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36 Cards in this Set

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Acetaminophen (Tylenol)
Pediatric- 10-15 mg/kg
Pediatric- 10-15 mg/kg
Acetylcysteine
Dosing ordered by physician
Dosing ordered by physician
Acetylsalicylic Acid (Aspirin)
162-325 mg orally (baby aspirin)
162-325 mg orally (baby aspirin)
Activated Charcoal
Adult- 1 g/kg PO or 10x the weight of amount ingested

Pediatric- 1g/kg
Adult- 1 g/kg PO or 10x the weight of amount ingested

Pediatric- 1g/kg
Adenosine (Adenocard)
StablizAdult- 6mg fast IV push, followed by 20 ml flush. 1-2 minutes 12mg fast IV push followed by 20 ml flush.

Pediatric- 0.1mg/kg fast IV push followed by 5 ml flush. Then 2-3 later 0.2mg/kg followed by flushe Supraventricular Tachycardia
Adult- 6mg fast IV push, followed by 20 ml flush. 1-2 minutes 12mg fast IV push followed by 20 ml flush.

Pediatric- 0.1mg/kg fast IV push followed by 5 ml flush. Then 2-3 later 0.2mg/kg followed by flush
Albuterol (Proventil, Ventolin)
-Wheezing associAdult- 2.5-5 mg in 3 ml of sterile saline. nebulized and repeated every 20 minutes

Pediatric-older than 12, same dose as adult

Younger than 12 months-0.15mg/ml in 3ml of salineated with asthma
-COPD
-Bronchospasm
Adult- 2.5-5 mg in 3 ml of sterile saline. nebulized and repeated every 20 minutes

Pediatric-older than 12, same dose as adult

Younger than 12 months-0.15mg/ml in 3ml of saline
Aminophylline
Adult-5mg/kg IV in 50 ml D5W over 20 minutes
Adult-5mg/kg IV in 50 ml D5W over 20 minutes
Amiodarone (Cordarone)
Pulseless or UAdult-Pulseless-VT/VF 300mg inital bolus after Epi.
-Unstable rhythm- 150mg over 10 minutes

Pediatrics-Pulseless VT/VF 5mg/kg IVP
-Unstable rhythm- 5mg/kg over 10 minutesnstable VF/VT refractory to initial electrical therapy
Adult-Pulseless-VT/VF 300mg inital bolus after Epi.
-Unstable rhythm- 150mg over 10 minutes

Pediatrics-Pulseless VT/VF 5mg/kg IVP
-Unstable rhythm- 5mg/kg over 10 minutes
Atropine
Symptomatic Sinus BradAdult-Pulseless-VT/VF 300mg inital bolus after Epi.
-Unstable rhythm- 150mg over 10 minutes

Pediatrics-Pulseless VT/VF 5mg/kg IVP
-Unstable rhythm- 5mg/kg over 10 minutesycardia

Anticholinesterase poisioning
Cardiac-Adult-0.5mg IV max of 3mg
Pediatric-0.02mg/kg IV max of 0.5

Anticholinesterase poisoning- Adult-2-4mg IV
PEdiatric-0.05mg/kg IV
Blood-Packed red cells,Fresh Plasma, Whole Blood
10ml/kg
10ml/kg
Calcium Preparations:
1.Calcium Gluconate
2.Calcium Chloride
3.Calcium Gluceptate
Calcium Gluconate-500-1000mg slow IVP
Pediatric-60-100mg/kg

Calcium Chloride-Adult- 5-10ml by slow IVP
Pediatric-0.2ml/kg
Calcium Gluconate-500-1000mg slow IVP
Pediatric-60-100mg/kg

Calcium Chloride-Adult- 5-10ml by slow IVP
Pediatric-0.2ml/kg
Ceftriaxone (Rocephin)
1g IV in 100 ml D5W given in 30 mintues
Dexamethason (Decadron)
Adults-4-10mg/kg IV or IO/PO

Pediatric-0.6mg/kg (range from 0.15-1.0mg/kg) PO/IV/IO
Adults-4-10mg/kg IV or IO/PO

Pediatric-0.6mg/kg (range from 0.15-1.0mg/kg) PO/IV/IO
Dextrose-Oral and IV
Oral-25 g of paste PO

