
What is the Peds induction dose of METHOHEXITAL?
Peds: Induction: 1-3 mg/kg IV, 20-30 mg/kg PR
78
What is the adult and peds dose of METHYLERGONOVINE (Methergine)?
Adult: 0.2 mg IM; repeat q 5-10min max 2 doses (See PPH for full details) Note: Methylergonovine belongs to a class of drugs called ergot alkaloids. Methylergonovine is used to prevent or treat bleeding from the uterus that can happen after childbirth or an abortion.
79
What is the Adult dose of METHYLPREDNISOLONE for asthma?
Adult: Asthma: 40-80mg IV;
80
What is the Adult dose of METHYLPREDNISOLONE for anaphylaxis?
Anaphylaxis: 125mg IV
81
What is the Peds dose of METHYLPREDNISOLONE asthma?
Peds: Asthma: 1mg/kg IV
82
What is the Peds dose of METHYLPREDNISOLONE for anaphylaxis?
Anaphylaxis: 1-2mg/kg IV
83
What is the Adult dose of METOCLOPRAMIDE?
Adult: 10-20 mg IV/PO, repeat 5-10 mg q6hr prn
84
What is the Peds dose of METOCLOPRAMIDE?
Peds: 0.1-0.15 mg/kg IV/PO q6hr prn
85
What is the Adult anxiolytic dose of MIDAZOLAM?
Adult: 0.5-4 mg IV
86
What is the Peds anxiolytic dose of MIDAZOLAM?
Peds: 0.1-0.2 mg/kg IV, 0.5 mg/kg PO/PR
87
What is the adult and peds dose of MISOPROSTOL?
Adult: 1mg PR Note: Misoprostol is a synthetic prostaglandin medication used to prevent and treat stomach and duodenal ulcers, induce labor, cause an abortion, and treat postpartum bleeding due to poor contraction of the uterus.
88
What is the Adult dose of MORPHINE?
Adult: 2.5 - 10 mg IV/IM
89
What is the Peds dose of MORPHINE?
Peds: 0.05-0.1 mg/kg IV/IM
90
What is the Adult dose of NALOXONE for excessive sedation?
Adult: Excessive sedation: 0.02-0.2 mgq4-8 ;
91
What is the Adult dose of NALOXONE for opioid overdose?
Opioid overdose: 0.1-2 mg IV/IM q2-3min prn, 2 mg nebulized, 4 mg intranasal
92
What is the Peds dose of NALOXONE for excessive sedation?
Peds: Excessive sedation: 0.5-1 mcg/kg IV q2-3min prn;
93
What is the Peds dose of NALOXONE for opioid overdose?
Opioid overdose: 10 mcg/kg IV/IM q2-3min prn; 4 mg intranasal
94
What is the Adult dose of NOREPINEPHRINE?
Adult: Infusion: 0.05-2 mcg/kg/min or 0.5-20 mcg/min IV
95
What is the Peds dose of NOREPINEPHRINE?
Peds: Infusion: 0.05-2 mcg/kg/min IV
96
What is the Adult dose of ONDANSETRON?
Adult: 4-8 mg IV, repeat q4-8hr prn
97
What is the Peds dose of ONDANSETRON?
Peds: 0.15 mg/kg IV; repeat q6-8hr prn
98
What is the Adult dose of OXYCODONE?
Adult: 5-15 mg (or higher depending on opioid tolerance), repeat q3-4hr prn
99
What is the Peds dose of OXYCODONE?
Peds: 0.1 mg/kg PO; repeat q3-4hr prn
100
What is the adult dose of PETHIDINE (meperidine) for shivering?
Adult: Shivering/Analgesia: 12.5-50 mg IV
101
What is the Peds dose of PETHIDINE (meperidine) for shivering?
Peds: 0.5-1 mg/kg IV, max 400 mg daily
102
What is the Adult /Peds dose of PHENOBARBITAL for status epilepticus?
Adult & Peds: Status epilepticus: 15-20 mg/kg IV, may repeat 5-10 mg/kg in 10min prn x 1
103
What is the adult and peds dose of PHENYLEPHRINE?
