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Paramedic III > Drug dosages > Flashcards

Drug dosages Flashcards

1
Q

Epinephrine pedi doses

A 
CA- 1:10000
0.01mg/kg or 0.1 mL/kg @ 3-5 min IV/IO
RAD/anaphylaxis 1:1000
0.01 mg/kg IM max 0.3 mg or 0.01 mg/kg in 100 mL NS slow IV max 0.3 mg 
Bradycardia/Shock 1:1000
0.1-1.0 mcg/kg/minIV
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2
Q

Racemic Epinephrine dosage

A

Pedi only

0.25-0.75 mL of 2.25% solution small vol neb to total of 3 mL

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3
Q

Dexamethasone dose

A

A and P:

0.6 mg/kg IV/IO/IM/PO to max 10 mg

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4
Q

Methylergonovine doses

A

Adult only:

0.2 mg IV/IO/IM @ 2-4 hours to max 1 mg

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5
Q

Oxytocin dose

A

Adult only:
3-10 Units IM
Or
10-20 units in 1 L NS IV/IO @ 20-40 mL/hr titrated to bleed

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6
Q

Terbutaline dosage

A

Adult only:

0.25 mg SQ @ 15-30 min to max 0.5 mg

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7
Q

Lorazepam doses

A

Adult:
2-4 mg IV/IO/IM @ 5-10 min to max of 8 mg

Pedi:
0.05-0.20 mg/kg IV/IO/IM @ 5-10 min to max 0.2 mg/kg

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8
Q

Diazepam doses

A

Adult:
5-15 mg IV/IO/IM @ 5-10 min to max 30 mg

Pedi:
0.2-0.5 mg/kg IV/IO/IM @ 5-10 min to max 10 mg/dose

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9
Q

Midazolam doses

A

Adult:
2-10 mg IV/IO/IM @ 5-10 min

Pedi:
0.1 mg/kg to max 10 mg IV/IO/IM @ 5-10 min

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10
Q

Nitroglycerin doses

A

Adult only:
ACS:
0.4 mg SL @ 3-5 min Max 3 doses
CHF:
0.4-0.8 mg SL @ 3-5 min- if effective, 0.5”-2” dermal paste
IV infusion: begin at 10 mcg/min increased by 10 mcg/min @ 3-5 min until effect-max 200 mcg/min

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11
Q

Albuterol dose

A

A and P:

2.5 mg in 2.5 mL NS inhaled

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12
Q

Levalbuterol doses

A

Adult:
0.63 mg in 3 mL NS inhaled

Pedi:
0.31 mg in 3 mL NS inhaled

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13
Q

Ipratropium Bromide dose

A

A and P:

0.5 mg inhalation (added to albuterol)

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14
Q

Methylprednisolon dose

A

Adult:
125 mg IV/IO

Pedi:
2 mg/kg IV/IO

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15
Q

Morphine Sulfate dose

A

A and P:

0.1 mg/kg to max 10 mg/dose @ 5-10 min IV/IO/IM

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16
Q

Fentanyl doses

A

A and P:

1 mcg/kg max 100 mcg/dose @ 5-10 min IV/IO/IM/IN

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17
Q

Hydromorphone dose

A

Adult:
0.5-2.0 mg IV/IO
Or
2-4 mg IM

Pedi:
0.015 mg/kg/dose IV

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18
Q

Ondansetron dose

A

Adult:
4 mg repeated x 1 IV/IO/IM/PO

Pedi:
0.15 mg/kg repeated x1 IV/IO/IM/PO

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19
Q

Adenosine doses

A

Adult:
6 mg rapid IV push followed by 20 mL NS flush
12 mg rapid IV push followed by 20 mL NS flush

Pedi:

  1. 1 mg/kg max of 6 mg rapid IV push followed by 5-10 mL NS flush
  2. 2 mg/kg max 12 mg rapid IV push followed by 5-10 mL NS flush
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20
Q

Atropine doses

A

Adult:
Bradycardia: 0.5 mg @3-5 min to max 3 mg IV/IO
Organophosphate poisoning: 2-5 mg as necessary

Pedi:
Brady: 0.02 mg/kg ( min 0.1 mg-max 0.5 mg) IV/IO x 1

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21
Q

Diltiazem dose

A

Adult only:
Initial: 0.25 mg/kg over 2 minutes (15-20 mg) IV/IO
Second (after 15 min): 0.35 mg/kg over 2 min (20-25 mg)
Maintenance infusion: 5-15 mg/hr titrated to heart rate

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22
Q

Metoprolol Tartrate doses

A

Adult only:

5 mg over 5 min every 5 min to max 15 mg IV/IO

23
Q

Amiodarone doses

A

VF/VT arrest:
Adult 300 mg IVP then after 3-5 min 150 mg IVP
Pedi 5 mg/kg (max 300 mg) @3-5 min max 15 mg/kg or 450 mg

Perfusing VT/malignant PVC
Adult: 150 mg in 100 mL NS or D5W over 10 min IV drip
Maint: 1 mg/min for 8 hrs then 0.5 mg/min to max 2.2 g/day
Pedi: 5 mg/kg IV/IO over 20-60 minutes

24
Q

Lidocaine doses

A 
VF/VT CA or Wide complex tach
Adult:
1.0-1.5 mg/kg IV/IO 
Then 0.5-0.75 mg/kg@ 5-10 min max 3mg/kg
Maint: 2-4 mg/min
Pedi:
1 mg/kg (max 100 mg) @ 3-5 min to max 300 mg IV/IO
Maint: 20-50 mcg/kg/min
IO Anesthesia: A&P: 40-100 mg titrated to pain, slow push
25
Q

