master medic_drugs doses to June13 Test10

2.5mg in 2.5 to 3mL NS via nebulizer. repeat as needed. duration of effect 3-6 hrs. PED: .15mg/kg in 2.5-3mL NS via nebulizer, repeat as needed.

Albuterol

25 to 100mcg slowly IV (2 to 3 min) PED: 2mcg/kg slow IV/IM

Fentanyl

500mcg in 2.5 to 3mL NS via nebulizer or 2 sprays from metered dose inhaler. PED: 125-250mcg in 2.5-3mL NS via nebulizer or 1 or 2 sprays of a metered dose inhaler.

Ipratropium

(pain) 2.5 to 15mg IV or 5 to 20mg IM/SQ, (AMI or pulmonary edema) 1-2mg per 6-10 minute to response. PED: (pain) .05 to .10mg/kg IV; .10-.20mg/kg IM/SQ

Morphine Sulfate

0.4 to 2mg IV/IM/IN (2 to 2.5 the dose ET) repeated every 2 to 3 min as needed up to 10mg. PED: .01mg IV/IM (2 to 2.5 the dose ET) repeated every 2 to 3 min as needed up to 10mg.

Naloxone

• (seizures) 5 to 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

DIAZEPAM

0.1 to 0.3 mg/kg IV over 15 to 30 sec. Ped: children > 10 years, same as for adults

ETOMIDATE

0.2 mg IV over 30 sec/min, up to 1 mg

FLUMAZENIL

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.

MIDAZOLAM

1 to 1.5 mg/kg IV/IM. Ped: 1 to 2 mg/kg IV/IM.

SUCCINYLCHOLINE

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].

ADENOSINE

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.

EPINEPHRINE

Arrest: 40units IV Esophagealvarices: 0.2-0.4 units/min IV drip.

VASOPRESSIN

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

ATROPINE

160 to 325 mg PO (chewable)

Asperin

25g D50W (50 mL) IV. Ped: 2mL/kg of a 25% solution IV.

Dextrose 50% in Water

40-120 mg slow IV. Ped: 1 mg/kg slow IV

Furosemide

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.

Nitroglycerin

2-20 mcg/kg/min IV Ped: same

Dobutamine

2-5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect. Ped: same

Dopamine

bradycardia: 2-10 mcg/min titrated to cardiac rate. Ped: 0.1 mcg/kg/min titrated to cardiac rate

Isoprotenerol

1-2 drops in each eye

Tetracaine

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.

Amiodarone

5 mg/kg IV, then 10 mg/kg/15 to 30 min, to a max 30 mg/kg

Bretylium

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.

Lidocaine

20-30 mg/min IV drip. Stop points: (1) up to 17mg/kg to effect, then 1 to 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.

Procainamide

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

DILTIAZEM

0.2-1.5mcg/kg/minute

TRIDIL

2.5-5mg IV bolus over 2-3 min, then 5-10mg after 15-30 min to a max of 30mg in 30 min

ERAPAMIL

5mg slow IVP q 5min up to 3 doses while watching HR & BP.

METOPROLOL

1g/Kg mixed w/ at least 6-8 oz of H2O, then PO or via NG tube

Activated Charcoal

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

Calcium Chloride

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.

Methylprednisolone

25-50mg IV/IM

DIPHENHYDRAMINE

• Sedation: 2-4 mg IM, 0.5-2.0mg IV
• Ped: 0.03-0.5mg/kg IV/IM/PR up to 4mg
• Status Epilepticus: 2mg slow IV/PR (2mg/min) Ped: 0.1 mg/kg slow IV/PR (2-5min)

LORAZEPAM (Dose)

10-20mg IM; 10mg slow IV (over 1-2 min). Ped: 1-2mg/kg/dose

METOCLOPRAMIDE

4mg IVP or single 24-mg tablet ODT

ZOFRAN

50-100mg IV/IM

CHLORDIAZEPOXIDE

• V-Fib/tachycardia: 1-2g IV over 2:00.
• Torsade de pointes: 1-2g IV then infusion 0.5-1.0g/hr IV.
• Asthma/COPD: 1-2g over 10:00
• Eclampsia: 2-6g IV/IM over 15:00-30:00

MAGNESIUM SULFATE (Dose)

• 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.

PHENYTOIN (Dose)

1.0 mEq/kg IV, then 0.5 mEq/kg/10:00. Ped: same as adult (may be given IO).

SODIUM BICARBONATE (Dose)

100mg IV/IM. Ped: 10-25mg IV/IM.

THIAMINE (Dose)