400 EMS Drug Formulary Flashcards
(167 cards)
1
Q
Indications for Acetaminophen
A
- Pain Control
- Fever
2
Q
How is Acetaminophen supplied
A
500 mg tablet, oral
3
Q
Adult dosage for Acetaminophen
A
15 mg/kg PO (Max dose 1000 mg)
4
Q
Peds dosage for Acetaminophen
A
15 mg/kg PO (Max dose 1000 mg)
5
Q
Indications for Adenocard
A
- PSVT
- V-tach/ Wide Complex Tach with a pulse (including WPW)
6
Q
How is Adenocard supplied
A
6 mg/ 2 ml vial (3 mg/ml)
7
Q
Adult dosage for Adenocard
A
6 - 12 - 12
8
Q
Peds dosage for Adenocard
A
1st dose: 0.1 mg/kg (max 6 mg)
2nd dose: 0.2 mg/kg (max 12 mg)
9
Q
Indications for Albuterol
A
- Respiratory distress
- Bronchospasm in COPD/ Asthma
10
Q
How is Albuterol supplied
A
2.5 mg/ 3 ml vial
11
Q
Adult dosage for Albuterol
A
- 2.5 mg nebulized
- Additional doses as needed
- May combine with Atrovent for 1 time dose
12
Q
Peds dosage for Albuterol
A
< 1 year: 1.25 mg (1.5 ml) nebulized
> 1 year: 2.5 mg (3 ml) nebulized
13
Q
Indications for Amiodarone
A
- V-fib
- Pulseless V-tach
14
Q
How is Amiodarone supplied
A
- 150 mg/ 3 ml ampule
- 150 mg/ 3 ml pre-filled syringe
15
Q
Adult dosage for Amiodarone
A
1st dose - 300 mg IV/ IO push
2nd dose - 150 mg IV/ IO push
16
Q
Peds dosage for Amiodarone
A
- Pulseless arrest: 5 mg/kg slow IV/ IO push
- Tachycardia (probable VT): 5 mg/kg over 20 min (MC order only)
17
Q
Indications for ASA
A
Chest pain
18
Q
How is ASA supplied
A
81 mg chewable tablet
19
Q
Adult dosage for ASA
A
324 mg PO
20
Q
Indications for Atropine
A
- Hemodynamically significant bradycardia
- Organophosphate poisoning
- Nerve agent exposure
21
Q
How is Atropine supplied
A
- 1 mg/ 10 ml prefilled syringe
- 2.1 mg DuoDote auto-injector (mixed with 600 mg Pralidoxime Chloride)
22
Q
Adult dosage for Atropine in bradydysrhythmias
A
0.5 mg IV bolus q 3-5 min PRN (max dose 3 mg)
23
Q
Peds dosage for Atropine in bradydysrhythmias
A
0.02 mg/kg IV/IO (dose range of 0.1 mg - 1 mg)
[May be repeated once]
24
Q
Adult dosage for Atropine in toxic ingestion/ organophosphate poisoning/ nerve agent exposure
A
2 mg IV/IM q 5 min (no max dose)
25
Peds dosage for Atropine in toxic ingestion/ organophosphate poisoning/ nerve agent exposure
- 0.02 mg/kg IV/IO (dose range 0.1 mg - 1 mg)
- Nerve agent:
< 2 years - 0.5 mg IM q 5 min PRN
> 2 years - 1.0 mg IM q 5 min PRN
26
Indications for Atrovent
- Respiratory distress
| - Bronchospasm associated with COPD
27
How is Atrovent supplied
0.5 mg/ 2.5 ml (0.02%) vial
28
Adult dosage for Atrovent
0.5 mg nebulized (as initial tx if pt. on Atrovent at home)
29
Peds dosage for Atrovent
Not recommended for peds use
30
Indications for Benadryl
- Symptomatic relief of allergies
