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32 Cards in this Set

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Mass


Adenosine (Adenocard)

6mg rapid IV/IO push. Repeat doses of 12mg. Max of 30mg

Mass


Amiodorone

V-fib/Pulseless V-Tach 300mg IV push. Repeat dose 150mg.



Wide complex tachycardia 150mg in 50-100 ml of normal saline infused over 10 minutes. If successful consider maintenance infusion of 1mg/minute



Post arrest 150mg in 10 ml normal saline slow IV/IO over 8-10 min. If successful consider maintenance infusion of 1mg/minute

Mass


Atropine

Bradycardia 0.5-1mg IV/IO every 3-5 minutes


Organophosphate poisoning and nerve agent 2-6 mg IM/IV/IO every 5 min as needed

Mass


Calcium Chloride 10% solution

Bradycardia 2-4mg/kg slow IV over 5 min,


Max 1G


Avoid if pt is on digoxin

Mass


Dextrose

25G IV/IO

Mass


Diazepam (Valium)

Sedation for Electrical Therap 2.5-5 mg IV/IO/IN/PR


Nerve Agent 10mg IV/IN/IO/IM/PR or auto injection IM


Seizure/poisoning/substance abuse/OD Shivering for induced therapuetic hypothermia 5-10mg IV/IO/IM/PR

Mass


Diltiazem (Cardizem)

Narrow Complex Tachycardia 0.25mg/kg slow IV/IO push. Repeat once in 15 minutes at 0.35mg/kg if necessary.

Mass


Diphenhydramine (Benadryl)

25-50 mg IV/IO/IM

Mass


Dopamine

Bradycardia, Post-resuscitation and shock - Infused 2-20 mcg/kg/min IV/IO

Mass


Epinephrine 1:1000 (Infusion only)

Post resuscitation and Bradycardia - 2-10 mcg/min IV/IO infusion


Allergic reaction - 1-10 mcg/min IV/IO infusion

Mass


Epinephrine 1:10,000


Cardiac Arrest - 1mg IV/IO every 3-5 minutes per AHA guidelines

Mass


Racemic Epinepherine


Croup - 11.25mgin 2.5ml solution

Mass


Fentanyl (Sublimaze)


Pain - 1mcg/kg up to 150mcg slow IV/IO/IM/IN




Therapuetic hypothermia/shivering - 50mcg every 5 min


Max of 200 mcg IV/IO/IM/IN

Mass


Furosemide (Lasix)


CHF/Pulmonary Edema - 20-40mg IV/IO


Hypertensive crisis - 0.5-1mg/kg IV/IO


Toxicology - 40mg IV/IO

Mass


Glucagon

Hypoglycemia - 1mg IV/IO/IM/IN/SC


Beta Blocker/Calcium channel blocker overdose and bradycardia - 1-5mg IV/IO/IM/IN/SC

Mass


Haloperidol (Haldol)


Behavioral emergency - 5mg IM only

Mass


Hydrocortisone (Solu-Cortef)


Adrenal insufficiency/crisis and Respiratory distress (COPD/Asthma) - 100mg IV/IO/IM

Mass


Ipatropium Bromide (Atrovent)


Asthma/COPD/RAD - 2-3 puffs of MDI every 5 minutes


Or


0.5mg nebulized with or without albuterol

Mass


Lidocaine


Cardiac Arrest/ V-tach with pulses - 1-1.5mg/kg IV/IO. (2nd line therapy to Amiodarone) Repeat dose 0.5-0.75mg/kg to a max of 3mg/kg. Followed by a maintenance infusion of 2-4mg/min


Post resuscitation - 1-1.5mg/kg followed by maintenance infusion 2-4mg/min


Nasotracheal Intubation - 2% Lidocaine jelly


Intraosseus- 40mg 2% lidocaine, slow bolus over 2 min followed by 10ml saline flush



Mass


Lorazepam (Ativan)


Behavioral, Nerve agent, & seizures - 2-4mg IV/IO/IM

Mass


Magnesium Sulfate


Asthma/RAD - 2G in 100ml IV over 10 minutes


Cardiac Arrest/tachycardia - Torsades de Pointes - 1-2G IV over 5 minutes


Seizures (Pregnancy) - 4G IV over 10 min for seizures in the 3rd trimester of pregnancy or post partum

Mass


Methylprednisolone (Solu-medrol)


Asthma/COPD/RAD/Allergic reaction - 125mg IV/IO/IM

Mass


Metoprolol (Lopressor)


Tachycardia - 2.5-5mg slow IV over 2-5 min. Repeat every 5 min


Max of 15mg

Mass


Midazolam (Versed)


Behavioral/Seizures/Therapeutic Hypothermia - 2-6mg IV/IO/IM/IN


Sedation for electrical therapy - 0.5-2mg


Nerve agent/organophosphate poisoning - 2mg every 5 min or 6mg IM every 10 min as needed


Difficult airway - 2mg slow. Repeat if necessary to total of 6mg

Mass


Morphine Sulfate


Pain - 0.1mg/kg every 5 min IV/IO/IM/SC


Max - 10mg

Mass


Naloxone (Narcan)


Antidote to opiate admin by EMS - 0.4-2mg SQ/IV/IM/IN as needed


Poisoning/substance abuse/OD - 0.4-2mg IV/IM/SQ/IN repeat as needed.

Mass


Nitroglycerin


Cardiac conditions/Hypertensive emergencies - 0.4 mg SL tabs or 1 spray every 3-5 min with symptoms and systolic BP >100


1" paste to chest wall, transdermal

Mass


Norepinephrine (Levophed)

Hypotension - 0.1mcg/kg/min IV/IO titrate to SBP of 90


infusion pump required


4mg mixed in 250ml of D5W (16mcg/ml)

Mass


Ondansetron (Zofran)


Nausea/Vomiting - 4mg IV/IO/IM/ODT

Mass


Sodium Bicarbonate


Poisoning/substance Abuse/OD/Toxicology - 0.5-1 mEq/kg IV/IO


Cardiac Arrest/Known Hyperkalemia/Acidosis/TCA OD 1 mEq/kg IV/IO

Mass


Tetracaine 0.5%


Eye injury - 1-2 drops in affected eye, repeat every 5 min as needed


Mass


Vasopressin


Cardiac arrest: Asystole, PEA, V-Fib, V-tach no pulses - 40 Units IV/IO in place of 1st or 2nd dose of Epinephrine