UCSF Drug Reference Flashcards

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
Q

What is the Adult/Peds dose of DANTROLENE?

A

Adult & Peds: 2.5 mg/kg IV, repeat 1 mg/kg prn (max of 10 mg/kg) (see MH protocol)

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26
Q

What is the Adult dose of DEXMEDETOMIDINE?

A

Adult & Peds: Load: 0.5 -1 mcg/kg IV (over 10 min), Infusion: 0.2-1.5 mcg/kg/hr IV

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27
Q

What is the Adult/Peds dose of DEXAMETHASONE for airway edema and for PONV?

A

Adult & Peds: Airway edema: 0.5 mg/kg IV q6h PONV: Adults 4-8 mg IV; Peds 0.1 mg/kg IV

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28
Q

What is the Adult/Peds IV and PO dose of DIAZEPAM?

A

Adult: 5-10 mg or (0.1 mg/kg)IV; 0.2 mg/kg PO Peds: 0.2-0.3 mg/kg IV

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29
Q

What is the Adult dose of DICLOFENAC?

A

Adult: 50-100 mg PO

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30
Q

What is the Peds dose of DICLOFENAC?

A

Peds: 0.5 mg/kg IV/IM, 1 mg/kg PO/PR

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31
Q

What is the Adult dose of DIPHENHYDRAMINE?

A

Adult: 25-50 mg IV/IM/PO q4-6 hours

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32
Q

What is the Peds dose of DIPHENHYDRAMINE?

A

Peds: 0.5-1 mg/kg IV q 4-6 hours; Max 50 mg

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33
Q

What is the general Adult/Peds gtt dose of DOBUTAMINE?

A

Adult & Peds: 0.5-20 mcg/kg/min IV Infusion

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34
Q

What is the general Adult/Peds gtt dose of DOPAMINE?

A

Adult & Peds: 0.5-20 mcg/kg/min IV Infusion

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35
Q

What is the Adult dose of EPHEDRINE?

A

Adult: 5 - 10mg IV prn

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36
Q

What is the Peds dose of EPHEDRINE?

A

Peds: 0.1-0.2 mg/kg (max 25 g/dose) IV prn

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37
Q

What is the Adult dose of ERGOMETRINE?

A

Adult: 0.5 mg IV/IM slow

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38
Q

What is the Adult/Peds dose of ESMOLOL?

A

Adult & Peds: Bolus: 0.5 mg/kg IV prn; Infusion: 50-300 mcg/kg/min IV

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39
Q

What is the Adult/Peds dose of ETOMIDATE?

A

Adult & Peds: 0.2-0.3 mg/kg IV

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40
Q

What is the Adult IVP and gtt dose of FENTANYL?

A

Adult: Analgesia: 25-100 mcg IV prn; Infusion 25-200 mcg/hr (or higher)

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41
Q

What is the Peds dose of FENTANYL?

A

Peds: Analgesia: 0.5-1 mcg/kg IV prn; 1-2 mcg/kg intranasal prn; Infusion: 0.5-5 mcg/kg/hr IV

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42
Q

What is the Adult dose of GLYCOPYRROLATE?

A

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.

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43
Q

What is the Pedi dose of GLYCOPYRROLATE?

A

Peds: Reversal: 0.015 mg/kg IV;

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44
Q

What is the Pedi dose of GLYCOPYRROLATE when used as antisialogogue?

A

Antisialogogue: 4 mcg/kg IM

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45
Q

What is the Adult dose of HYDRALAZINE?

A

Adult: 10-20 mg IV

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46
Q

What is the Pedi dose of HYDRALAZINE?

A

Peds: 0.1-0.2 mg/kg IV

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47
Q

What is the Adult dose of HYDROCODONE?

A

Adult: 20-40 mg PO

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48
Q

What is the Peds dose of HYDROCODONE?

A

Peds: 0.2 mg/kg PO

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49
Q

What is the Adult dose of HYDROCORTISONE both normal and stress dose?

A

Adult: 100 mg IV, Stress Dose 50 mg IV q6hr

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50
Q

What is the Peds stress dose of HYDROCORTISONE?

A

Peds: (stress dose) 1-2 mg/kg IV

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51
Q

What is the Adult dose of HYDROMORPHONE?

