SWOhioProtocol Flashcards
(30 cards)
Weight Based Drug Calculations
Find Weight in Kg
Multiply weight by dose in mg
Take dose in mg divided by concentration per ml, this is the dose in ml.
12kg Pt needs 5mg/kg of 150mg/3ml amiodarone.
12x5=60. We need 60mg.
Amiodarone is 50mg/1ml
60 divided by 50 is 1.2. we need to draw up 1.2ml of amiodarone.
3% Saline
Head/ Spinal Trauma
Head or spinal trauma w/coma & unilateral or bilateral blown pupils, posturing, or decline in GCS during transport >2 points.
500ml 3% saline
APGAR
————– 0 points —- 1 point —— 2 points
Activity —- Absent —- Arms and legs flexed —- Active Movement
Pulse —— Absent —— Below 100bpm—– Over 100bpm
Grimace —– Flaccid —– Some flexion of extremities— Active motion
Appearance– Blue, Pale — Body pink, extremities blue— Completely Pink
Respiration— Absent —- Slow, irregular —– Vigorous cry
Pediatric Bradycardia
0-3 y/o: HR< 100bpm
3-9 y/o: HR< 60bpm
9-16 y/o: HR< 50bpm
Pt must be symptomatic. Don’t just treat a number
Start with 100% O2 and BVM
If after ventilation HR is below 60 in newborn or child, perform Chest Compressions
Epi 1:10,000 .01mg/kg (.1ml/kg) IV/IO repeat every 3-5min if Bradycardia persists
If bradycardia persist… Atropine .02mg/kg (min .1mg, max .5mg) IV/IO
Push Dose Epi
5-20mcg every 2-5 min
.5-2ml of a 10mcg/ml solution every 2-5min
To mix- Take a 10ml syringe with 9ml of NS. Using a stopcock, draw up 1ml of Epi .1mg/ml cardiac Epi. You now have 10mls of Epi 10mcg/ml
Prednisone
Asthma
60mg PO
Diphenhydramine
(Benadryl)
Allergic Reactions, Anaphylaxis
25-50mg IV/IM
Epinephrine 1mg/1ml (1:1,000)
Anaphylaxis: .3ml IM repeat 5-15min as needed
Asthma with impeding respiratory failure: .3ml IM
Pulseless V-tach/ V-fib D-fib energy level
360 joules for all shocks
Adenosine
Stable SVT
6mg rapid IV push with 10ml flush
2nd dose- 12mg Rapid IV push with 10ml flush
Methylprednisolone
(Solu-medrol)
Asthma
125mg IV or PO
Adrenal Insufficiency
125mg IM/IV/IO
D10
(Dextrose 10%)
Hypoglycemia
6.25-25g IV-IO
(62.5-250ml)
Tranexamic Acid (TXA)
(conditions for use and dose)
A.) Evidence of significant blunt or penetrating trauma
B.) Evidence or concern for severe internal or external bleeding
C.) Hemodynamic instability. Sustained BP<90 or <100 for >75y/o
1g in 100ml of .9% NS, infuse over 10min IV/IO
Fentanyl
25-100mcg IV/IO/IN/IM
Repeated every 5min as needed or 15min for IM
Amiodarone
Pulseless V-tach/V-fib
300mg IV/IO 1st dose
150mg IV/IO 2nd dose
Stable Pulsed V-tach
150mg in 100ml NS over 10min IV/IO. Mau be repeated after 3-5min.
contraindicated for stable V-tach during pregnancy or while breastfeeding
Sodium Bicarbonate
Hyperkalemia: 1mEq/kg IV/IO
Cardiac Arrest: 1mEq/kg IV/IO
Prolonged Extrication >60min: 50mEq in 1L NS over 1hr. Immediately prior to extrication; 1mEq/kg bolus IV
Sodium Channel Blocker OD (tricyclic antidepressants and Benadryl): for prolonged QRS, Hypotension, V-tach 1mEq/kg IV/IO
Ondansetron
4mg IV/IO/IM
or
PO Tablets
IV Drip Rate Math
Time (in min)
Nitroglycerin
Chest Pain
.4mg sublingual 3-5min / max 3 doses if SBP is >100
CHF
.4mg mild symptoms (HR<100, SBP 100-150, RR<25, O2 >94%)
.8mg severe symptoms ( HR>100, SBP>150, RR>25, O2 <94%)
Albuterol
Asthma/COPD or wheezing in Allergic Reactions
2.5mg Nebulized
Calcium Gluconate
Hyperkalemia
1gram mixed in 100ml of NS IV/IO
Atropine
Bradycardia
1mg IV/IO repeat every 3-5min. Max of 3mg
Aspirin
Chest Pain
324mg PO
Magnesium Sulfate
Torsade de Pointes:
2g IV/IO diluted in atleast 10ml of NS over 10min
Asthma with impeding respiratory failure:
2g IV/IO diluted in 100ml NS over 20min (after epi administration)
Eclampsia/Preeclampsia:
4-6g IV in 100ml NS over 20min
