-
Acetaminophen (Tylenol)
Antipyretic, Analgesic
Pedi Dose
15 mg/kg every 4-6 hours as needed
-
Activated Charcoal
Absorbant
Adult
30-50-100 gms
-
Activated Charcoal
Absorbant
Pedi Dose
1-2 gms/kg
-
Adenosine (Adenocard)
PSVT
Adult Dose
6 mg IV over 1-2 sec; may repeat 12 mg 2X at 2 min intervals
-
Adenosine (Adenocard)
PSVT
Pedi Dose
0.1 mg/kg, may repeat 2X at 0.2mg/kg
-
Albuterol (Ventolin, Proventil)
Bronshospasm
Adult
2.5 mg (0.5ml of the 0.5% solution diluted to 3ml NS) for nebulized updraft. May repeat in 10-20 minutes.
-
Albuterol (Ventolin, Proventil)
Bronshospasm
Pedi
same as adult
-
Amiodarone (Cordorone)
Antiarrythmic
Adult Dose - Cardiac Arrest
300 mg IV; may repeat at 150 mg
-
Amiodarone (Cordorone)
Antiarrythmic
Adult Dose - Wide Complex Tachycardia w/ Pulse > 150bpm
150 mg IV over 10 minutes (Drip - 1mg/min)
-
Amiodarone (Cordorone)
Antiarrythmic
Pedi Dose - Wide Complex Tachycardia, QRS wide for age > 0.08sec (adequate & poor perfusion)
5 mg/kg IV over 20-60 min
-
Amiodarone (Cordorone)
Antiarrythmic
Pedi Dose - Cardiac Arrest (pulseless)
5mg/kg IV/IO
-
Aspirin (Acetylsalicylic Acid)
Antiplatelet
Dose
325mg tab or 4 chewable baby (81mg per tab)
-
Atropine (Atropine Sulfate)
Antimuscarinic, Parasympathetic Blocker, Antichilinergic
Pedi - Bradycardia
0.02 mg/kg IV
-
Benzpcaine Spray (Cetacaine)
Topical Anesthetic
Dose General
.5 sec spray to posterior pharynx - allow 20-30 seconds for effect. Do not exceed 1 sec (200mg/sec)
-
Bumetanide (Bumex)
Loop Diuretic
Adult Only
1-2 mg IV push slow
-
Calcium Chloride
Electrolyte
Dose Adult
usual dose 5-10mg of 10% Calcium Chloride in 10ml IV
-
Calcium Chloride
Electrolyte
Dose Pedi
0.2 ml/kg of 10% concentration (more clarity!!!)
-
Carioversion
Adult - Narrow Regular
50-100J
-
Carioversion
Adult - Narrow Irregular
120-200J
-
Carioversion
Adult - Wide Regular
100J
-
Carioversion
Adult - Wide Irregular
defib dose -> 120-200J
-
Carioversioin
Pedi
- Synchronized
- 0.5 - 1 j/kg (may increase to 2 j/kg if needed)
-
Defibrillate
Pedi
- 1st shock: 2 j/kg
- 2nd shock 4 j/kg
-
Dextrose (D50W or D25W)
Carbohydrate
Adult Dose
25 gm slow IV push, may repeat IV slow - CONFIRM IV PLACEMENT PRIOR TO & DURING ADMIN
-
Dextrose (D50W or D25W)
Carbohydrate
Pedi Dose
1ml/kg of D50W slow IV push. Dilute 1-4 in those less than 1 week old and dilute 1 to 2 (D25W) in those 1 week to 16 y/o - CONFIRM IV PLACEMENT PRIOR TO & DURING ADMIN
-
Diazepam (Valium)
Benzodiazepine
Adult Dose - Control Seizure Activity
2-20 mg
-
Diazepam (Valium)
Benzodiazepine
Adult Dose - Anxiety
2-5 mg
-
Diazepam (Valium)
Benzodiazepine
Adult Dose - Pre-Cardioversion
2-5 mg
-
Diazepam (Valium)
Benzodiazepine
Pedi Dose - Control Seizure Activity
