Air Methods Medications (Version 1) Exam

Phenobarbital - Answer- Infant seizures 5-20mg/kg load dose Diphenhydramine - Answer- Allergies, anaphylactic Adult 25-50 mg Pedi 5mg/kg/day Dopamine - Answer- Shock, hypotension, heart failure 2-20 mcg/kg/min Beta: <10 ^pump Alpha: >10 vasoconstriction Epinephrine - Answer- 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 - Answer- Long term paralytic 1.0 mg/kg Succinylcholine - Answer- RSI 2 mg/kg Oxytocin - Answer- Post partum bleeding 20-40 milliunits/min infusion Dobutamine - Answer- Cardiac decomposition, hypotension 2-20 mcg/kg/min Labetolol - Answer- Severe HTN 10-20 mg slow IVP 40 mg 10 min later 80 mg 10 min later Repeating to max 300mg total Ketamine - Answer- RSI, pain control RSI: 1-2 mg/kg IVP Analgesic: 0.1-0.25 mg Potassium chloride - Answer- Hypokalemia 10-15 meq/hr Phenytoin - Answer- Seizures 15-20 mg/kg IVP Max 1500mg Terbutaline - Answer- 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 - Answer- 0.1 units/kg/hour Calcium Gluconate - Answer- Calcium channel blocker overdose, hyperkalemia, mag sulfate OD/toxicity Adult: 7-14 meq IV slow Pedi: 1-7 meq IV slow Levophed - Answer- ¡SEPIS! Hypotension Mix: 4mg/250cc NS or D5w Adult: 2-20 mcg/min Pedi: <2yo 0.1-2 mcg/kg/min Lorazepam - Answer- 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 - Answer- CHF, pulmonary edema Adult: 40mg IV slow, repeat dose 80mg Pedi mg/kg Max 6mg/kg/day Atropine - Answer- 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 - Answer- HTN 0.5-10 mcg/kg/min titrated q 5 minutes Nimodipine - Answer- Subarachnoid hemorrhage 60 mg PO/NG q 4 hours Metoprolol - Answer- ACS, tachydysrhythmias, HTN ¡CONTRAINDICATED WITH HIGH HEART BLOCKS, INFERIOR MI, BRADYCARDIA! 5mg, repeat 2 minutes later Phenylephrine - Answer- Spinal/neurogenic shock, Hypotension MIX 10mg/250cc NS or D5w Start 100mcg/min, titrate between 40&180 mcg/min Verapamil - Answer- Atrial tachydysrhythmias Adult only: 5-10 mg over 2 min x 2 15-30 min later Vasopressin - Answer- 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 - Answer- N/V, motion sickness Adult: 4mg IVP x 2 Pedi: 0.1mg/kg once Max 4mg Hydralazine - Answer- HTN, pregnancy induced HTN, preeclampsia Adult: 5-10 mg IVP repeat q 20 min Max Dose 40mg Pedi: 0.1-0.5 mg/kg q 4-6 hours Max Dose 20mg Valium - Answer- Seizures, anxiety Seizures Pedi: 0.1mg/kg Max 10mg q 10-15 minutes Adult: 5mg-10mg q 10-15 minutes Max 40mg total Anxiety: 5-15 mg IVP Epinephrine infusion - Answer- Hypotension Pedi: 0.1-1.0 mcg/kg/min Adult: 2-10 mcg/min Decadron - Answer- Bronchospasm, shock, allergies, anaphylaxis Adult: 10mg IVP