Adult: 40-100 mcg IV q1-2min prn; Infusion 10-200 mcg/min
104
What is the Adult dose of PROCHLORPERAZINE?
Adult: 5-10 mg IV/IM/PO q3-6 hrs prn (max 40 mg/day)
105
What is the Peds dose of PROCHLORPERAZINE?
Peds: 0.1-0.15 mg/kg PO/IM/IV q6-8h prn (max 10 mg/dose)
106
What is the Adult dose of PROMETHAZINE?
Adult: 12.5-25 mg PO/PR q4-6hr prn
107
What is the Peds dose of PROMETHAZINE?
Peds: 0.2-0.5 mg/kg PO/PR q6-8h Max 25 mg/dose (do not give if < 2 yo)
108
What is the Adult bolus dose of PROPOFOL?
Adults: 1-2.5 mg/kg,
109
What is the Peds bolus dose of PROPOFOL?
Children 2-4 mg/kg
110
What is the Adult gtt dose of PROPOFOL?
Infusion: 10-250 mcg/kg/min
111
What is the Adult dose of RANITIDINE?
Adult: 50 mg IV; 150-300 mg PO
112
What is the Peds dose of RANITIDINE?
Peds: 1 mg/kg IV; 2.5 mg/kg PO
113
What is the Adult/Peds dose of REMIFENTANIL?
Adult & Peds: Bolus: 0.5-1 mcg/kg IV; Infusion: 0.05-0.5 mcg/kg/min IV
114
What is the Adult dose of ROCURONIUM?
Adult: 0.6-1.2 mg/kg IV (t1⁄2 = ~60 min)
115
What is the Peds dose of ROCURONIUM?
Peds: 0.9-1.2 mg/kg IV
116
What is the Adults dose of SCOPOLAMINE?
Adult & Adolescents: 1 patch q72hr
117
What is the Peds dose of SCOPOLAMINE?
Peds: 6 mcg/kg IV (max 0.3 mg)
118
What is the Adult dose of Bicitra?
Adult: 15-30mL PO q6h prn
119
What is the Peds dose of Bicitra?
Peds ≥ 2 yo: 1-1.5 mL/kg q6-8h prn (max 30 mL/dose)
120
What is the Adults dose of SODIUM?
Adult: 50-100 mEq IV prn (1"Amp" of 50 mL 8.4% = 50 mEq)
121
What is the Peds dose of SODIUM?
Peds: 1-2 mEq/kg IV
122
What is the Adult dose of SUCCINYLCHOLINE?
Adult: (induction) 0.6 - 2 mg/kg IV (high end for RSI) IM: 3-4 mg/kg; Max 5 mL at injection site. (t1⁄2 = ~6-8 min)
123
What is the Peds dose of SUCCINYLCHOLINE?
Peds: 1-2 mg/kg IV; 3-4 mg/kg IM
124
What is the Adult dose of SUFENTANIL?
Adult: Analgesia: 0.5-2 mcg/kg IV Infusion: 0.05-2mcg/kg/hr
125
What is the Adult dose of SUGAMMADEX?
Adult: 2 TOF Twitches: 2 mg/kg; 0 TOF, 1-2 PTC: 4 mg/kg; Immediate emergent reversal : 16 mg/kg
126
What is the Adult dose of TERBUTALINE?
Adult: (tocolysis) 5-10 mcg/kg IV q15 min (max 250 mcg)
127
What is the Adult dose of THIOPENTAL?
Adult: (induction) 3-6 mg/kg
128
What is the Adult dose of TRAMADOL?
Adult: 25-100 mg PO q4-6h prn
129
What is the Adult dose of TRANEXAMIC ACID (TXA)?
Adult: 1 g IV over 10 min, repeat x 1 after 30 min prn
130
What is the Adult shock gtt dose of VASOPRESSIN?
Adult: (shock) 0.03 - 0.05 units/minute drip
131
What is the Peds shock gtt dose of VASOPRESSIN?
Peds: (shock) Infusion: 0.0002-0.002 units/kg/min IV
132
What is the Adult/Peds dose of VECURONIUM?
Adult & Peds: (induction) 0.1 mg/kg IV (t1⁄2 = ~ 65 min) Infusion: 0.8-1.7 mcg/kg/min drip