Air Methods Medications (Version 1) Exam

Phenobarbital - Infant seizures 5-20mg/kg load dose Diphenhydramine - Allergies, anaphylactic Adult 25-50 mg Pedi 5mg/kg/day Dopamine - Shock, hypotension, heart failure 2-20 mcg/kg/min Beta: 10 ^pump Alpha: 10 vasoconstriction Epinephrine - Anaphylaxis, bronchospasm, cardiac arrest, impending cardiovascular collapse Full Arrest: 1:10,000 Adult: 1mg IVP 3-5 minutes Pedi: 0.01 mg/kg IVP 3-5 minutes Bronchospasm, anaphylaxis, impending cardiovascular collapse 1:1,000 Adult: 0.1-0.5 mg SC Pedi: 0.01 mg/kg IM Rocuronium - Long term paralytic 1.0 mg/kg Succinylcholine - RSI 2 mg/kg Oxytocin - Post partum bleeding 20-40 milliunits/min infusion Dobutamine - Cardiac decomposition, hypotension 2-20 mcg/kg/min Labetolol - Severe HTN 10-20 mg slow IVP 40 mg 10 min later 80 mg 10 min later Repeating to max 300mg total Ketamine - RSI, pain control RSI: 1-2 mg/kg IVP Analgesic: 0.1-0.25 mg Potassium chloride - Hypokalemia 10-15 meq/hr Phenytoin - Seizures 15-20 mg/kg IVP Max 1500mg Terbutaline - Bronchospasm, preterm labor Bronchospasm Adult: 0.25 mg SC q 15 min Max 0.5 mg over 4 hours Pedi: 0.005-0.01 mg/kg SC q 15 min Max two doses in 4 hours Tocolytic 0.25 mg SC q 20 min Max: 1 mg over 4 hours Insulin infusion rate - 0.1 units/kg/hour Calcium Gluconate - Calcium channel blocker overdose, hyperkalemia, mag sulfate OD/toxicity Adult: 7-14 meq IV slow Pedi: 1-7 meq IV slow Levophed - ¡SEPIS! Hypotension Mix: 4mg/250cc NS or D5w Adult: 2-20 mcg/min Pedi: 2yo 0.1-2 mcg/kg/min Lorazepam - Anxiety, status epilepticus, sedation Adult: 0.05-0.1 mg/kg(usual dose 2-4 mg) Repeat q 5 minutes Max 10mg Pedi/neonate: 0.05-0.1 mg/kg q 5 min over 2-3 minutes Age 5 max single dose 1mg Age 5 max single dose 0.5 mg Lasix - CHF, pulmonary edema Adult: 40mg IV slow, repeat dose 80mg Pedi mg/kg Max 6mg/kg/day Atropine - Bradycardia: 0.5-1.0 mg IVP q 5 minutes Max 0.04mg/kg Prelarangoscopy (pedi): 0.02 mg/kg Max 0.04 mg/kg Organophosphate Adult(mild) 2mg IVP q 5-10 min Moderate 2-4 mg IVP q 5-10 minutes Severe: 6mg IVP q 5-10 minutes Nitroprusside - HTN 0.5-10 mcg/kg/min titrated q 5 minutes Nimodipine - Subarachnoid hemorrhage 60 mg PO/NG q 4 hours Metoprolol - ACS, tachydysrhythmias, HTN ¡CONTRAINDICATED WITH HIGH HEART BLOCKS, INFERIOR MI, BRADYCARDIA! 5mg, repeat 2 minutes later Phenylephrine - Spinal/neurogenic shock, Hypotension MIX 10mg/250cc NS or D5w Start 100mcg/min, titrate between 40&180 mcg/min Verapamil - Atrial tachydysrhythmias Adult only: 5-10 mg over 2 min x 2 15-30 min later Vasopressin - GI hemorrhage, cardiac arrest, vasodilatory shock Adult GI Hemorrhage: 0.2-0.4 units/kg Arrest: 40 units IVP once Shock: 0.01-0.04 units/min Pediatric GI hemorrhage: 0.002-0.005 units/kg/min Max 0.01 u/kg/min Shock: 0.00002-0.002 units/kg/min Zofran - N/V, motion sickness Adult: 4mg IVP x 2