Air Methods Medications (Version 1) Already Passed

Air Methods Medications (Version 1) Already Passed 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 Pedi: 0.1mg/kg once Max 4mg Hydralazine 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 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 Hypotension Pedi: 0.1-1.0 mcg/kg/min Adult: 2-10 mcg/min Decadron Bronchospasm, shock, allergies, anaphylaxis Adult: 10mg IVP Pedi: 0.3-0.6 mg/kg Nitroglycerin Angina, CHF, ACS 0.4mg SL X 3 q 5 minutes Infusion: 5mcg/min, increase by 5-20 mcg/min q 3-5 minutes Range 5-200 mcg/min Amiodorone Afib/Aflutter, Ventricular tachydysrythmias, Cardiac Arrest Afib, Aflutter, Stable Vtach: 150 mg over 10 min. Cardiac Arrest, Vfib, Pulseless VTach: 300 mg single dose Nicardapine Hypertension (Calcium Channel Blocker) Infusion Rate: Start at 2.5 mg/hr Increase 2.5 mg/hr every 5-15 minutes. Max rate 15mg/hr Once Target BP obtained, decrease my 2.5mg/hr to target 3mg/hr Milrinone Ischemic and Nonischemic Cardiomyopathy, CHF, Pulmonary HTN *Mix 20mg/100cc NS or 40mg/100cc NS* Infusion: Start @ 0.25 mcg/kg/min Titrate by 0.125 mcg/min Max 1 mcg/kg/min Solumedrol Allergies, Asthma/COPD, Spinal cord injuries Pediatric: 1-2 mg/kg, Max 125 mg Adult: 125 mg Flumazenil Benzodiazepine Overdose 0.2 mg IVP over 15 seconds Repeated every minute. Max 1.0 mg Fentanyl Pain, RSI **Rigid Chest Wall Syndrome** 0.5-2 mcg/kg over 2 minutes Max single dose 100 mcg Vasopressors Dopamine: 2-20 mcg/kg/min Dobutamine: 2-20 mcg/kg/min Norepinephrine: 2-20 mcg/min Phenylephrine: 100-180 mcg/min Vasopressin: 0.01-0.04 units/min Epinephrine: 2-10 mcg/min Diltiazem AFib/AFlutter, PSVT First Dose: 0.25 mg/kg IVP Second Dose: 0.35 mg/kg IVP If above converts rhythm, infuse at 5-15 mg/hr Vecuronium Defasiculation Dose, Paralysis Defasiculation: 0.01 mg/kg (Age >5) Paralysis: 0.1 mg/kg Mannitol Reduction of Increasing ICP 0.25-0.5 Grams/kg over 10 minutes Repeat to 4 doses total Magnesium Sulfate OB Seizures, Hypomagnesemia, Tocolytic, Torsades, COPD/Asthma COPD/Asthma: 2G over 30 minutes Torsades: 2G over 2 minutes Eclamptic Seizures: 2-5G over 20 minutes Premature Labor: 4G ov 20 minutes, then 2-4 g/hr Amidate RSI, Sedation **No Sepsis, Hypotension** 0.3 mg/kg Max 40mg Hydromorphine Pain Control 1-2 mg as needed Esmolol SVT, Uncontrolled HTN Adult: 500 mcg/kg/min for 1 min, then: 50mcg/kg/min infusion titrating every 5 minutes by repeating bolus AND increasing infusion by 50 mcg/kg/min. Max 300 mcg/kg/min Pedi: 500 mcg/kg/min for 1 min, then infuse at 200 mcg/kg/min, titrate every 5 minutes by repeat bolus AND increasing infusion 50-100 mcg/kg/min Max 1000 mcg/kg/min Midazolam Sedation, Seizures Sedation: 0.05-0.1 mg/kg Seizures Adult: 5 mg q 2-5 min, Max 15 mg Pedi: 0.05-0.2 mg/kg q 2-5 min, Max single dose 5 mg Adenosine SVT, PSVT Adult: First Dose 6 mg, after 1-2 minutes, Second Dose 12 mg. Repeat 12 mg once for Total of 30 mg Pediatric: First Dose: 0.1 mg/kg (Max 6 mg) after 1-2 minutes. Second Dose 0.2 mg/kg (Max 12 mg) Third Dose 0.2 mg/kg (Max 12 mg) Albuterol Bronchospasm, Hyperkalemia Adult: 2.5 mg/3cc q 15 minutes Pedi: ?