IV-Adult-25g slow IV push, may be given rectally

Pediatric- Dilute 1:1 with sterile saline to make D25- give 1g/kg slow IV push, may give rectally

Neonates- use 10% at 0.2gm/kg
Oral-25 g of paste PO

IV-Adult-25g slow IV push, may be given rectally

Pediatric- Dilute 1:1 with sterile saline to make D25- give 1g/kg slow IV push, may give rectally

Neonates- use 10% at 0.2gm/kg
Diazepam (Valium)
Anxiety: Adult-2-20mg slow IV push with bag running
-Pediatric-0.05-1.0mg/kg IV/IO


Seizures-Adult: 5-10mg slow IV push

Rectal:
12 yr or older- 0.2mg/kg
6-11: 0.3mg/kg
2-5: 0.5mg/kg
younger than 2-dont use
Anxiety: Adult-2-20mg slow IV push with bag running
-Pediatric-0.05-1.0mg/kg IV/IO


Seizures-Adult: 5-10mg slow IV push

Rectal:
12 yr or older- 0.2mg/kg
6-11: 0.3mg/kg
2-5: 0.5mg/kg
younger than 2-dont use
Diltiazem HCL (Cardizem)

Atrial FibrillatiAdult-


0.25mg/kg IV bolus over 2 minutes

Pediatric-Not usedon

Paroxysmal Supraventricular Tach.

Adult-0.25mg/kg IV bolus over 2 minutes

Pediatric-Not used
Diphenhydramine (Benadryl)
Adults:12.5-50mg slow IV push or deep IM

Pediatric- 1mg/kg slow IV or deep IM
Adults:12.5-50mg slow IV push or deep IM

Pediatric- 1mg/kg slow IV or deep IM
Dobutamine (Dobutrex)
Adult: 2-20mcg/kg/min mix 1 ampule(250mg) in 250 ml of D5W=1000mcg/ml

Pediatric-Same as Adult
Adult: 2-20mcg/kg/min mix 1 ampule(250mg) in 250 ml of D5W=1000mcg/ml

Pediatric-Same as Adult
Dopamine Hydrochloride (Dopastat, Intropin)
Adult-IV infusion ONLY-400mcg in 250ml of D5W-1600 mcg/ml
infuse 2-20mcg/kg/min to desired effect

Pediatric-Same as adult
Adult-IV infusion ONLY-400mcg in 250ml of D5W-1600 mcg/ml
infuse 2-20mcg/kg/min to desired effect

Pediatric-Same as adult
Enalaprilat (Vasotec)
Adult-1.25mg Slow IV push, if no response, repeat every hour for 6 hours

Pediatric-0.08mg/kg once a day for HTN
Adult-1.25mg Slow IV push, if no response, repeat every hour for 6 hours

Pediatric-0.08mg/kg once a day for HTN
Epinephrine 1:1000
Broncospasm/Anaphylaxis-Adult-0.3mg SQ or IM if no response, 0.3mg (1:10,000) IV or 1 mg ET

Pediatric-0.01mg/kg SQ

Bradycardia-Adult-1mg in 250 ml @ 2-10mcg/min

Pediatric-0.1mcg/kg/min + 100ml @ 1ml/hourAnaphlylaxis

Bradycardia
Anaphylaxis-Adult-0.3mg SQ or IM if no response, 0.3mg (1:10,000) IV or 1 mg ET

Pediatric-0.01mg/kg SQ

Bradycardia-Adult-1mg in 250 ml @ 2-10mcg/min

Pediatric-0.1mcg/kg/min + 100ml @ 1ml/hour
Epinephrine 1:10,000
Cardiac Adult-1mg every 3-5 minutes IV or IO, may be given ET 2x dose

Pediatric-0.01mg/kg every 3-5 minutes or ET 0.1mg/kgArrest
Adult-1mg every 3-5 minutes IV or IO, may be given ET 2x dose

Pediatric-0.01mg/kg every 3-5 minutes or ET 0.1mg/kg
Ertapnem (Invanz)
1g in 50ml given over 30 minutes
1g in 50ml given over 30 minutes
Etomidate (Amidate)
0.2-0.6 mg/kg IV slowlyuence Intubation
0.2-0.6 mg/kg IV slowly
Fentanyl (Sublimaze)
Adult-50-100mcg IVP/IO/IM

