Miscellaneous

Question 1

Atrial fib with RVR Diltiazem

Answer 1

0.25 mg/kg IV (20 mg max) over 2 min; then 0.35 mg/kg IV (25 mg max) over 5 min

Question 2

Atrial fib with RVR metoprolol

Answer 2

5 mg IV q5 min (max 15 mg IV)

Question 3

Reversal for warfarin

Answer 3

Vit K, PCC, FFP (prefer PCC)

Question 4

Reversal for heparin

Answer 4

protamine

Question 5

Reversal for Pradaxa

Answer 5

praxabind or dialysis

Question 6

Reversal for Xarelto

Answer 6

PCC

Question 7

Reversal for Elliquis

Answer 7

PCC

Question 8

Methylene Blue

Answer 8

1-2 mg/kg IV over 5 min (max 7 mg/kg)

Question 9

Mg toxicity

Answer 9

1 g CaGluconate

Question 10

Digifab

Answer 10

acute Dig level >10, give 10 vials for acute

acute Dig level >5, give 5 vials for chronic

Question 11

Reversal of warfarin INR >6

Answer 11

50 U/kg (5000 U max) PCC/K-centra

Question 12

Reversal of warfarin INR 4-6

Answer 12

35 U/kg (3500 U max) PCC/K-centra

Question 13

Reversal of warfarin INR 2-4

Answer 13

25 U/kg (2500 U max) PCC/k-centra

Question 14

Cryo dose

Answer 14

2-4 bags/10 Kg or 10 units and repeat PRN

Question 15

FFP dose

Answer 15

5-10 mL/kg (200 mL/unit, some references say 10-20 mL/kg)

Question 16

6 pack of PLT increases PLT by

Answer 16

50K

Question 17

volume of whole blood unit

Answer 17

500 mL/unit

Question 18

volume of PRBC and increase of Hg per unit

Answer 18

200-250 mL/unit, increase Hg by 1 g/dL or HCT by 3% (3mL/kg yields same for peds)