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92 Cards in this Set
- Front
- Back
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Activated Charcoal
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1 to 2 g/kg PO |
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Adenosine
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-followed by 20 mL flush 12 mg rapid IV push over 1-3 seconds 12 mg rapid IV push over 1-3 seconds MAX DOSE |
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Albuterol
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Metered dose inhaler- 1-2 inhalations (90-180 mcg), wait five minutes between inhalations |
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TPA
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-then 0.75 mg/kg over 30 minutes (not to exceed 50 mg) - then 0.50 mg/kg over 60 minutes MAX DOSE 100 mg Acute Ischemic Stroke: 0.09 mg 1kg infused over 60 minutes; administer 10% of total dose in 1 minute and the rest over the next 60 minutes |
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Amiodarone
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V-FIB/ Pulseless V Tach unresponsive to CPR, defibrillation and vasopressors: 300 mg IV/IO push. Intial dose can be followed one time in 3-5 minutes at 150 mg IV/IO push. Recurrent life threatening dysrhythmias: Max cummulitve dose: 2.2 g IV/ 24h administered as follows: Rapid Infusion: 150 mg IV/IO over 10 mins (15mg/min). May repeat every 10 mins PRN. |
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Amyl Nitrate |
1-2 ampules crused and inhaled for 30 secs of each minute until sodium nitrate is prepared or administered for 30-60 secs every 5 mins until patient is conscious. |
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Asprin
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160 mg to 365 mg PO. |
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Atenolol |
5 mg slow IV (over 5 mins). Wait 10 minutes. Give second dose of 5 mg over 5 minutes. |
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Atropine |
Organophosphate poisoning: 2-4 mg or higher my be needed |
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Benzocaine Spray |
0.5-1 second spray, repeat as needed |
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Bumetanide |
0.5 to 1.0 mg IV slowly over 1-2 minutes, or IM. |
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Calcium Chloride |
Calcium Channel Blocker OD and Hyperkalemia: 500 mg to 1,000 mg (5-10 mL of 10% solution) IV push. May repeat PRN |
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Calcium Gluconate |
Beta Blocker and Calcium Channel Blocker OD: 3-6 g (30-60 mL) IV/IO followed by continuously same dose |
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Clopidogrel
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Dexamethasone Sodium Phosphate
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10-100 mg IV (1 mg/kg slow IV bolus). |
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Diazepam
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Premedication Cardioversion: 5-15 mg IV over 5-10 mins prior to cardioversion |
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Digoxin
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Loading dose: 4-6 mcgs/kg over 5 minutes. Second and third boluses of 2-3 mcgs/kg to follow at 4-8 h intervals. |
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Dilatazem |
Initial dose: 0.25 mg/kg (15-20 mg for the average person) IV over 2 minutes. If inadequate response- may re-bolus in 15 minutes. Secondary dose of 0.35mg/kg (20-25 mg for the average person) IV over 2 minutes. Maintenance infusion of 5-15 mg/h titrated to physiologically appropriate heart rate.
