Cardiac
Amiodarone
A: 300, 150
P: 5mg/kg
Ondansetron/ Zofran
Adult dose: 4-8mg
Peds dose: .1mg/kg
A: 1mg/kg IV/IM (max 50mg)
P: 1mg/kg
Morphine
A: 4-10mg
P: .1mg/kg
Narcan Dose
A: 0.4-2mg
P: 0.1mg/kg
IV/IM/IN/
Adenosine
P: 0.1mg/kg, .2mg/kg
Rapid Boluses
Phenergan/ Promethazine
A: 12.5-25mg IV diluted in at least 10cc
IM- 25mg
- AC or larger vessel
- SBP >100
Haldol/ Halperidol
A:
IV- 2-5mg
IM- 5-10mg
P: not in cogs
Fentanyl
A: 25-50mcg (1-2mcg/kg) (max 100mcg)
P: 0.5-1mcg/kg (max 50mcg) IV/IM
- IN: 2mcg/kg
Calcium
Dose and indications
A: 1g- may repeat once after 5 mins (max 2g)
P: 20mg/kg- repeat 10 mins (max 1g)
IV/IO
Indications: hyperkalemia, CCB OD, BB OD, crush syndrome with EKG changes, hypermagnesium
A: 1mg
P: 0.01mg/kg
Max- 3 doses
Pitocin/ Oxytocin
10 units IM
Followed by IV/IO infusion of 40units in 1L NS (200mL/hr (8units/hr))
Epi 1/100,000 (push dose epi/drip)
A: IV/IO
Push dose: 10-20mcg as needed
Epi drip: 0.05-1mcg/kg/min
Maintain SBP>100
P: 0.05-1mcg/kg/min
maintain SBP>70+ (age in years x2) mmHg
Ketamine
A:
Pain- 40mg/ 100cc over 10 mins or 10mg boluses
Sedation- 4mg/kg IM, 1mg/kg IV
P:
Pain-
Sedation- 3mg/kg IM
Magnesium
Indications and dosage
A: Eclamptic seizures: 5g IV in 100cc over 4 mins
Torsades: 2g IV over 1 minute
Asthma: 2g in 100cc over 20 mins
P: 50mg/kg (max 2g) in 100cc over 20 mins
Lidocaine
A: 1-1.5mg/kg
- repeat 0.5-0.75mg/kg
P: 1mg/kg
Glucagon
A: 1mg IM (may repeat once)
P: 0.01mg/kg (max 1mg)
Tylenol/ Acetaminophen
A- 500-1000mg oral
P- 15mg/kg oral (max 650mg)
Midazolam/ Versed
A:
Sedation- 2.5-5 IV, 5-IM/IN (Max 10mg)
P:
Sedation-0.1mg/kg (max 5mg) IV
IM/IN: 0.2mg/kg (max 5mg/bolus, total max-10mg)
Normal Saline
A: 500mL-1L IV/IO
P: 20mL/kg
Cardiac- 1/2 doses (10ml/kg)
Aspirin
A: 324mg
P: not indicated for peds
Albuterol
P: 2.5mg/3cc
Motrin/ Ibuprofen
A: 600mg oral
P: 10mg/kg oral (600 max)
Sodium Bicarbonate
Indication and dosage
A: 1mEq/kg
- HR>120, QRS>0.10, hypotension unresponsive to fluids, dysrhythmias
P: 1mEq/kg (crush)
- contact OLMC for tricyclic OD's
Indications:
Tricyclic antidepressant OD, Crush syndrome/ prolonged downtime w/ cardiac changes
Atropine
A: 1mg
P: 0.02mg/kg
Bonus: 2mg IV for organophosphate poisonings
Epi 1:1
Indication and dosage
Anaphylaxis and Asthma
A: .3-.5mg IM
P: 0.01mg/kg IM (max 0.3mg)
Stridor-2ml in 3cc NS- nebulized
Transexamic Acid (TXA)
A: 2g in 100mL NS over 10 mins
-Postpartum: 1g IV over 10 mins
P: 15mg/kg in 100mL over 10min (?)
Dextrose
Oral- A: 15g. P: 7.5g
D10-
A: 12.5g IV
P: 5mL/kg (0.5mg/kg)
Nitroglycerin
SBP >100
Ipratropium/ DuoNeb
A: 0.5mg nebulized
P:
5+yrs- 0.5mg
<5yrs- 0.25mg
<1yr- albuterol
A: 15mg IV/IO
P Ages 2+: 0.5mg/kg IV (15mg max)
(single doses only)
Bonus! What medication is a benzo antagonist?
Romazicon/ Flumazenil
Bonus! Name all the H's and T's
Hypoglycemia, Hypothermia, Hypovolemia, Hypoxia, Hydrogen Ions, Hyper/hypokalemia
Thrombus (coronary, pulmonary), Tension pneumo, Tamponade, Toxins, Trauma