Dosages
What is the pediatric dose for acetaminophen?
15mg/kg
What is an indication for racemic epinephrine?
Stridor at rest
What is a relative contraindication for ondansetron?
1st trimester pregnancy (should only be used for intractable vomiting)
This anticholinergic works to counteract organophosphate poisoning
Atropine sulfate
What are the “Six Rights” of drug administration?
right patient, right drug, right dose, right route, right time, right documentation
What is the correct dose for amiodarone in a cardiac arrest patient?
300 mg IV bolus, additional 150mg in 3-5 minutes
This medication is preferred for sedating a combative head injury patients
Droperidol
What blood pressure would contraindicate the use of nitroglycerin?
Systolic under 100
How does Glucagon work?
Increases blood sugar concentration by converting liver glycogen to glucose
Eliquis, Xarelto, Warfarin, and Lovenox are all what class of drugs which should raise your index of suspicion in elderly trauma patients?
Anticoagulants/blood thinners
How would you mix push-dose epinephrine using a 10mL NS flush and cardiac epi?
Waste 1 mL saline, draw up 1mL of epi, LABEL syringe
This medication is preferred for treating status epilepticus, and sedation for cardioversion
Midazolam
What do our protocols list as the 2 contraindications for adenosine administration?
Irregular tachycardia (specifically wide-complex), heart transplant
What group of drugs works by increasing GABA activity in the brain, which inhibits neurotransmitters?
benzodiazepines
Metoprolol, atenolol, are bisoprolol are examples of what class of medication, and how do they work?
Beta-blockers: lower heart rate and blood pressure by blocking the effects of adrenaline
What are the doses for diphenhydramine in adults over and under 65?
50mg IV/IO/IM adults, 25 mg IV/IO/IM over 65
What is the indication for using magnesium to treat preeclampsia?
Pregnancy at or over 20 weeks, up to 6 weeks postpartum
The presence of afib/atrial flutter associated with this condition is a contraindication for diltiazem
Wolff-Parkinson White syndrome (WPW)
How does adenosine work to resolve narrow-complex SVT?
Adenosine transiently blocks conduction through the AV node thereby terminating reentrant tachycardias involving the AV node.
This class of drugs (including Sertraline, Lexapro, Prozac, and Celaxa) can increase a patient’s risk of heat-related illness.
SSRIs
What is the maximum pediatric dose of midazolam for treating seizures?
10mg IN/IM (0.2mg/kg) or 5mg IV (0.1 mg/kg) repeated once after 5 min, then base contact for additional doses
What is an indication for Glucagon aside from hypoglycemia?
Hypotension, bradycardia from beta-blocker or calcium channel overdose
What is a relative contraindication for dexamethasone?
Diabetes with hyperglycemia
How does albuterol work to temporarily counteract hyperkalemia?
Because of its ß agonist properties, it causes potassium to move across cell membranes inside cells. This lowers serum potassium concentration and makes albuterol an effective temporizing treatment for unstable patients with hyperkalemia.
What does “Just Culture” mean according to our protocols?
Self-reported errors should lead to a root cause analysis and not punitive action to encourage honest and timely reporting of medication errors/near misses.