.5mg/min - total dose .5mg/kg
-
Diphenhydramine (Benadryl)
Antihistamine, H1 blocker
Dose General
25-50mg IV/IM
-
Dopamine (Intropin)
Catecholamine (naturally occurring), Agrenergic Agent
Dose - Adult & Pedi
2.0 - 20.0 mcg/kg/min titrated to effect
-
Epinephrine 1:10,000
Natural Catecholamine, Adrenergic
Adult Dose - Cardiac Arrest
0.5-1.0 mg IV, IO, ET (ET 2X dose)
-
Epinephrine 1:10,000
Natural Catecholamine, Adrenergic
Pedi Dose - Anaphyaxis w/ Shock
0.01 mg/kg slow IV, IO push (max 0.3mg)
-
Epinephrine 1:1,000
Natural Catecholamine, Adrenergic
Adult Dose - Alergic Reaction
0.3 mg SQ
-
Epinephrine 1:1,000
Natural Catecholamine, Adrenergic
Adult Dose - Status Asthmaticus
0.3 mg SQ
-
Epinephrine 1:1,000
Natural Catecholamine, Adrenergic
Adult Dose - Laryngeal or Linqual Edema
0.3 mg SQ
-
Epinephrine 1:1,000
Natural Catecholamine, Adrenergic
Pedi Dose - Status Asthmaticus
0.01 mg/kg (0.3 mg max)
-
Epinephrine 1:1,000
Natural Catecholamine, Adrenergic
Pedi Dose - Alergic Reaction
0.01 mg/kg (0.3 mg max)
-
Epinephrine 1:1,000
Natural Catecholamine, Adrenergic
Pedi Dose - Laryngeal or Lingual Edema
0.01 mg/kg (0.3 mg max)
-
Epinephrine 1:1,000
Natural Catecholamine, AdrenergicPedi
Dose - Status Asthmaticus
0.01 mg/kg (0.3 mg max)
-
Furosemide (Lasix)
Loop Diuretic
Dose Adult Only
0.5 - 1.0 mg/kg (usual dose 40mg) or douple the pt's usual daily dose up to 200mg IV slow
-
Glucagon
Pancreatic Hormone
Dose - Adult
1mg (1 unit)
-
Glucagon
Pancreatic Hormone
Dose - Pedi
0.5-1.0 mg
-
Haloperidol (Haldol)
Tranquilizer, Anticpychotic
Dose - Adult Only
5mg IM
-
Ipratropium (Atrovent)
Anticholinergic Bronchodilator
Adult Dose - Respitory Distress (Asthma & COPD)
0.5mg (2.5ml) in 3ml via neb- may be given w/ Albuterol (Combivent) 1X or repeat w/ Med Control
-
Ketoraloc Tromethamine (Toradol)
Non-Steroidal Anti-Inflamatory (NSAID)
Adult Dose
- Pt's < 65 y/o: 1 dose 30mg slow IV or deep IM
- Pt's > 65 y/o, renally impaired & or < 50kg (110lb) 1 dose 15mg slow IV or deep IM
-
Ketoraloc Tromethamine (Toradol)
Non-Steroidal Anti-Inflamatory (NSAID)
Pedi Dose
1 dose 0.5mg/kg max of 30mg slow IV or deep IM
-
Lactated Ringers
Isotonic Crystalloid
Adult Dose
Pt condition dependent; TKO, rapid bolus, "wide open" - IV
-
Lactated Ringers
Isotonic Crystalloid
Pedi Dose
TKO, 20ml/kg (bolus)
-
Lidocaine (Xylocaine)
Antiarrhythmic
Adult Dose
1.0 - 1.5 mg/kg, may repeat 3-5 minutes IV drip (usual dosage rate 2-4 mg/min)
-
Lidocaine (Xylocaine)
Antiarrhythmic
Pedi Dose
1.0 mg/kg (total pedi dose 3 mg/kg)
-
Lorazepam (Ativan)
Benzodiazepine
Adult Dose Status Epilepticus
- 2mg slow IV (< 2mg/min) or IM; repeat if condition persists every 5 minutes.
