Med dose, side effects

Question 1

Etomidate

Answer 1

(Amidate)
Adult dose: 0.2 - 0.6 mg/kg
Pedi dose: 0.2 - 0.4 mg/kg max 20mg
Side effects: apnea, resp depression, N/V

Question 2

Ketamine

Answer 2

Adult and pedi dose: 1-2 mg/kg
Side effects: hypertension, dysrhythmia, bronchodilation, resp depression

Question 3

Midazolam

Answer 3

Adult dose: seizures - 0.2 mg/kg IM max 10mg, 0.1 mg/kg IV max 4mg;
sedation - 0.5-2.5 mg IV max 0.1 mg/kg;
chem restraint - 5mg IV, 5mg IM
—
Pedi dose: seizure - 0.1-0.3 mg/kg IV/IM max 10mg
sedation - 0.05-0.5 mg/kg IV
chem restraint - 0.05-0.1 mg/kg IV, 0.1-0.15 mg/kg IM
Side effects: headache, drowsiness, resp depression/arrest/apnea, hypotension, N/V

Question 4

Rocuronium

Answer 4

Dose: Adult - 1mg/kg
Pedi (older than 3mo) - 1mg/kg
Side effects: bronchospasm, wheezing, resp depression, apnea, dysrhythmias, tachycardia, hypotension, N/V

Question 5

Succinylcholine

Answer 5

Dose: Adult & Pedi- 1-2mg/kg, repeat once if needed
Side effects: apnea, resp depression, dysrhythmia, cardiac arrest, prolonged muscle rigidity, hyperthermia, hyperkalemia

Question 6

Vecuronium

Answer 6

Dose: Adult - 0.1-0.2 mg/kg, maintenance dose: 0.8-1.2 mg/kg
Pedi - 0.1-0.3 mg/kg
Side effects: weakness, bronchospasm, apnea, dysrhythmias, hypotension, cardiac arrest

Question 7

Fentanyl

Answer 7

Dose: Adult - 50-100 mcg
Pedi (2+yo)- 1-2 mcg/kg
Side effects: confusion, delirium, drowsiness, CNS depression, sedation, resp depression, apnea

Question 8

Morphine

Answer 8

Dose: Adult - STEMI - 2-4 mg repeat 2-8 mg
NSTEMI angina - 1-5 mg
Pedi - 0.1-0.2 mg/kg max 5mg
Side effects: confusion, sedation, headache, CNS depression, resp depression, apnea, broncho spasm, hypotension, N/V

Question 9

Tranexamic Acid

Answer 9

TXA
Dose: Adult - 1 g over 10 min
Pedi - not recommended
Side effects: fatigue, headache, ABD pain, anemia, DVT, PE, hypotension

Question 10

Adenosine

Answer 10

Drugs: adult - 6mg rapid push, 12 mg rapid push
Pedi - 0.1 mg/kg max 6, 0.2 mg/kg max 12
Side effects: headache, dizzy, dyspnea, bronchospasm, dysrhythmias, hypotension

Question 11

Amiodarone

Answer 11

Dose: Adult - VF/PVT: 300mg, VT/wide tachy: 150mg over 10 min
Pedi - VF/PVT 5 mg/kg
Side effects: dizzy, fatigue, cough, N/V, blurred/double vision, constipation

Question 12

Aspirin

Answer 12

Dose: Adult - 160 - 325 mg PO
Pedi - not recommended
Side effects: bronchospasm, prolonged bleeding, N/V

Question 13

Atropine

Answer 13

Dose: Adult - unstable Brady: 1mg, organophosphate poisoning: until atropinized
Pedi - 0.02 mg/kg
Side effects: palpitations, dilated pupils, difficulty swallowing, hot dry skin, thirst, dizzy, restless, tremor, fatigue

Question 14

Calcium Chloride & Gluconate

Answer 14

Dose: Adult - (CC) calcium CB OD & hyperK 500-1000 mg (5-10 mL of 10% solution)
(CG) Beta & calcium blocker OD 3-6 g
Pedi - (CC) calcium CB OD & hyperK 20 mg/kg max 1 g
(CG) hyperK 60-100 mg/kg max 3g, beta & calcium blocker OD 60 mg/kg
Side effects: syncope, cardiac arrest, dysrhythmia, hypotension, N/V`

Question 15

Clopidogrel

Answer 15

Plavix
Dose: Adult - 300-600 mg PO
Pedi - not recommened
Side effects: Bleeding, bruising more than norm, muscle pain, fever, confusion

Question 16

Diltiazem

Answer 16

Cardizem
Dose: Adult - 0.25 mg/kg over 2 min
Pedi - not recommened
Side effects: Dizzy, weakness, headache, dyspnea, cough, dysrhythmia, edema

Question 17

Dobutamine

Answer 17

Dose: Adult - 2-20 mcg/kg/min titrated max 40 mcg/kg/min
Pedi - 2-20 mcg/kg/min titrate to effect
Side effects: headache, dyspnea, tachy, hypertension, CP, dysrhythmia, N/V

Question 18

Dopamine

Answer 18

Dose: Adult - 5-20 mcg/kg slowly titrate
Pedi - 5-20 mcg/kg slowly titrate
Side effects: headache, anxiety, dyspnea, dysrhythmia, hypo/hypertension, palpitations, CP

