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ALBUTEROL
2.5 mg in 2.5 to 3 mL NS via nebulizer, repeat as needed. The duration of effect is 3 to 6 hours. Ped: 0.15 mg/kg in 2.5 to 3 mL NS via nebulizer, repeat as needed.
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CHLORDIAZEPOXIDE
50-100 mg IV/IM
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DIPHENYDRAMINE
25-50 mg IV/IM
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FENTANYL
25-100 mcg slowly IV (2-3 min). Ped: 2 mcg/kg slow IV/IM.
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LORAZEPAM
Sedation: 2-4 mg IM, 0.5-2 mg IV Ped: 0.03-0.5 mg/kg IV/IM/PR up to 4mg | Status Epilepticus: 2 mg slow IV/PR (2mg/min) Ped: 0.1 mg/kg slow IV/PR (2-5 min)
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METOCLOPRAMIDE
10-20 mg IM; 10 mg slow IV (over 1-2 min). Ped 1-2 mg/kg.
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MORPHINE SULFATE
Pain: 2.5-15 mg IV; 5-20 mg IM/SQ. Ped: 0.05-0.1 mg/kg IV; 0.1-0.2 mg/kg IM/SQ AMI or PE: 1-2 mg (6-10 min response)
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NALOXONE
0.4-2.0 mg IV/IM/IN (ET 2-2.5X the dose). repeated/ 2-3 min as needed up to 10 mg. Ped: 0.01 mg IV/IM (ET 2-2.5X the dose) repeated/ 2-3 min as needed up to 10 mg.
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ZOFRAN
4 mg IVP or single 24 mg tablet ODT
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DIAZEPAM
Seizure: 5-10 mg IV/IM Ped: 0.5 to 2 mg IV/IM. Acute Anxiety: 2 to 5 mg IV/IM. Ped: 0.5 to 2 mg IM (premed for cardioversion) 5 to 15 mg IV Ped: 0.2 to 0.5 mg/kg IV
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ETOMIDATE
0.1 to 0.3 mg/kg IV over 15 to 30 sec. Ped: children > 10 years, same as for adults
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FLUMAZENIL
0.2 mg IV over 30 sec/min, up to 1 mg
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MIDAZOLAM
1 to 2.5 mg slow IV; 0.07 to 0.08 mg/kg IM (usually 5 mg). Ped: 0.05 to 0.2 mg/kg IV: 0.1 to 0.15 mg/kg IM; 3 mg intranasal.
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SUCCINYLCHOLINE
1 to 1.5 mg/kg IV/IM. Ped: 1 to 2 mg/kg IV/IM.
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ADENOSINE
6 mg IV (rapidly - over 1-2 sec), then flush line rapidly w/ NS. If ineffective, 12 mg (over 1-2 min, may be repeated. Ped: 0.1 mg/kg IV (rapidly - over 1-2 sec), then flush line rapidly w/ NS. If ineffective, 0.2 mg/kg (over 1-2 min) [max 12 mg].
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EPINEPHRINE
Arrest: 1.0mg of 1:10,000 IV 3-5 min (ET: 2.0-2.5mg of 1:1,000). Ped: 0.01mg/kg of 1:10,000 IV/IO (ET: 0.1mg/kg of 1:1,000). All subsequent doses 0.1 mg/kg IV/IO [no max). Allergic: 0.3-0.5mg of 1:1,000 SQ 5-15 min as needed or 0.5-1.0mg of 1:10,000 IV if SQ dose ineffective or severe reaction. Ped: 0.01 mg/kg of 1:1,000 SQ 10-15 min or 0.01 mg/kg of 1:10,000 IV if SQ dose ineffective or severe reaction.
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VASOPRESSIN
Arrest: 40units IV Esophagealvarices: 0.2-0.4 units/min IV drip.
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ATROPINE
Symptomatic Bradycardia: 0.5mg IV (ET 1.0mg) repeat 3-5 min to 3 mg Ped: 0.02 mg/kg IV (ET 0.04mg/kg) may repeat in 5 min up to 1 mg Asystole: 1.0mg IV (ET 2.0mg) may repeat 3-5 min up to 3 mg Organophosphate Poisoning: 2.0-5.0mg IV/IM/IO 10-15 min Ped: 0.05 mg/kg IV/IM/IO 10-15 min
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ASPERIN
160 to 325 mg PO (chewable)
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DEXTROSE 50% in Water
25g D50W (50 mL) IV. Ped: 2mL/kg of a 25% solution IV.
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FUROSEMIDE
40-120 mg slow IV. Ped: 1 mg/kg slow IV
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NITROGLYCERIN
1 tablet (0.4 mg) SL. May be repeated 3-5 min up to 3 tablets, or 1⁄2 inch of topical ointment, or 0.4 mg (one spray)SL up to 3 sprays/25 min.
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DOBUTAMINE
2-20 mcg/kg/min IV Ped: same
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DOPAMINE
2-5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect. Ped: same
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ISOPROTENEROL
Bradycardia: 2-10 mcg/min titrated to cardiac rate. Ped: 0.1 mcg/kg/min titrated to cardiac rate
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TETRACAINE
1-2 drops in each eye
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DILTIAZEM
0.25mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5-10mg/hr not to exceed 15mg/hr over 24 hrs
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TRIDIL
0.2-1.5mcg/kg/minute
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VERAPAMIL
2.5-5mg IV bolus over 2-3 min, then 5-10mg after 15-30 min to a max of 30mg in 30 min
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METOPROLOL
5mg slow IVP q 5min up to 3 doses while watching HR & BP.
