Doseages

Question 1

Adenosine

Answer 1

Narrow Complex Tach - 12mg w/ immediate 10mL flush. May repeat @ 12-18mg

Question 2

Sodium BiCarbonate

Answer 2

1mEq/kg -

• Asystole/PEA
• Excited Delirium (in 1 L NS wide open for suspected hyperkalemia)

Question 3

PEDIATRIC

Diltiazem

Answer 3

0.25mg/Kg -

• OLMC - Afib/Flutter

Question 4

Midazolam Hydrochloride

(Versed)

Answer 4

5mg -

• AFib/Flutter, Bradycardia, Narrow Complex Tach w/ a Pulse. Induced Hypothermia (may repeat Q 10mins)
• Advanced Airway (Post Intubation) Q 3mins or PRN.
• Seizure (IV/IO/IM) may repeat Q 10min
• Anxiety/Behavioral (UP to 5mg for SEVERE SYMPTOMS ONLY!)
• Combative/Resistant PT

10mg -

• Seizure (IM)

​

Question 5

Ketamine Hydrochloride

(Ketalar)

Answer 5

0.5mg/kg -

• AFib/Flutter,Narrow Complex Tach,

2mg/kg -

• Advanced Airway

5mg/kg -

• Combative/Resistant PT (may repeat once in 20mins)

Question 6

Epinephrine Hydrochloride

Answer 6

1:10,000 - 1mg Q 4mins up to 5mg total

Asystole/PEA, VFib/Pulselss VTach,

1:1000 - 0.3mg IM

• Persistent SBP<90 2mg in 100mL NS. Begin at 5mcg/min. Titrate to SBP>90

Question 7

Ondansetron

(Zofran)

Answer 7

4-8mg IV/IO/IM -

• Nausea/Emesis (may repeat once)

Question 8

PEDIATRIC

Midazolam Hydrochloride

Answer 8

0.1 - 0.2mg/Kg -

• Afib/Flutter

Question 9

Ditiazem

(Cardizem)

Answer 9

A-Fib/Flutter - 10mg over 2mins for HR >150. May repeat at 20mg after 15mins

Question 10

Haloperidol

(Haldol)

Answer 10

5mg -

*

Question 11

Amiodarone Hydrochloride (Cordarone)

Answer 11

Wide Complex Tach w/ a pulse - 150mg in 100mL NS over 10mins. Repeat x 1 PRN

VFib/Pulselss VTach - 300mg, repeat once @ 4mins

Pediatric

Afib/Flutter - (OLMC) IV/IO 5mg/Kg in 100mL NS over 20mins

Question 12

Succinylcholine

Answer 12

2mg/kg -

Advanced Airway

Question 13

Glucagon

Answer 13

1mg IM

• Hypoglycemia (repeat once after 15mins)

Question 14

Atropine Sulfate

Answer 14

Bradycardia - 0.5mg, may repeat Q 3mins. MAX 3mg.

Question 15

Methylprednisolone

(Solu-Medrol)

Answer 15

125mg IV/IO -

• Adult Dyspnea, Allergic Reaction/Anaphylaxis

Question 16

Nalaxone

(Narcan)

Answer 16

2mg IV/IO/IN -

• Altered Mental Status

Question 17

Diphenhydramine

(Benadryl)

Answer 17

25-50mg IV/IO/IM

• Allergic Reaction/Anaphylaxis
• Migraine

Question 18

Magnesium Sulfate

Answer 18

2G in 100mL NS over 10min-

• Wide Complex Tach w/ a Pulse (if Torsades), Adult Dyspnea,

Question 19

Nitroglycerin - Spray/Paste/Tablets

Answer 19

[tab] 0.4mg Q 5min x 3 (SBP >100)

[pas] 1 inch, 15mg (SBP > 100)

• ACS/STEMI, CHF/Pulmonary Edema

Question 20

Norepinephrine

Answer 20

ROSC - 2mg in 100mL NS @ 5 mcg/min. Titrate to SBP >90

2mg in 100mL

• Adult Circulatory Support (begin at 5mcg/min titrate up to 20mcg/min)

Question 21

Metoclopramide

(Reglan)

Answer 21

10mg in 1 L NS

• Migraine
• Nausea/Emesis