- Allergic reactions
- Anaphylaxis
- Acute dystonic reactions due to phenothiazines (antipsychotics, i.e. tricyclic antidepressants)
31
How is Benadryl supplied
50 mg/ 1 ml vial
32
Adult dosage for Benadryl
25-50 mg IM/IV
33
Peds dosage for Benadryl
1 mg/kg IM/IV
34
Indications for Calcium
- Calcium channel blocker toxicity
- Hypocalcaemia
- Hyperkalemia in cardiac arrest (ESRD)
35
How is Calcium supplied
1 Gm/ 10 ml prefilled syringe
36
Adult dosage for Calcium
- Arrest: 1 Gm slow IO/IV push
- Cardizem reaction: 1 Gm over 5 min (1 Gm in 50 ml D5W; 10 gtt; 100 gtts/min)
- Overdose/ Toxic Ingestion: 20 mg/kg slow IO/IV
37
Peds dosage for Calcium
Overdose/ Toxic ingestion: 20 mg/kg slow IO/IV
38
Indications for Captopril
- Hypertension
| - Hypertension associated with acute pulmonary edema
39
How is Captopril supplied
25 mg tablet
40
Adult dosage for Captopril
25 mg SL
41
Peds dosage for Captopril
Not recommended for peds
42
Indications for Cardizem
- Narrow complex PSVT refractory to Adenocard
| - Symptomatic A-fib/flutter
43
How is Cardizem supplied
25 mg/ 5 ml vial (5mg/ml)
44
Adult dosage for Cardizem
- 0.25 mg/kg IV over 2 min (max dose 20 mg)
| - May repeat in 15 min at 0.35 mg/kg IV over 2 min (max dose 25 mg).
45
Peds dosage for Cardizem
Not recommended for peds
46
Indications for Cipro
Inhalation Anthrax
47
How is Cipro supplied
500 mg tablet
48
Adult dosage for Cipro
500 mg tablet PO q 12 hrs (per CDC)
49
Peds dosage for Cipro
< 31 kg: Weight-based dosing of oral suspension.
| > 31 kg: 500 mg tablet PO q 12 hrs (per CDC)
50
Indications for Cyanokit
Known or suspected cyanide poisoning
51
How is Cyanokit supplied
5 Gm kit when reconstituted with 200 ml saline
52
Adult dosage for Cyanokit
5 Gm IV over 15 min (entire kit)
53
Peds dosage for Cyanokit
75 mg/kg IV over 15 min (using Burette)
54
Indications for D50
Hypoglycemia
55
How is D50 supplied
25 Gm/ 50 ml prefilled syringe
56
Adult dosage for D50
25 Gm IV (repeat dosing PRN)
57
Peds dosage for D50
- 0-30 days: 0.2 Gm/kg D10W [(D50 - 40 ml) + 40 ml NS]
- 31 days-24mths: 0.5 Gm/kg D25W [(D50 - 25 ml) + 25 ml NS]
- >2 yrs: 0.5 Gm/kg D50W
58
Indications for Dilaudid
Moderate to severe pain
59
How is Dilaudid supplied
1 mg/ 1 ml Carpuject
60
Adult dosage for Dilaudid
1-2 mg IM/IV/IO over 2-5 min (max 4 mg total dose)
61
Peds dosage for Dilaudid
* *MUST BE 5 YRS OLD OR 20 KG**
| 0. 015 mg/kg IM/IV/IO over 2-5 min (max 2 mg total dose)
62
Indications for Dopamine
- Acute heart failure
- Hypotension
- Bradycardia with low cardiac output
63
How is Dopamine supplied
400 mg/ 10 ml vial
64
How is Dopamine mixed
400 mg added to 250 ml of D5W (1600 mcg/ml)
