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69 Cards in this Set
- Front
- Back
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Acetylcysteine (Tylenol OD) PO
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Load 140 mg/kg, then 70 mg/kg q4h x 17 doses
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Acetylcysteine (Tylenol OD) IV
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Load: 150 mg/kg in 200 mL D5W infused over 15 mins
Maintenance: 50 mg/kg in 500 mL D5W infused over 4 hrs, followed by 100 mg/kg in 1000 mL D5W infused over 16 hrs (PO preferred) |
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Acetylcysteine (Contrast PPx)
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PO: 600 mg q12 x 4 before contrast
IV: 150 mg/kg in 500 mL NS over 30 mins before contrast followed by 50 mg/kg in 500 mL NS over 4 hours |
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Adenosine (AV node blockade)
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6 mg IV push and flush within in 3 secs
repeat 12 mg after 1 min repeat 12 mg again |
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Amiodarone (VF/VT)
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300mg IV rapid infusion in 20-30 mL of NS or D5W
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Amiodarone (Stable Arrhythmias)
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Load: 150 mg in 100 mL D5W over 10 mins, then 900 mg in 500 mL D5W at 1 mg/min x 6 hrs (360 mg), then 0.5 mg/min x 18 hrs (540 mg)
Breakthrough events: Bolus 150 mg in 100 mL over 10 mins Maintenance: 0.5 mg/min Max Dose: 2.2g/day |
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Atropine (asystole or "slow" PEA)
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1 mg IV q 3-5 mins for total of 3mg
OR 3mg down ETT diluted to 10 mL with NS |
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Atropine (bradycardia)
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0.5-1 mg q 3-5 mins to max of 0.04 mg/kg
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Atropine (anticholinesterase poisoning)
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2-3 mg IV/IM q 20 mins until muscarinic symptoms resolve, max 6 mg/hr
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Diphenhydramine (allergy)
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50 mg IV/IM
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Epinepherine (allergy)
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0.3-0.5 mg IM (1:1000)
OR 0.1 mg IV (1:10,000) repeat q 20 mins |
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Methylprednisolone (allergy)
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125 mg IV/IM
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Enalapril (hypertension)
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1.25-5 mg IV over 5 mins (avoid in acute MI)
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Esmolol (hypertension)
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500 mcg/kg IV over 1 min then titrate 50-300 mcg/kg/min
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Fenoldopam (hypertension)
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0.1-0.3 mcg/kg/min titrate up to 1.6 mcg/kg/min
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Labetalol (hypertension)
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0.25 mg/kg IV may double dose q 10-15 mins PRN to total of 300 mg or 2 mg/kg - which ever is less
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Nicardipine (hypertension)
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start 2-4 mg/h IV, increase 1-2 mg/h q 15 mins to max of 15 mg/h
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Nitroglycerin (hypertension)
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Start 5-20 mcg/min IV; titrate up to 100 mcg/min
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Sodium Nitroprusside (hypertension)
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0.25-10 mcg/kg/min
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Diltiazem (SVT)
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bolus 0.25 mg/kg or 20 mg IV over 2 mins; may repeat 0.35 mg/kg or 25 mg IV 15 mins later
Infuse 5-15 mg/h (mix 250 mg (50mL) dilt with 250 mL fluid (0.833 mg/mL) |
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Epinepherine (cardiac arrest)
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1 mg IV q 3mins (1:10,000)
2-2.5 mg in 10 mL NS down ETT |
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Lidocaine (dysrhythmia/cardiac arrest)
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1 mg/kg IV then 0.5 mg q 5-10 mins prn to max of 3 mg/kg
Maintenance: 2 g in 250 mL D5W (8mg/mL) at 1-4 mg/min (7-30 ml/h) |
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Vasopressin (VF)
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40 units IV x 1
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Dobutamine
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250 mg in 250 mL D5W (1mg/mL) at 2.5-20 mcg/kg/min
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Dopamine
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400 mg in 250 mL D5W (1600 mcg/mL) at 2-20 mcg/kg/min
2.5 mcg/kg/min: dopaminergic 5-10 mcg/kg/min: beta >10 mcg/kg/min: alpha |
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Epinepherine
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0.1-4 mcg/kg/min
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Norepinepherine (Levophed)
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4 mg in 500 mL D5W (8mcg/mL) at 0.5 - 10 mcg/min (max 30 mg/min)
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Phenylepherine (Neo-synepherine)
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100-500 mcg boluses IV
OR 20 mg in 250 mL D5W (80 mcg/mL), start at 100-180 mcg/min (75-135 ml/h) Once BP stable, decrease to maintenance of 40-60 mcg/min |
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Etomidate (RSI)
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0.3-0.4 mg/kg IV
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Propofol (RSI)
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2-2.5 mg/kg IV
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Propofol (Ventilator Sedation)
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5-50 mcg/kg/min
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Rocuronium (RSI)
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0.6-1.2 mg/kg IV
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Succinylcholine (RSI)
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1-1.5 mg/kg IV
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Thiopental (RSI)
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3-5 mg/kg IV
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Fentanyl (RSI)
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2-10 mcg/kg iV
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Ketamine (RSI)
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1-2 mg/kg IV
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Midazolam (RSI)