A

Adult: 0.5-2 mg IV prn

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52
Q

What is the Peds dose of HYDROMORPHONE?

A

Peds: IV: 5-10 mcg/kg IV prn PO/PR: 50-80 mcg/kg q3-6h prn

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53
Q

What is the Adult dose of INTRALIPID?

A

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
Q

What is the Adult induction dose of KETAMINE?

A

Adult: Induction: 0.5-2 mg/kg IV, 4-10 mg/kg IM;

55
Q

What is the Adult analgesia only dose of KETAMINE?

A

Adult: Analgesia: 0.2-0.8 mg/kg IV; 2-4 mg/kg IM; Infusion 2-15 mcg/kg/min IV

56
Q

What is the Peds induction dose of KETAMINE?

A

Peds: Induction: 2-3 mg/kg IV, 5-8 mg/kg IM, 5-10 mg/kg PR;

57
Q

What is the Peds analgesia only dose of KETAMINE?

A

Peds: Analgesia: 0.2-0.5 mg/kg IV, 2-4 mg/kg IM, Infusion: 2-10 mcg/kg/min IV

58
Q

What is the Adult dose of KETOROLAC?

A

Adult: 15-30 mg IV/IM q6h prn; Max 60-120mg

59
Q

What is the Peds dose of KETOROLAC?

A

Peds: 0.5 mg/kg (max 30 mg) IV q6h prn; 1 mg/kg IM

60
Q

What is the Adult dose of LABETALOL?

A

Adult: 10-20 mg IV, double dose q15min prn; Max 300mg; infusion 0.5-2 mg/min (or higher)

61
Q

What is the Peds dose of LABETALOL?

A

Peds: 0.1 mg/kg IV q5-10min

62
Q

What is the Adult cardiac arrest dose of LIDOCAINE?

A

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
Q

What is the Adult analgesia only dose of LIDOCAINE?

A

Adult: Analgesia: 1-2 mg/kg IV, infusion: 0.5-3 mg/kg/hr IV

64
Q

What is the Peds cardiac arrest dose of LIDOCAINE?

A

Peds: Arrest: 1 mg/kg IV, repeat x1 prn, ETT 2-3 mg/kg infusion 20-50 mcg/kg/min IV;

65
Q

What is the Peds analgesia only dose of LIDOCAINE?

A

Peds: Analgesia: 1 mg/kg IV, infusion: 1.5-2 mg/kg/hr IV

66
Q

What is the Adult dose of LORAZEPAM?

A

Adult: 1-4 mg IV prn (0.04 mg/kg)

67
Q

What is the Peds dose of LORAZEPAM?

A

Peds: 0.1 mg/kg IV prn (max 4 mg/dose)

68
Q

What is the Adult dose of MAGNESIUM for asthma patient?

A

Adult: Asthma: 2 gm IV over 20 min;

69
Q

What is the Adult dose of MAGNESIUM for eclampsia/preecleampsia?

A

Eclampsia/preeclampsia: Load 4-6 gm IV, infusion 1-2 gm/hr IV;

70
Q

What is the Adult dose of MAGNESIUM for Torsades?

A

TdP: 1-2 gm IV, infusion 0.5-1 gm/hr IV

71
Q

What is the Peds dose of MAGNESIUM for asthma?

A

Peds: Asthma: 25-75 mg/kg (max 2 gm) IV over 20min;

72
Q

What is the Peds dose of MAGNESIUM for Torsades?

A

TdP: 25-50 mg/kg/dose (max 2 gm) IV

73
Q

What is the Adult dose of METARAMINOL?

A

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
Q

What is the Adult dose of METHADONE?

A

Adult: Analgesia: 2.5-10 mg PO/IM/IV/SQ (based on opioid tolerance), repeat q8-12hr prn;

75
Q

What is the Peds dose of METHADONE?

A

Peds: Analgesia: 0.05-0.1 mg/kg PO/IM/IV/SQ; (t1⁄2 = 18-24 hrs)

76
Q

What is the Adult induction dose of METHOHEXITAL?

A

Adult: Induction: 1-1.5 mg/kg IV

77
Q

What is the Peds induction dose of METHOHEXITAL?

