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82 Cards in this Set
- Front
- Back
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ACLS
Epi: Adult: Peds: |
A: 1mg
P: 0.01mg/kg |
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ACLS
Vasopressin |
40 Units
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ACLS
Atropine Adult |
pulseless - 1mg IV q3-5min (max 3mg)
bradycardic - 0.5mg IV |
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ACLS
Atropine Pediatric |
0.02mg/kg
minimum dose 0.1mg |
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ACLS
Amiodarone Adult |
300mg if pulseless,
150mg for V-tach with pulse |
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ACLS
Amiodarone Pediatric |
5mg/kg,
maint: 1mg/min |
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Diltiazam
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0.25mg/kg (20mg max) over 2 min; then 0.35mg/kg (25mg max) over 5 min
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Settings for Defib
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Adults: 200J-300J
Pediatrics: 2 J/kg → 4 J/kg |
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settings for cardioversion
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Adults: 50-100J
Pediatrics: 0.5 – 1 J/kg |
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Na Bicarbonate
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Adults: 1 amp
Pediatrics: 1mEq/kg IV |
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calcium gluconate
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60-100mg/kg slow
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calcium chloride
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20mg/kg slow
(need central IV or it will sclerose the vein) (3x more concentrated than Ca-Gluconate) |
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glucose: adult or big (San Antonio) kid
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1amp D50 (2cc/kg)
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Glucose:
2-8yo |
4cc/kg of D25
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Glucose
<2 yo |
10cc/kg of D10 (isotonic)
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Hydrocortisone
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100mg IV x 1
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insulin
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0.1 U/kg [10 U] per hour
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Mg+2
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Adults: 2-4 grams IV
20-50mg/kg IV |
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Narcan
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Adults: 0.5-2mg
Pediatrics: 0.1mg/kg Drip Rate: 2/3 "wake-up" dose/hr |
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RSI Pretreatment
(rarely used in our practice of RSI) |
L: Lidocaine: 1.5mg/kg
O: Fentanyl: 3mcg/kg A: Atropine: 0.02mg/kg D: Vecuronium: 0.01mg/kg (10% of paralyzing dose) |
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RSI Pretreatment Agents
Lidocaine |
1.5mg/kg
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RSI Pretreatment Agents
Fentanyl |
3mcg/kg
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RSI Pretreatment Agents
Atropine |
0.02mg/kg
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RSI Pretreatment Agents
Vecuronium |
0.01mg/kg
(10% of paralyzing dose) |
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RSI Sedation Agents
Etomidate |
0.3mg/kg - Primary
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RSI Sedation Agents
Ketamine |
1-2mg/kg IV
2-4mg/kg IM |
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RSI Sedation Agents
Propofol |
0.5-1.5mg/kg
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RSI Sedation Agents
fentanyl |
3-8mcg/kg
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RSI Paralytic Agents
Succinylcholine |
1-1.5mg/kg - Primary
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RSI Paralytic Agents
Rocuronium |
0.6-1.2mg/kg
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RSI Paralytic Agents
Vecuronium |
0.1mg/kg
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Suggamadex
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Rocuronium Reversal Agent
2-8mg/kg, likely4mg/kg |
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Post intubation Sedation
Propofol |
0.05-0.2mg/kg/min
may require 40mg bolus until drip sets up |
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Post intubation Sedation
Versed |
Load 10-50mcg/kg slow IV
Maint: 20-100mcg/kg/hr |
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ACS
ASA |
325mg chewed
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ACS
Nitroglycerin |
0.4mg SL
1/2 - 1" paste drip 10-100mcg/min |
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ACS
Lovenox |
1mg/kg SQ q12h only if GFR>30
Consider lower dose if >75yo |
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ACS
Heparin |
Load 60 Units/kg (max 4000U) then 12 Units/kg (max 1000U/h)
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Vaso-Pressors
Levophed (Norepi) |
5-30mcg/min titrate (no true max)
increase 1-2mcg/min Q 3-5min PRN Peds: 0.05-0.5mcg/kg/min |
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Vaso-Pressors
Dopamine |
5-20mcg/kg/min; low dose is not renal specific
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Vaso-Pressors
Dobutamine |
2-30mcg/kg/min
Not a true pressor, can have increase/decrease/no change in BP Increase contractility; systemic vasodilation; minimal change rate |