65
Adult dosage for Dopamine
5-20 mcg/kg/min
66
Peds dosage for Dopamine
5-20 mcg/kg/min
67
Indications for Doxycycline
- Brucellosis
- Fever (of suspected biological agent)
- Pneumonic plague
- Typhoidal Tularemia
- Anthrax exposure
68
How is Doxycycline supplied
100 mg tablet
69
Adult dosage for Doxycycline
100 mg PO q 12 hrs (per CDC)
70
Peds dosage for Doxycycline
< 35 kg: 2.2 mg/kg q 12 hrs (per CDC)
| > 35 kg: 100 mg PO q 12 hrs (per CDC)
71
Class of Epinephrine (Adrenaline)
Sympathomimetic
72
Indications for Epi
- Cardiac arrest
- Anaphylaxis
- Asthma
- Unstable bradycardia
73
How is Epi supplied
- 1 mg/ 10 ml prefilled syringe (0.1 mg/ml)
| - 30 mg/ 30 ml multi-dose vial (1 mg/ml)
74
Adult dosage for Epi in arrest
1 mg (0.1 mg/ml) IV/IO q 5 min PRN
75
Adult dosage for Epi in Allergy/ Anaphylaxis
- Allergy: 0.5 mg (1 mg/ml) IM
| - Anaphylaxis: 0.3 mg (0.1 mg/ml) IV
76
Adult dosage for Epi in Respiratory Distress
- Wheezes: 0.5 mg (1 mg/ml) IM
- Stridor: 0.5 mg (1 mg/ml) nebulized or IM
- Hemodynamically unstable: 0.3 mg (0.1 mg/ml) IV
77
Adult dosage for Epi in Bradycardia
2-10 mcg/min
78
How is an Epi drip mixed
2mg (1 mg/ml) Epi in 250 ml D5W (8 mcg/ml)
2 mcg/min = 15 gtts
4 mcg/min = 30 gtts
6 mcg/min = 45 gtts
8 mcg/min = 60 gtts
79
Peds dosage for Epi in arrest
0.01 mg/kg IV/IO q 5 min PRN
80
Peds dosage for Epi in Allergy/ Anaphylaxis
- Allergy: 0.01 mg/kg (1 mg/ml) IM [max 0.5 mg]
| - Anaphylaxis: 0.01 mg/kg (0.1 mg/ml) IV [max 0.5 mg]
81
Peds dosage for Epi in Respiratory Distress
- Wheezes (<18 mths): 1 mg (1 mg/ml) nebulized with 2ml NS
- Wheezes (>18 mths): 0.01 mg/kg (1 mg/ml) IM [max 0.5 mg]
- Stridor/ Croup: 1 mg (1 mg/ml) nebulized with 2 ml NS
82
Peds dosage for Epi in Bradycardia
0.01 mg/kg (0.1 mg/ml) IV/IO
83
Indications for Etomidate
Sedation for ICE
84
How is Etomidate supplied
- 40 mg/ 20 ml vial (2 mg/ml)
| - 20 mg/ 10 ml vial (2 mg/ml)
85
Adult dosage for Etomidate
20 mg slow IV/IO push
86
Indications for Fentanyl
- Pain management
| - Sedative for ICE
87
How is Fentanyl supplied
- 100 mcg/ 2 ml Carpuject (50 mcg/ml)
| - 100 mcg/ 2 ml ampule (50 mcg/ml)
88
Adult dosage for Fentanyl
1 mcg/kg IV/IO/IM/IN
- max 50 mcg per dose
- max 200 mcg total dose
89
Peds dosage for Fentanyl
1 mcg/kg IV/IO/IM/IN
| - max 50 mcg dose
90
Indications for Glucagon
- Hypoglycemia
- Beta blocker OD
- Calcium channel blocker OD
91
How is Glucagon supplied
1 mg vial (when reconstituted)
92
Adult dosage for Glucagon
1 mg IN/IM
| - For beta blocker OD give IV
93
Peds dosage for Glucagon
0. 1 mg/kg IN/IM
| - For beta blocker OD give IV
94
Indications for Glucose
Hypoglycemia in conscious pt.
