-
Amiodarone
- (cordarone)
- VT/VF
- 300 mg IVP dead/first dose
- 150 mg w/ pulse
- (pediatric 5 mg/kg)
- over 2-5 min
-
Adenosine
- (adenocard)
- Decrease HR
- 6 mg 1st dose, 12 mg 2nd & 3rd dose
- 1-3 sec (fast)
- (pediatric 0.02 mg/kg)
-
atropine sulfate
- (bradycardia)
- 0.5-1 mg IV every 3-5 min (max 3 mg)
- (pediatric 0.02 mg)
- organophosphate poisoning
- 1-5 mg IV
-
epinephrine
- (adrenalin)
- allergic reaction or asthma
- 0.3-0.5 mg 1:1,000 SQ
- (Pediatric dose 0.01 mg/kg)
- anaphylaxis
- 0.3-0.5 mg 1:10,000 IV
- cardiac arrest
- 1 mg IV
-
Lidocaine 2%
- (Xylocaine)
- VF/VT no pulse
- 1-1.5 mg/kg IVP repeat w/ 0.5-0.75 mg/kg every 5 min (max 3 mg/kg)
- (ET dose of 2-4 mg/kg)
- (pediatric dose of 1 mg/kg
- VF/VT w/pulse
- 1-1.5 mg/kg IVP repeat w/ 0.5-0.75 mg/kg every 5 min (max 3 mg/kg)
- start drip ASAP 1-4 mg
-
Magnesium sulfate 10%
- torsades & hypomagnesemia w/ no pulse
- 1-2 g IVP
- Pediatric dose 40 mg/kg
- torsades w/ pulse or AMI
- 1-2 g IV over 5-60 min
- seizures 2 degree eclampsia
- 1-4 g IV slow
-
succinylcholine
- (anectine) (paralytic)
- facilitate ET intubation
- 1-2 mg/kg IV/IO
-
calcium chloride 10%
- calcium blocker toxicity, hypocalcemia, hyperkalemia, hypermagnesemia
- 500-1000 mg IV over 5-10 min
-
Sodium Bicarbonate 8.4%
- cardiac arrest w/ good ventilation, hyperkalemia, and OD of: tricyclic, phenobarbital, diphenhydramine, ASA, or cocaine
- 1mEq/kg IV
-
thiamine
- (Vitamin B1)
- coadministration of D50W in pt suspected of malnutrition or thiamine deficiency
- 100 mg slow IV/IM
-
Diltiazem
- (cardizem)
- A Fib/A Flutter
- 0.25 mg/kg IV over 2 min
- 2nd dose (after 15 min w/ no change in 1st dose) 0.35 mg/kg IV over 2 min
- drip rate dose 10-15 mg/hour
-
Diphenhydramine
- (Benadryl)
- 25-50 mg IV or IM
-
Naloxone
- (narcan)
- Opiate overdose; coma
- 0.4-2.0 mg IV/IO, IM, SQ, ET
- 10 mg total dose
-
albuterol 0.5%
- (Ventolin)
- bronchospam 2nd degree COPD, Asthma
- 2.5 mg in 3 ml of normal saline (nebulizer)
-
Dextrose 50%/25%
- coma, hypoglycemia
- 50%= 25g
- 25%=0.5g/kg
-
diazepam
- (Valium)
- Status epilepticus
- 5-10 mg IV slow
- sedation
- 5-15 mg IV slowly
- rectal 0.5 mg/kg + 2-3 mL of air
-
midazolam
- (Versed)
- Seizures
- 5-15 mg IV slowly, titrate and repeat in 10-15 min
- sedation
- 1-2 mg IV over 1-2 min
- repeat every 2-5 min (max 10 mg)
-
dopamine
- (intropin)
- bradycardia effect
- 2-5 mcg/kg/min
- renal effect
- 5-10 mcg/kg/min
- hypotension effect
- 10-20 mcg/kg/min
-
furosemide
- (lasix)
- CHF w/ pulmonary edema, hypertensive crisis
- 0.5-1 mg/kg IV/IO slow (max 2 mg/kg)
-
Ipratropium 0.02%
- (atrovent)
- bronchospasm, COPD, asthma
- 0.5 mg repeat once
-
ketorolac
- (toradol)
- analgesia
- 15-30 mg IV
- 30-60 mg IM
-
Methylprednisolone
- (solu-medrol)
- asthma
- 2 mg/kg IV
- spinal cord trauma
- 30 mg/kg IV
-
morphine sulfate
- analgesia, pulmonary edema
- 2-5 mg IV, IM, SQ
- may repeat every 5 min (max of 10 mg
-
Nitrates
- ACS, angina, hypertension, CHF
- Tablets: 0.3-0.4 mg
- paste: 1-2 cm (6-12 mg)
- spray: 1-2 spray (0.4-0.8 mg)
-
ondansetron
- (Zofran)
- Nausea and vomiting
- 4-8 mg IV slow push / IM
- 8 mg PO
-
vasopressin
- (pitressin)
- VF/VT no pulse
- 40 units IVP/IO
-
promethazine
- (phenergan)
- nausea and vomiting
- 12.5-25 mg IV, IM
- 25 mg PO
-
fentanyl
- (sublimaze)
- analgesic
- 50-100 mcg IM/IV slow
-
Asprin
- (ASA)
- suspected ACS
- 160-325 mg PO
- 2-4 chewable children aspirin tablets
-
Etomidate
- (amidate)
- sedation for RSI
- 0.3 mg/kg IV slow
-
glucagon
- hypoglycemia
- 0.5-1 mg IM/IV/SQ
- beta blocker calcium channel OD
- 5-10 mg IV
-
Lorazepam
- (ativan)
- status epilepticus
- 2-4 mg IV/IM
- anxiety/sedation
- 0.05 mg/kg IM (max 4 mg)
-
oxytocin
- (pitocin)
- postpartum hemorrhage
- 10 units IM
-
vecuronium
- (norcuron)
- paralysis/ET intubation
- 0.1 mg/kg IVP
-
Verapamil
- (isoptin)
- SVT, A Fib, A Flutter
- 2.5-5 mg IV slow over 2-3 min
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