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Acetaminophen/ Tylenol.
Moderate to severe pain
1000 mg; PO; Severe liver disease
Adenosine
PSVT/SVT
6mg/12mg; Rapid IVP; 2nd/3rd block,WPW
Amiodarone
Shock resistant V-fib/PVT
300mg/150mg; IV/IO; Marked brady, cardi shock, 2/3 block
Amiodarone
Stable wide/narrow tachy; Refractory A-fib/flutter
150mg; SLOW IVP; Marked brady, cardi shock, 2/3 block
Amiodarone
ROSC w/ ami push
1mg/min; IV; Marked brady, Cardi shock, 2/3 block
Aspirin
Suspected ACS
324/5mg: PO: ASA asthma, GI bleed, max dose
Atropine Sulfate
symptomatic bradycardia
1mg; IV/IO; tachy, glaucoma, afib/flutter with RVR
Atropine SUlfate
Organophosphate Poisonins
2mg; IV/IM; tachy, glaucoma, afib/flutter with RVR
Calcium Chloride
Cardiac arrest (hyperkal/Hypocal)
1g; IV/IO; digitalis
Calcium Chlroride
Calcium Channel Blocker OD
1g; SlOW IVP; digitalis
D10
Hypoglycemia
25g in 250ml; IV; CVA/Intracranial hemorrhage
D10
Newborn
4ml/kg; IV; CVA/Intracranial Hemorrhage
Diltiazem/ Cardizem
Rate control in refractory a-fib/SVT; Stable.irregular narrow qrs
10mg SLOW IVP; Beta blocker
5-10mg/hr
Diphenhydramine/ Benadryl
Allergic reaction
50mg; IV/IM pregnancy, nursing, glaucoma, copd
Diphenhydramine/ Benadryl
Nausea
25-50mg; IV/IM; preg/nursins/glaucoma/copd
Dopamine
Cardi shock/ hypotension w/ brady/ sepsis
5-20mcg/kg/min; IV/IO; hypovol shock w/ no fluid resus; uncorr tachydys
Duoneb
Bronchospasms/ CA Asthma/ Crush Syndrome/ Hyperkalemia
3.0/0.5mg; neb/ NA
EPI
Allergic reaction (1:1,000)
0.3mg; IM; htn
EPI
Allergic reaction (1:10.000)
0.3mg; IV; htn
EPI
Severe Asthma (1:1,000)
0.3mg; IM; htn
EPI
Cardi Arrest (1:10,000)
1mg; IV/IO; htn
2-3mg in 250ml of NS
EPI
Sepsis
5-20mcg; IV/IO; htn
EPI
Bradycardia/Shock/ROSC
0.5-10 mcg/min; IV/IO; HTN
Fentanyl
Severe Pain
25-50 mcg; IV/IN/IM; Bronch asthma, Parkinsons, MAO inhib, Graves
Fentanyl
Suspected ACS
1 mcg/kg; IV/IM/IN; Bronch asthma, Parkinsons, MAO inhib, Graves
Fentanyl
Post intubation sedation
1 mcg/kg; IV/I); Bronch asthma, Parkinsons, MAO inhib, Graves
Furosemide (Lasix)
Acute Pulmonary Edema (CHF)
40mg; IV; Hypersensitivity
Glucagon
Hypoglycemia
1mg; IM; Insulinoma, Pheoc
Glucagon (Beta Blocker/ Calcium Channel Blocker OD)
5 mg; IV/IM; insulinoma/Pheo
Hydroxocobalamin/ Cyanokit
Cyanide poisoning
5g/ IV/ None
Inhaled EPI
Croup/Upper airway obstruction
3mg in 3ml; Neb; Htn
Ketamine
Excited Delirium (AMS)
2-4mg/kg; IM;
Ketamine
Refractory pain
0.2mg/kg SLOW IVP
Ketamine
Post Intubation
2mg/kg IBW; IV/IO;
Ketorolac/Toradol
Pain Mgmt
15mg; IV/IO; recent NSAID/ibup; excessive age; bleeding/GI bleed; pregnant; kid dis; recent CVA/TBI
LR
Burns & Sepsis
500-1000 ml; IV/IO Metabolic acid/alkalosis
LR
Shock/OB
500 ml; IV/IO; Metabolic acid/alkalosis
Lidocaine
IO pain Mgmt
20-40 mg, IO, sensitivity
Mag sulfate
Severe asthma/ Cardiac arrest: Torsade's/ Torsad'e/ Adult tachy with pulse. Stable wide QRS
2g; IV/IO; hypermag, current labor, hypocal, heart block, amuria
Mag Sulfate
Preeclampsia' Eclampsia
4g; Iv/IO; hypermad, current labor, hypocal, heart block, amuria
Methylprednisolone
Adrenal Insufficiency
125 mg in 2ml of NS; IV/IM; TB/fungal
Methylprednisolone
Allergic reaction; Asthma/COPD
125 mg in 2ml of NS; IV/IO; TB/Fungal
Midazolam
Seizure
2-4mg IV/IM/IN; Glaucoma, ETOH, Coma, Renal failure
Midazolam
Post INtubation Sedation/Airway mgmt-pain&agitation
2-4mg; IV/IO; Glaucoma, Coma, ETOH, Renal failure
Naloxone
Opiod overdose
2-4mg; IV/IN/IM; anxiety, tremors, palpatations, dysr; htn
NTG
Chest pain/Pulmonary Edema
0.4mg; SL; hypotension, inc icp, shock, glaucoma, recent viagra/cialis
Norepi/Levophed
Shock/Hypotension/Sepsis
2-40mcg/min; IV/IO; hypotensions from low blood. Vascular thrombosis
Oral Glucose
Hypoglycema
15g; PO; unconscious/unable to swallow
Ondansetron
N/V
4mg; IV/IM; prolonged QT
Oxygen
Hypoxia
2-25lpm; IN; none
Racemic EPI
stridor/croup/epiglottis
0.5mg in 2.25% in 2ml; neb;hypersensivity
Sodium Bicarbonate
Cardiac Arrest
1mEq/kg IV/IO; Hypokal
Sodium Bicarb
Tricyclic Acid OD
1 mEq/kg; IV; Hypokal
Sodium Chloride (NS)
Shock/sepsis
500-1000ml; IV/IO; CHF
NS
Med route
TKO; IV/IO; CHF
NS
Stroke
500ml; IV/IO; chf
NS
Hyperthermia
500ml; IV/IO; chf
NS
N/V
250ml; IV/IO; CHF
NS
Newborn
10ml/kg; IV/IO; chf
NS
Syncope
500ml. IV/IO; CHF
Thiamine
B1 defi/ Chronic Alcohol abuse, Wernicke-korsakoff syndrome
100mgl IV/IM; b12 sensitivity
TXA
Severe Hemorrhage/ Vag Bleeding
2g. IV <15yo, time of inj>180 mins, contra to antifibro