Pharmacology YT Flashcards
(156 cards)
1
Q
ASA Ped Dose
A
324mg PO only if ischemic cardiac hx
2
Q
Ketamine Adult Dose (induction)
A
1-2mg/kg SIVP PRN. Maintain with 1/2 induction dose q5-15 mins
3
Q
Magnesium Sulfate Contraindications (3)
A
Hypersensitivity, myocardial damage, heart block
4
Q
Ketorolac Ped Dose
A
0.5mg/kg (max 30mg) IV
5
Q
Calcium Gluconate Ped Dose (BB/CCB OD)
A
20mg/kg IV (max 1g) over 5mins, q5 mins x1 repeat
6
Q
Nitroglycerine Indications (2)
A
C/P, APE
7
Q
Salbutamol Ped Dose (bronchospasm) (2)*
A
- Ped dosage only applies if weight under 20kg*
- 2.5mg Neb, repeat PRN
- 5x100mcg, repeat PRN
8
Q
Glucagon Adult Dose (anaphylaxis)
A
1mg IV, q5 mins max of 5mg total (especially effective for pts on BB/CCB patients)
9
Q
Ipratropium Bromide Adult Dose (2)
A
- 500mcg Neb, repeat prn max 1500mcg.
- 3-6 sprays (18mcg/spray) MDI, x1 repeat
10
Q
Ketamine Ped Dose (induction)
A
1-2mg/kg SIVP PRN. Maintain with 1/2 induction dose q5-15 mins
11
Q
Calcium Gluconate Indications (3)
A
Hypocalcemia, hyperkalemia/crush injury, OD (BB/CCB)
12
Q
Magnesium Sulfate Adult Dose (torsades)
A
1-2g IV over 15 mins, q5-15 mins PRN
13
Q
Salbutamol Adult Dose (hyperkalemia)
A
20mg Neb
14
Q
Morphine Adult Dose (2)
A
- 2-10mg IV/IM, q5-15 mins
- 0.5-4mg/h infusion IV
15
Q
Midazolam (Versed) Contraindications (3)
A
Hypersensitivity, narrow-angle glaucoma, myasthenia gravis
16
Q
Midazolam (Versed) Ped Dose (seizure) (2)
A
- 0.1mg/kg IV (5mg max), q5 mins PRN
0. 2mg/kg IM/IN (10mg max), q5 mins PRN
17
Q
Nitroglycerine Adult Dose (C/P) (2)
A
- 0.4mg SL q5 mins
- 10-20mcg/min IV increase by 5-10mcg/min every 5-10 mins PRN
18
Q
Magnesium Sulfate Adult Dose (asthma)
A
2g IV over 10 mins
19
Q
Fentanyl Adult Dose (for pain)
A
25-50mcg IV, q5-15 mins PRN
20
Q
Midazolam (Versed) Adult Dose (intubation)
A
0.1mg/kg IV
21
Q
Fentanyl Contraindications (1)
A
Hypersensitivity to opiates
22
Q
Glucagon Adult Dose (BB/CCB OD)
A
5mg IV, q10 mins x2 repeats
23
Q
Haloperidol Contraindications (4)
A
Hypersensitivity, Parkinson’s, CNS depression, 1/2 doses or alternate medication for hypotension
24
Q
Magnesium Sulfate Indications (4)
A
Torsades, eclamptic seizure, TCA OD, asthma
25
Glucagon Ped Dose (hypoglycemia)*
* Ped dosage only applies if weight is less than 25kg*
| 0. 5mg IM
26
Haloperidol Adult Dose
2.5-10mg IM, q5-10 mins max 100mg
27
Calcium Gluconate Ped Dose (hyperkalemia/crush injury)
20mg/kg IV (max 1g), q5 mins x1 repeat
28
Glucagon Contraindications (2)
Hypersensitivity, pheochromocytoma
29
Ephedrine Indications (1)
Post-intubation hypotension (persistant)
30
Ondansetron Ped Dose
0.1mg/kg IM/IV, max 4mg
31
Morphine Contraindications (2)
Hypersensitivity, MAOI use in last 14 days
32
Ipratropium Bromide Ped dose (2)*
* Ped dosage applies only if weight less than 30kg*
- 250mcg Neb, q15mins x2 repeats.