Procainamide doses

A

Adult: 20-50 mg/min slow IV/IO infusion until: dysrhythmia suppress, hypotension, QRS widens by 50%, total dose of 17 mg/kg
Maint: 1-4 mg/min
(Generally 1 g in 500mL NS or D5W for 2mg/mL)
Pedi: 15 mg/min slow IV/IO until (above)

26
Q

Calcium Chloride doses

A

Adult:
500-1000 mg every 10 min IV

Pedi: 20 mg/kg slow IV push repeated 10 min to max 1000mg

27
Q

Calcium Gluconate doses

A

Adult:
500-1000mg as necessary
Pedi:
60-100 mg/kg to max 1000mg over 5-10 min repeated @ 10 min

28
Q

Norepinephrine doses

A

Adult:
0.5-30 mcg/min titrated to effect

Pedi:
0.01-0.5 mcg/kg/min titrated

29
Q

Phenylephrine doses

A

Loading dose:
100-180 mcg IV
Followed by 40-60 mcg/min IV

30
Q

Dopamine doses

A 
A and P:
2-5 mcg/kg/min dopaminergic effect
5-10 mcg/kg/min beta effect
10-20 mcg/g/min alpha effect
(400 mg in 250 mL fluid for 1600 mcg/mL concentrate)
31
Q

Dobutamine doses

A

A and P:
2-20 mcg/kg/min
(250 mg in 500 mL D5W for 500 mcg/mL concentrate)

32
Q

Etomidate dosage

A

A and P:

0.3 mg/kg IV/IO

33
Q

Rocuronium Bromide doses

A

A and P:

0.6 mg/kg IV/IO

34
Q

Succinylcholine doses

A

A and P:

1.0-1.5 mg/kg IV/IO

35
Q

Vecuronium doses

A

A and P:

0.1 mg/kg IV/IO

36
Q

Magnesium Sulfate dose

A 
Respiratory:
Adult:2 g in 100 cc over 10 min IV/IO
Pedi: 25-50 mg/kg over 10 to 20 min to max 2 g IV/IO
Cardiac: 
Adult: 1 g in 100 cc over 1 min IV/IO
Adult:Preterm labor/eclamptic seizures:
4-6 g over 30 min IV/IO
37
Q

Sodium Bicarbonate doses

A

A and P:

1 mEq/kg followed by 0.5 mEq/kg @ 10 min IV/IO

38
Q

Epinephrine Adult doses

A 
CA: 1:10000
1 mg @ 3-5 min
RAD/anaphylaxis: 1:1000
0.3-0.5 mg IM 
Or 
0.3 mg in 100 mL NS slow IV infusion 
Bradycardia/Shock
2-10 mcg/min IV
39
Q

Alteplase, tPA doses

A

Adult only

0.9 mg/kg first 10% over 1 min, remaining 90% over 1 hr

40
Q

Clopidogrel doses

A

Adult only

300-600 mg PO

41
Q

Haloperidol doses

A

Adult only

2-5 mg IM

42
Q

Ketamine doses

A

Adult and Pedi:
RSI 1-2 mg/kg IV/IO
Delirium 2-4 mg/kg IM
Pain 0.3 mg/kg IV/IO/IM

43
Q

Dextrose dose

A

Adult 12.5-25 g IV repeated as necessary

Pedi 0.5-1 g/kg IV

D10W: 100 mg/mL (1 g/10 mL)
D25W: 250 mg/mL (2.5 g/10 mL)
D50W: 500 mg/mL (5 g/10 mL)

44
Q

Glucagon Dose

A

Adult:
Hypoglycemia 0.5-1 mg IM @ 5-10 min
B- or Calcium block tox 3-10 mg IV/IO push followed by 3-5 mg/hr infusion
Pedi:
Hypoglycemia 0.03-0.1 mg/kg IM max 1 g
Tox 0.05-0.15 mg/kg IV/IO push followed by 0.05-0.10 mg/hr infusion

45
Q

Metoclopramide doses

A

Adult only:
10 mg IV/IO over 2 min
Or
10-20 mg IM

46
Q

Promethazine doses

A

Adult:
12.5-25 mg IV/IO/IM : IM is preferred

Pedi:
0.25-0.5 mg/kg IM if older than 2 years

47
Q

Diphenhydramine doses

A

Adult:
25-50 mg IV/IO/IM/PO

Pedi:
1-2 mg/kg IV/IO/IM/PO

48
Q

Famotidine doses

A

Adult only:
10-20 mg IV/IO
Or
20-40 mg PO

49
Q

Flumazenil

Romazicon

A 
Adult only
1st dose 0.2mg IV/IO
If no effect second 0.3mg
Then 0.4mg
Then 0.5 repeated until total is 3 mg
50
Q

Activated Charcoal
EZ char
Actidose
Liqui-char

A

A and P 1-2 g/kg PO/NG/ OG

51
Q

Pralidoxime

2-Pam

A

Adult loading 1-2g over 60 min IV/IO
Maintenance 500mg/hr IV/IO

Pedi loading 25-50 mg/kg over 60 min
Maintenance 5-10 mg/kg/hr

52
Q

Thiamine

Thiamilate

A

Adult only

100mg IV/IO/IM

53
Q

Acetaminophen

Tylenol

A

Adult
325-1000 mg PO/IO/IV
Pedi
10-15 mg/kg PO/IV/IO

54
Q

Hydroxocoobalamin

Cyanokit

A

Adult 5g IV infusion over 15 min repeatable x1

Pedi 70mg/kg (max 5 g) IV infusion

Paramedic III (2 decks)

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