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Flashcards in Medication Deck (64):
0

Benadryl dose for Anaphylaxis

50mg IV/IM/PO

1

Benadryl route

IV/IM/PO

2

Morphine Dose- Cardiac

2mg slo IV/IO

3

Morphine rate/repeat time

q-5
slow push

4

Morphine Cardiac max dose

.2mg/kg

5

Morphine Dose- Burns

0.1mg/kg

6

Morphine Max Dose- Burns

0.3 mg/kg

7

Morphine Consideration for Burns

Avoid morphine in hypovolemic pt

8

Morphine dose- Trauma pt

0.1mg/kg

9

Morphine Max Dose Trauma

0.2mg/kg

10

Morphine Consideration in Trauma pt

Avoid in hypovolemic pt

11

Morphine Dose- Other

0.1mg/kg

12

Morphine Max Dose Other

0.2 mg/kg

13

When administering pain meds you must document.
1)
2)

Pain scale with intital assessment
Vital Signs
*must document after each med admin/after all procedures

14

Can you use 2 pain medications on a pt.

No only one pain medication

15

Allergic reaction-Benadryl Dose

50 mg

16

Benadryl Route

PO/IV/IM

17

Anaphylaxis- Epi
Dose
Route
Concentration

0.3mg 1:1000 IM

18

Anaphylaxis- Benadryl
Dose
Route

50mg
IV.IM/IO

19

Anaphylaxis- Albuterol Dose

2.5mg

20

Anaphylaxis- With Base Contact
-Epi Dose
-Route
-Concentration
-Rate
-When to stop
-Max Dose

0.1mg increments
slow IV push
1:10,000
When stroidor is removed or BP >90mm Hg
0.5mg max dose

21

Dystonic Reaction - Benadryl Dose
Preferred Route
Available Routes

50mg
IV preferred
IM also an option

22

Beta Blocker OD- Fluid Challenge
-Amount if BP is less than ____

500ml if pressure less than 90mmHg

23

Beta Blocker OD- Atropine
-First must admin____
-If HR is less than _____
-Dose
-Route
-Max

500ml NS
HR <50
1mg
IV/IO
No Max

24

Beta Blocker OD- Glucagon
-First Admin
-2 physiological factors must be present.
-Dose
-Route

Fluid Challenge
Atropine
HR < 50 and SBP <90
2 Units
IV/IO

25

Beta Blocker OD- Epinephrine
-1st Must admin ____
Physiological factor must be present
-Dose
-Concentration
-Rate
-Route
-Repeat

Fluid Challenge/Atropine/Glucagon
SBP < 70mm HG
0.1mg increments
slow over 60 seconds
IV/IO push
Repeat until SBP is greater than 90mm Hg

26

Calcium Channel Blocker OD-
Physiological factor must be present
NS Admin Dose

SBP <90mm HG
500ml

27

Calcium Channel Blocker OD-atropine
First Admin________
2 Physiological Factors Must be present
-Dose
-Repeat

500ml NS
HR <90
1mg IV/IO
May be repeated once if no response

28

Calcium Channel Blocker OD- Epi
First Admin ____
Physiological Factor must be present
-Dose
-Concentration
-Rate
-Repeat

Fluid Challenge
Atropine
SBP must be less than 70
0.1mg
1:10,000
Slow over 60 seconds
IV/IO
Repeat until SBP >90

29

TCA OD- Fluid challenge
-Physiological Factor must be present
-Dose

SBP <90
-500ml

30

TCA OD - Sodium Bicarbonate
-First admin _______
-any 1 of 5 factors
-dose

Fluid Challenge
1) HR greater than 120bpm
2) SBP < 90
3) QRS complex greater than .12 sec
4) Seizures
5) PVC greater than 6 per minute
-1meq/kg IVP

31

Bradycardia- Atropine
Dose
Route
-Repeat-
When?
Dose / Route / Rate / Repeat
Max Dose
**Consideration**

0.5mg
IVP/IO

Repeat when TCP is not Available
0.5mg-1mg IV/IO every 3-5 minutes
Max 3mg total given
**Avoid in an acute MI setting

32

Bradycardia- Versed
-When to use
Dose
Route (dose with each route)

When TCP
IV/IO - 1-6mg slow IVP
IM/IN - 2mg dose
-May repeat times 2 at 5 min intervals
titrate to pt comfort

33

Bradycardia- Dopamine
-When to give
-Physiological factor must be present
-Dose

Atropine ( Unless 2 type 2 or 3rd degree block)/ TCP
-SBP <90
**Must have base hospital order**
10mcg/kg/min

34

Adult Tachycardia With Pulse - Versed
-When to use
-Route (with dose)
-Repeat

Unstable- Synchronized Cardioversion
-IV/IO 1-6mg slow IVP titrate to comfort
-IM/IN- Single 2mg dose may repeat x2 @ 5 min intervals - titrate to comfort

35

Adult Tachycardia - Adenosine
- When to use
- dose
-Rate
*follow with*
-Repeat

Stable/Narrow QRS/ Regular Rhythm/post valsalva
-6mg rapid IVP
-follow with 20ml NS Flush
-Repeat - 2 min no response
12mg IVP followed by 20ml NS

36

Adult Tachycardia - Amiodarone
-When to use
-2 separate ways
-dose
-route
-rate

Unstable/ Cardioversion/ Wide/ Now split
Unstable- Amiodarone - 150mg IVP/IO
Stable- Amiodarone 150mg IV/IO over 10 minutes.

