Medications

Question 1

Acetaminophen

Answer 1

15 mg/ kg/dose
max 1,000 mg
PO/ PR q 4-6 hrs

Question 2

Ibuprofen

Answer 2

10 mg/kg/dose
max 800 mg
PO q 6 hrs

Question 3

Ketorolac

Answer 3

0.25-0.5 mg/kg/dose
max 30 mg first dose, 15 mg repeat dosing
IV q 6 hrs up to 5 days

Question 4

Oxycodone

Answer 4

0.05-0.15 mg/kg/dose

PO q 4-6 hrs PRN

Question 5

Fentanyl

Answer 5

Initial 1-2 microgram/kg/dose
IV q 30-60 minutes PRN

Initial 1-5 microgram/kg/hour
IV continuous infusion

Question 6

Hydromorphone

Answer 6

Infant ( <10kg):
Initial 0.01 mg/kg/dose
IV q 3-6 hrs

Peds:
Initial 0.015 mg/kg/dose
IV q 3-6 hrs

Question 7

Morphine

Answer 7

Initial 0.05 -0.1 mg/kg/dose

IV q 2-4 hrs

Question 8

Methadone

Answer 8

Initial 0.05- 0.1 mg/kg/dose

PO/ IV q 6-8 hrs

Question 9

Adenosine

Answer 9

1st dose: 0.1 mg/kg/dose (max 6 mg) IV once

2nd dose: 0.2 mg/kg/dose (max 12 mg) IV once

Question 10

Amiodarone

Answer 10

IV loading dose: 2.5 mg/kg/dose (max 450 mg)
over 30 minutes, up to 3 doses

PO loading dose: 5-10 mg/kg/dose bid

Continuous infusion: 10-20 mg/kg/day IV

Question 11

Lidocane

Answer 11

Loading dose: 1 mg/kg/dose (max 100 mg)
IV/ IO
may repeat with 0.5 -1 mg/kg/dose (max 100 mg)

Continuous infusion: 20-50 microgram/kg/min

Question 12

Mexiletine

Answer 12

1.4 -5 mg/kg/dose PO q 8 hrs

Question 13

Procainamide

Answer 13

Loading dose: 5- 10 mg/kg/dose IV once
may repeat every 5-10 minutes up to total load of 15 mg/kg (500 mg total load in 30 minutes)

Continuous infusion: 20-80 micrograms/kg/min

Question 14

Amphotericin B

Answer 14

3-5 mg/kg/dose

IV once daily

Question 15

Ampicillin

Answer 15

25-100 mg/kg/dose (max 3 grams)

IV/IM q 6 hrs

Question 16

Cefazolin

Answer 16

6.25-25 mg/kg/dose (max 1 gram)

IV q 6-8 hrs

Question 17

Cefotaxime

Answer 17

25-50 mg/kg/dose (max 2 grams)

IV/IM q 6-8 hrs

Question 18

Ceftazidime

Answer 18

50 mg/kg/dose (max 2 grams)

IV/IM q8 hrs

Question 19

Ceftriaxone

Answer 19

25-50 mg/kg/dose (max 2 grams)

IV/IM q 12-24 hrs

Question 20

Clindamycin

Answer 20

10 mg/kg/dose (max 900 mg)

IV/IM q 6-8 hrs

Question 21

Gentamycin

Answer 21

2.5 mg/kg/dose (maz 120 mg)
IVIM q 8 hrs

5-7.5 mg/kg (max 300 mg)
IV/IM daily

Question 22

Meropenem

Answer 22

10-40 mg/kg/dose (max 2 grams)

IV q 8 hrs

Question 23

Metronidazole

Answer 23

7.5 mg/kg/dose (max 500 mg)

IV q 6 hrs

Question 24

Diazepam (anti-convulsant)

Answer 24

0.1 0.3 mg/kg/dose (max 10 mg)
IV/ IM q 5-10 minutes

0.5 mg/kg (max 20 mg)
PR once
(may repeat 0.25 mg/kg in 10 minutes)

Question 25

Lorazepam (anit-convulsant)

Answer 25

0.05 -0.1 mg/kg/dose (max 4 mg) IV once (may repeat q 10-15 minutes as needed, 8 mg max)

Question 26

Phenobarbital

Answer 26

Loading dose: 15-20 mg/kg/dose (max 1,000 mg) IV once (may repeat after 15 minutes if needed, 40 mg/kg max load) Look up maintenance dose!

