Drug Doses We Have To Know

Question 1

dopamine (Intropin)

Answer 1

Renal: 2-5mcg/minute
Cardiac: 5-10mcg/minute
Vasoconstriction: 10-20mcg/minute

Question 2

epinephrine

Answer 2

Adult Cardiac Arrest: 1mg IV/IO
Pedi Cardiac Arrest: 0.1mg/kg IV/IO
Adult Anaphylaxis: 0.3-0.5mg IM
Pedi Anaphylaxis: 0.01mg/kg MAX 0.3mg IM
Adult Drip: 2-10mcg/min IV
Pedi Drip: 0.01mcg/kg/min

Question 3

vasopressin (Pitressin)

Answer 3

Adult Cardiac Arrest: 40 units IV
Pediatric Cardiac Arrest: 0.4 units/kg
Adult Infusion: 0.4-1units/minute
Pedi Infusion: 0.0002-0.002units/kg/min

Question 4

aspirin

Answer 4

Adult: 160-325mg PO chewed
Pedi: none

Question 5

adenosine (Adenocard)

Answer 5

Adult: 6mg RIVP, if does not convert 12mg RIVP
Pedi: 0.05-0.1mg/kg MAX 0.3mg/kg/dose up to 12mg

Question 6

atropine sulfate

Answer 6

Adult: 0.5mg q3-5 minutes MAX 3mg
Pedi: 0.02mg/kg, MAX single dose 0.5mg, MIN single dose 0.1mg

Question 7

diltiazem (Cardizem)

Answer 7

Adult: 0.25mg/kg IVP over 2 minutes, after 15 minutes may administer 0.35mg/kg
Adult Drip: 5-15mg/hour
Pedi: none

Question 8

metoprolol (Lopressor)

Answer 8

Adult: 5mg SIVP q 2 as long as vitals remain stable MAX dose 15mg

Question 9

lidocaine (Xylocaine)

Answer 9

Adult IVP: 1-1.5mg/kg, 0.5-0.75mg/kg q 5-10min MAX 3mg/kg
Drip: 2-4mg/min
Pedi IVP: 1mg/kg, repeat dose 0.5-1mg/kg
Pedi Drip: 20-50mcg/kg/min

Question 10

amiodarone (Cordarone)

Answer 10

Adult VF/VT: 300mg IVP, may repeat 150mg IVP
Adult VT with pulse: 150mg over 10 minutes
Adult Drip: 1mg/minute over 6 hours, followed by 0.5mg/min for next 18 hours
Pedi VF/VT: 5mg/kg IVP may repeat twice MAX 15mg/kg or 300mg single dose
Pedi VT with Pulse 5mg/30 minutes
Pedi Drip: 0.005-0.01 mg/kg/min

Question 11

naloxone (Narcan)

Answer 11

Adult: 0.4-2mg

Pedi <5y/o: 0.1mg/kg

Question 12

albuterol sulfate (Proventil, Ventolin)

Answer 12

Adult/Pedi: 2.5mg in 2.5mL nebulized over 5-15 minutes

Question 13

ipratropium bromide/albuterol sulfate (Combivent, DuoNeb)

Answer 13

Adult: 2.5mg albuterol, 500mcg ipratropium
Pedi: 2.5mg albuterol, 350-500mcg ipratropium

Question 14

magnesium sulfate

Answer 14

Adult Respiratory: 2g over 2-5 minutes
Adult Cardiac: 1-2g in 100mL D5W or NS over 15 minutes
Adult OB: 4-6g over 30 minutes initial bolus; 1-2g/hour infusion

Question 15

methylprednisolone (Solu-Medrol)

Answer 15

Adult: 125-250mg IV
Pedi: 30mg/kg IV

Question 16

sodium bicarbonate

Answer 16

Adult/Pedi: 1mEq/kg

Question 17

morphine sulfate

Answer 17

Adult: 2-5mg SIVP, can be augmented with additional doses q3-5 minutes
Adult: 5-15mg IM
Pedi: 0.01-0.02mg/kg SIVP can be augmented with additional doses q3-5minutes

Question 18

fentanyl citrate (Sublimaze)

Answer 18

Adult/Pedi: 1mcg/kg IVP MAX 100mcg q5-10 minutes

IN: 1.5mcg/kg MAX 150mcg

Question 19

Calcium Chloride

Answer 19

Adult: 2-4mg/kg of 10% solution, may be repeated q10 minutes
Pedi: 5-7mg/kg of 10% solution, may be repeated q10 minutes

Question 20

lorazepam (Ativan)

Answer 20

Adult: 0.5-2mg IV
Adult: 1-4mg IM
Pedi: 0.05-0.1mg/kg MAX 4mg

Question 21

midazolam (Versed)

Answer 21

Adult: 1-2.5mg IV
Adult: 0.07-0.08mg/kg (avg 5mg) IM
Pedi: 0.03mg/kg IV

Question 22

diazepam (Valium)

Answer 22

Adult Seizures: 5-10mg IV
Adult: Anxiety: 2-5mg IM
Adult Cardioversion: 5-15mg IV
Pedi Seizures: 0.1-0.2mg/kg

Question 23

haliperidol (Haldol)

Answer 23

Adult: 2-5mg
Pedi: none

Question 24

diphenhydramine (Benadryl)

Answer 24

Adult: 25-50mg
Pedi: 1mg/kg

Question 25

glucagon

Answer 25

Adult Hypoglycemia: 1mg IM Adult BB/CCB OD: 5mg+ IV Pedi: 0.03mg/kg IM

Question 26

dextrose

Answer 26

Adult: 25mg IV Pedi: 0.5-1mg/kg IV

Question 27

ondansetron (Zofran)

Answer 27

Adult: 4-8mg IV Pedi: 0.15mg/kg IV

Question 28

promethazine (Phenergan)

Answer 28

Adult N/V: 12.5-25mg Adult Adjunct w/Analgesics: 25mg Pedi: 0.5mg/kg