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ACTIVATED CHARCOAL
1g/Kg mixed w/ at least 6-8 oz of H2O, then PO or via NG tube
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CALCIUM CHLORIDE
5-10cc of (10% solution / 1Gram –10cc)/10 min, as needed or 2-4mg/Kg . Ped: 20 mg/kg IV (10% solution) repeat at 10 min, as needed
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METHYLPREDNISOLONE
Asthma/COPD/Anaphylaxis: 125-250 mg IV/IM. Ped: 1-2 mg/kg/dose IV/IM. Spinal Cord Injury: 30mg/kg IV over 15 min, after 45 min an infusion of 5.4 mg/kg/hr.
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MAGNESIUM SULFATE
V-Fib/Tachycardia: 1-2g IV over 2:00. Torsade de Pointes: 1 to 2 g IV then infusion 0.5-1g/hr IV. Asthma/COPD: 1-2g over 10:00 Eclampsia: 2-6g IV/IM over 15:00-30:00
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PHENYTOIN
Seizures/Status Epilepticus: 10-15 mg/kg slow IV. Ped: 8-10mg/kg slow IV. Dysrhythmias: 100 mg slow IV (over 5:00) to a maximum 1,000 mg. Ped: 3-5mg/kg slow IV.
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SODIUM BICARBONATE
1 mEq/kg IV, then 0.5 mEq/kg/10:00. Ped: same as adult (may be given IO).
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THIAMINE
100mg IV/IM. Ped: 10-25mg IV/IM.
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MEPERIDINE
25-50mg IV, 50-100 mg IM Ped: 1mg/kg IV/IM
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NALBUPHINE
5mg IV/IM/subcutaneous, repeat as 2 mg doses as needed up to 20mg. Ped: 0.1-0.15mg/kg IV/IM/subcutaneous (rarely used)
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PANCURONIUM
0.04-0.1mg/kg IV Ped: same as adult
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VECUMONIUM
0.08-0.1mg/kg IV Ped: same as adult.
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AMINOPHYLLINE
250-500mg IV (over 20-30min) Ped: 6mg (over 20-30min)
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HALOPERIDOL
2-5mg IM Ped: children < 3 y/o 0.015-0.15mg/kg/day PO in 2-3 devided doses
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PROMETHAZINE
12.5-25mg IV/IM/PR Ped: 0.5mg/kg IV/IM/PR
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TERBUTALINE
2 inhalations w/ metered dose inhaler, repeated 1x in 1min or .25mg SQ repeat in 15-30min
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HEPARIN
5,000units IV, then 20,000-40,000units over 24hr
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NOREPINEPHRINE
0.5-30mcg.min IV, titrated to BP Ped: 0.01mcg/kg/min (rarely used)
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DEXAMETHASONE
4-24 mg IV/IM Ped: 0.5-1.0 mg/kg
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MANNITOL
1.5-2.0 g/kg slow IV Ped: 0.25-0.5 g/kg over 60 min
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GLUCAGON
Hypoglycemia: 1 mg IM/SC repeat 5-20 min Ped: 0.1 mg/kg 1 m/SC/IV child < 10kg; 1 mg/kg 1 m/SC/IV for child > 10 kg Beta-Blocker Over Dose/Calcium Channel Blocker OD: 3mg IV over 1 min Ped: 50-150 mcg/kg IV over 1 min
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OXYTOCIN
3-10 units IM after delivery of placenta. 10-20 units in 1,000 mL of D5W or NS IV titrated to effect.
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RACEMIC EPINEPHRINE
0.25-0.5 mcg in 3 mL NS once by nebulizer. Ped: same
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AMIODARONE
150-300 mg IV over 10 min, then 1 mg/min over next 6 hours. Ped: 5 mg/kg IV/IO, then 1.5mg/kg/day.
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BRETYLIUM
5 mg/kg IV, then 10 mg/kg/15 to 30 min, to a max 30 mg/kg
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LIDOCAINE
Cardiac Arrest: 1-1.5 mg/kg IV repeated every 3-5 min up to 3 mg/kg, follow conversion with a drip of 2-4 mg/min. Ped: 1 mg/kg IV, repeat/3-5 min up to 3 mg/kg, follow conversion with a drip of 20-50 mcg/kg/min. Ventricular Tachycardia (w/ pulse): 1 to 1.5 mg/kg slow IV (consider lower dose for elderly). May repeat at one-half dose every 5-10 min until conversion up to 3 mg/kg. Follow conversion with an infusion of 2 to 4 mg/min. Ped: 1 mg/kg, followed by a drip at 20-50 mg/kg/min.
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PROCAINAMIDE
20-30 mg/min IV. stop points: 1) up to 17 mg/kg to effect, then 1-4 mg/min 2)ectopy resolves 3)QRS complex widens more than 50% from original 4)hypotension ensues Ped: 15 mg/kg IV/IO over 30-60 min
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