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39 Cards in this Set

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Phenergan

aka: promethazine
Adult- 12.5- 25mg IV/IM/PR

Pedi- .25-.5mg/kg IV/IM/PR
all dosages (ranges) have a 5 in the amount.
Glucagon

aka: glucagon
Adult
hypoglycemia- 1mg IM/SC repeat 5-20 min

beta-blocker OD- 2-4 mg/kg over 1 min

PEDI
Hypoglycemia- .01 mg/kg IV/SC
1mg for child > 10kg

beta-blocker OD- 50-150 mcg/kg IV over 1 minute
Albuterol

aka: proventil, ventolin
Adult- 2 doses (90mcg) or 2.5 mg in 2.5-3ml NS via nebulizer

Pedi- .15 mg/kg in 2.5-3ml NS via nebulizer
Narcan

aka: nalaxone
Adult- .4-2mg 2-3 minutes

Pedi- .01mg/kg IV/IM 2-3 minutes up to 10mg
Dextrose

aka: D5W
Adult- 25g in 50 ml

Pedi- .5g/kg
Vasopressin

aka: pitressin
Arrest-40 units IV

Esophageal varices- .2-.4 units/min IVD

*No pedi dose.*
Sodium Bicarbonate 8.4% solution
Adults and Pedi- 1mEq/kg IV then .05 mEq/kg every 10 min

Neonates use 4.2% solution
Magnesium Sulfate
V-fib- 1-2g IV over 2 min

Torsades de pointes- 1-2g IV then .5-1g/hr IV

AMI- 1-2g IV over 5-20 min

Eclampsia- 2-4g IV/IM
Oxytocin

aka: pitocin
3-10 units IM after delivery of placenta

10-20 units in 1,000ml of D5W or NS IV. Titrate to effect.
Decadron

aka: Dexamethasone
Adult- 4-24mg IV/IM

Pedi- .5-1mg/kg
Lorazepam

aka: Ativan
Adult-
sedation: 2-4mg IM .5-2mgIV

status epilepticus: 2mg SIVP/PR (2mg/min)

Pedi-
sedation: .03-.5mg/kg IV/IM/PR up to 4mg

status epilepticus: .1mg/kg SIVP/PR (2/5min)
Aspirin

aka: acetylsalicyclic acid
160-325mg PO
Not recommended for pedis
Nitroglycerin

aka: nitrostat
.4mg (one spray) SL
up to 3 sprays/ 25 min
Tylenol

aka: acetaminophen
325-650mg PO/ 4-6hrs

650 mg PR 4-6hrs
Succinylcholine

aka: anectine
Adult- 1-1.5mg/kg IV/IM

Pedi- 1-2mg/kg IV/IM
adult dose is like Lidocaine.

Adenosine

aka: adenocard
Adult- 6mg RIVP. then 12mg, then another 12mg every 1-2 min up to 30mg

Pedi- .1mg. then .2mg then .2 mg every 1-2 min up to 12 mg
Furosemide

aka: lasix
1mg/kg. given in doses of 20 mg

*pedi dose is the same*
Thiamine
Adult- 50-100mg IV/IM

Pedi- 10-25mg IV/IM
Epinephrine

aka: Adrenalin
Adult-

arrest: 1mg 1:10,000/3-5min
allergic: .3-.5mg 1:1000/5-15min~or~ .5-1mg 1:10,000

Pedi-
arrest:.01mg/kg 1:10,000 then .1mg/kg
allergic: same.
Amiodarone

aka: Cordarone, pacerone
Adult- 150-300 mg IV over 10 min then 1mg/in over 6 hrs

Pedi- 5mg/kg IV/IO then 15mg/kg/day
Procanimide

aka:pronestyl
Adult- 20-30mg/min up to 17 mg/kg then 1.4 mg/min

Pedi- 15 mg/kg IV/IO over 30-60 minutes
Ipratropium

aka:atrovent
Adult 500 mcg in 2.5-3ml

Pedi- 125-250mg in 2.5-3ml
Benadryl

aka: diphenhydramimine
Adult- 25-50mg

Pedi- 1-2 mg/kg
Cardizem

aka: diltiazem
.25mg/kg IV over 2 min. PRN with .35mg/kg, or a drip of 5-10mg/hr.

not to exceed 15mg/hr over 24 hours
Atropine
Adult-
symptomatic bradycardia: .5-1mg IV 3-5min to .04mg/kg
asystole:1mg every 3-5min up to .04mg/kg
organophosphate poisioning 2-5mg IV/IM/IO every 10-15 min

Pedi-
Symptomatic bradycardia- .02mg/kg IV/5min up to 1 mg
organophosphate poisoning- .05mg/kg IV/IM/IO 10-15min
Ibuprofen

aka: motrin, advil, excedrin, nuprin
Adult- 200-400mg PO 4-6 hours up to 1200mg/day

Pedi- 5-10mg/kg every 4-6 hours up to 40 mg.kg/day
Dopamine

aka:intropin
2-5mcg/kg/min up to 20 mcg/kg/min

*pedi dose is the same.*
Etomidate

aka:amidate
.1mg-.3mg/kg IV slow- over 15-30 seconds

Pedi- children>10 years, same as adults
usual dose is 20mg
Ketorolac

aka:toradol
30mg IV/IM

15mg>65 years, or weigh<50kg
Solu-medrol

aka: methylprednisolone
Adult- asthma/COPD/anaphylaxis- 125-250mg

pedi- 1-2mg/kg

spinal cord injury- 30mg/kg over 15 min. After 45min an infusion of 5.4mg/kg/hr
Valium

aka: diazepam
Adults-
seizures: 5-10mgIV/IM
Acute anxiety: 2-5mg IV/IM
premedication: 5-15mg IV/IM

Pedi-
Seizures: .5-2mg IV/IM
Acute anxiety: .5-2mg IM
Premedication: .2-.5 mg/kg IV
Lidocaine

aka:xylocaine
Adults-
Arrest/V-Tach w/pulse: 1-1.5mg/kg 3-5min up to 3mg.kg
*V-tach give half dose every 5-10 min until conversion, or you max out*
Conversion drip 2-4 mg/min

Pedi-
Arrest/ V-Tach w/pulse: 1mg/kg every 3-5 min up to 3 mg/kg. Follow conversion with 20-50 mcg/kg/min.
Vecuronium

aka: nocuron
.08-.1mg/kg IV/IO

*ped same as adult*
Midazolam

aka: versed
Adult- 1-2.5mg slow IV; .07-.08mg/kg IM (usually given in 5mg doses)

Pedi- .05-.2mg/kg IV; .1-.15 IM; 3mg intranasal
Calcium Chloride
Adult- 2-4mg IV (10% solution)/ 10 min PRN

Pedi- 20 mg/kg IV (10% solution)/ 10 min PRN

*arrest with renal failure: 500mg/1g*
Solu-medrol

aka: methylprednisolone
Adult- asthma/COPD/anaphylaxis- 125-250

pedi- 1-2mg/kg

spinal cord injury- 30mg/kg over 15 min. After 45min an infusion of 5.4mg/kg/hr
Heparin
5000units IV, then 20,000-40,000 units IV over 24 hours
Metropolol
5mg SIVP every 5 min. Total dose 15mg
Verapamil
PEDI: newborn-1yr- 0.1-0.2mg/kg (no more than 2mg) IV
1-15yrs-0.1-0.3mg/kg (no more than 5mg) IV