- [slow IV (< 2 mg/min) diluted in at least = volume of NS; IM undiluted]
-
Lorazepam (Ativan)
Benzodiazepine
Adult Dose Agitation / Axiety Relief
- 0.5-2.0 mg slow IV (< 2 mg/min) or IM
- [slow IV (< 2 mg/min) diluted in at least = volume of NS; IM undiluted]
-
Lorazepam (Ativan)
Benzodiazepine
Pedi Dose Status Epilepticus
- 0.1 mg/kg (max 2 mg per dose) slow IV (< 2 mg/min) or IM
- [slow IV (< 2 mg/min) diluted in at least = volume of NS; IM undiluted]
-
Magnesium Sulfate
Electrolyte
Torsades - Adult
2 gm IV over 1-2 min
-
Magnesium Sulfate
Electrolyte
Pre-Eclampsia - Adult
4 gm IV drip over 30 min if actively seizing
-
Magnesium Sulfate
Electrolyte
VF/VT w/ Documented Hypomagnesemia - Adult
2 gm IV bolus
-
Magnesium Sulfate
Electrolyte
Severe Asthma - Adult
2 gm in 100cc over 10 min IV infusion
-
Methylprednisolone (Solu-Medrol)
Steroid, Glucucorticoid, Anti-Inflammatory
Reactive Airway Disease - General Dose
40-125 mg IV push/IV drip
-
Metoclopramide Hydrochloride (Reglan)
Anti-nausea/Antiemetic
ADULT ONLY > 14 y/o
10 mg IV push slow (1-2 min)
-
Metoprolol Tartrate (Lopressor)
Beta Adrenergic Antagonist
Adult Dose ONLY
5.0 mg SIVP every 2 min up to 15 mg
-
Midazolam (Versed)
Benzodiazepine (short acting)
General Dose
2-5 mg (0.1 mg/kg); Admin 50% dose to pt's > 70 y/o
-
Morphine
Analgesic
Adult Dose
- initial 0.1 mg/kg (5-10mg) slow IV 4-5min
- repeat 0.05 mg/kg slow IV after 15min if needed
-
Morphine
ACS
Adult Dose
2mg slow IV
-
Morphine
Pulmonary edema
Adult Dose
2-5 mg slow IV
-
Morphine
Pedi Dose
0.1mg/kg (usual dose) slow IV or IM
-
Naloxone (Narcan)
Narcotic Antagonist
Adult
- 0.4-2.0 mg - titrate to respiratory effort
- IV push; IM; IN; ET
-
Naloxone (Narcan)
Narcotic Antagonist
Pedi
0.1 mg/kg (max 2 mg per dose)
-
Nitroglycerin
Smooth Muscle Relaxant, Vascular
Dose
- 0.4 mg may repeat q 3-5 minutes, titrate to pain, effect & BP
- sublingual - spray or tablet
-
Normal Saline (0.9% NaCl)
Isotonic Electrolyte
Adult Dose
Pt condition dependent; TKO, rapid bolus, "wide open" - IV
-
Normal Saline (0.9% NaCl)
Isotonic Electrolyte
Adult Dose
TKO or 20ml/kg bolus
-
Ondansetron (Zofran)
Antiemetic; Serotonin Receptor Antagonist, 5-HT3
Adult Dose
4mg IM or Slow IV 2-5 minutes
-
Ondansetron (Zofran)
Antiemetic; Serotonin Receptor Antagonist, 5-HT3
Pedi Dose
0.1 mk/kg (max. single dose 4mg) IM or slow IV 2-5 min
-
Phenylephrine (Neo-Synephrine)
Topical Vasoconstrictor
Dose (facilitate nasotracheal intubation)
2-4 sprays each nostril
-
Procainamide (Pronestyl)
Antiarrhythmic
Adult Dose
- 20 mg/min until...
- 1. arrhythmia is suppressed
- 2. hypotension ensues
- 3. QRS complex is widened by >50% of original width
- 4. 1 gram has been given
-
Procainamide (Pronestyl)
Antiarrhythmic
Pedi Dose
(for V-tach w/ a pulse w/ good & poor perfusion)
15 mg/kg IV over 30-60 for min
-
Promethazine (Phenergan)
Antihistamine (H1antagonist)
General Dose
12.5 mg max single IV dose; 25 mg max total dose (depending on size & weight of pt)
-
Sodium Bicarbonate (NaHCO3)
Alkalotic Agent
General Dose
1.0 mEq/kg IV, may repeat if indicated 1/2 initial dose
-
Tetracaine Ophthalmic Solution
Topical Anesthetic For Eye Only
Adult Dose
1 or 2 drops to the affected eye
-
Tetracaine Ophthalmic Solution
Topical Anesthetic For Eye Only
Pedi Dose
same as adult
-
Vasopressin (Pitressin)
Vasopressor, Antidiuretic
Dose
1X dose of 40 units IV push
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