A

Peds: Induction: 1-3 mg/kg IV, 20-30 mg/kg PR

78
Q

What is the adult and peds dose of METHYLERGONOVINE (Methergine)?

A

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
Q

What is the Adult dose of METHYLPREDNISOLONE for asthma?

A

Adult: Asthma: 40-80mg IV;

80
Q

What is the Adult dose of METHYLPREDNISOLONE for anaphylaxis?

A

Anaphylaxis: 125mg IV

81
Q

What is the Peds dose of METHYLPREDNISOLONE asthma?

A

Peds: Asthma: 1mg/kg IV

82
Q

What is the Peds dose of METHYLPREDNISOLONE for anaphylaxis?

A

Anaphylaxis: 1-2mg/kg IV

83
Q

What is the Adult dose of METOCLOPRAMIDE?

A

Adult: 10-20 mg IV/PO, repeat 5-10 mg q6hr prn

84
Q

What is the Peds dose of METOCLOPRAMIDE?

A

Peds: 0.1-0.15 mg/kg IV/PO q6hr prn

85
Q

What is the Adult anxiolytic dose of MIDAZOLAM?

A

Adult: 0.5-4 mg IV

86
Q

What is the Peds anxiolytic dose of MIDAZOLAM?

A

Peds: 0.1-0.2 mg/kg IV, 0.5 mg/kg PO/PR

87
Q

What is the adult and peds dose of MISOPROSTOL?

A

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
Q

What is the Adult dose of MORPHINE?

A

Adult: 2.5 - 10 mg IV/IM

89
Q

What is the Peds dose of MORPHINE?

A

Peds: 0.05-0.1 mg/kg IV/IM

90
Q

What is the Adult dose of NALOXONE for excessive sedation?

A

Adult: Excessive sedation: 0.02-0.2 mgq4-8 ;

91
Q

What is the Adult dose of NALOXONE for opioid overdose?

A

Opioid overdose: 0.1-2 mg IV/IM q2-3min prn, 2 mg nebulized, 4 mg intranasal

92
Q

What is the Peds dose of NALOXONE for excessive sedation?

A

Peds: Excessive sedation: 0.5-1 mcg/kg IV q2-3min prn;

93
Q

What is the Peds dose of NALOXONE for opioid overdose?

A

Opioid overdose: 10 mcg/kg IV/IM q2-3min prn; 4 mg intranasal

94
Q

What is the Adult dose of NOREPINEPHRINE?

A

Adult: Infusion: 0.05-2 mcg/kg/min or 0.5-20 mcg/min IV

95
Q

What is the Peds dose of NOREPINEPHRINE?

A

Peds: Infusion: 0.05-2 mcg/kg/min IV

96
Q

What is the Adult dose of ONDANSETRON?

A

Adult: 4-8 mg IV, repeat q4-8hr prn

97
Q

What is the Peds dose of ONDANSETRON?

A

Peds: 0.15 mg/kg IV; repeat q6-8hr prn

98
Q

What is the Adult dose of OXYCODONE?

A

Adult: 5-15 mg (or higher depending on opioid tolerance), repeat q3-4hr prn

99
Q

What is the Peds dose of OXYCODONE?

A

Peds: 0.1 mg/kg PO; repeat q3-4hr prn

100
Q

What is the adult dose of PETHIDINE (meperidine) for shivering?

A

Adult: Shivering/Analgesia: 12.5-50 mg IV

101
Q

What is the Peds dose of PETHIDINE (meperidine) for shivering?

A

Peds: 0.5-1 mg/kg IV, max 400 mg daily

102
Q

What is the Adult /Peds dose of PHENOBARBITAL for status epilepticus?

A

Adult & Peds: Status epilepticus: 15-20 mg/kg IV, may repeat 5-10 mg/kg in 10min prn x 1

103
Q

What is the adult and peds dose of PHENYLEPHRINE?

A

Adult: 40-100 mcg IV q1-2min prn; Infusion 10-200 mcg/min

104
Q

What is the Adult dose of PROCHLORPERAZINE?

