Medication doses Flashcards
Based on lane county protocols (136 cards)
1
Q
ketamine dose for adult pain control
A
-25mg slow IVP/IV/IO repeated x1 in 10 minutes
-50 mg IM repeated x1 in 10 minutes
2
Q
ketamine dose for adult chemical sedation
A
-0.5-1 mg/kg IV/IO repeated x1 in 10 minutes (MAX 2mg/kg)
-1-2 mg/kg IM repeated x1 in 10 minutes (MAX 4mg/kg)
3
Q
ketamine dose for adult RSI induction
A
-2mg/kg IV/IO
-4mg/kg IM
4
Q
ketamine dose for pediatric pain
A
25mg IM repeated x1 in 10 minutes
5
Q
Ketamine dose for pediatric sedation
A
-0.5-1 mg/kg IV/IO repeated x1 in 10 minutes (MAX 2mg/kg)
-1-2 mg/kg IM repeated x1 in 10 minutes (MAX 4/mg/kg)
6
Q
Ketamine dose for pediatric RSI
A
-2mg/kg IV/IO
-4mg/kg IM
7
Q
Adult Ketorolac dose
A
-15mg IV
-30mg IM
8
Q
Pediatric ketorolac dose
A
NOT RECOMENDED
MD ORDER
-0.5mg/kg IV (Max 15mg)
-1mg/kg IM (Max 30mg)
9
Q
Fentanyl dose for adult acute pain
A
- 50-100 mcg IV/IO/IM repeated by 50mcg up to 300 every 5 minutes
-50mcg repeated x1 NASAL (More by MD order)
10
Q
Fentanyl dose for adult interventional Analgesia
A
-50mcg w/1mg midazolam repeated x1 after 5 minutes
Further doses as 50mcg q15 minutes
11
Q
Fentanyl dose for adult RSI
A
3mcg/kg IV/IO up to 300mcg
12
Q
Fentanyl dose for adult post RSI
A
3mcg/kg IV/IO
13
Q
Fentanyl dose for pediatric Acute pain
A
-1mcg/kg IV/IM/IO repeated x3 after 5 minutes
-<9 2mcg/kg max 100mcg NASAL
MD order for more
14
Q
Fentanyl dose for pediatric sedation/RSI
A
-3mcg/kg IV/IO
15
Q
Hydromorphone Hydrochloride dose for adult acute pain
A
-0.25-0.5 q15 minutes (Max 2mg or 1.5 for geriatrics)
-1mg IM x1 in 30 minutes (0.5 in geriatrics)
16
Q
Hydromorphone Hydrochloride dose for adult Interventional analgesia
A
-0.5mg w/1mg midazolam x1 in 5 minutes. 0.5mg q15 minutes to maintain
17
Q
Pediatric Hydromorphone Hydrochloride dose
A
Not indicated
18
Q
Adult Morphine dose
A
0.1mg/kg IV/IO/IM (Max 10mg)
19
Q
Pediatric morphine dose
A
-0.1-0.2 mg/kg
20
Q
Etomidate dose for adult RSI
A
-0.3mg/kg IV/IO
21
Q
Etomidate dose for RSI
A
-0.3 mg/kg dose
FOR CLASS PURPOSES NOT FOR PEDIATRICS
22
Q
Midazolam dose for adult seizure
A
2mg IV/IO/IN or 4mg IM repeated as 2mg x1 after 2 minutes
MORE BY MD ORDER
23
Q
Midazolam dose for adult post RSI
A
0.1mg/kg (Max 6mg)
24
Q
Midazolam dose for adult agitated w/out threat
A
2mg IV/IO/IN or 4mg IM repeated as 2mg x1 after 10 minutes
25
Midazolam dose for adult threat to self/others
2mg IV/IO/IM/IN repeated x1 after 5 minutes
26
Midazolam dose for adult Severe pain
-0.5-1mg IV/IN/IM repeated prn q 5 minutes up to 2mg
27
Midazolam dose for adult Interventional analgesia
1mg administered with 50mcg fentanyl or 0.5mg Hydromorphone repeated x1 after 5min
28
Midazolam dose for adult acute alcohol withdrawl
2mg IV/IM/IN repeated every 5 minutes prn up to 6mg
29
Pediatric Midazolam seizure dose
0.1 mg/kg IV/IO/IM up to 2mg. Repeated after 1 minute.
