2008 Nyc Remac Drugs

Front 1

Diazepam

Back 1

5-10 mg max 20

Front 2

Diazepam Peds

Back 2

0.1 mg/kg

Front 3

Midazolam

Back 3

1-2 mg max 5 IV sedation
10 mg IM for stat ep

Front 4

Etomidate

Back 4

0.3 mg/kg

Front 5

Lorazepam

Back 5

2 mg

Front 6

Lorazepam Peds

Back 6

0.05 mg/kg

Front 7

Vasopressin

Back 7

40 Units

Front 8

Epinephrine dose and concentration for arrest

Back 8

1 mg Q 3-5 mins for duration of arrest (10 ml of 1:10,000)

Front 9

Amiodarone

Back 9

300 mg shockable arrest
150 mg repeat/therapeutic

Front 10

Sodium Bicarb

Back 10

44-88 mEq

Front 11

Sodium Bicarb Peds

Back 11

1 mEq/kg

Front 12

Magnesium Sulfate

Back 12

2 g

Front 13

Calcium Chloride

Back 13

1 g
*slowly*

Front 14

Atropine Sulfate

Back 14

1 mg max 3 mg arrest
0.5 mg max 3 mg brady

Front 15

Nitroglycerin

Back 15

1/150 grain (0.4 mg) tablet
or 0.4 mg spray

Front 16

Aspirin

Back 16

162 mg x2

Front 17

Morphine

Back 17

2-5 mg max 15

Front 18

Lidocaine

Back 18

Initial 1.5 mg/kg

Code: Repeat 0.75 mg/kg Q5 Max 3mg/kg,
follow with 1-4 mg/min drip

Front 19

Dopamine

Back 19

cardiogenic/anaphyl/cyanide shock
5mcg/kg/min (max 20mcg/kg/min)

bradydysrhythmia: 2->10 mcg/kg/min titrate

drip calculation required

Front 20

Adenosine

Back 20

6 mg
12 mg
12 mg

Front 21

Diltiazem HCl

Back 21

0.25 mg/kg

Front 22

Furosemide

Back 22

20-80 mg

Front 23

Nitropaste

Back 23

1.5 inches

Front 24

Albuterol Sulfate

Back 24

3 ml (0.083%)

Front 25

Metaproterenol

Back 25

(0.3 ml 5% in 2.5-5 ml saline)

Front 26

Methylprednisolone

Back 26

125 mg

Front 27

Dexamethazone

Back 27

12 mg

Front 28

Diphenhydramine

Back 28

50 mg

Front 29

Dextrose

Back 29

25 g (50 ml of 50%)

Front 30

Dextrose Peds

Back 30

0.5 g/kg
25% solution less than 1 month
50% solution 1 month to 14 years

Front 31

Thiamine

Back 31

100 mg

Front 32

Glucagon

Back 32

1 mg

Front 33

Naloxone

Back 33

2 mg

Front 34

Proparacaine

Back 34

0.5% 1-2 gtts

Front 35

Tetracaine

Back 35

0.5% 1-2 gtts

Front 36

Oxytocin

Back 36

20 mU/min
max 40 mU/min
must mix and calculate

Front 37

Lidocaine Peds

Back 37

1 mg/kg

Front 38

Atropine Peds

Back 38

0.02 mg/kg IV
max 1 mg

Front 39

Adenosine Peds

Back 39

0.1 mg/kg
0.2 mg/kg
0.2 mg/kg

Front 40

Hydroxocobalamin

Back 40

5g (two 2.5g vials) in 250 ml NS over 15 mins

Front 41

Sodium Thiosulfate

Back 41

12.5 g (50 cc of a 25% solution) over 10 mins

Front 42

Adult Monophasic
Defibrillation Energy

Back 42

360 J
(repeat as needed)

Front 43

Adult SVT
Monophasic Cardioversion Energy

Back 43

100J, 200J, 300J, 360J

Front 44

Adult A-fib/A-flutter Monophasic Cardioversion energy

Back 44

100J, 200J, 300J, 360J

Front 45

Adult V-Tach w/Pulse Cardioversion energy

Back 45

100J, 200J, 300J, 360J monophasic
or equivalent biphasic

Front 46

Pediatric Defibrillation Energy

Back 46

2J/kg
4J/kg
4J/kg

Front 47

Pediatric Synchronized Cardioversion Energy

Back 47

0.5-1 J/kg
1-2 J/kg

Front 48

What mnemonic is used to recall the four sedatives used in REMAC protocols?

Back 48

"DELM"

(1) Diazepam
(2) Etomidate
(3) Lorazepam
(4) Midazolam

Front 49

Etomidate only appears in protocols that call for ______ sedation.

Back 49

pre-intubation

Front 50

What is DEM?

Back 50

"DEM" represents the INTUBATION sedatives.

(1) Diazepam
(2) Etomidate
(3) Midazolam

Front 51

What is "DEM RSI"?

Back 51

DEM = sedate with one of these:
(1) Diazepam
(2) Etomidate
(3) Midazolam

"RSI" is Rapid Sequence Intubation

Front 52

What is DM?

Back 52

"DM" represents the CARDIOVERSION sedatives.

(1) Diazepam
(2) Midazolam

Front 53

Which sedative is used for pre-intubation sedation but not for pre-cardioversion sedation?

Back 53

etomidate

Front 54

Which two sedatives are used both for pre-intubation and pre-cardioversion sedation?

Back 54

Diazepam
Midazolam

Front 55

Which sedative is used for NEITHER pre-intubation NOR pre-cardioversion?

Back 55

Lorazepam

Front 56

Which sedative is absent from pre-intubation and pre-cardioversion procedures but may be used in respiratory arrest to maintain sedation post-intubation?

Back 56

Lorazepam

Front 57

Lorazepam is not used for pre-intubation sedation, but it may be used to maintain post-intubation sedation in cases of ______.

Back 57

respiratory arrest

Front 58

Amiodarone is initially give at a dose of ______ mg, diluted up to a total of ___ ml D5W.

Back 58

300 mg
20 ml

Front 59

Amiodarone may be repeated under medical control at a dose of ______ mg, diluted up to a total of ___ ml D5W.

Back 59

150 mg
10 ml

Front 60

Sodium Bicarb, given under medical control, can be repeated every _____ minutes.

Back 60

10

Front 61

Magnesium sulfate .

Back 61

2g
10 ml
2 mins

Front 62

Calcium chloride is administered at a dose of ______, slowly, followed by a ______.

Back 62

1g
saline flush

Front 63

If a PEA case is showing a heart rate of less than ______, you may administer ______ mg of ______.

Back 63

60
1mg
atropine

Front 64

In bradycardic PEA arrest, atropine is given at a dose of ______ mg, once every ______ mins, max cumulative dose is ______ mg.

Back 64

1 mg
3-5
3 mg

Front 65

ACLS Case: Adult A-fib
biphasic cardioversion energy

Back 65

100-120 Joules to start
increase up to 360

Front 66

ACLS Case: Adult SVT/A-flutter
biphasic cardioversion energy

Back 66

50 Joules to start
increase up to 360

Front 67

REMAC recommended
biphasic defib energy
Lifepak "P01" and later

Back 67

200J
300J
360J