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Aspirin for chest pain
325 mg or 4 baby aspirin
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Atropine for bradicardia with a pulse
0.5mg Q3-5 minutes up to a max of 3mg
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Epi in a code
1:10,000. 1 mg Q3-5 minutes
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Adinosine for SVT
If QRS is .12 or > must be monomorphic. 6mg, 12mg, 12mg
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Versed sedation dose (chemical restraints)
2.5-5.0mg up to 10mg
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Versed in seizures
- 5-10mg IM
- 2.5-5.0mg IV up to 10mg
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Valium/ Diazepam sedation dose
1-2mg
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Valium/Diazepam Seizure
2mg/min up to 10mg
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Morphine sedation dose
2-10mg
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Morphine for pain management
- 2mg doses up to 10mg IV if BP>90
- 5-10mg IM
- 2-10mg IV/IO/IM. May repeat up to 20mg max for major burns
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Dopamine for bradycardia
Infuse 2-10mcg/kg/min
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Epi for Bradycardia
Infuse 2-10mcg/kg/min
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Epi for bronchospasm
0.3mg of 1:1,000 IM if BP<180 an no hx of CAD
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Epi for anaphylaxis
- 0.01mg/kg up to 0.3mg of 1:1,000 IM.
- If no response infuse 2-10mcg/min for shock
- If cardiovascular collapse is present 0.3-0.5mg IV/IO/ET 1:10,000
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How do you mix Epi for infusion
- 2mg of 1:1,000 in 250cc bag of NS. = 8mcg/cc
- 60gtts tube at 15gtts/min = 2mcg/min
- 60gtts tube at 75gtts/min = 10mcg/min
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Albuterol for bronchospasm
2.5mg in 3cc
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Atrovent
500mcg in 3cc up to 3 doses
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Nitro for chest pain
0.4mg x 3 if BP>90
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Nitro for pulmonary edema
0.4mg Q5min x3 if BP>90
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Activated Charcoal
50gms for poison ingestion <1 hour
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Ondansetron
4-8mg IV or PO
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Dopamine for hypotenstion
BP<90 2-10mcg/kg/min in 60gtts tubing
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Dextrose (D50)
BS <60 = 25gm IV
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Benadryl for allergic reaction
50mg over 2 min IV/IM
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Benadryl for acute dystonic reaction
50mg IV/IM
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Sync cardiovert dose for Narrow and regular rythm
50-100J
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Sync cardiovert dose for Wide and regular rythm
100j
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Sync cardiovert dose for Narrow and Irregular rythm
120J
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Sync cardiovert dose for wide and irregular rythm
Defib not sync cardiovert
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Sync cardiovert dose of A-fib
120J then 200J
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Sync cardiovert dose of A-flutter
50j then 100j then 200j
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Sync cardiovert dose of unstable SVT
50j then 100j then 200j
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Diltiazem for A-fib or A-flutter with a rate >100 and a BP >90 and no history of WPW
- 10-20mg IV.
- Consider a low dose for >60years and <60kg. May repeat 1 time to a total of 20mg
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Methylprednisolone/Solumedrol for bronchospasm
125mg IV/IM
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Methylprednisolone/Solumedrol for Allergic reaction
125mg IV/IM
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Nalaxone for od
0.4-2.0mg IV/IO/IM up to a max of 6.0mg
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Furosemide for pulmonary edema
0.5-1.0mg/kg if BP>90 up to 80mg max
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Mag Sulfate for Bronchospasm
2grms in 50cc NS over 5min. 100gtts/min in 10gtts tubing
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Mag sulfate for pre-Eclamptic pt.
4-6grms Iv over 10-15min. Add 4grms to 100cc D5W,NS,or LR
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Mag sulfate for seizing (eclamptic) pt
4-6grms IV over 5-10min. If not resoploved patch for Valium
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