- 4 sprays (18mcg/spray) MDI, q15mis x2 repeats
33
Adenosine Ped Dose
0.1mg/kg RIVP (max 6mg), q1-2 mins x1 repeat of 0.2mg/kg (max 12mg)
34
Salbutamol Indications (2)
Bronchospasm, hyperkalemia
35
Magnesium Sulfate Adult Dose (TCA OD)
1-2g IV over 5 mins
36
Magnesium Sulfate Adult Dose (eclamptic seizure)
4g in 100cc IV over 15 mins
37
Ketamine Indications (3)
Induction, pain, combative
38
Glucagon Adult Dose (hypoglycemia)
1mg IM
39
Ephedrine Adult Dose
0.2mg/kg IV (max 10mg), q5 mins PRN
40
Ketamine Contraindications (4)
Hypersensitivity, HTN/CHF, high ICP, thyrotoxicosis (increased thyroid hormone causing psychosis)
41
Ketorolac Contraindications (2)
Bleeds, advanced renal/hepatic impairment
42
Ketamine Adult Dose (combative)
1mg/kg SIVP PRN
4-5mg/kg IM
Infuse at 1-2mg/kg/h
43
Haloperidol Indications (1)
Chemical restraint
44
Nitroglycerine Contraindications (5)
Hypersensitivity, BP less than 100, ED drugs last 2/48h, severe anemia, cardiac tamponade/restrictive pericarditis
45
Fentanyl Indications (2)
Severe pain, adjunct for intubation
46
Ketamine Adult Dose (pain)
0.25-0.5mg/kg SIVP, q3-5mins max 35mg
47
Fentanyl Adult Dose (for intubation)
1-3mcg/kg IV. Maintain with 50-200mcg/h
48
Succinylcholine Adult Dose
1.5mg/kg IV, maintain with Rocuronium or analgesic maintenance
49
Calcium Gluconate Adult Dose (hypocalcemia)
7-14mEq IV over 15-30 mins
50
Magnesium Sulfate Ped Dose (asthma)
50mg/kg (max 2g) IV over 20 mins
51
Calcium Gluconate Contraindications (3)
Known hypercalcemia, VF, digoxin toxicity (as it may delay depolarization causing VF/VT)
52
Succinylcholine Ped Dose
2mg/kg IV, maintain with Rocuronium or analgesic maintenance
53
Nitroglycerine Adult Dose (APE)
0.4mg SL (or 0.8mg if BP over 160mmHg systolic), then maintain with 20mcg/kg IV, titrate to effect
54
Morphine Ped Dose (2)
- 0.1mg/kg IV/IM (max 5mg) q5-15 mins
| - 0.02-0.06mg/kg/h infusion IV
55
Ketorolac Adult Dose
15-30mg IM/IV, q6h max 120mg/day
56
Glucagon Indications (3)
Hypoglycemia, BB/CCB OD, anaphylaxis refractory to fluids/epinephrine
57
ASA Contraindications (4)
Hypersensitivity, ongoing bleed, peds with viral symptoms, asthma with hx of ASA causing exacerbation
58
Adenosine Adult Dose
6mg RIVP, q1-2 mins x1 repeat of 12mg
59
Ipratropium Bromide Contraindications (2)
Hypersensitivity, Allergy to peanuts/soy
60
Fentanyl Ped Dose (for pain)
0.5mcg/kg IV (max 50mcg), q5-15 mins PRN
61
Salbutamol Adult Dose (bronchospasm) (2)
- 5mg Neb, repeat PRN
| - 8x100mcg MDI, repeat PRN
62
Midazolam (Versed) Ped Dose (intubation)
0.1mg/kg IV
63
Glucagon Ped Dose (BB/CCB OD)
0.1mg/kg IV (max 5mg), q5 mins total max 10mg
64
Calcium Gluconate Adult Dose (BB/CCB OD)
1g IV over 5 mins, q10-15 mins x2 repeat
65
Fentanyl Ped Dose (for intubation)
0.5-1mcg/kg IV. Maintain with 0.5-5mcg/kg/h
66
Midazolam (Versed) Adult Dose (seizure) (2)
- 5mg IV q5-10 mins PRN
| - 10mg IM/IN q5-10 mins PRN
67
Midazolam (Versed) Adult Dose (violent)
2-5mg IM/IN, repeat PRN max 10mg
68
Ketamine Ped Dose (pain)
0.3mg/kg SIVP
69
Ephedrine Contraindications (1)
Hypersensitivity to sympathomimetics
70
Ephedrine Ped Dose
Epinephrine preferred for pediatrics
71
Midazolam (Versed) Ped Dose (violent)
0.2mg/kg IM/IN, repeat PRN max 8mg
72
ASA Adult Dose
324mg PO
73
Succinylcholine Contraindications (4)