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0.1-0.3 mg/kg IV
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Diazepam (seizures)
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2-20 mg IV
OR 0.2-0.5 mg/kg PR up to 20 mg PR |
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Fosphenytoin (seizures)
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15-20 mg/kg IM/IV max rate ≤150 mg/min
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Phenytoin (seizures)
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20 mg/kg up to 1000 mg IV no faster than 50 mg/min
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Lorazepam (seizures)
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0.1 mg/kg up to 3-4 mg IV/IM
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Phenobarbital (seizures)
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200-320 mg IV at 60 mg/min
status epilepticus: 20 mg/kg |
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Metoprolol (Acute MI)
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5 mg IV q 5 mins x 3 doses; after 15 mins start 50 mg PO q 12hrs x 24hrs; then increase to 100 mg PO BID
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Atenolol (Acute MI)
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5 mg IV over 5 mins, rpt once after 10 mins if tolerated, follow by 50 mg PO BID or 100 mg PO daily
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Propranolol (Acute MI)
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0.1 mg/kg by slow IV push divided into 3 equal doses at 2-3 min intervals (max 1 mg/min). may rpt after 2 hours if necessary. Start 40 mg PO after 2 hrs, then 40 mg PO q 4hrs x 7 doses. Then start long term therapy at with 180-240 mg/d in divided doses
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Bicarbonate (hyperkalemia or urgent intractable acidosis)
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1 mEq/kg (1 amp = 50 mEq), then 0.5 mEq/kg q 10 mins as guided by blood gases
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Bicarbonate (Urinary alkalinization)
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2-5 mEq/kg IV over 4-8 hours
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Calcium (hyperkalemia)
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5-10mL of 10% IV CaCl2 (15-30 calcium gluc) over 1-5 mins
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Calcium (tetany)
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10 mL of 10% CaCl2 (30 mL gluconate) IV over 10 mins
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Calcium (calcium antagonist toxicity)
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10-20 mL of 10% CaCl2, infuse 0.5 mEq/kg/hr
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Calcium (hypocalcemia)
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10 mL of 10% CaCl2 (30 mL gluconate) in 500 mL NS over 6 hours
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Chlorothiazide
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500-1000 mg IV qd or bid. Ideally given 30 mins prior to loop diuretic
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Clonidine (urgent HTN)
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0.1-0.2 mg PO then 0.1 mg hourly; Max dose 0.8 mg
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Clonidine (easing withdrawal symptoms)
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0.3-0.6 mg PO q6hrs
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Dantrolene (malignant hyperthermia) (?neuroleptic malignant syndrome)
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1 mg/kg rapid IV. Repeat as rapidly as necessary until reversal of process (usually 2.5mg/kg) up to 10 mg/kg
Follow with 1-2 mg/kg PO qid x 3 days |
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Desmopressin (hemorrhage in uremia, hemophilia A and von Willebrand disease)
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0.3 mcg/kg IM or IV (in 10-50 mL NS)
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Desmopressin (central diabetes insipidus)
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2 mcg IV qd - bid, titrate to urine output, serum sodium and osmolality
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Digoxin Ab
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IV: Loading dose (# of vials) = [serum dig level in ng/mL] x [weight in kg] / 100. (0.5 mg/vial. 0.5 mg will bind 0.5 mg of dig). Give IV over 30 mins or bolus through 22 micron filter
Empirical: 10-20 vials IV bolus for life threatening toxicity with no level |
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Furosemide (Diuresis)
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Bolus: Starting - 20-40 mg IV, Max - 500 mg
Infusion: Loading - 40 mg IV, Rate - 10-20 mg/h (normal renal function); 20-40 mg/h (renal insufficiency) |
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Bumetanide (diuresis)
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Bolus: Start - 0.5-1 mg IV, Max - 10 mg
Infusion: Loading - 1 mg, Rate - 0.5-1 mg/h (normal renal fxn); 1-2 mg/h (renal insufficiency) |
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Torsemide (diuresis)
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Bolus: Start - 10-20 mg IV, Max - 200 mg
Infusion: Loading - 20 mg; Rate - 5-10 mg/h (normal renal fxn); 10-20 mg/h (renal insufficiency) |
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Drotrecogin Alfa (activated protein C or Xigris)
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24 mcg/kg/hr IV infusion x 96 hrs
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Flumazenil (benzo OD)
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0.2 mg over 30 secs, increase to 0.3 mg over 30 secs if still lethargic then 0.5 mg over 30 secs q 1 min up to 3mg total
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Fomepizole (ethylene glycol or methanol poisoning)
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Load 15 mg /kg (in 100 mL of NS or D5W), then 10 mg/kg q 12 hrs x 4 doses, then 15 mg/kg q 12 hrs. Continue until pH normalizes and ethylene glycol or methanol levels < 20 mg/dL
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Fondaparinux (pulmonary embolism)
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5 mg qd sc (body weight < 50 kg)
7.5 mg qd sc (body weight 50-75 kg) 10 mg qd sc (body weight > 75 kg) |
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Glucagon (hypoglycemia)
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1 mg IV/IM/SC, repeat q 15 mins 1-2 times
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Glucagon (CCB or beta blocker toxicity)
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5-10 mg bolus over 1 min then infusion at 1-10 mg/h
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Glucagon (anaphylaxis unresponsive to epinephrine)
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1-2 mg IV/IM q 5 mins
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Fondaparinux (ACS)
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2.5 mg SQ qd
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