Question 19

Epinephrine

Answer 19

Dose: Adult - allergic/asthma 0.3-0.5 mg (1:1000), Cardiac arrest 1mg, Brady 2-10 mcg/min titrate
Pedi - allergic/asthma 0.01 mg/kg (1:1,000), Cardiac arrest 0.01 mg/kg (1:10,000)
Side effects: nervous, restless, headache, tremor, pulm edema, dysrhythmia, CP, hypertension, tachy, N/V

Question 20

Furosemide

Answer 20

Lasix
Dose: adult - 0.5-1 mg/kg
Pedi 1mg/kg
Side effects: dizzy, headache, ECG changes, weakness, orthostatic hypotension, N/V/D

Question 21

Labetalol

Answer 21

Dose: adult - 10mg push over 1-2 min, may repeat or double every 10 min, max 150mg
Pedi - not recommended
Side effects: fatigue, weakness, depression, headache, dizzy, bronchospasm, wheezing, Brady, HF, pulm edema, N/V/D

Question 22

Lidocaine

Answer 22

Drug: adult - cardiac arrest/PVT/VF 1-1.5 mg/kg, repeat 0.5-0.75 mg/kg, max 3 mg/kg
Stable VT & wide tachy 1-4 mg/min (30-50 mcg/kg)
Pedi - 1 mg/kg max 100mg
Side effects: anxiety, drowsiness, confusion, seizures, slurred speech, resp arrest, hypotension, dysrhythmia, N/V

Question 23

Metoprolol

Answer 23

Dose: Adult - 5mg over 1-2min max 3 doses
Pedi - not recommended
Side effects: weakness, dizzy, depression, bronchospasm, wheezing, dyspnea, Brady, pulm edema, HF, AV blocks, hypotension, nausea

Question 24

Nitroglycerin

Answer 24

Dose: adult - 0.4 mg SL max 3 doses, infusion 10 mcg/min increase by 10 mcg/min every 3-5 min max 200 mcg/min
Pedi - not recommended
Side effects: headache, dizzy, weakness, reflex tachy, syncope, hypotension, N/V

Question 25

Ondansetron

Answer 25

Dose: adult - 4mg IV/PO Pedi - 6mo-14yo - 0.15 mg/kg IV/PO max 4mg Side effects: headache, malaise, wheezing, bronchospasm, AF, abnormal ECG, prolonged QT interval, ST segment depression, 2nd/3rd heart block, constipation, diarrhea

Question 26

Procainamide

Answer 26

Dose: Adult - VF/PVT 20 mg/min slow infusion, max 17 mg/kg Pedi - 15 mg/kg over 30-60 min Side effects: confusion, seizure, hypotension, Brady, reflex tachy, vent dysrhythmia, AV blocks, asystole, N/V

Question 27

Promethazine

Answer 27

Dose: Adult - 12.5-25 mg Pedi - >2 - 0.25-0.5 mg/kg Side effects: headache, dizzy, drowsy, confusion, restless, wheezing, chest tight, palpitations, N/V

Question 28

Sodium Bicarb

Answer 28

Dose: Adult - 1mEq/kg, repeat 0.5 mEq/kg Pedi - 1mEq/kg Side effects: hypernatremia, metabolic alkalosis, seizures, fluid retention, hypokalemia, sodium retention, peripheral edema

Question 29

Albuterol

Answer 29

Dose: Adult - 2.5 mg Pedi - < 20kg 1.25 mg, >20kg 2.5 mg Side effects: headache, fatigue, light headed, irritability, restless, aggressive, pulm edema, hoarseness, hypertension, dysrhythmia, CP, N/V

Question 30

Dextrose

Answer 30

Dose: Adult - 25 g Pedi - 0.5-1 g/kg Neonates & infants: 200-500 mg/kg Side effects: necrosis, cerebral hemorrhage, cerebral ischemia, pulm edema, warmth, pain, hyperglycemia

Question 31

Diazepam

Answer 31

Dose: Adult - Seizure 5mg, anxiety 2-10 mg, premed cardio version 5-15 mg Pedi - seizure 0.05-0.1 mg/kg, 0.1-2 mg/kg

Question 32

Diphenhydramine

Answer 32

Benadryl Dose: adult - 25-50 mg Pedi - 1-2 mg/kg, PO 5 mg/kg Side effects: drowsy, sedation, seizures, dizzy, headache, wheezing, palpitations, hypotension, dysrhythmia, N/V/D

Question 33

Glucagon

Answer 33

Dose: Adult - hypoglycemia 1mg, calcium/beta blocker OD 3-10 mg Pedi - hypoglycemia 1mg >20kg, 0.5 mg <20kg, calcium/beta blocker OD 0.05-0.15 mg/kg

Question 34

Haloperidol

Answer 34

Haldol Dose: Adult - 2-5 mg Pedi - not recommended Side effects: seizures, sedation, confusion, restless, resp depression, hypotension, tachy, N/V

Question 35

Hydroxocobalamin

Answer 35

Cyanokit Dose: adult - 5 g max 10 g Pedi - 70 mg/kg Side effects: hypertension, allergic reaction, GI bleed, N/V, dizzy, headache

Question 36

Ipratropium

Answer 36

Atrovent Dose: Adult & pedi - 250-500 mcg neb Side effects: headache, dizzy, nervous, fatigue, tremor, blurred vision, cough, dyspnea, worsening COPD, palpitations, flushing, MI, N/V

Question 37

Lorazepam

Answer 37

Dose: anxiety/sedation 2mg IV 4mg IM, seizure 0.1 mg/kg Pedi - 0.05 mg/kg Side effects: dizzy, drowsy, CNS depression, headache, sedation, resp depression, apnea, hypotension, Brady