Adult Drug Dosages Flashcards
(31 cards)
Adenosine
6 mg rapid IVP immediately followed by 20 ml NS flush. Repeat in 2 minutes at 12 mg IVP followed by 20 ml NS flush PRN.
Albuterol
add 2.5 mg of Albuterol mixed in 3 ml of NS (0.083%) to nebulizer and flow oxygen at 6-8 liters/min.
Amiodarone(AFIB)
150 mg IV/IO in 50 ml D5W/NS over 10 minutes.
May repeat 10 minutes after last drip was completed. (3 times)
Amiodarone(VT with pulse (stable) and SVT)
150 mg IV/IO in 50 ml D5W/NS over 10 minutes.
May repeat every 10 minutes PRN.
Amiodarone(VT with pulse unstable)
1st dose 150mg IVP/IOP under 2 minutes - 2nd dose 150mg IV/IO in 50ml D5W/NS over 10 min.
Amiodarone(VF and pulseless VT)
300 mg IV/IO push.
Aspirin
162 mg- 324 mg chewable for A.M.I.
Atropine(Cardiac Agent)
Bradycardias: 0.5-1 mg IV, or 1-2 mg ET, may repeat every 3-5 minutes until improved or total of 0.04 mg/kg or 3 mg is reached.
Atropine(Antidote for Poisonings)
0.03 mg/kg (2 mg) IV / IM, repeat q 5-10 minutes until atropinization occurs.
Atrovent
Small-volume nebulizer: 500 µg should be placed in small volume nebulizer (typically administered with a agonist).
Calcium Chloride 10% (hypotension following administration of calcium channel blockers )
4 mg/kg IV, slowly. If patient is taking digitalis, 2 mg/kg IV, slowly. Repeat every 10 min. PRN.
Calcium Chloride 10%(calcium channel blocker overdose and hyperkalemia)
8-16 mg/kg IV, slowly.
Cardizem
0.25 mg/kg IV (over 2 minutes).
May repeat at 0.35 mg/kg IV (over 2 minutes), if needed.
Dextrose
(>8 years of age) 50 cc of a 50% solution; (25 gm) IV.
If conscious, Glucose may be given orally (25 gm).
Diphenhydramine Hydrochloride
25-50 mg IV or 50 mg deep IM.
The patient may require as much as 100 mg.
Do not exceed 400 mg per day.
Dopamine
Initially 5 ug/kg/min; titrate to systolic blood pressure > 90mmHg.
400 mg in 250 cc, 800 mg in 500 cc, and 1600 mg in 1000 cc all yield a concentration of 1600 ug/cc.
(weight in pounds, drop last digit, then subtract 1)
Epinephrine 1:1000
:0.3 mg (0.3 cc) IM.
May be repeated every 15 minutes x 3 if patient in anaphylaxis if hypotensive, start an IV and administer 3 cc of a 1:10,000 solution slow IV.
Epinephrine 1:10,000( Code)
(1:10,000) 1 mg (10 ml) IV, repeat every 3-5 minutes.
Epinephrine 1:10,000 (Nebulizer Treatment)
0.3mg of 1:10,000 (3 mls.) in adult nebulizer @ 6 lpm. Use Caution: in patients over 45 or of possible cardiac history
Fentanyl
100mcg increments every 3-5 minutes to a maximum of 200mcg IN, IM, IO.
- IV dose is 1 mcg/kg (slow IV increments every 3-5 minutes, maximum initial dose of 100 mcg, titrated to pain and BP remains above 100 mmhg.
- Second dose: if needed, not to exceed a maximum total dose of 200mcg IV, IN, IO, IM.
- If Fentanyl was initially given IN and an IV is the established, them one IV dose of 50 mcg. can be given if needed.
Glucagon
0.5 to 1.0 unit (or 0.5-1.0 mg) of Glucagon IM (or IV).
This can be repeated twice.
Magnesium Sulfate(Eclamptic seizures)
4 gm IV (mixed in 50/100 ml of D5W/NS and administered over 4 minutes). May repeat once at 2 gm IV (mixed in 50/100 ml of D5W/NS and administered over 5 minutes)
Magnesium Sulfate(Torsades de pointes and refractory VF)
1-2 gm IV (mixed in 50/100 ml of D5W/NS and administered over 1-2 minutes) followed by a maintenance infusion
(1 gm in 250 ml of D5W/NS administered at 30-60 gtt/min).
Magnesium Sulfate(Asthma Adult)
2 grams in 50/100ml of D5W/NS over 10-20 min.
