CFR Dosages

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Author:
cfr
ID:
14985
Filename:
CFR Dosages
Updated:
2010-04-18 00:33:45
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CFR
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Description:
Drug profile dosages
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  1. Adenosine
    • OLMC
    • 6mg, 12mg, 12mg Flushed rapidly with 20cc NS
    • PED: 0.2mg/kg repeat same dose
  2. Albuterol
    2.5mg/3cc may repeat x 3
  3. Amiodarone
    • (Voice Order)V/Tach with pulse & A/Fib=150mg over 10 min repeat as necessary per order
    • (Standing Order)Cardiac arrest = 300mg IV, repeat @150mg in 3-5 min Max dose 2.2g over 24hrs
  4. Aspirin
    324mg PO(chewed) 4 each - 81mg tablets
  5. Atropine
    • (ET=2x normal dose not to exceed 6mg)
    • Symptomatic Bradycardia-0.5mg IV every 5 min not to exceed 3mg
    • -PED: 0.02mg/kg IV min of 0.1mg
    • Asystole/PEA: 1mg IV/ET q 5min not to exceed 3mg
    • -PED: 0.02mg/kg IV minimum of 0.1mg
    • OLMC:Organophosphate:2mg IV repeat as needed till LS clear
  6. D50
    • 12.5-25grams, can repeat same dose
    • PED: 25% solution (mix 1:1 with NS), 2cc/kg
  7. Diazepam
    • OLMC
    • 5-10mg slox IV (1 minute for every 5mg)
    • PED: 0.2mg/kg IV/IO/PR
  8. Diphenhydramine
    • Administer slowly with 1 minute per 25mg
    • Allergic reaction (BP<90) 50mg IV/IM (Deep IM)
    • Allergic reaction (BP>90) 25-50mg IV/IM (Deep IM)
    • Anaphylactic Shock 50-100mg IV/IM (Deep IM)
    • PED 1-2mg/kg slow IV/IM (Deep IM)
    • OLMC Nausea 25mg IV, 50mg IM (Deep IM)
  9. Dopamine
    • 5-10mcg/kg/minute (cardiac)
    • Weight in lbs (200lbs)
    • keep first two digits (20)
    • minus 1 (19qtts per min)
    • 1-5=renal
    • 10-20=vasopressor
  10. EPI 1:1K
    • Asthma 0.3-0.5mg SQ, repeat in 10-15 minutes
    • Asaphylaxis 0.3-0.5 SQ repeat in 10-15 minute
    • PED: 0.01 mg/kg SQ not to exceed 0.5mg
    • Cardiac arrest: 2-2.5 mg ET with 10ml flush every 3-5 minutes
  11. EPI 1:10k
    • Cardiac arrest 1mg IV every 3-5 minutes
    • OLMC Anaphylaxis Adult 0.3-0.5 mg IV
    • OLMC Anaphylaxis Pediatric 0.1mg IV
    • Pediatric Cardiac Arrest dose: 0.1mg/kg IV/ET/IO every 3-5 minutes, Minimum 0.1mg, MAX of 2mg
  12. Fenatnyl
    • OLMC
    • 25-100mcg IV Slowly over 1min
    • PED: 1.7 -3.3mcg/kg
    • Reduce in very old or very young
  13. Furosemide
    20-80mg IV (80mg per protocol)
  14. Xopenex
    • 0.63-1.25mg/3ml
    • PED:>6 & <12 years = 0.31mg/3ml
  15. Lidocaine
    • Standing order
    • 1-1.5mg/kg IV Bolus
    • 2-3mg/kg ET followed by 10cc Flush
    • Infusion: 1-4mg solution concentration of 4mg/cc
    • clock= 1mg@15qtts/min, 2@30, 3@45, 4@60
    • if 1mg/kg converts use 2mg @ 30qtts per min
    • IO 20mg of 2% slow IV push may repeat once
  16. Viscous Lidocaine
    • Standing Order
    • 1-2cc into nare or coat ET Tube
  17. Metropolol
    • OLMC
    • 5mg slow IV repeat q 2min, three times if tolerated
    • Goal is HR of 60
  18. Midazolam
    • OLMC
    • Versed
    • Sedation 1-2.5mg slow IV or 0.08mg/kg IM (5mg avg)
    • PED: 0.05-0.1 mg/kg IV for sedation slow IV
    • PED: 0.15mg/kg Status Seizure slow IV
  19. Morphine
    • OLMC
    • 2-5mg IV q 5min titrate to effect
    • PED: 0.1-0.2mg/kg IV Bolus Max 15mg
  20. Narcan
    • 2mg IV/IM q 5 min
    • 4mg ET followed by 10cc flush
    • PED 0.1mg/kg IV/IM/IO
    • PED 0.2mg/kg ET
  21. Neosynephrine
    2 sprays in nostril for patients 8yrs and older
  22. Nitro
    • 0.4mg x 3 q 3-5 min 1.2mg MAX unless DR ordered
    • OLMC for 3doses HTN, Pulmonary Edema
  23. Sodium Bicarb
    • OLMC
    • 1mEq/kg q 15min repeat at 0.5mEq/kg
  24. Solu-Medrol
    • OLMC
    • Severe anaphylaxis 125-250mg IV
    • Asthma or COPD 80-125mg IV
    • Acute spinal cord injury = 30mg/kg over 15 min
  25. Thiamine
    • OLMC
    • 100mg IM Only
  26. Vasopressin
    • 40 units
    • Can replace first or second dose of EPI,
    • Give one time only, Half life is 10-20 min
    • Defib within 30-60 seconds of admin
    • After 10-20 minutes return to EPI administration
  27. Zofran
    • 4mg IV/IO over 2-5min may reeat after 20 minutes with OLMC permission
    • PED >40kg =4mg NO REPEAT DOSE FOR PEDS
    • PED: 2yrs to 40kg = 0.1mg/kg over 2-5min
    • PED <2yrs OLMC
  28. Drugs that require OLMC
    other

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