Additional doses by MD order
30
Pediatric Midazolam RSI dose
0.1 mg/kg up to 2mg IV/IO
31
Proparacaine HCL dose
1-2 drops prn
32
Adult Lidocaine RSI dose
1.5 mg/kg IVP
33
Adult Lidocaine IO dose
20-40mg slow
34
Pediatric Lidocaine RSI dose
1.5mg/kg IVP
35
Pediatric Lidocaine IO dose
0.5mg/kg
36
Adult Diazepam dose
2-10 mg IVP/IM/IO q 3-5 minutes to a max of 20mg
37
Pediatric Diazepam dose
0.1-0.3 mg/kg IVP/IM/IO to a max of 5mg repeated x1
38
Adult Droperidol dose
2.5 mg
39
Pediatric Droperidol dose
0.01 mg/kg to a max of 1.25
40
Adult Ziprasidone dose
10-20 mg IM with diphenhydramine and midazolam
(If pt is a threat, administer midazolam first)
41
Pediatric Ziprasidone dose
CONTACT MD
42
Adult Lorazepam seizure dose
4mg IV/IM
43
Adult Lorazepam anxiety dose
MD Order
44
Pediatric Lorazepam dose
Contact MD
45
Adult Epinephrine cardiac arrest dose
-1mg 1:10,000 IVP/IO q 4 minutes
-2mg ET tube q 4 minutes
46
Adult Epinephrine anaphylaxis dose
0.3mg 1:1000 IM
47
Adult Epinephrine allergic reaction w/cardiovascular collapse
-0.3mg 1:10000 IVP slow
48
Adult Epinephrine asthma/reactive airway dose
0.3mg 1:1000 IM
MD order if >40 or cardiac disease
49
Neonate Epinephrine cardiac arrest dose
0.1 ml/kg 1:10000 IVP/IO q 4 minutes
50
Pediatric epinephrine anaphylaxis dose
0.01mg/kg 1:1000 IM
MD order if using 1:10000 for cardiovascular collapse
or 0.3mg full dose (If possible)
51
Pediatric Epinephrine asthma dose
0.01 mg/kg 1:1000
MD if possible
52
Pediatric Epinephrine bradycardia w/pulse dose
0.01 ml/kg IVP/IO q 3-5 minutes
53
Pediatric Epinephrine croup dose
Nebulized 5 ml/5mg 1:1000 by MD order
54
Adult Nitroglycerin angina dose
-0.4 mg SL repeated x2 after 5 minutes.
-20mcg/min IVdrip
>3 doses by MD order
55
Adult Nitroglycerin food impaction dose
0.4mg SL repeated by MD order
56
Pediatric Nitroglycerin dose
MD order
57
Adult Aspirin dose
324 mg (4x81) tablets
58
Pediatric aspirin dose
Not recommended
59
Adult Amiodarone arrest dose
300mg repeated as 150mg IVP after 3-5 minutes
60
Adult Amiodarone post conversion if pulse remains or if ectopy increases dose
150 mg over 10 minutes, mix in 100 cc NS, run at 15mg/min
If hypotension or bradycardia develops, stop the infusion
61
Adult Amiodarone wide complex tachycardia w/pulse dose
150 mg IV/IO over10 minutes, mix in 100cc NS, run at
15 mg/min by MD order. Repeat once as needed if VT
reoccurs again by MD order.
62
Pediatric Amiodarone arrest dose
5mg/kg IV/IO repeated x1 max dose 300mg per dose
63
Pediatric amiodarone wide complex tachycardia dose
5mg/kg IV/IO (maxof150 mg per dose)mix in 100cc NS,
run at 50gtts/min over 20 min with MD order, may repeat
once, again with MD order
64
Adult Adenosine dose
6mg rapid IVP repeated x1 after 1-2 min at 12mg
65
Pediatric adenosine dose
0.1mg rapid IVP repeated x1 after 1-2 min at 0.2mg
MD order
Not to exceed adult doses
66
Adult diltiazem dose
0.25 mg/kg max dose 25mg IVP. 2nd dose after 10-15 min
67
Pediatric Diltiazem dose
Not recommended
68
Adult atropine bradycardia dose
1mg IVP q 3-5 minutes to a max of 3mg
69
Adult Atropine organophosphate poisoning dose
1mg IVP Q 2-3 minutes until secretions dry
MD order if HR>120
You do not have enough atropine for this drive fast
70
Pediatric atropine bradycardia dose
0.02 mg/kg IVP prn 3-5 minutes to a max of 1-2 mg. Do not exceed 0.5 mg per dose
71
Pediatric atropine organophosphate poisoning dose
0.02 mg/kg IVP prn 2-3 minutes until secretions dry. DO not exceed 0.5mg per dose
72
Adult calcium chloride dose
1g IVP slow.
MD if dysrhythmia or for magnesium sulfate toxicity
73
Pediatric calcium chloride dose
20mg/kg slow IVP by MD order
74
Adult calcium gluconate dose
3g slow IVP.