95
How is glucose supplied
Oral gel 15 gm/ tube
96
Adult dosage for Glucose
15 Gm PO
97
Peds dosage for Glucose
< 3 yrs: Not indicated
| > 3 yrs: 15 Gm PO
98
Indications for Ibuprofen
- Pain management
| - Fever
99
How is Ibuprofen supplied
200 mg tablet
100
Adult dosage for Ibuprofen
10 mg/kg PO (max dose 800 mg)
101
Peds dosage for Ibuprofen
> 6 mths: 10 mg/kg PO (max dose 800 mg)
102
Indications for Ketamine
- Excited Delirium
| - Pain management
103
How is Ketamine supplied
500 mg/ 5 ml (50 mg/ml)
104
Adult dosage for Ketamine
- Excited Delirium: 4 mg/kg IM/IN (max dose 400 mg)
- Analgesia: 0.25 mg/kg IM/IV/IO
- Max initial dose 25 mg
- May repeat in 5 min PRN
- Additional dosing by MC order
- Max total dose per protocol 100 mg
105
Peds dosage for Ketamine
- Excited Delirium and Analgesia:
| By MC order only
106
Indications for Mag
- Hypomagnesemia
- Pre-eclampsia/ Eclampsia
- Torsades de pointes
- Respiratory distress
107
How is Mag supplied
5 Gm/ 10 ml vial (0.5 Gm/ml)
108
How is a Mag drip mixed
- Respiratory Distress:
2 Gm in 50 ml D5W
- Pre/Eclampsia:
4 Gm in 50 ml D5W
109
Adult dosage of Mag in Cardiac arrest
2 Gm IV/IO push
110
Adult dosage of Mag in Pre/Eclampsia
4 Gm IV drip over 10-20 min (wide open)
111
Adult dosage of Mag in Respiratory distress
2 Gm IV drip over 10-20 min (wide open)
112
Indications for Morphine
- Chest pain due to Acute Coronary Syndrome
| - Pain management
113
How is Morphine supplied
10 mg/ 1 ml Carpuject
114
Adult dosage for Morphine
0. 1 mg/kg IV/IO/IM
- Max initial dose 10 mg
- Max total dose 20 mg
115
Peds dosage for Morphine
0. 1 mg/kg IV/IO/IM
- Max initial dose 5 mg
- Re-dosing by MC
116
Indications for Narcan
- Opioid reversal
| - Coma of unknown origin
117
How is Narcan supplied
2 mg/ 2 ml Luer-Jet prefilled syringe
118
Adult dosage for Narcan
4 mg IV/IO/IM/IN/ET
| - 2-2.5 times recommended dose for ET
119
Peds dosage for Narcan
0.1 mg/kg IV/IO/IM/IN/ET
120
Indications for NTG
- Chest pain of suspected ischemic origin
- Myocardial ischemia
- Hypertension
- CHF
121
How is NTG supplied
- 1/150 gr sublingual tablet (0.4 mg)
| - 400 mcg Nitrolingual spray
122
Adult dosage for NTG
- Chest pain/ ACS:
0.4 mg SL (tablet or spray) q 5 min PRN. Maintain
SBP > 100 mmHg
- Pulmonary Edema:
0.4 mg SL (tablet or spray) q 3-5 min PRN. Maintain
SBP > 110 mmHg
123
Indications for Norcuron
Neuromuscular blockade for induction of ICE
124
How is Norcuron supplied
10 mg vial (1 mg/ml when reconstituted with 10 ml sterile water
125
Adult dosage for Norcuron
0.1 mg/kg slow IV/IO (max dose 10 mg)
126
Indications for 2-PAM
Nerve agent poisoning
127
How is 2-PAM supplied
600 mg/ 2 ml Auto-injector
128
Adult dosage for 2-PAM
- Dyspnea, vomiting or diarrhea: One (1) Duo-Dote kit (2-PAM/ Atropine)
- Seizures, apnea, severe respiratory distress, unconsciousness, muscle twitching: Three (3) Duo-Dote kits (2-PAM/ Atropine)
129
Peds dosage for 2-PAM
15 mg/kg
130
Indications for Prednisone
- Bronchial asthma
- Emphysema (COPD)
- Pulmonary fibrosis