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Diaphenhydramine |
25-50 mg IM,IV,IO,PO |
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Dobutamine Hydrochloride |
IV infusion at 2-20 mcg/kg/min titrated to desired effect. Max dose 40 mcg/kg/min. |
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Dolasetron |
12.5 mg IV one time. 100 mg PO one time. |
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Dopamine Hydrochloride |
IV/IO infusion at 2-20 mcg/kg/min, slowly titrated to patient response. |
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Epinephrine |
Anaphylaxis: 0.1 mg (1mL) of 1:10,000) IV. Cardiac Arrest: IV/IO dose; 1mg (10mL of 1:10,000) 3-5 minutes during resuscitation. Continuous infusion: Add 1mg (10 mL) of 1:1,000 to 250 mL NS or D5W (4 mcg/mL). Initial infusion rate of 1 mcg/min titrated to effect (2-10mcg/min). Endotracheal dose: 2-2.5 mg diluted in 10mL NS . Profound bradycardia or hypotension: 2-10 mcg/min; titrate to patient response. Higher dose: Higher doses (up to 0.2 may be used for specific indications; ( beta blocker or calcium channel blocker OD.) |
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Racemic Epinephrine |
MDI: 2-3 inhalations repeated every 5 minutes PRN. Solution: dilute 5 mL (1%) in 5 mL saline, administer over 15 mins. |
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Eptifibatide |
Medical Managment: 180 mcg/kg IV bolus over 1-2 mins, followed by a 2 mcg/kg infusion for 72-96 hrs. Percutaneous coronary inverention/percutaneous transluminal coronary angioplasty: 180 mcg/kg IV bolus over 1-2 minutes followed by a 2 mcg/kg infusion, then repeat bolus in 10 minutes. Max dose: (based on a 121 kg patient) PCI: 22.6-mg bolus, 15 mg/h infusion, infusion duration 18-24 h after procedure. |
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Etomidate |
0.2-0.6 mg/kg IV over 30-60 seconds (typical adult dose is 20 mg). |
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Fentanyl |
50-100 mcg (1mcg/kg) IM or slow IV,IO over 1-2 minutes to max of 150 mcg. |
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Flumazenil |
First dose: 0.2 mg IV/IO over 15 seconds. Second dose: 0.3 mg may be given over 30 seconds; if no response, give third dose. Third dose: 0.5 mg IV/IO over 30 seconds; if no response, repeat every minute until adequate response or total of 3 mg is given. |
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Fosphenytoin |
Loading dose of 10-20 mg PE/kg IM, IV one time to a max of 150 mg PE/min IV. |
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PE/kg |
Pro-Epantuin- concentrate for solution for infusion/solution for injection. clear, colorless to pale yellow, sterile solution buffered with tomentamol adjusted to a pH of 8.6 to 9.0 with hydrochloric acid. Used for status epileticus or prevention of seizure in a head trauma |
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Furosemide |
0.5-1 mg/kg IV over 1-2 minutes. If no response, double the dose to 2 mg/kg slowly over 1-2 minutes. |
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Glucagon |
Hypoglycemia: 0.5-1 mg IM; may repeat in 7-10 minutes. Calcium channel blocker or beta blocker OD: 3-5 mg/h infusion as necessary. |
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Haloperidol Lactate |
2-5mg IM ONLY every 30-60 minutes until sedation is achieved. |
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Heparin Sodium |
It is given as an IV bolus of 60 U/kg max 4,000 IU. A continuous infusion is given following the bolus at a rate of 12 IU/kg/h rounded to the nearest 50 ( max 4,000 IU or 1,000 units/h). |
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Hydrocortisone Sodium Succinate |
4mg/kg slow IV bolus. |
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Hydroxocobalamin |
5 g IV infusion over 15 minutes at a rate of 15mL/min, one time, may be repeated one time at the same dose to a max of 10 g. |
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Hydroxyzine |
25-100 mg IM ONLY. |
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Insulin |
Glucose levels dependent Diabetic Coma: 10-25 units SC, IM, or IV, followed by infusion of 0.1 units/kg/h. |
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Ipratroprium |
250-500 mcg inhalation with hand held nebulizer every 20 mins up to 3 times. |
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Isoetharine |
1-2 inhalations with MDI COPD: 2.5-5 mg ( 2.5-5 mL) diluted in 3 mL NS and nebulized |
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Ketorolac Tromethamine |
30-60 mg IM |
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Labetalol |
10 mg IV push over 1-2 min. May repeat or double every 10 mins to a max dose of 150 mg. |
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Levelalbuterol |
