Formulary

Question 1

Vecuronium

Indications:

Answer 1

Long-acting non-depolarizing paralytic agent

Question 2

Vecuronium

Contraindications:

Answer 2

Avoid in patients with chronic neuromuscular diseases (e.g., muscular dystrophy)

Question 3

Vecuronium

Dosage (for Induced Therapeutic Hypothermia)

Answer 3

0.1 mg/kg IV

Question 4

Vecuronium

Dosage (RSI):

Answer 4

0.1 mg/kg IV

Question 5

Tetracaine

Indications:

Answer 5

Topical anesthetic

Question 6

Tetracaine

Dose (eye & dental):

Answer 6

2 drops to affected eye; repeat every 5 min prn

Question 7

Succinylcholine

Indications:

Answer 7

Paralytic agent used as a component of RSI

Question 8

Succinylcholine

Contraindications (4):

Answer 8

Avoid in patients with burns > 24 hours old; chronic neuromuscular disease (e.g., muscular dystrophy); ESRD; any situation hyperkalemia likely

Question 9

Succinylcholine

Dose (RSI):

Answer 9

1.5 mg/kg IV immediately after sedation

Question 10

Succinylcholine

Max dose:

Answer 10

200 mg

Question 11

Sodium bicarbonate indications (3)

Answer 11

1) buffer used in acidosis to increase pH in cardiac arrest
2) hyperkalemia
3) tricyclic overdose

Question 12

Sodium bicarbonate dose (poisoning/OD/Substance abuse/tricyclic with symptomatic dysrhythmias such as tachycardia and wide QRS):

Answer 12

2 mEq/kg IV

Question 13

Sodium bicarbonate dose (cardiac arrest):

Answer 13

2 mEq/kg IV

Question 14

Rocuronium indications:

Answer 14

Non-depolarizing paralytic agent used as a component of RSI, when succinylcholine is contraindicated and for post intubation paralysis.

Question 15

Rocuronium onset of action:

Answer 15

up to 3 minutes (much longer than succs)

Question 16

Rocuronium dose (for RSI)

Answer 16

1 mg/kg IV

Question 17

Proparacaine (Alcaine) Indications:

Answer 17

topical anesthetic

Question 18

Proparacaine dose (eye & dental):

Answer 18

2 drops to affected eye

repeat q 5 min as needed up to 5 doses

Question 19

Prochlorperazine (Compazine) Indications

Answer 19

Nausea and/or vomiting control

Question 20

Prochlorperazine dose:

Answer 20

5-10 mg IV, or 5 mg IM

Question 21

Procainamide Indications:

Answer 21

wide complex tachycardia

Question 22

Procainamide dose:

Answer 22

25-50 mg/min infusion until arrhythmia is suppressed, hypotension ensues, QRS duration increases by > 50% or max dose of 17 mg/kg

Question 23

Pralidoxime (2-PAM) indications:

Answer 23

nerve agent or organophosphate overdose

Question 24

Pralidoxime is administered with:

Answer 24

Atropine

Question 25

Pralidoxime dose:

Answer 25

1-2 g over 30-60 min | med control only: maintenance: up to 500 mg/hr (max 12 g/day)

Question 26

Phenylephrine (Neo-synephrine) indications (2):

Answer 26

Cardiogenic shock | Post resuscitative care

Question 27

Phenylephrine dose for cardiogenic shock:

Answer 27

100-180 mcg loading dose | infusion following @ 40-60 mcg/min titrated to effect

Question 28

Phenylephrine dose for post resuscitative care:

Answer 28

100-180 mcg loading dose | infusion following @ 40-60 mcg/min titrated to effect

Question 29

Goal oxygen saturation

Answer 29

94%

Question 30

Goal oxygen saturation for pre-oxygentation

Answer 30

100%

Question 31

Liter flow for NC

Answer 31

1-4L

Question 32

Liter flow for NRB

Answer 32

6-15 L

Question 33

Liter flow for BVM/ETT/Supraglottic airway

Answer 33

15 L or higher

Question 34

Oxygen is indicated for any condition with (3):

Answer 34

Increased cardiac work load respiratory distress illness/injury resulting in altered ventilation/perfusion

Question 35

Zofran indications

Answer 35

nausea | vomiting

Question 36

Zofran dose:

Answer 36

4 mg PO (ODT) or IV

Question 37

Olanzapine (Zyprexa) Indications:

Answer 37

assist with chemical restraint

Question 38

Olanzapine (Zyprexa) dose:

Answer 38

5-10 mg IM

Question 39

Norepinephrine (Levophed) indications:

Answer 39

alpha and beta 1 receptor adrenergic receptor agonist vasopressor

Question 40

norepinephrine (levophed) dose (bradycardia):

Answer 40

Infusion: 1-30 mcg/min titrated to effect

Question 41

norepinephrine (levophed) dose (post resuscitation):

Answer 41

Infusion: 1-30 mcg/min titrated to effect

Question 42

norepinephrine (levophed) dose (septic shock):

Answer 42

Infusion: 1-30 mcg/min titrated to effect

Question 43

Nitroglycerin Indications:

Answer 43

Vasodilator used in the treatment of chest pain secondary to acute coronary syndrome and CHF

Question 44

Nitroglycerin dose (ACS):

Answer 44

0.4 mg SL every 3-5 mins while symptoms persist and if SBP remains >100 mm/Hg

Question 45

Nitroglycerine dose (ACS Infusion):

Answer 45

10 mcg/min if symptoms persist after 3rd SL nitroglycerin; Increase IV nitroglycerin by 10 mcg/min every 5 minutes while symptoms persist and systolic remains >100 mm/Hg. If IV nitroglycerin is not available, consider the application of nitroglycerin paste 1 –2 inches transdermally

Question 46

Nitroglycerine dose (CHF):

Answer 46

Consider nitroglycerin 0.4 mg SL every 5 minutes while symptoms persist and if the systolic BP is >140 mm/Hg. IV nitroglycerin 20 micrograms/minute, increase by 10 - 20 mcg/min every 3–5 minutes (it is recommended two (2) IV lines should be in place). (Generally, accepted maximum dose: 400 mcg/min.) OR Nitroglycerin paste 1” – 2” transdermally.

Question 47

Naloxone (Narcan) Indications:

Answer 47

Narcotic overdose.

Question 48

Narcan dose (pain med antidote):

Answer 48

For hypoventilation from opiate administration by EMS personnel, assist ventilations and administer naloxone 0.4mg IV/IM or 2 mg IN. If no response, may repeat initial dose every 5 minutes to a total of 10 mg.

Question 49

Narcan dose (Poisoning/Substance Abuse/OD/Narcotic OD):

Answer 49

1 mg (1mL) per nostril (IN) via prefilled syringe and atomizer for a total of 2 mg. OR through the use of Auto-injector OR 0.4-2 mg IV/IM If no response, may repeat every 3 - 5 minutes to a total of 10 mg.

Question 50

Morphine sulfate indications:

Answer 50

Narcotic analgesic

Question 51

Morphine sulfate contraindications:

Answer 51

Use caution if BP < 100 mmHg.

Question 52

Morphine sulfate dose:

Answer 52

0.1 mg/kg IV/IM (single max dose of 10mg) May repeat every 5 minutes to a total of 20 mg titrated to pain relief and if systolic BP is >100 mmHg. Acute Coronary Syndrome 0.1 mg/kg IV/IM (up to 5 mg) May repeat every 5 minutes to a maximum of 15 mg titrated to pain as long as systolic BP remains >100 mmHg