131
How is Prednisone supplied
20 mg tablet
132
Adult dosage for Prednisone
40 mg PO
133
Peds dosage for Prednisone
20 mg PO (if able to swallow and maintain own airway)
134
Indications for Procainamide
- Sustained VT
| - Tachyarrhythmias from WPW
135
How is Procainamide supplied
1 Gm/ 2 ml vial (500 mg/ml)
136
How is Procainamide mixed
Treatment drip:
- 1 Gm in 50 ml D5W (20 mg/ml)
```
Maintenance drip:
- 1 Gm in 250 ml D5W (4 mg/ml)
1 mg/min = 15 gtts
2 mg/min = 30 gtts
3 mg/min = 45 gtts
4 mg/min = 60 gtts
```
137
Adult dosage for Procainamide
20 mg/min (60 gtts/min)
138
Indications for Bicarb
- Metabolic acidosis
- Cardiac arrest
- Acidosis associated with Tricyclic OD
139
How is Bicarb supplied
50 mEq/ 50 ml prefilled syringe (1 mEq/ml)
140
Adult dosage for Bicarb
- Cardiac arrest: 50 mEq IO/IV push
| - Tricyclic OD: 1 mEq/kg IO/IV
141
Peds dosage for Bicarb
- Cardiac arrest: 1 mEq/kg IO/IV
| - Tricyclic OD: 1 mEq/kg IO/IV
142
Indications for Solu-Medrol
- Oral Prednisone not feasible
- Bronchial asthma
- Emphysema (COPD)
- Allergic reaction/ Anaphylaxis
- Pulmonary fibrosis
143
How is Solu-Medrol supplied
125 mg/ 2 ml Act-O-Vial
144
Adult dosage of Solu-Medrol
125 mg IV
145
Peds dosage of Solu-Medrol
1 mg/kg IV
146
Indications for Thiamine
- Coma of unknown origin (before D50 or Narcan)
- Delirium tremens
- Wernicke's encephalopathy
- Anemia from Thiamine deficiency
147
How is Thiamine supplied
200 mg/ 2 ml vial (100 mg/ml)
148
Adult dosage for Thiamine
100 mg IV/IM
149
Indications for Toradol
Pain management
150
How is Toradol supplied
30 mg/ 1 ml vial
151
Adult dosage for Toradol
30 mg IM or 15 mg IV
152
Peds dosage for Toradol
MC order
153
Indications for TXA
- Evidence of marked blood loss
- Sustained tachycardia > 110/min (despite 500 ml bolus)
- Sustained hypotension < 90 SBP (despite 500 ml bolus)
- Major trauma with suspicion of pelvic and/or abdominal injury
- Major arterial bleeding requiring a tourniquet
154
How is TXA supplied
1 Gm in 10 ml vial
155
Adult dosage for TXA
1 Gm in 50 ml D5W IV ASAP given over 10 minutes
156
Indications for Valium
Nerve agent exposure
157
How is Valium supplied
10 mg/ 2 ml Auto-injector
158
Adult dosage for Valium
10 mg auto-injector in conjunction with Duo-Dote auto-injector
159
Peds dosage for Valium
0.2 mg/kg (10 mg max)
160
Indications for Versed
- Sedation
- Seizures
- Anxiety
161
How is Versed supplied
2 mg/ 2 ml vial (1 mg/ml)
162
Adult dosage for Versed
- Cardioversion/ TCP/ Airway control:
2 mg IV/IN/IM (May be repeated x1 PRN)
- Seizures:
2-4 mg IV/IN/IM (May be repeated x1 PRN)
163
Peds dosage for Versed
- Cardioversion/ TCP/ Seizures:
| 0. 1 mg/kg IO/IV or 0.2 mg/kg IN/IM with a max single dose of 2 mg. (May be repeated x1 PRN)
164
Indications for Zofran
Nausea
165
How is Zofran supplied
- 4 mg/ 2 ml vial
| - 4 mg ODT (Oral Disintegrating Tablet)
166
Adult dosage for Zofran
4 mg SL/IV/IN/IM (May be repeated x1 in 5-10 min PRN)
167
Peds dosage for Zofran
0.1 mg/kg for children 2-15 (Max dose 4 mg)
