Dosing

Question 1

Epi pressor drip

Answer 1

.1-1 mcg/kg/min

Question 2

NE pressor drip

Answer 2

.01-.5 mcg/kg/min

Question 3

Phenylephrine pressor drip

Answer 3

.1-.3 mcg/kg/min

Question 4

Vasopressin pressor drip

Answer 4

.03 units/ min

** alpha, good if acidemia

Question 5

Sux & Rocuronium Induction

Answer 5

1. 5 mg/kg sux (avg 100 / 150)

1. 0 mg/kg roc (avg 80 / 100)

Question 6

Etomidate Induction

Answer 6

.3 mg / kg (avg 20 / 30)

Question 7

Amiodarone code

Answer 7

300 mg

Repeat 150 mg

Question 8

Epi Code

Answer 8

1 mg 1:10,000 q 3-5 min

Question 9

Shock in Code

Answer 9

200 J

Question 10

Ketamine for Induction

Ketamine for Sedation

Answer 10

1.5 mg / kg induction

3 mg / kg sedation

Question 11

Narcan

Answer 11

Mix .4 (1 cc vial) with 9 cc NS –> now .04/cc

Give 1 cc, 2 ccs, 4 ccs STOP

Question 12

Phenylephrine for Hypotension

Answer 12

20 mgs (2 vials) in 250 cc NS –> give 2 ccs at a time

Question 13

Drugs + Doses in Severe Anaphylaxis

Answer 13

Epi 1:10,000 50-100 mcg q 3-5 min IV

Diphenhydramine 20 mg IV

Famotidine 20 mg IV

Hydrocortisone 100 mg IV q 8 hrs (for late reaction)

Question 14

Drugs + Doses in Mild/Mod Anaphylaxis

Answer 14

.3 cc 1:1000 epi q 10-15 min (up to 3x) IM

Diphenhydramine 20 mg IV

Famotidine 20 mg IV

Hydrocortisone 100 mg IV q 8 hrs (for late reaction)

Question 15

Acute Coronary Syndrome Drugs + Doses

Answer 15

MONA + beta + a/c

Morphine 2.5 - 5 mg IV (fentanyl 25-50 mcg if inferior wall)

Oxygen (DO NOT USE IF SAT > 93%)

Nitroglycerin .3 mg sublingual

ASA 325 mg

Beta blocker (oral metoprolol 25- 50 mg)

Heparin in STEMI / lovenox in NSTEMI

Question 16

Active Seizure Med Doses

Answer 16

-lorazepam 2 mg IV x 5 (10 mg MAX)

• phenytoin 20-30 mg/kg @ rate 50
  OR fosphenytoin 20-30 mg/kg @ rate 150
• Phenobarb 20 mg/kg OR valproic acid 20-40 mg/kg