-
Albuterol (Proventil/Ventilin)
2.5-3mg in 2.5 mL NS via Neb
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Fentanyl (Sublimaze)
25-100 mcg over 2-3 mins IV
-
Ipratropium (Atrovent)
500 mcg in 2.5-3 mL NS via neb
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Morphine
- Pain 2.5-15 mg IV; 5-20 mg IM/Sub q
- AMI or PE 1-2 mg 6-10 min to respond
-
Naloxone (Narcan)
0.4-2 mg IV/IM repeated 2-3 mins as needed up to 10
-
Diazepam (Valium)
- Seizure-- 5-10 mg IV/IM
- Anxiety-- 2-5 mg IV/IM
- Premed-- 5-15 mg IV
-
Etomidate (Amidate)
0.1-0.3 mg/kg IV over 15-30 secs
-
Flumazenil (Romazicon)
0.2 mg IV over 30-60 sec to 1 mg
-
Midazolam (Versed)
- 1-2mg slow IV
- 0.07-0.08mg/kg IM
-
Succinylcholine (Anectine)
1-1.5 mg/kg IV/IM
-
Adenosine (Adenocard)
- 1. 6mg rapidly IV w/NS flush
- 2. 12mg in 1-2 mins, may be repeated
-
Atropine
- Symptomatic Bradycardia--0.5 mg IV; 1mg ET 3-5 mins to 3 mg
- Asystole--1mg IV; 2 mg ET 3-5 mins to 3mg
- Poisoning--2-5 mg IV/IM/IO to 15 mins
-
Epinephrine (Adrenalin)
- Arrest--1mg 1:10 IV 3-5mins (ET 2-2.5 mg 1:1) NO MAX
- Allergy--0.3-0.5 mg 1:1 sub q 5-15 mins as needed 0.5-1 1:10 IV if sub q ineffectice
-
Vasopressin (Pitressin)
- Arrest--40 units IV
- Varices--0.2-0.4 units/min drip
-
Aspirin (Alka-seltzer, St Johns Children's, Empirin, Bayer)
160-320 mg PO
-
Dextrose (D-50)
25mg in 50mL IV
-
Furosemide (Lasix)
40-120 mg slow IV
-
Nitroglycerin (Nitrostat)
- 0.4mg SL 3-5 mins up to 3
- 1/2" topical ointment
- 0.4 mg spray SL
-
Dobutamine (Dobutrax)
2-20 mcg/kg/min IV
-
Dopamine (Inotropin)
2.5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect
-
Isoproterenol (Isuprel)
Bradycardia--2-10 mcg/min titrated to cardiac rate
-
Amiodarone (Cordarone/Pacerone)
150-300 mg IV over 10 mins then 1mg/min for 6 hrs
-
Bretylium (Bretylol)
5 mg/kg then 10 mg/kg 15-30mins to max of 30 mg/kg
-
Lidocaine (Xylocaine)
- Cardiac Arrest--1-1.5 mg/kgIV repeated 3-5 min up to 3mg/kg. Follow w/drip of 2-4 mg/min
- V-Tach w/pulse--1-1.5 mg/kg slow IV -> 1/2 dose 5-10 mins up to 3 mg/kg till conversion -> Infusion of 2-4 mg/min
-
Procainamide (Pronestyl)
- 20-30 mg/min IV Drip
- Stop Points--(1) Up to 17 mg/kg to effect -> 1-4 mg (2) Ectopy resolves (3) QRS complex widens >50% than original (4) Hypotension ensues
-
Diltiazem (Cardizem)
0.25 mg/kg IV over 2 mins, repeat as needed w/ 0.35 mg/kg followed by drip of 5-10 mg/hr not exceeding 15 mg/hr over 24 hrs
-
Tridil (Nitroglycerin Injection)
0.2-1.5 mcg/kg/min
-
Verapamil (Isoptin, Calan)
2.5-5 mg IV bolus over 2-3 mins then 5-10 mg aft 15-30 min max
-
Calcium Chloride
2-4 mg/kg IV / 10 mins as needed
-
Methylprednisolone (Solu Medrol)
- Asthma/COPD/Anaphylaxis -- 125-250 mg IV/IM
- Spinal Cord Inj -- 30 mg/kg IV over 15 min, aft 45 min an infusion of 5.4 mg/kg/hr
-
Magnesium Sulphate (Magnesium)
- V-Fib/Tach--1-2 g IV over 2 mins
- Torsade de Pointes -- 1-2 g IV followed ny infusion of 0.5- g/hr IV
- AMI -- 1-2 g IV over 5-30 mins
- Eclampsia -- 2-4 g IV/IM
- Asthma -- 1-2g IV Drip
-
Phenytoin (Dilantin)
- Seizure/Status Epilepticus--10-15 mg/kg slow IV
- Dysrhythmia -- 100 mg slow IV (over 5 min) to max of 1000 mg
-
Sodium Bicarbonate (NaHCO3)
1 mEq/kg IV, then 0.5 mEq/kg/10 min
-
Diphenhydramine (Benadryl)
25-50 mg IV/IM
-
Activated Charcoal (Actidose)
- 325-650 mg PO/ 4-6 hrs
- 650mg PR/4-6 hrs
-
Lorazapam (Ativan)
- Sedation -- 2-4 mg IM, 0.5-2mg IV
- Status Epilepticus -- 2 mg slow IV/PR (2 mg/min)
-
Metoclopromide (Reglan)
10-20 mg IM; 10 mg slow IV (over 1-2 mins)
-
Zophran (Ondansetron)
Single 24 mg tab ODT, 4 mg undiluted over @ least 30 secs
-
Chlordiazepoxide (Librium)
50-100 mg IV/IM
-
Butorphanol (Stadol)
1 mg IV or 3-4 mg IM
-
-
Nalbuphine (Nubain)
5 mg IV/IM/Sub q repeat 2 mg dose as needed to 20 mg
-
Pancuronium (Pavulon)
0.04-0.1 mg/kg IV
-
Vecuronium (Norcuron)
0.08-0.1 mg/kg IV
-
Timoptic
Ophthalmic -- One drop/eye BID
-
Alteplase Recombinant (Activase)
- MI/Stroke -- 15 mg/kg -> 0.75 mg/kg (up to 50) over 30 mins -> 0.5 mg/kg (up to 35 mg) over 60 mins
- Pulmonary Embolism -- 100 mg IV over 2 hrs
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