A

Adult: 5-10 mg IV/IM/PO q3-6 hrs prn (max 40 mg/day)

105
Q

What is the Peds dose of PROCHLORPERAZINE?

A

Peds: 0.1-0.15 mg/kg PO/IM/IV q6-8h prn (max 10 mg/dose)

106
Q

What is the Adult dose of PROMETHAZINE?

A

Adult: 12.5-25 mg PO/PR q4-6hr prn

107
Q

What is the Peds dose of PROMETHAZINE?

A

Peds: 0.2-0.5 mg/kg PO/PR q6-8h Max 25 mg/dose (do not give if < 2 yo)

108
Q

What is the Adult bolus dose of PROPOFOL?

A

Adults: 1-2.5 mg/kg,

109
Q

What is the Peds bolus dose of PROPOFOL?

A

Children 2-4 mg/kg

110
Q

What is the Adult gtt dose of PROPOFOL?

A

Infusion: 10-250 mcg/kg/min

111
Q

What is the Adult dose of RANITIDINE?

A

Adult: 50 mg IV; 150-300 mg PO

112
Q

What is the Peds dose of RANITIDINE?

A

Peds: 1 mg/kg IV; 2.5 mg/kg PO

113
Q

What is the Adult/Peds dose of REMIFENTANIL?

A

Adult & Peds: Bolus: 0.5-1 mcg/kg IV; Infusion: 0.05-0.5 mcg/kg/min IV

114
Q

What is the Adult dose of ROCURONIUM?

A

Adult: 0.6-1.2 mg/kg IV (t1⁄2 = ~60 min)

115
Q

What is the Peds dose of ROCURONIUM?

A

Peds: 0.9-1.2 mg/kg IV

116
Q

What is the Adults dose of SCOPOLAMINE?

A

Adult & Adolescents: 1 patch q72hr

117
Q

What is the Peds dose of SCOPOLAMINE?

A

Peds: 6 mcg/kg IV (max 0.3 mg)

118
Q

What is the Adult dose of Bicitra?

A

Adult: 15-30mL PO q6h prn

119
Q

What is the Peds dose of Bicitra?

A

Peds ≥ 2 yo: 1-1.5 mL/kg q6-8h prn (max 30 mL/dose)

120
Q

What is the Adults dose of SODIUM?

A

Adult: 50-100 mEq IV prn (1”Amp” of 50 mL 8.4% = 50 mEq)

121
Q

What is the Peds dose of SODIUM?

A

Peds: 1-2 mEq/kg IV

122
Q

What is the Adult dose of SUCCINYLCHOLINE?

A

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
Q

What is the Peds dose of SUCCINYLCHOLINE?

A

Peds: 1-2 mg/kg IV; 3-4 mg/kg IM

124
Q

What is the Adult dose of SUFENTANIL?

A

Adult: Analgesia: 0.5-2 mcg/kg IV Infusion: 0.05-2mcg/kg/hr

125
Q

What is the Adult dose of SUGAMMADEX?

A

Adult: 2 TOF Twitches: 2 mg/kg; 0 TOF, 1-2 PTC: 4 mg/kg; Immediate emergent reversal : 16 mg/kg

126
Q

What is the Adult dose of TERBUTALINE?

A

Adult: (tocolysis) 5-10 mcg/kg IV q15 min (max 250 mcg)

127
Q

What is the Adult dose of THIOPENTAL?

A

Adult: (induction) 3-6 mg/kg

128
Q

What is the Adult dose of TRAMADOL?

A

Adult: 25-100 mg PO q4-6h prn

129
Q

What is the Adult dose of TRANEXAMIC ACID (TXA)?

A

Adult: 1 g IV over 10 min, repeat x 1 after 30 min prn

130
Q

What is the Adult shock gtt dose of VASOPRESSIN?

A

Adult: (shock) 0.03 - 0.05 units/minute drip

131
Q

What is the Peds shock gtt dose of VASOPRESSIN?

A

Peds: (shock) Infusion: 0.0002-0.002 units/kg/min IV

132
Q

What is the Adult/Peds dose of VECURONIUM?

A

Adult & Peds: (induction) 0.1 mg/kg IV (t1⁄2 = ~ 65 min) Infusion: 0.8-1.7 mcg/kg/min drip