Medication Adult Doses

Question 1

Class

Acetylsalicylic Acid (Aspirin)

Answer 1

324 mg / 4 x 81 mg baby aspirin PO if not taken during previous 24.

Question 2

Class

Adenosine (Adenocard)

Answer 2

6 mg rapid IV followed by 10-20 mL NS flush

if no response in 2 minutes, 12 mg

Question 3

Class

Abuterol (Proventil)

Answer 3

2.5 mg by nebulizer up to 7.5 mg.

continuous, if in moderate to severe distress, or respiratory failure is impending (Asthma/COPD)

Question 4

Class

Amiodarone (Cardorone) for V-Tach c pulse

Answer 4

V-Tach c pulse: 150 mg in 100 ml NS over 10 minutes. May repeat once.

Question 5

Class

Atropine Sulfate for bradycardia

Answer 5

0.5 mg IV. Rpt in 5 minutes if pt remains symptomatic

Question 6

Class

Calcium Chloride 10%

Answer 6

1 gm IV. Slow admin for pts c a palpable pulse when treating crush syndrome or pts c profound hypotension after the admin of diltiazem. IVP when pt is in cardiac arrest

Question 7

Class

Dextrose 50%, 25%, 10%

Answer 7

> 12 yo: 25 gm slow IV. rpt once if BGL remains <70 mg/dl

Question 8

Class

Diazepam (Valium)

Answer 8

2-10 mg IV to 20 mg.

Question 9

Class

Diltiazem (Cardizem)

Answer 9

0.25 mg/kg IV over 2 minutes. May repeat in 15 minutes with 0.35 mg/kg

Question 10

Class

Diphenhydramine HCL (Benadryl)

Answer 10

25-75 mg, slow IV/IM

Question 11

Class

Dopamine (Intropin)

Answer 11

5-20 ug/kg/min infusion

Question 12

Class

Enalaprilat (Vasotec)

Answer 12

1.25 mg IV

Question 13

Class

Epinephrine HCL 1:1000 and 1:10,000 for Cardiac Arrest

Answer 13

1: 10,000 1 mg IV/IO every 3-5 for duration of arrest.
1: 1,000 2 mg ET diluted in 5 ml NS every 3-5 minutes

Question 14

Class

Etomidate (Amidate)

Answer 14

0.3 mg/kg IV/IO over 1 minute, up to 30 mg. May repeat once.

Question 15

Class

Fentanyl (Sublimaze)

Answer 15

25-50 mcg IV per dose every 5 minutes to 200 mcg.
50-100 mcg IV for burns
25 mcg for elderly or under 70 kg weight

Question 16

Class

Furosemide (Lasix)

Answer 16

20-40 mg slow IV MEDICAL CONTROL REQUIRED

Question 17

Class

Glucagon HCL

Answer 17

Hypoglycemia: 1 mg IN/IM
Calcium Channel / Beta Blocker OD: 1 mg IV every 5 up to 3 mg
Allergic Rxn / Anaphylaxis not responding to Epi: 2 mg IVP

Question 18

Class

Glucose, oral

Answer 18

25-50 gm PO may repeat once

Question 19

Class

Haloperidol (Haldol)

Answer 19

5 mg IM. Over 65yo 2.5 IM

Question 20

Class

Hydrocortisone (Solu-Cortef)

Answer 20

100 mg IV/IO/IM

Question 21

Class

Hydroxocobalamin (Cyanokit)

Answer 21

5 g infused over 15 minutes in 100 ml. MED CONTROL for another 5.

Question 22

Class

Ipratropium Bromide (Atrovent)

Answer 22

2.5 ml (500 mcg) mixed with 2.5 mg Albuterol via neb

Question 23

Class

Ketamine (Ketalar)

Answer 23

0.2 mg/kg IV/IO/IM administered over 1 minute. Repeat once in 5 minutes for pain. 3rd one for Crush Injuries.

Question 24

Class

Labetalol (Normodyne)

Answer 24

10-20 mg slow IV over 1-2 minutes repeated in 5 minutes to a total of three doses, as long as SBP is greater than >180 mmHg

Question 25

# Class Lidocaine HCL (Xylocaine) for pVT/VF

Answer 25

1 mg/kg IV/IO may be repeated every 5 minutes up to 3 times

Question 26

# Class Magnesium Sulfate for Torsades de pointes (pulseless)

Answer 26

2 g slow IV/IO. Mix 2 g in 10 ml NS and admin over 2 min.

Question 27

# Class MethylPrednisolone (Solu-Medrol)

Answer 27

125 mg IV/IM

Question 28

# Class Midazolam HCL (Versed) for SZ/Eclampsia/Excited Delirium/Nerve Agent, Organophosphate, or Carbamate poisoning

Answer 28

10 mg IN, 5mg ea nostril. MED CONTROL FOR MORE 5-10 mg IM 2-5 mg IV/IO every 2 minute to relief or 10 mg.

