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Flashcards in My Broadview Prep Deck (10):
1

Epinephrine

In Anaphylaxis (IM) (Lateral of thigh):

1. Dosage
2. Solution
3. Repetition

Child 0.01 mg/kg,
Adult 0.5 mg.

Solution: Epinephrine 1/1K, (1 mg/ml)

Repeat Q5min if needed.



2

Epinephrine

In VF or Pulseless VT or Asystole:
(IV or IO)

1. Dosage
2. Solution
3. Repetition

Child 0.01 mg/kg,
Adult 1 mg

Solution 1/Ten K (0.1 mg/ml)

Repeat Q3min



3

Epinephrine

Compare 1/1,000 with 1/10,000 solutions

1/1K
= 1 mg/ml
Recommended for IM injection (Anaphylaxis)

1/10K
= 0.1 mg/ml
Recommended for IV or IO injection (ACLS, PCLS)

4

Amiodarone

Dosage in VF or Pulseless VT

Dosage in Stable VT

IV Push 300 mg

IV 150 mg over 10 min

5

Magnesium Sulfate

Dosage in Torsades

2 gram IV bolus of magnesium sulfate
(4 mL of 50% solution [ie, 500 mg/mL] mixed with D5W to a total volume of 10 mL or more)

The rate of magnesium infusion depends on the clinical situation. In patients with pulseless cardiac arrest, infusion occurs over one to two minutes; in patients without cardiac arrest, infusion should occur over 15 minutes as rapid magnesium infusion may be associated with hypotension

6

Tachycardia Algorithm:

If unstable?

Cardioversion 100 J

7

Tachycardia Algorithm:

If Stable, then look at QRS.

If wide?

Amiodarone 150 mg over 10 min

8

Tachycardia Algorithm:

If Stable, then look at QRS.

If narrow and irregular?

AFib

Metoprolol or Diltiazem or Amiodarone

9

Tachycardia Algorithm:

If Stable, then look at QRS.

If narrow and regular?

ST or SVT or AFlutter 2:1

VV or Adenosine or Metoprolol or Diltiazem

10

Labetalol in HTN Emergency

10 to 20 mg IV push over 2 min
Repeat every 10 min.