Pediatric-2-12 yr old- 1-2mcg/kg
Adult-50-100mcg IVP/IO/IM

Pediatric-2-12 yr old- 1-2mcg/kg
Flumazenil (Romazicon)
Adult-0.2mg IVP/IO over 15 seconds, administer second dose after 45 seconds. Max is 1mg

Pediatric-Older than a year-0.01mg/kg IVP/IO over 15 seconds. After 45 Seconds repeat second dose. Max is 1mg
Adult-0.2mg IVP/IO over 15 seconds, administer second dose after 45 seconds. Max is 1mg

Pediatric-Older than a year-0.01mg/kg IVP/IO over 15 seconds. After 45 Seconds repeat second dose. Max is 1mg
Furosemide (Lasix)
Adult-40mg slow IV/IO, response not achieved, after 1 hour additional dose of 80mg. Max is 200mg

Pediatric-1mg/kg slow IVP/IO/IM, 2 hours later, 2mg/kg
Adult-40mg slow IV/IO, response not achieved, after 1 hour additional dose of 80mg. Max is 200mg

Pediatric-1mg/kg slow IVP/IO/IM, 2 hours later, 2mg/kg
Glucagon
Hypoglycemic-
Adult: 1mg IM/SQ/IVP/IO

Pediatric-0.5mg/kg IM/SQ/IVP/IO

Beta Blocker Overdose
Adult:5mg IVP/IO over 1 minute
Pediatric-0.5mg/kg IVP/IO over 1 minute
Hypoglycemic-
Adult: 1mg IM/SQ/IVP/IO

Pediatric-0.5mg/kg IM/SQ/IVP/IO

Beta Blocker Overdose
Adult:5mg IVP/IO over 1 minute
Pediatric-0.5mg/kg IVP/IO over 1 minute
Haloperidol
Mild Agitation-0.5-2mg PO/IM
Mod. Agitation-5-10mg PO/IM
Severe Agi.-10mg PO/IM

Pediatric-Not Recommended
Mild Agitation-0.5-2mg PO/IM
Mod. Agitation-5-10mg PO/IM
Severe Agi.-10mg PO/IM

Pediatric-Not Recommended
Heparin
Adult-IVP-60u/kg; maintenance dose 12u/kg/hr

Pediatric-IVP-75u/kg;maintenance dose is 20u/kg/hour
Adult-IVP-60u/kg; maintenance dose 12u/kg/hr

Pediatric-IVP-75u/kg;maintenance dose is 20u/kg/hour
Hetastarch (Hespan)
20mg/kg hourly for acute hemorrhagic shock
20mg/kg hourly for acute hemorrhagic shock
Hydromorphone (Dilaudid)
Adult- 1mg slow IV push until desired effect
Adult- 1mg slow IV push until desired effect
Hydroxycobalamine
Adult-5 g IV over 30 minutes

Pediatrics-70mg/kg IV
Adult-5 g IV over 30 minutes

Pediatrics-70mg/kg IV
Insulin
Ketoacidosis:
Adult-IV/SQ 0.1u/kg

Pediatric-Same as adult

Hyperkalemia:
Adult-10u IV/IO with 50ml of D50

Pediatric-0.1u/kg IV/IO
Ketoacidosis:
Adult-IV/SQ 0.1u/kg

Pediatric-Same as adult

Hyperkalemia:
Adult-10u IV/IO with 50ml of D50

Pediatric-0.1u/kg IV/IO
Ipratropium (Atrovent)
Adult:0.5mg nebulizer every 4-6 hours

Pediatric-0.25-0.5mg neb every 20 minutes fro 3 doses
Adult:0.5mg nebulizer every 4-6 hours

Pediatric-0.25-0.5mg neb every 20 minutes fro 3 doses
Ketamine (Ketalar)
1.1-4.5mg/kg IV/IO every 15

2.0.5-2mg/kg IM every 15
1.1-4.5mg/kg IV/IO every 15

2.0.5-2mg/kg IM every 15