dosages
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| Epinephrine (1:10,000) dose (cardiac) & Epi (1:1000) infusion | 1mg/10ml IVP (every 3-5 min)prn
Infusion- 1-2mg/250 or 500ml
2-10mcg/min
Beta- 2-5mcg/min
Alpha- 5-10mcg/min
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| Dopamine-dose | beta= 2-10mcg/kg. Start @ 2-5mcg/kg/min
Alpha= 10-20 mcg/kg. Start @ 10-15mcg/kg/min
Infusion-200,400,800 mg in 250-500cc
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| Norepinephrine-dose | 0.1 - 0.5mcg/kg/min
infusion 4mg/250cc or 8mg/500cc D5W/NS
Titrate to SBP 90-110
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| Midazolam (Precardioversion) | 2-4mg SIVP
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| Propranolol (inderal)-dose | 1-3 mg SIVP (1mg/min) - dilute in 10-30ml
After 2 min - repeat
Total- 5mg
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| Metoprolol (lopressor)-dose | 5mg SIVP/1-2 min
after 5 min- repeat
(2x more doses)
total- 15mg
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| Atenolol (tenormin)-dose | 5mg SIV/ 5 min
repeat in 10 min
TD- 10mg
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| Lidocaine-dose | 1-1.5 mg/kg IVP/IO
after 5-10min- 0.5-0.75mg/kg
TD- 3mg/kg
Infusion- 1-2gm/250 or 500ml
range- 1-4mg/min
*same infusion range as procainamide
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| Procainamide-(Pronestyl)dose | 20-50 mg SIVP over 1 min
Sub- 20-50mg SIVP over 1 min
TD 17mg/kg
Infusion-1-2gm/250 or 500cc
range 1-4 mg/min
*Same infusion range as lidocaine
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| Amiodarone(cordarone)-dose | Cardiac Arrest= 300mg IVP
Sub dose- after 3-5min- 150mg IVP
no more
Pulsing Tachycardia= 150/100cc (over 10min)
Sub dose- after 10min- 150mg/100cc/10 min
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| Magnesium Sulfate (Cardiac) | VF/Pulseless VTACH- 1-2gm/10ml SIVP over 5-20min
Stable Pulsing Torsades- 1-2gm/10ml SIVP over 5-60min
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| Adenosine (adenocard)-dose | 6mg RIVP,SD- 12mg (after 1-2mins)-TD 18mg
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| Calcium Chloride-Dose | 500-1000mg/5-10ml SIVP
Sub dose- repeat PRN 500-1000mg SIVP
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| Verapimil (isoptin)-dose | 2.5-5mg SIVP over 2min (3min elderly)
Sub dose- after 15-30min- 5-10mg SIVP PRN
TD- 20mg w/in 30min
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| Diltiazem (cartizem)-dose | 0.25mg/kg over 2 min (15-20mg Avg Pt)
Sub dose- 0.35mg/kg over 2 min (20-25mg Avg Pt)
Maintenance dose- 125mg(25cc)100ml
Infuse @ 5-15mg over 1 hour
Titrate to hr
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| Atropine-dose | 1mg IVP
Sub dose- after 3-5min- 1mg IVP
TD- 3mg
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| Digoxin (lanoxin)-dose | 4-6 mcg/kg SIVP over 5 min
Sub dose- 2-3 mcg/kg @ 4-8 hour intervals
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| Aspirin-Dose | Pain:325-650mg/ MI:160-325mg
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| Midazolam (Status epilepticus) IVP/IM or IN | IM or IN- 0.2mg/kg
Sub dose- repeat
TD-10mg (1ml per nostril)
IVP- 0.1mg/kg SIVP
Sub dose- repeat
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| Sodium Bicarbonate -Dose | 1 mEq/kg IVP
repeat 10min 0.5 mEq/kg
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| Morphine-dose | Non-STEMI/Unstable angina- 1-5mg SIVP or 5-20mg IM
Stemi/CHF- 2-4mg SIVP over 1-5 min
2-8mg 5-15min intervals
(BP > 100)
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| Fentanyl-dose | 50-100mcg SIVP (1mcg/kg) over 1-2 min
sub dose- repeat
TD- 150mcg
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| Furosemide(lasix)-dose | 0.5-1mg/kg SIVP over 1-2 min
sub dose- 2mg/kg over 2 min
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| Nitroglycerin-dose | 0.4mg up to 3 max 5min apart
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| Diazepam-(VALIUM) dose | Status Epilepticus- 5mg SIVP over 5 min (10mg IM)
Sub dose- after 10-15min- 5mg SIVP
TD- 30mg
Precardioversion- 5-15mg SIVP (5-10min prior)
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| Magnesium Sulfate (Status Asthmaticus/Severe Bronchoconstriction) | Status Asthmaticus- 1-2gm/10ml SIVP over 15-30 min
Severe bronchoconstriction- 40mg/kg
PRN
TD- 2gm
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