Hypersensitivity, hyperkalemia, hx of malignant hyperthermia, major burns/trauma in last 24h
74
Salbutamol Contraindications (2)
Hypersensitivity, hemodynamically significant tachyarrythmias
75
Salbutamol Ped Dose (hyperkalemia)
2.5-5mg Neb continuous
76
Ondansetron Contraindications (3)
Hypersensitivity, current apomorphine use, congenital long QT syndrome
77
Midazolam (Versed) Indications (3)
Seizure, violent, adjunct for intubation
78
Adenosine Contraindications (4)
Hypersensitivity, poison/drug-induced tachycardia, 2nd/3rd-degree heart block, A-fib/sick sinus syndrome with rate above 220
79
Ondansetron Adult Dose
4-8mg IV/IM, max 8mg
80
Haloperidol Ped Dose
0.05-0.15mg/kg IM/IV (max 2mg IV and 5mg IM), q1h PRN
81
Calcium Gluconate Adult Dose (hyperkalemia/crush injury)
1g IV over 5mins, q20 mins x1 repeat
82
Amiodarone Adult Dose (refractory VF/VT)
300mg IV, q3-5 mins x1 repeat of 150mg
83
Amiodarone Ped Dose (refractory VF/VT)
5mg/kg IV (max 300mg), q5 mins x 2 repeats
84
Amiodarone Adult Dose (VT with pulse)
150mg IV over 10 mins
85
Amiodarone Ped Dose (VT with pulse)
5mg/kg IV (max 300mg) over 20-60 mins
86
Amiodarone Contraindications (4)
Hypersensitivity, 2nd/3rd-degree heart block, prolonged QT, pre-excitation a-fib
87
Acetaminophen Indications (2)
Mild to moderate pain, Fever (38.5 degrees+)
88
Acetaminophen Adult Dose
500-1000mg PO/PR
89
Acetaminophen Ped Dose
10-15mg/kg PO/PR (max 1000mg)
90
Acetaminophen Contraindications (2)
Hypersensitivity, hepatic failure
91
Norepinephrine Adult Dose
0.1-1mcg/kg/min IV, titrate to effect
92
Norepinephrine Ped Dose
0.05-0.1mcg/kg/min IV titrate by 0.02mcg/kg/min PRN (max 2mcg/kg/min)
93
Norepinephrine Contraindications (2)
Hypersensitivity, hypovolemia
94
Pantoprazole Indications (2)
GERD/ulcers, GI bleed
95
Pantoprazole Adult Dose (GERD/ulcers)
40mg IV/PO
96
Pantoprazole Adult Dose (GI bleed)
80mg IV over 15 mins, then an additional 40mg @8mg/h
97
Pantoprazole Contraindications (2)
Hypersensitivity, lactation
98
Atropine Indications (2)
Symptomatic bradycardia, organophosphate poisoning
99
Atropine Adult Dose (bradycardia)
0.5mg IV, q3-5 mins max 3mg
100
Atropine Ped Dose (bradycardia)
0.02mg/kg IV (min of 0.1mg, max of 0.5mg), q3 mins x1 repeat
101
Atropine Adult Dose (organophosphate poisoning)
2-5mg IV, q2-5 mins PRN
102
Atropine Ped Dose (organophosphate poisoning)
0.05mg/kg IV (min 0.1mg, max 5mg), q2-5mins PRN
103
Atropine Contraindications (2)
Hypersensitivity to anticholinergics, tachycardia
104
Diphenhydramine Adult Dose
50mg IV/IM/PO
105
Diphenhydramine Ped Dose
1mg/kg IM/IV/PO (max 40mg)
106
Diphenhydramine Contraindications (1)
Hypersensitivity
107
Dopamine Adult Dose
Renal: 0.5-2mcg/kg/min IV
Beta 1: 2-10mcg/kg/min IV
Alpha: 10-20mcg/kg/min IV
108
Dopamine Ped Dose
Increase the following by 1mcg/kg/min:
Renal: 0.5-2mcg/kg/min IV
Beta 1: 2-10mcg/kg/min IV
Alpha: 10-20mcg/kg/min IV
109
Dopamine Contraindications (1)
Hypersensitivity
110
Dimenhydrinate Adult Dose
25-50mg IM/IV (12.5mg if frail or elderly)
111
Dimenhydrinate Ped Dose
1.25mg/kg SIVP (max 40mg)
112
Dimenhydrinate Contraindications (1)
Hypersensitivity to Gravol, Benedryl, or caffeine
113
Thiamine Indications (2)
Hypoglycemia with ETOH abuse/malnourishment, methanol ingestion
114
Thiamine Adult dose (hypoglycemia)
100mg IV/IM
115
Thiamine Adult dose (methanol ingestion)