Question 29

# Class Morphine Sulfate

Answer 29

Pain Mgt./Burns. 2mg IV repeat prn for relief to 10 mg. May repeat after 10 minutes. Cardiac Cx Pain: 2 mg IV, up to 10 mg.

Question 30

# Class Naloxone HCL (Narcan)

Answer 30

2 mg IV/IN or IM. If no response within 5 minutes, repeat 4 mg IV/IN and titrate to effect thereafter.

Question 31

# Class Nitroglycerin (Nitrostat) for Cardiac Chest Pain

Answer 31

0.4 mg SL every 5 minutes, up to max of 3 doses. Nitro paste 1" after 2nd NTG dose.

Question 32

# Class Ondansetron (Zofran)

Answer 32

4mg IV / 30s

Question 33

# Class Oxygen

Answer 33

titrate to maintain 94%+.

Question 34

# Class Pralidoxime Chloride (2-Pam Chloride)

Answer 34

600 mg IM, up to 1800 mg or 3 auto-injectors

Question 35

# Class Prednisone

Answer 35

60 mg PO

Question 36

# Class Prochlorperazine (Compazine)

Answer 36

10 mg / slow IV. *under 5mg/min* 5-10 mg IM

Question 37

# Class Racemic Epinephrine

Answer 37

0.5 ml in 3 ml NS via Nebulizer

Question 38

# Class Sodium Bicarbonate

Answer 38

1 mEq/kg IV/IO

Question 39

# Class Sodium Chloride 0.9% (Normalsaline)

Answer 39

IV/IO or saline lock

Question 40

# Class Tetracaine HCL

Answer 40

1-2 gtts / eye

Question 41

# Class Tranexamic Acid (TXA Cyklokapron)

Answer 41

1 g in 100 ml NS / 10 minutes

Question 42

# Class Amiodarone (Cardorone) for pulseless V-Tach, V-fib

Answer 42

pV-Tach, V-fib: 300 mg IV/IO, 150, 150

Question 43

# Class Amiodarone (Cardorone) for ROSC

Answer 43

ROSC: 150 mg in 100 ml NS over 10 minutes

Question 44

# Class Atropine Sulfate for Organophosphate Poisoning

Answer 44

2mg IM via auto-injector every 10 minutes until they're gone, then 1-2 mg IV/IO every 10 minutes.

Question 45

# Class Epinephrine HCL 1:1000 for Severe Anaphylaxis

Answer 45

1: 1,000 0.3-0.5 mg IM, repeat PRN | 0. 3 mg IM via Auvi-Q

Question 46

# Class Epinephrine HCL 1:1000 for Severe Asthma

Answer 46

1: 1,000 0.3 mg IM, repeat PRN | 0. 3 mg IM via Auvi-Q

Question 47

# Class Lidocaine HCL (Xylocaine) for VT c pulse

Answer 47

1 mg/kg IV/IO may be followed by 0.5 mg/kg every 5 minutes up to max of 3 mg/kg

Question 48

# Class Lidocaine HCL (Xylocaine) for ROSC

Answer 48

0.5 mg/kg IV/IO may be repeated every 5 minutes up to 3 times

Question 49

# Class Lidocaine HCL (Xylocaine) for Medication Facilitated Intubation

Answer 49

1.5 mg/kg IV/IO

Question 50

# Class Lidocaine HCL (Xylocaine) for IO Line anaethesia

Answer 50

20-40 mg IO (2-4 ml 1% Cardiac Lidocaine) and allow 1-2 minute settle time.

Question 51

# Class Magnesium Sulfate for Torsades de pointes (with Pulse)

Answer 51

2 g slow IV/IO. Mix 2 g in 100 ml NS. Use 10 gtts/ml set and infuse at 50 gtts/min

Question 52

# Class Magnesium Sulfate for Eclampsia

Answer 52

4 g slow IV/IO. Mix 4 g in 100 ml NS. Use 10 gtts/ml set and infuse at 50 gtts/min. May repeat one time.

Question 53

# Class Magnesium Sulfate for Asthma

Answer 53

2 g slow IV/IO. Mix 2 g in 100 ml NS. Use 10 gtts/ml set and infuse at 50 gtts/min

Question 54

# Class Nitroglycerin (Nitrostat) for CHF

Answer 54

0.4 mg SL every 5 minutes, *no max dose* Nitro paste 1".

Question 55

# Class Midazolam HCL (Versed) for Cardioversion/Pacing/Envenomation/Bites & Stings/Medication facilitated intubation additional sedation

Answer 55

2-5 mg IV/IO/IN up to 10 mg

Question 56

# Class Midazolam HCL (Versed) for Stimulant Induced CP / Acute Pulmonary Edema (CHF)

Answer 56

MEDICAL CONTROL REQUIRED 2-5 mg IV/IN up to 10 mg