acetaminophen
The dose for acetaminophen is
1000mg infused over 15 minutes
The dose for all indications is
2 grams IV or IO infused in a 100ml bag over 2 minutes
The dose for calcium gluconate
3 grams in 100ml infused over 2 minutes or 3 grams slow IV push over 2-5 minutes
What are the three indications for magnesium sulfate
V-Fib/V-tac refractory to amiodarone or Torsades de Pointes
Preeclampsia/eclampsia
Severe asthma refractory to initial treatments
What is the new RSI Ketamine dosing
What is 1mg/kg. After 3 minutes of pre-oxygenation and decision to proceed with intubation, administer an additional 0.5mg/kg?
The indications for acetaminophen are
General musculoskeletal pain or fever over 104 f
The three indications for cefazolin
Open fractures.
Large, deep wounds over joints with anticipated prolonged transport times.
Deep, contaminated wounds with anticipated prolonged transport times
The indications for calcium administration are
Calcium channel blocker overdose with toxic EKG changes. (Bradycardia, junctional rhythms, high degree AV blocks)
Severe hyperkalemia with toxic EKG changes
Cardiac arrest with known renal failure
What is the dose for
V-Fib, polymorphic V-Tac
Preeclampsia/Eclampsia
1. 2 grams IV bolus
2. 4 grams in 250ml infused over 10 minutes
What is the new added contraindication for Adenosine
Irregular wide-complex tachycardias
This medication has three contraindications
Known hypersensitivity
known or suspected chronic liver disease
acetaminophen within the last 4 hours that would make additional dosing supra therapeutic
A contraindication for cefazolin is
Significant allergic reactions to cephalosporins
Cephalexin (Keflex)
Cefadroxil
To prevent precipitation, you must flush the IV/IO line before giving Calcium Gluconate with this medication
Sodium bicarbonate
Magnesium severe asthma dose
2 grams in 250ml infused over 2 minutes
What is the new Fentanyl dosing
Severe pain- 1-2mcg/kg
Max dose changed to a total dose of 3mcg/kg before medical control contact
Current clinical guidelines recommend withholding Acetaminophen in septic patients until they reach this clinical marker
temperature threshold
EMS providers should consider reducing the dose of Cefazolin by half in patients with suspected impairment of this organ system
Reduced kidney function
Rapid administration of calcium can cause
Bradycardia, arrhythmia, cardiac arrest
If a patient experiences severe hypermagnesemia causing flaccid paralysis or respiratory depression, this drug is used as the antidote/treatment
Calcium
The updated versed dosing for alcohol withdrawal is
For a BAWS score <3= 1-2mg IV
For a BAWS score of 3-5= 4mg IV
For a BAWS score >6= call in
This phenomenon occurs when a patient repeatedly takes multiple products containing acetaminophen, building up toxic drug levels over time without necessarily ingesting a single 7-gram overdose
(NyQuil, DayQuil, Norco, Percocet)
chronic supratherapeutic poisoning
Cefazolin is explicitly listed as ineffective against this resistant strain of bacteria
MRSA (Methicillin-Resistant Staphylococcus Aureusughdhhhh)
Patients taking this cardiac drug who are toxic face an increased risk of cardiac irritability, VF, or asystole if given Calcium Gluconate
Digoxin
In the presence of ventricular arrhythmias caused by electrolyte imbalances or drug toxicity, Magnesium Sulfate shortens this specific interval on an EKG
Q-T interval
What's the dose for geriatric IV pain management with Ketamine
0.15mg/kg IV
Other routes remain the same