The dose for Diphenhydramine (Benadryl)
Adult [25-50mg] Slow IV/IO at a rate of 1ml/min or deep IM injection
Pediatric [1 mg/kg] slow IV/IO deep IM injection with a max dose of 50 mg
The dose for Aspirin
Adult [324 mg] orally
Peds: Should not be given
Hypersensitivity
Cardiac dilation
Coronary insufficiency
Epi
Treatment and prevention of nausea and vomiting.
Ondansetron
Febrile seizures occur in normal children between 6 months and 6 years. Seizures are short and usually do not require anti-seizure drug therapy.
Ibuprofen
Lidocaine
20-40 mg IO push
Ibuprofen
Adult [10mg/kg] up to 800mg PO
Peds [10 mg/kg] PO not to exceed 800 mg.
Hypersensitivity,
Pts particularly sensitive to respiratory depression
Myasthenia gravis (*200 extra points if definition provided)
Pregnancy
Fentanyl
Myasthenia Gravis :a chronic autoimmune disorder in which antibodies destroy the communication between nerves and muscle, resulting in weakness of the skeletal muscles.
Wheezing associated with asthma
COPD (emphysema)
Chronic bronchitis
Albuterol
May decrease arterial oxygen tension acutely by causing bronchodilation in areas of the lung with poor blood perfusion.
Albuterol
The dose for Promethazine (Phenergan)
Adult [12.5- 25 mg] PO, IV/IO, IM
Ibuprofen dosage for a patient who weighs 62 lbs.
Around 280 mg.
Dextrose
Give at least 5
1-Hyperglycemia
2-Diabetic coma
3-Intra-cranial or intraspinal
4- Anuria
5-Dehydrated Patients with delirium trements
6-Unconscious (for oral dextrose)
1) Symptomatic sinus bradycardia or A-V blocks
2) Anticholinesterase poisonings- organophophate, mushrooms, and nerve agents
3) Adjunct in the treatment of bronchial asthma
Atropine Sulfate
Generalized vasodilation may cause profound hypotension and reflex tachycardia.
Nitro
Morphine and Route
Adult [4-10 mg] slow IV/IO titrating 2-4 mg every 10 minutes to effect.
Peds (2-12 yrs) [0.05-o.1 mg/kg] slow IV/ IO titrated to effect
Dosage for Epi (EMT)
Adult 0.3 mg (1;1000) IM
Peds 0.01 mg/kg (1:1000) IM, max dose for .3mg
Allergy to NSAIDS
Perioperative pain in setting of CABG surgery
Preterm infants with suspected infection
Coagulation defects
Renal Impairment
Ibuprofen
Local anesthetic for IO cannulation
Lidocaine Hydrochloride
Abdominal distension, muscle rigidity, and/or urinary retention may be seen at high doses.
Morphine
Dosage for Ondansetron and Route
Adult [4mg] IV/IO/PO/IM
8mg oral dissolving tablets
Peds [.05-.1 mg/kg] IV/IO/IM max dose 4mg
Dosage for activated Charcoal, the patient is a 110 lb female.
50 grams
Nitro
List at least 5
Hypersensitivity
Severe Hypotension
Increased intra-cranial pressure
Severe anemia
Extreme bradycardia
Tachycardia Confirmed right ventricular infarcation
List 3 indications for Dextrose
1) Sympathomimetic hypoglycemia
2)Unconsciousness with suspected hypoglycemia
3)Seizures (associated with decreased BGL) (unkown etiology) (new onset) (known diabetic actively seizing)
The vital signs must be monitored during therapy, caution should be used when administering it to elderly pt. and those with cardiovascular diseases or hypertension.
Ipratropium