| Question |
Answer |
| Adenosine (PSVT) |
6 mg IV rapid bolus, flush/elevate
follow in 1-2 min w/ 12 mg |
| Albuterol Sulfate |
3 ml solution @ 6-8 Lpm O2 |
| Amiodarone (Cardiac Arrest) |
300 mg IV bolus |
| Amiodarone (Refractory V-fib/tach in arrest) |
150 mg IV bolus |
| Amiodarone (V-tach w/ pulse) |
150 mg IV infusion w/ 100 ml NS over 10 min |
| Aspirin |
Four 81 mg tablets PO (324 mg) |
| Atropine Sulfate (symptomatic bradycardia) |
0.5 mg IV q 5 min, max 3 mg |
| Atropine Sulfate (Asystole/PEA) |
1 mg IV q 5 min (0.02 mg/kg Peds) |
| Atropine Sulfate (SLUDGE dose) |
2 mg IVP q 5 min, after 3 doses contact OLMC |
| Atropine Sulfate (Peds RSI) |
0.02 mg/kg IVP (no more/less than 0.5 mg/0.1 mg) |
| Calcium Chloride (Ca++ channel blocker OD / hypocalcemia) |
1 g SLOW IV over 2 min |
| Calcium Chloride (Cardiac Arrest w/ suspected hypocalcemia) |
1 g IVP, after 1st shock & Epi |
| Dextrose |
25 g IVP |
| Diltiazem |
10 mg IV over 2 min (repeat in 15 min w/ 10-20 mg IV over 2 min) |
| Diphenhydramine Hcl |
25-50 mg IV slow / deep IM |
| Epinephrine (Cardiac Arrest) |
1 mg 1:10,000 IV q 5 min (0.01 mg/kg Peds) |
| Epinephrine (Anaphylaxis) |
0.3 mg 1:1000 SQ,IM
OR *0.2-0.3 mg 1:10,000 IV OLMC* |
| Epinephrine (Asthma) |
0.3 mg 1:10,000 IV or ETT |
| Etomidate |
10 mg IVP for elderly/small pts
20 mg IVP for ave. adult pts
30 mg IVP for obese adult pts |
| Fentanyl Citrate |
50-100 mcg IV,IM,IN q 5 min PRN up to 200 mcg |
| Furosemide (Pulmonary Edema, Hypertensive w/ diastolic >120 mmHg) |
40 mg IVP, 80 mg IVP if no response or if pt on Lasix and in acute pulm. edema |
| Glucagon |
1 mg IM q 20 min PRN |
| Glucose (oral) |
15 g PO |
| Metoclopramide HCl |
10 mg IV over 1-2 min
repeat in 15 min w/ 5 mg if persistent emesis |
| Midazolam (sedation/pain relief) |
1-2.5 mg IV over 2 min |
| Midazolam (RSI) |
10-20 mg IVP, *0.2 mg/kg IM (10-15 mg ave.)*
repeat w/ 3-15 mg post-intubation |
| Midazolam (Seizures) |
2.5-5 mg IV OR 0.2 mg/kg IM max 15 mg |
| Morphine Sulfate |
3 mg IV, 3 mg IV q 5 min (2 mg if over 70 y/o) |
| Naloxone |
2 mg IVP,IM,ET,SQ OR 4 mg IN q 3 min thrice |
| Nitroglycerine (Angina/Chest Pain/Infarct) |
1 spray q 5 min (w/ SBP > 100 mmHg) |
| Nitroglycerine (pulmonary edema/HTN crisis) |
2 sprays |
| Pancuronium Bromide |
*OLMC 0.1 mg/kg IV* |
| Sodium Bicarb (Cardiac Arrest) |
1 mEq/kg IV repeat w/ 0.5 mEq q 10 min |
| Sodium Bicarb (Tricyclic OD w/ dysrhythmia) |
*OLMC 1 mEq/kg IV* |
| Succinylcholine |
1.5-2 mg/kg IVP or 2-4 mg/kg IM |
| Tetracaine HCl |
1-2 drops in eye |
| Dopamine |
Premix Bag 400 mg in 250 ml NS (1600 mcg/ml)
IV infusion @ 2-10 mcg/kg/min via Pump
titrate to effect |
| Droperidol (Inapsine) |
25-50 mg Benadryl IM/IVP
then 2.5-5 mg IM/IVP Inapsine |
| Lidocaine (PVCs) |
1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg max 3 mg/kg (support w/ drip) |
| Lidocaine (Tachycardia) |
1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg q 5-10 min.
max 3 mg/kg (support w/ drip) |
| Lidocaine (Arrest) |
1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg q 5 min.
max 3 mg/kg (support w/ drip) |
| Lidocaine (RSI w/ head injury) |
1.5 mg/kg IV pre-sux |
| Lidocaine (drip) |
2-4 mg/min (x1/2 in pts over 70 or w/ chronic disease/hypotension |
| Lidocaine (IO anesthetic, pt CAO) |
40 mg IO, flush w/ 10 cc NS |
| Mag Sulfate |
2 grams in 20 ml NS IV over 2 min |
| Oxytocin (Post-delivery vaginal hemorrhage) |
20 units in 1000 ml NS wide open |
| Thiamine (Alcohics prior to D5W) |
100 mg IV over 5 min |
| Zofran (severe N/V) |
4 mg IV/IM q 15 min, max 8 mg |