1.25 mg to 2.5 mg in 3 mL administered by nebulizer every 20 minutes to a max of 3 doses |
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Lidocaine Hydrochloride |
Cardiac Arrest/pulseless V-Tach/v-Fib: Initial dose: 1-1.5 mg/kg IV/IO. Repeat dose: 0.5-0.75 mg/kg IV/IO repeated in 5-10 mins. Max dose: 3 mg/kg. Stable V-Tach, wide complex tachycardia of unknown etiology, significant ectopy: dose range 0.5-0.75 mg/kg 1-1.5 mg/kg. Repeat 0.5-0.75 mg/kg every 5-10 mins. Max total dose: 3 mg/kg. Endotracheal dose: 2-4 mg/kg. Max infusion: 1-4 mg/min (30-50 mcg/kg/min): can dilute on D5W or NS. |
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Lorazepam |
When given IV/IO diluted with equal volume of sterile water or sterile saline. When given IM, lorazepam is not diluted. 2-4 mg slow IM/IV at 2 mg/min; may be repeated in 15-20 mins. Max dose of 8 mg. For sedation: 0.05 mg/kg up to 4 mg IM. |
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Magnesium Sulfate |
Seizure associated with pregnancy: 1-4 g of a 10% solution IV/IO over 3 minutes; max dose of 30-40 g/day Cardiac Arrest due to hypomagnesaemia or torsades de pointes: 1-2 g of a 10% solution IV/IO over 5-20 minutes. Torsades de pointes with a pulse: Loading dose of 1-2 g in 50-100 mL of D5W over 5-60 minutes IV. Follow with 0.5-1g/h IV (titrate to dose to control torsades). |
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Mannitol |
0.5-1 g/kg IV infusion over 5-10 mins. Additional doses of 0.25-2 g/kg can be given every 4-6 hrs PRN. |
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Meperidine Hydrochloride |
50-100 mg IM, SC. 25-50 mg slow IV. |
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Metaproterenol Sulfate |
MDI: 2-3 inhalation every 3-4 h. inhalation solution 5%: via nebulizer 0.2-0.3 mL of a 5% solution diluted in 2.5 mL NS |
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Methylprednisone Sodium Succinate |
Acute spinal cord trauma: 30 mg/kg IV over 30 mins followed by: Infusion: 5.4 mg/kg/h. Asthma, COPD, anaphylaxis: 1-2 mg/kg IV. |
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Metoprolol Tartrate
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5 mg slow IV push at 5 minute intervals to a total of 15 mg.
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Midazolam Hydrochloride
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2-2.5 mg slow IV (over 2-3 minutes). May be repeated to total mx: 0.1 mg/kg.
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Morphine Sulfate
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STEMI: initial dose: 2-4 mg slow IV (over 1-5 minutes). Repeat dose: 2-8 mg at 5-15 mins intervals. NSTEMI/ Unstable Angina: 1-5 mg IV push if symptoms not relieved by nitrates, use with caution. |
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Nalbuphine Hydrochloride
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2-5 mg slowly IV. May repeat 2 mg doses PRN to a max dose of 10 mg.
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Naloxone Hydrochloride
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0.4-2 mg IM,IV,IO,SQ,ET/Intranasal (diluted); max single dose recommended: 2 mg. Repeat at 5 minute intervals to a max total dose of 10 mg.
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Nifedipine
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10 mg SL or buccal (puncture end of capsule with needle and squeeze or have patient bite and swallow.) May repeat in 30 minutes.
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Nitroglycerin |
SubQ; 0.4 mg tab. Max 1.2 mg |
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Norepinephrine Bitartrate
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Dilute 8 mg in 500 mL of D5W or 4 mg in 250 mL of D5W ( 16 mcg/mL). Infuse by IV piggy back at 0.1-0.5 mcg/kg/min titrated to response (average dose for 70 kg patient 7-35 mcg/min).
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Ondansetron Hydrochloride
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4 mg IV/IM may repeat in 10 min
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Oral Glucose
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15-45 g PO in patients with an intact gag reflex and the ability to manage their own secretions.
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Oxytocin
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IM: 10 units following delivery of the placenta. IV: mix 10-40 units in 1,000 mL of nonhydrating diluent: Infused at 20-40 miliunits/min. Titrated to severity of bleeding and uterine response. |
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Pancuronium Bromide
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0.06 to 0.1/kg slow IV. Repeat every 30-60 min as needed.