MD if dysrhythmia or for magnesium sulfate toxicity
75
Pediatric calcium gluconate dose
60mg/kg slow IVP by MD order
76
adult Metoprolol dose
-5mg every 2-3 minutes IV
-25-100 daily PO
77
Pediatric Metoprolol dose
1mg/kg daily
78
Adult norepinephrine dose
4mg in 500mL with a 60gtts/ set. 4-12mcg/min
79
Pediatric norepinephrine dose
0.1mcg/kg/min by MD order
80
Adult Heparin dose
60 units/kg bolus to a max of 4000 units. Infuse at 12 units/kg/hr
81
Pediatric heparin dose
Not indicated
82
Adult oxytocin dose
-10 units in 500mL NS IV. 167gtts/min
-10 units IM
MD order for additional doses
83
Tranexamic Acid adult dose
1g in 100mL NS over 10 minutes
84
Tranexamic acid pediatric dose
10mg/kg MD ORDER ONLY
85
Dopamine adult dose
16000 mcg/ml (400 mg in 250mL) at 10-20mcg/min
86
Dopamine pediatric dose
16000 mcg/ml (400 mg in 250mL) at 10-20mcg/min by MD order
87
Furosemide adult dose
20-80mg IV
88
Magnesium Sulfate adult dose for Torsades de Pointes
1-2g IVP slow
89
Magnesium Sulfate adult dose for preeclampsia
2-4g IVP slow by MD order
90
Magnesium sulfate Pediatric dose for torsades de pointes
25mg/kg IV/IO Rapid to a max of 2g
91
Ipratropium dose for adult bronchospasm
0.5mg nebulized with albuterol
92
Ipratropium dose for pediatric bronchospasm
->5 years, 0.5mg
-<5 years 0.25 mg
93
Albuterol dose for adult bronchospasms or hyperkalemia
2.5mg nebulized
94
Albuterol dose for pediatric bronchospasms or hyperkalemia
2.5mg nebulized
95
Methylprednisolone dose for adult respiratory distress
125mg IVP/IM
96
Methylprednisolone dose for adult adrenal insufficiency
125mg IVP/IM by MD order
97
Methylprednisolone dose for pediatric respiratory distress
2mg/kg IVP/IM to a max of 125
98
Methylprednisolone dose for pediatric adrenal insufficiency
2mg/kg IVP/IM to a max of 125 by MD order
99
Diphenhydramine dose for adult allergic reaction or dystonic reaction
50mg PO/IVP/IM
100
Diphenhydramine dose for adult agitation
50mg IV/IM/IO with Geodon
101
Diphenhydramine dose for pediatric agitation
1mg/kg max dose of 50mg
102
Diphenhydramine dose for pediatric allergic reaction or dystonic reaction
1mg/kg IVP/IM to a max of 50mg
103
Succinylcholine dose for adult RSI
2mg/kg IVP
104
Succinylcholine dose for pediatric RSI
2mg/kg IVP/IO by MD order
105
Rocuronium dose for adult RSI
1mg/kg IVP
106
Rocuronium dose for pediatric RSI
1mg/kg IVP by MD order
107
Vecuronium dose for adult RSI
0.1-0.2mg/kg
108
Vecuronium dose for pediatric RSI
0/1mg/kg
109
Glucagon dose for adult hypoglycemia
1 mg IM
110
Glucagon dose for pediatric hypoglycemia
0.1 mg/kg up to 1mg IM. MD order to repeat dosing
111
Glucagon dose for beta blocker overdose
MD order. You do not have enough glucagon to do this
112
Dextrose dose for adult hypoglycemia
25g IV/IO
(50ml D50 or 250ml D10)
113
Dextrose dose for pediatric hypoglycemia
Max dose 25g. Use the chart
114
Oral glucose dose for adult hypoglycemia
15g prn 15 minutes
115
Oral glucose dose for pediatric hypogycemia
MD order
116
Promethazine dose for adult nausea/vomiting
-25mg IM repeated only by MD order
-12.5mg in 100ml NS
117
Promethazine dose for pediatric nausea/vomiting
MD order only, contraindicated if <2
118
Ondansetron dose for adult nausea/vomiting
4mg PO/IM/IVP slow max repeated x1 prn
119
Ondansetron dose for pediatric nausea/vomiting
-0.1mg/kg to a max of 4mg IM/IV
-4mg PO
120
Prochlorperazine dose for adult nausea/vomiting
5-10mg IV/IM
121
Prochlorperazine dose for pediatric nausea/vomiting
Not recommended
122
Pralidoxime Chloride dose for adult organophosphate/nerve gas exposure
1200-1800mg
123
Pralidoxime Chloride dose for pediatric organophosphate/nerve gas exposure
25-50mg SLOW IVP by MD order
124
Activated charcoal adult dose
1g/kg (50g) by MD order
125
Activated charcoal pediatric dose
1g/kg by MD order
126
Naloxone dose for adult opioid overdose
-1mg in each nare
-0.5-1mg in each nare up to 2mg or IV/IM/SQ/IO
127
Naloxone dose for pediatric opioid overdose
0.1mg/kg q1-2 minutes to a max of 2mg
128
Sodium Bicarbonate dose for adult Cardiac arrest/Hyperkalemia/TCA overdose
1 mEq/kg or 50mEq IVP
129
Sodium Bicarbonate dose for crush syndrome
50mEq per hour trapped up to 150mEq
130
Sodium Bicarbonate dose for pediatric Hyperkalemia/Cardiac arrest/TCA overdose
1 mEq/kg IVP
131
Hydroxocobalamin dose for adult cyanide poisoning
5g IV
132
Hydroxocobalamin dose for pediatric cyanide poisoning
70mg/kg to a max of 5g
133
Acetaminophen dose for adults
2 325mg tablets
134
Acetaminophen dose for pediatric fever
MD order
135
Olanzapine dose for adult agitation
10mg PO
136
Olanzapine dose for adult agitation
Not indicated for pts prior to puberty. If indicated, use adult dose