Question 27

Fosphenytoin

Answer 27

Loading dose: 15 mg PE/kg IV (single or divided) Maintenance: 2.5 mg PE/kg IV q 12 hrs (adjust by levels)

Question 28

Dexmedetomidine

Answer 28

Load/ Bolus: 1 mcg/kg IV over 10 minutes Infusion: 0.2- 0.7 mcg/kg/hr IV continuous

Question 29

Ketamine

Answer 29

Induction: 0.5 - 2 mg/kg IV once Infusion: 0.2- 0.7 mg/kg/min IV continuous

Question 30

Pentobarbital

Answer 30

1-3 mg/kg/dose (max 100 mg) | IV (may repeat q 5-10 minutes, max 6 mg/kg or 200 mg

Question 31

Captopril

Answer 31

Infant: 0.15 -0.3 mg/kg/dose PO q 8 hrs, up to 2 mg/kg/dose Child: 0.3 -0.5 mg/kg/dose (max 25 mg) PO q 8 hrs, up to 2 mg/kg/dose (max 150 mg)

Question 32

Carvedilol

Answer 32

``` Initial: 0.08 mg/kg/dose (max 3.125 mg) PO BID Goal: 0.5 mg/kg/dose (max 25 mg) ```

Question 33

Diltiazem

Answer 33

Immediate release: 0.5 mg/kg/dose (max 120 mg) PO q 6-8 hours may titrate up to 2 mg/kg/dose

Question 34

Enalapril

Answer 34

0.05 - 0.25 mg/kg/dose (max 10 mg) | PO once daily or BID

Question 35

Esmolol

Answer 35

Loading dose: 100- 500 mcg/kg/dose IV over one minute Infusion: 50-500 mcg/kg/dose (max 1,000 mcg/kg/min) IV continuous

Question 36

Hydralazine

Answer 36

0.25- 0.5 mg/kg/dose (max 25 mg) PO q 6-12 hrs may titrate up to 7.5 mg/kg/day (max 200 mg/day) 0.1-0.2 mg/kg/dose (max 20 mg) IV q 4-6 hrs may titrate up to 0.9 mg/kg/dose (max 40 mg/day)

Question 37

Propranolol

Answer 37

0.25- 1 mg/kg/dose (max 40 mg) PO q 6-12 hrs may titrate up to 15 mg/kg/day (max 640 mg/day) in one or two doses

Question 38

Aspirin

Answer 38

3-5 mg/kg/dose (max 81 mg) | PO once daily

Question 39

Heparin

Answer 39

based on unfractionated heparin draws

Question 40

Warfarin

Answer 40

0.1- 0.2 mg/kg/dose (max 10 mg) PO once 0.05-0.34 mg/kg/dose PO once daily- based on blood draws

Question 41

Enoxaparin

Answer 41

Prophylaxis: 0.5 mg/kg/dose (max 40 mg) SQ q 12 hrs Treatment: 1 mg/kg/dose (max 150 mg) SQ q 12 hrs - based on blood draws

Question 42

Albumin 5%

Answer 42

5-10 ml/kg/dose | IV bolus

Question 43

Albumin 25%

Answer 43

2-4 ml/kg/dose | IV over 30 minutes

Question 44

Bumetanide

Answer 44

0.02 - 0.1 mg/kg/dose (max 2 mg) PO/IV q 6-24 hrs 0.01- 0.04 mg/kg/hour IV continuous infusion

Question 45

Chlorothiazide

Answer 45

10- 20 mg/kg/dose (max 1,000 mg) | PO/IV once or twice daily

Question 46

Furosemide

Answer 46

1- 2 mg/kg/dose (max 40 mg) PO/IV q 6-24 hrs 2-8 mg/kg/day IV continuous infusion

Question 47

Metolazone

Answer 47

0.1 - 0.2 mg/kg/dose (max 10 mg) | PO in one or two doses

Question 48

Spironolactone

Answer 48

0.5 - 1 mg/kg/dose (max 50 mg) | PO q 8-12 hrs