Week One Medications Adult dosage

Question 1

albuterol
(adult dosage – respiratory distress)

Answer 1

Respiratory distress: 2.5 - 5 mg via nebulizer

Question 2

albuterol
(adult dosage - hyperkalemia)

Answer 2

Hyperkalemia: 5 mg via nebulizer

Question 3

aspirin
(adult dosage)

Answer 3

New Onset chest discomfort suggestive of ACS: 162 - 325 mg

Question 4

epinephrine
(adult dosage: anaphylaxis)

Answer 4

Anaphylaxis:
0.3 mg 1:1000 IM.
Repeat every 5-15 minutes PRN.

Question 5

albuterol
(adult dosage: respiratory distress with signs of bronchospasm)

Answer 5

Respiratory distress with signs of bronchospasm:
5 mg via nebulizer.
Repeat for continued respiratory distress
No maximum dose

Question 6

epinephrine
(adult dosage: respiratory distress with wheezing, stridor (from anaphylaxis))

Answer 6

Respiratory distress with wheezing, stridor (from anaphylaxis):
5 mg (5 mL) of 1:1000 nebulized

Question 7

epinephrine
(adult dosage: cardiovascular collapse (from anaphylaxis))

Answer 7

Cardiovascular collapse (from anaphylaxis):
0.5 mcg/kg/min of 1:1000 IV infusion,
despite repeated IM anaphylaxis doses
(0.3 mg IM)
AND
60 mL/kg isotonic fluid boluses

Question 8

naloxone hydrochloride
(adult dosage)

Answer 8

Initial dose: 0.4 – 2 mg IV/IO/IM/ETT
OR up to 4 mg IN

Question 9

nitroglycerin
(adult dose: Ischemic chest pain, hypertension – sublingual)

Answer 9

Ischemic chest pain, hypertension:
Sublingual:
0.3 - 0.4 mg tablet every 3-5 minutes Maximum of three doses

Question 10

nitroglycerin
(adult dose: Ischemic chest pain, hypertension – Spray)

Answer 10

Ischemic Chest pain, hypertension:
Spray:
1-2 sprays every 3 — 5 minutes to a maximum of 3 doses

Question 11

nitroglycerin
(adult dose: Ischemic chest pain, hypertension – IV dose)

Answer 11

Ischemic Chest pain, hypertension:
IV dose:
12.5 - 25 mcg bolus (if no SL/spray given)
then begin 10 mcg/min infusion.
Increase by 10 mcg/min every 3 – 5 minutes until desired effect.
Maximum dose: 200 mcg/min.

Question 12

nitroglycerin
(adult dose: Ischemic chest pain, hypertension – Paste)

Answer 12

Ischemic Chest pain, hypertension:
Paste:
Squeeze out the dose onto a supplied paper dose-measuring applicator that comes with the medication. Place the paper applicator with ointment side down onto a dry, hairless area of skin (preferred on the chest). Do not rub ointment into skin.

Question 13

nitroglycerin
(adult dose: Mild CHF/pulmonary edema)

Answer 13

Mild CHF/pulmonary edema:
0.4 mg SL.
Repeat q 5 minutes

Question 14

nitroglycerin
(adult dose: Severe CHF/pulmonary edema)

Answer 14

Severe CHF/pulmonary edema:
SBP 100 - 150: 0.4 mg SL
SBP 150 - 200: 0.8 mg SL
SBP > 200: 1.2 mg SL.
Repeat doses every 5 minutes based on repeat SBP

Question 15

glucose, oral
(adult, conscious patient with suspected hypoglycemia)

Answer 15

Conscious patient with suspected hypoglycemia:
25 mg PO

Question 16

oxygen
(adult)

Answer 16

Based on patient assessment (all patients with known or suspected CO poisoning should receive high-flow 02)

Question 17

epinephrine
(dosage concentrations)

Answer 17

All epinephrine will be administered in one of four concentrations:
A. 1 mg/mL = 1:1000
B. 0.1 mg/mL = 1:10,000 (preloads are
1 mg/10 mL)
C. 0.01 mg/mL = 1: 100,00
(To make 1:100,000, aka “push-dose
epinephrine” mix 1 mL of 1:10,000
in 9 mL of normal saline.)
D. To make epinephrine drip for IV infusion,
mix 1 mg of 1:1000 in 250 mL NS to get
4 mcg/mL.