37

Respiratory Distress- Albuterol
-Asthma/COPD dose/route
-CHF/Pulmonary Edema Route

Asthma -mild - 2.5-5mg HHN/Mask/inline neb-may repeat
Asthma-severe- 5mg HHN/mask/in line
repeat as needed

CHF-mild- 2.5-5mg HHN- q as needed
Moderate/severe- 2.5mg-5mg HHN q as needed.

38

Respiratory distress - Nitro
-2 routes and dose

CHF-mild distress-0.4mg SL q 5 - SBP >90.

CHF moderate / severe- Based on BP.
SBP >200 -1.2mg SL
SBP-150-200-0.8mg sl
SBP-90-150-0.4mg SL
q- 5 min based on BP
Hold if BP <90
Do not delay due to difficult IV

39

NTG use with CPAP

1" of paste

40

Respiratory Distress- Morphine
-when to give it
-dose
-repeat
max
*consideration

moderate to severe CHF after albuterol, nitro, CPAP.
-2mg SIVP
q 5-10 min
Max 0.1mg/kg
Hold if BP <90

41

Respiratory Distress- Epi
-when to use
-dose
-concentration
*consideration*

Moderate to severe- Asthma/COPD - post albuterol/CPAP.
0.3mg IM
1:1000
*Base hospital order for pt >40 and or BP >180*

42

When do we not give nitro

When pt taking PDE-5 inhibotors within last 48 hours.
-for ED or pulmonary HTN
.Slidenafil, tadalafil, vardenafil/viagra, cialis, levitra

43

Respiratory Distress - Dopamine
-when to use
-dose
*consideration*

Use of SBP constently <90
10mcg/kg/min
*must have base hospital order

44

Nerve Agent - Mild Exposure -
Medications -Dose Routes

Mark 1 - admin 1 atropine (2mg) auto-injector IM, and 1- 2-PAM (600mg) auto Injector IM......or

DuoDote: Admin one Auto injector (Atropine 2.1mg and 2-Pam 600mg .....or

Attroppine 2mmg IV/IIM

45

Nerve Agent- Moderate Exposure
Medications / dose / route

Mark 1 : admin 2- Atropine (4mg) and two - 2-Pam (1200mg) auto injector IM......or

DuoDote:Admin two Auto Injectors (Atropine 4.2mg & 2 pam 1200 mg....or

Atropine 4mg

46

Nerve Agent Severe Exposure-
Medications/ dose/ route

Mark 1: Admin 3 Atropine (6mg) and 3 2-Pam (1800mg) auto injectors IM....or

DuoDote: Admin 3 Auto-Injectors (Atropine 6.3mg and 2-Pam 1800mg) or....

Atropine 6mg IV/IM

47

Nerve Agent - Diazepam
-when to use
dose
*special dosing

Severe nerve agent exposure with seizure activity
-treat per protocol or......
When made available by deployment of a CDC Chempack- if supplied as diazepam 10mg/2ml auto injector - admin dose IM may repeat X2

If supplied as vial 5-10mg IVP or 10mg IM. May repeat x2 to max dose 30mg.

Further dosing requires BHO.

48

Haz Mat - Organophosphate - Atropine
When to use...
Dose
Route
Repeat

When copious secretions
2mg IV push
Repeat every 3-5min

49

Chest Pain - Nitro
dose/route
Repeat
BP must be ____
*precaution*

0.4mg SL
repeat every 5 min
Titrate to pain as long as BP >90
*precaution to pt taking PDE-5 inhibitors

50

Chest Pain - Aspirin
dose
*if taking concurrent anticoagulation therapy*

320mg PO
Concurrent anticoagulation therapy is not a contraindication.

51

Cardiac Arrest - Epi

Dose
Repeat

1mg
repeat 3-5min

52

Cardiac Arrest - Amiodarone
Dose
Repeat

300mg
repeat 150mg

53

Cardiac Arrest - Dopamine
-When to use
-Dose

Post Resuscitation SBP <90 with base hospital order
10mcg/kg/min

54

Decreased Sensorium - Dextrose
Dose/concentration
Level when to give
Repeat

50% - 12gm
blood sugar < 60

55

Decreased Sensorium- Glucagon
-Dose/Route

1 unit IM
if blood sugar <60

56

Decreased Sensorium - Dextrose IO
Dose / Concentration
When to use

BGL < 60 or decreased responsiveness continues for more then 5 minutes after admin of Glucagon.

57

Decreased Sensorium- Narcan
-Dose
-Route

Preferred routes are IV/IN. Can be given IM
Dose 1-6mg IV push, IN, IM
Titrate to adequate respiratory status
IN should be given 1mg at a time

58

Decreased Sensorium - Versed
-Dose
-max

0.1mg/kg max 6mg SLOW IVP
-give in 2mg increments - titrate to seizure control.

If no IV access- 0.1mg/kg IM (max dose 6mg) in single IM injection...may be split into 2 sites if not significant muscle mass....or may be given IN

59

Decreased Sensorium- Diazepam

When to use
Dose

May substitute Diazepam when there is a shortage of Versed.
5-10 mg IVP to control seizures.
If no IV access, 10mg IM. May repeat once. Max dose 20mg.

60

Restraint- Versed IV
Dose
Max

0.1mg/kg (max dose 6mg)
Slow IVP
Give in 2 mg increments titrate to reduction in agitation

61

Restraint - IM Versed
Dose
Max

0.1mg/kg max dose 6mg in single IM injection

62

Restraint - Versed IN

0.1mg/kg
max dose 6mg
One half dose in each nare.

63

Nausea/Vomiting
Dose
Route
Repeat

4mg PO/SL/IM/IV/IO

For IV or IO Ondansetron admin slowly over 1 min to prevent syncope

For persistent vomiting may repeat X1 for a max dose of 8mg