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Phenobarbital
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100-250 mg slow IV or IM. Mat repeat as needed in 20-30 min
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Phenytoin
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Seizures: 10-20 mg/kg slow IV; not to exceed 1 g or rate of 50 mg/min. Dysrhythmias: 50-100 mg (diluted) slow IV every 5-15 PRN; Max dose 1 g. |
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Pralidoxime
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Organophosphate poisioning: initial dose of 1-2 g as IV infusion over 30-60 mins after atropine admin. Dose can be repeated in 1 h if muscle paralysis is still present. 600 mg IM repeat twice more at 15 min intervals as needed. Antichloinesterase OD: 1-2 g as an IV infusion over 30-60 mins. Repeat at 250 mg every 5 mins as needed. |
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Procainamide Hydrochloride
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Recurrent V-Fib/ Pulseless V-Tach: 20 mg/min slow IV infusion ( max dose: 17 mg/kg). In urgent situation, up to 50 mg/min may be administered (max dose 17 mg/kg). Other indications: 20 mg/min slow IV infusion until any one of the following occurs: Dysrhythmias suppression, hypotension, QRS widens by >50% of its pretreatment width, or total dose of 17 mg/kg has been given. Maintenance infusion: 1-4 mg/min (diluted in D5W or NS). Reduce dose in presence of renal insufficiency. |
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Promethazine Hydrochloride
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12.5-25 mg IV, deep IM, PO, PR.
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Propofol
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Induction dose: 1.5-3 mg/kg IV,IO. Maintenance infusion: 25-75 mcg/kg/min IV,IO.
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Propranolol Hydrochloride
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Dilute 1-3 mg in 10-30 mL of D5W. Administer slowly IV at rate of 1 mg/min. Max: 5 mg.
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Rocuronium Bromide
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0.6-1.2 mg/kg IV, IO.
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Sodium Bicarbonate
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1 mEq/kg slow IV,IO push may repeat at 0.5 mEq/mL every 10 mins.
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Sodium Nitrate
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300 mg (10mL of a 3% solution) slow IV push over 5 mins or dilute 300 mg in 100 mL of saline and infuse slowly.
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Sodium Thiosulfate
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12.5 (50 mL of a 25% solution) IV/IO slow push over 10 min
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Streptokinase
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Reconstitute by slowly adding 5 mL of sodium chloride or D5W directing stream to side of vial instead of into power. Gently roll and tilt vial for reconstitution; dilute slowly to 45 mL total. 500,000- 1,500,000 IU diluted to 45 mL IV over 1 hr. |
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Succinylcholine Choride
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1-1.5 mg/kg rapid IV push. Repeat once if needed.
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Terbutaline
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0.25 mg SC may repeat in 15-30 minutes to max dose of 0.5 mg in a 4 h period.
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Thiamine
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100 mg slow IV or IM
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Tirofiban Hydrochloride
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Loading dose: 0.4 mcg/kg/min IV for 30 min. Infusion: 0.1 mcg/kg/min for 18-24 h post angioplasty.
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Vasopressin
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40 U one time dose IV/IO to replace the first or second dose of epinephrine in cardiac arrest. 0.02-0.04 U/min continuous.
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Vecuronium Bromide
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0.1-0.2 mg/kg IV push. Maintenance dose within 45-60 mins: 0.8-1.2 mg/kg IV push.
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Verapamil Hydrochloride
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2.5-5 mg IV bolus over 2 mins ( 3 mins in elderly). Repeat dose of 5-10 mg may be given every 15-30 mins to max dose of 20 mg.
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Plasma Protein Fraction
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Med Control per condition
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Dextran
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Condition dependent
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Hetastarch
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Condition dependent
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Lactated Ringers
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Hypovolemic shock: titrate
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5% Dextrose in Water
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Administered through minidrip set (60 gtts/mL) set at KVO
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10% Dextrose in Water
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Condition dependent
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0.9% Sodium Chloride
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Condition dependent
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0.45% Sodium Chloride
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Condition dependent
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5% Dextrose in 0.45% Sodium Chloride
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Condition dependent
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5% Dextrose in 0.9% Sodium Chloride
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Condition dependent
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5% Dextrose in Lactated Ringers
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Administered through Macro drop set (10gtts/mL) through 16-14 g catheter at wide open until systolic BP reaches 100 mmHg. Duration is condition dependent.
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