100mg IV/IM
116
Thiamine Contraindications (1)
Hypersensitivity
117
Oxytocin Adult Dose
10 units IM, then maintain with: 40 units in 1000mL, bolus 500mL then 125mL/h infusion
118
Oxytocin Contraindications (1)
Pt candidate for multiple births
119
TXA Adult Dose
1g IV over 10 mins
120
TXA Ped Dose
15mg/kg IV (max 1g) over 10 mins
121
TXA Contraindications (3)
Hypersensitivity, over 3h past injury, ongoing thromboembolism
122
Sodium Bicarbonate Indications (4)
Acidosis, OD (sympathomimetic, BB, TCA, ASA, methanol), anticholinergic poisoning, crush syndrome/hyperkalemia
123
Sodium Bicarbonate Adult Dose (acidosis)
2-5 mEq/kg IV over 4-8 hours
124
Sodium Bicarbonate Ped Dose (acidosis)
1 mEq/kg IV (max 50 mEq)
125
Sodium Bicarbonate Adult Dose (OD)
1-2 mEq/kg IV, if no response infuse 150 mEq in 1000mL @ 250mL/h IV
126
Sodium Bicarbonate Ped Dose (OD)
1-2 mEq/kg IV, if no response infuse 150 mEq in 1000mL @ 250mL/h IV
127
Sodium Bicarbonate Adult Dose (anticholinergic poisoning)
1 mEq/kg SIVP, q5 mins x1 repeat, if no response: infuse 150 mEq in 1000mL @ 250mL/h IV
128
Sodium Bicarbonate Adult Dose (crush/hyperkalemia)
50 mEq IV
129
Sodium Bicarbonate Ped Dose (crush/hyperkalemia)
1 mEq/kg SIVP (max 50 mEq)
130
Sodium Bicarbonate Contraindications (2)
Early cardiac arrest, early respiratory arrest
131
Dextrose Adult Dose
10-25g IV, repeat PRN
132
Dextrose Ped Dose
0.5g/kg IV (max 25g), repeat PRN
133
Dextrose Ped Younger Than 6w Dose
0.2g/kg IV (max 25g), repeat PRN
134
Furosemide Indications (2)
APE, hyperkalemia with ECG changes
135
Furosemide Adult Dose (APE)
40-80mg IV (consider larger dose if they take large dose furosemide)
136
Furosemide Adult Dose (hyperkalemia with ECG changes)
20-40mg IV
137
Furosemide Ped Dose (hyperkalemia with ECG changes)
0.5-1mg/kg IV (max 40mg)
138
Furosemide Contraindications (3)
Hypersensitivity, anuria, severe hypotension
139
Diazepam (Valium) Adult Dose
5mg IV, q5-10mins PRN
140
Diazepam (Valium) Ped Dose
0.3mg/kg IV (max 5mg), q5-10 mins PRN
141
Diazepam (Valium) Contraindications (2)
Hypersensitivity, hypoglycemic seizures
142
Lorazepam (Ativan) Indications (3)
Seizure, violent, anxiety
143
Lorazepam (Ativan) Adult Dose (seizure)
2mg IV, q5 mins PRN
144
Lorazepam (Ativan) Ped Dose (seizure)
0.1mg/kg SIVP (max 4mg), q5 mins x1 repeat
145
Lorazepam (Ativan) Adult Dose (violent)
2-4mg IV/IM/PO, q10 mins until sedation
146
Lorazepam (Ativan) Ped Dose (violent)
0.1mg/kg IV (max 4mg), q5 mins 1/2 doses PRN
147
Lorazepam (Ativan) Adult Dose (anxiety)
1-2mg IV/PO, q10 mins max 8mg
148
Lorazepam (Ativan) Contraindications (3)
Hypersensitivity, narrow-angle glaucoma, myasthenia gravis
149
Epinephrine Indications (4)
Severe bronchospasm, anaphylaxis, cardiac arrest, croup
150
Epinephrine Adult Dose (bronchospasm)
0.3mg IM, q5-10 mins x2 repeats
151
Epinephrine Ped Dose (bronchospasm)
0.01mg/kg IM (max 0.3mg), q5-10 mins x 2 repeats
152
Epinephrine Adult Dose (anaphylaxis)
0.3mg IM, q5 mins PRN
153
Epinephrine Ped Dose (anaphylaxis)
0.01mg/kg IM (max 0.3mg), q5 mins PRN
154
Epinephrine Adult Dose (cardiac arrest)
1mg IV (1:10'000), q3-5 mins PRN
155
Epinephrine Ped Dose (cardiac arrest)
0.01mg/kg IV (1:10'000) (max 1mg), q3-5 mins PRN
156
Epinephrine Ped Dose (croup)
0.5mg/kg Neb (max 5mg), mixed with 5mL of NS