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Vaso-Pressors
Epinephrine |
2-20mcg/min
gtt: add 1ml of 1:10,000 to 100ml NS bag = 1mcg/cc |
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Vaso-Pressor
Phenylephrine |
50-150mcg bolus; then 40-180mcg/min;
marked vasoconstriction and compensatory decrease in HR Alpha only |
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Vaso-Pressor
Vasopressin |
0.04 Units/min
on or off, no titration in addition to another pressor only w/ sepsis |
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Anti-Hypertensives
Labetolol |
10mg IV, can double dose q10min to max 300mg
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Anti-Hypertensives
Nicardipine |
5-20mg/h can increase q15min
(hypertension emergency, stroke) |
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Anti-Hypertensives
Hydralazine |
10mg IV
SAFE IN PREGNANCY |
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Anti-Hypertensives
Nitroglycerin |
10mcg/min to 100mcg/min
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Anti-Hypertensives
Nitroprusside |
0.3mcg/kg/min to 10mcg/kg/min
Aortic Dissection, Cocaine |
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Anti-Hypertensives
Phentolamine |
5mg IV
Cocaine, pressor extravasation |
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Anaphylaxis
1) Sympathomimetic Epinephrine |
0.3mg IM in thigh;
drip as above 1ml 1:10,000 in 9cc NS flush in 1-2mL doses |
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Anaphylaxis
2) H1 Blocker Benadryl |
50mg IV
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Anaphylaxis
3) Steroid Solu-medrol |
125mg IV
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Anaphylaxis
4) H2 Blocker Tagament |
300mg IV
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Anaphylaxis
4) H2 Blocker Zantac |
50mg IV
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Siezures
Ativan |
IV Push: 2mg IVq1-2min ( max 0.1mg/kg)
1st line agent |
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Siezures
Valium |
IV Push: 5mg IV q5min (max 20mg)
PR: 0.2mg/kg-0.5mg/kg |
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Siezures
Phenytoin |
Loading Dose: 20mg/kg IV
Drip Rate: 50mg/min |
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Siezures
Phosphenytoin |
Loading Dose: 20 PE/kg IV
Drip Rate: 150 PE/min |
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Siezures
Phenobarbital |
Loading Dose: 20mg/kg IV
Drip Rate: <60mg/min |
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Pediatrics weight
3mo – 1yr – 3yr – 5yr – 7yr |
3mo – 1yr – 3yr – 5yr – 7yr
5kg – 10kg – 15kg – 20kg – 25kg |
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Pediatric ETT size
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(age/4) plus 4
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Pediatric ETT depth
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3xETT
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Pediatric Foley size
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3xETT
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Pediatric Chest Tube
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4xETT
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Pediatric IVF
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20cc/kg bolus (max x 2)
Maintenance: 4-2-1 rule |
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Pediatric Blood
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10cc/kg
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ACLS
Adenosine Adult |
1st:6mg
2nd: 12mg 3rd: 12mg |
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ACLS
Adenosine Pediatric |
1st: 0.1mg/kg
2nd: 0.2mg/kg 3rd: 0.2mg/kg |
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ACLS/PALS
Procainaminde |
17mg/kg IV at rate of 20mg/min to 30mg/min
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ACS
Plavix |
600mg PO
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What is the concentration of Epi for crash cart
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1:10,000 = 1000mg/10,000cc 1mg/10cc
0.1mg/cc 100mcg/cc |
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How do you make Epi 1:10,000
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Take 1 cc of 1:1000 and put in 9cc Flush
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What is the concentration of Epi for Anaphylaxis
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1:100,000 = 1000mg/100,000cc
1mg/100cc 0.01mg/cc 10mcg/cc |
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How do you make Epi 1:100,000
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Take 1cc of crash cart Epi and put in 9cc flush
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What is the concentration of Epi for IV drip
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1:1,000,000=1000mg/1,000,000cc
1mg/1000cc 1mcg/cc |
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How do you make Epi 1:1,000,000
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1) take 1cc of 1:1000 and but in 1L bag
2) Take 1cc of crash cart and put in 100cc bag |
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Pediatric weight
3mo |
5kg
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Pediatric weight
1yo |
10kg
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Pediatric weight
3yo |
15kg
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Pediatric weight
5yo |
20kg
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Pediatric weight
7yo |
25kg
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