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Sac Metro Protocols > Medication > Flashcards

Medication Flashcards

0
Q

Benadryl route

A

IV/IM/PO

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1
Q

Benadryl dose for Anaphylaxis

A

50mg IV/IM/PO

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2
Q

Morphine Dose- Cardiac

A

2mg slo IV/IO

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3
Q

Morphine rate/repeat time

A

q-5

slow push

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4
Q

Morphine Cardiac max dose

A

.2mg/kg

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5
Q

Morphine Dose- Burns

A

0.1mg/kg

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6
Q

Morphine Max Dose- Burns

A

0.3 mg/kg

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7
Q

Morphine Consideration for Burns

A

Avoid morphine in hypovolemic pt

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8
Q

Morphine dose- Trauma pt

A

0.1mg/kg

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9
Q

Morphine Max Dose Trauma

A

0.2mg/kg

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10
Q

Morphine Consideration in Trauma pt

A

Avoid in hypovolemic pt

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11
Q

Morphine Dose- Other

A

0.1mg/kg

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12
Q

Morphine Max Dose Other

A

0.2 mg/kg

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13
Q

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

A

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

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14
Q

Can you use 2 pain medications on a pt.

A

No only one pain medication

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15
Q

Allergic reaction-Benadryl Dose

A

50 mg

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16
Q

Benadryl Route

A

PO/IV/IM

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17
Q

Anaphylaxis- Epi
Dose
Route
Concentration

A

0.3mg 1:1000 IM

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18
Q

Anaphylaxis- Benadryl
Dose
Route

A

50mg

IV.IM/IO

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19
Q

Anaphylaxis- Albuterol Dose

A

2.5mg

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20
Q

Anaphylaxis- With Base Contact

  • Epi Dose
  • Route
  • Concentration
  • Rate
  • When to stop
  • Max Dose
A 
0.1mg increments 
slow IV push 
1:10,000
When stroidor is removed or BP >90mm Hg 
0.5mg max dose
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21
Q

Dystonic Reaction - Benadryl Dose
Preferred Route
Available Routes

A

50mg
IV preferred
IM also an option

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22
Q

Beta Blocker OD- Fluid Challenge

-Amount if BP is less than ____

A

500ml if pressure less than 90mmHg

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23
Q

Beta Blocker OD- Atropine

  • First must admin____
  • If HR is less than _____
  • Dose
  • Route
  • Max
A 
500ml NS 
HR <50
1mg 
IV/IO 
No Max
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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

Sac Metro Protocols (30 decks)

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