ANSWERS
Nitroglycerine Drip - ANS 10 mcg/min
titrate 10 mcg
max 200 mcg/min
Lasix Dose - ANS 40 mg
2X daily dose
200 mg/day max
Norepinephrine Drip - ANS 5-10 mcg/min
Epinephrine Drip - ANS 2-10 mcg/min
SIRS (systemic inflammatory response syndrome) - ANS Temperature < 36 or > 38
HR > 90
RR > 20 or PaCO2 < 32
WBC < 4,0000 or > 12,000, or > 10% bands
Early sepsis.
1
Page
@COPYRIGHT @THEBRIGHT 2025/2026
, Sepsis - ANS SIRS + a documented infection
Severe Sepsis - ANS Sepsis + end organ damage/tissue hypoperfusion (hypotension, elevated
lacate, decreased urine output)
Septic Shock - ANS Severe sepsis + hypotension despite fluid administration
Treatment if not eligible for tPA - ANS Treat if: SBP >200 and/or DBP > 120
Options:
Labetalol 10-20 mg, may repeat x1 to max total of 40 mg
Cardene 5 mg/hr, titrated by 2.5 mg/hr to max of 15 mg/hr. Reduce to 3 mg/min when target
met.
Treatment for known hemorrhagic stroke - ANS Treat pain, anxiety, nausea
If SBP remains > 150: (target 140)
Labetalol 10 mg q 10 min to max of 300 mg
Cardene 5 mg/hr titrated by 2.5 mg/hr to max of 15 mg/hr
If SBP > 220:
Contact medical control or receiving facility
Treatment for unknown stroke type (scene flights) - ANS Treat if SBP >220 or DBP > 120
2
Options:
Page
@COPYRIGHT @THEBRIGHT 2025/2026