-
Adenosine
Wide and narrow tachyarrhythmias
6mg rapid IV; after 1-2 minutes w/ no cardioversion - 12mg rapid IV - repeat 12mg if necessary
-
Albuterol
asthma, bronchospasm assoc w/ COPD
- MDI: 1-2 sprays
- SVN: 2.5mg in 3.0mL saline
-
Amiodarone
Life-threatening cardiac arrhythmias (ventricular tachycardia/ ventricular fibrillation)
- Vent. fib/pulseless Vent. tachycardia: 300mg - repeat 150mg
- Recurrent/refractory narrow-complex tachycardia: 150mg over 10 min. repeat as necessary
-
Aspirin
New chest pain suggestive of acute MI; signs & symptoms of recent stroke
324mg PO
-
Atropine Sulfate
Hemodynamically significant bradycardia; organophosphate poisoning IV
- Bradycardia: 0.5mg every 3-5 minutes - max dose = 3.0mg
- Organophosphate poisoning: 2-5mg or more IV
-
Brethine
Asthma, bronchospasm assoc w/ COPD
- SQ: 0.25mg
- MDI: 2 inhalations 1 minute apart
-
Bumetanide
CHF; pulmonary edema
0.5 - 1.0mg IV IM
-
Calcium Chloride
Hyperkalemia; hypocalcemia; calcium channel blocker OD; abdominal muscle spasm assoc w/ spider bite & Portugese Man-O-War sting
2-4mg/kg of 10% solution - repeat in 10 minutes
-
Activated Charcoal
Poisoning
1g/kg mixed in glass of warm water
-
Dexamethasone
Anaphylaxis (after epi & dipenhydramine); asthma; COPD
4-24mg IV IM
-
Dextrose
Hypoglycemia
25g IV
-
Diazepam
Major motor seizure; status epilepticus; premed before cardioversion; skeletal muscle relaxant; acute anxiety
- Status epilepticus: 5-10mg IV
- Anxiety: 2-5mg IV IM
- Premed: 5-15mg IV
-
Diphenhydramine
Anaphylaxis; allergic reaction; dystonic reaction to phenothiazines
25-50mg slow IV deep IM
-
Diltiazem
Stable narrow-complex tachycardia uncontrolled by adenosine or vagal maneuvers or recurrent SVTs; control ventricular rate w/ Afib or atrial flutter
0.25mg/kg (15-20mg) IV bolus over 2 min - additional 0.35mg/kg (20-25mg) in 15 minutes if needed
-
Dobutamine
CHF (short term management)
2.5-20mcg/kg/min (250mg in 500mL D5W)
-
Dopamine
Hypotension (systolic below 70-100mmHg)not from hypovolemia; bradycardia refractory to atropine
2-5mg/kg/min (800mg in 500mL D5W) increase as needed
-
Epinephrine 1:1,000
Asthma, COPD, allergic reaction
0.3 - 0.5mg IM
-
Epinephrine 1:10,000
Cardiac arrest; anaphylactic shock; severe reactive airway disease
- Cardiac arrest: 1mg repeat 3-5min
- Anaphylaxis: 0.05 - 0.1mg IV IO
-
Etomidate
RSI
0.1 - 0.3mg/kg IM
-
Fentanyl
Severe pain; RSI adjunct; analgesia maintenance
25-100mcg IV IN
-
Furosemide
CHF; pulmonary edema
40-80mg IV
-
Glucagon
Hypoglycemia; beta blocker OD
- 0.25 - 0.5 units IV
- 1mg IM
-
Ipratropium Bromide
asthma; reversible bronchospasm assoc w/ chronic bronchitis & emphysema
500mcg SVN
-
Ketamine
RSI
- IV: 1.0 - 4.5mg/kg
- IM: 3 - 8mg/kg
-
Lactated Ringers
Hypovolemic shock (systolic less than 90mmHg)
"wide open" until systolic BP =100mmHg, then 100mL/hr IV
-
Lidocaine
Ventricular tachycardia & ventricular fibrillation refractory to amiodarone
- Bolus: 1 - 1.5mg/kg - repeat dose @ 0.5-0.75mg/kg @ 5-10min intervals - max 3.0mg/kg
- Maint: 2-4mg/min - reduce dose by 50% in Pt over 70yrs old
-
Magnesium Sulfate
Torsades des pointes; eclampsia
1-2g IV IM
-
Methylprednisolone
Anaphylaxis; asthma; COPD
125-250mg IV IM
-
Midazolam
Premed for cardioversion; acute anxiety
1.0 - 2.5mg IV
-
Morphine Sulfate
Severe pain
- IV: 2-5mg followed by 2mg every few minutes until pain relieved
- IM: 5-15mg (weight based)
-
Nalmefene
Opiate OD; partial reversal of opiate effects
0.5 - 1.0mg IV
-
Naloxone
Narcotic (opiate) OD; rule out narcotic OD in coma of unknown origin
1-2mg IV IM IN
-
Nitroglycerine Tablets
Angina pectoris; chest pain assoc w/ MI
1 tablet - repeat @ 3-5 min up to 3 doses sublingual
-
Nitropaste
angina pectoris; chest pain assoc w/ MI
1/2 - 1inch topical
-
Oxytocin
Postpartum vaginal bleeding
- IV: 10-20 units in 500mL D5W - administer according to uterine response
- IM: 3-10 units
-
Reglan
Nausea & vomiting; gastroesophageal reflux
- IM: 10-20mg
- IV: 10mg slow IV push over 1-2 minutes
-
Sodium Bicarbonate
Tricyclic antidepressant OD; severe acidosis refractory to hyperventillation
1mEq/kg followed by 0.5mEq/kg every 10 minutes
-
Succinylcholine
RSI; endotracheal intubation
1-1.5mg/kg IV
-
Thiamine
Coma of unknown origin; alocholism; delirium tremens
100mg IV IM
-
Verapamil
Narrow-complex tachycardias (if rhythm uncontrolled/unconverted by adenosine or vagal maneuvers or recurrent SVTs); control ventricular rate in atrial fibrillation/flutter
2.5 - 5.0mg - repeat @ 5-10mg after 15-30 min of PSVT not converted - max 30mg in 30 min
-
Vecuronium
RSI; skeletal muscle relaxer; paralyzes skeletal and respiratory muscles
0.08 - 0.1 mg/kg IV
-
Zofran
Nausea; vomiting
4-8mg IV IM PO
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