CDH Paramedic pharmo
Adenocard (adenosine) - Correct Answer Antiarrhythmic
Peak Effect: seconds
Initial dose of 6mg rapid IV (over 1 - 2 seconds) followed by a 10 mL rapid saline flush and extremity elevation.
First dose does not eliminate rhythm in 1 - 2 minutes, give 12 mg rapid IV followed by 10 mL rapid saline flush and
extremity elevation.
May repeat second dose(12 mg) once.
Adenocard (adenosine) peds - Correct Answer Antiarrhythmic
Peak Effect: Seconds
Initial dose of 0.1 mg/kilogram rapid IV/IO over 1 to 2 seconds followed immediately 5 mL rapid saline flush and
extremity elevation. max initial dose 6 mg
If first dose does not eliminate rhythm in 1 - 2 minutes, give 0.2 mg/kilogram rapid IV/IO followed immediately by 5 mL
rapid saline flush and extremity elevation. Max repeat dose 12 mg
May repeat second dose (0.2 mg/kilogram)
Albuterol (proventil, Ventolin) - Correct Answer Bronchodilator, beta agonist, sympathomimetic
Peak Effect: 30 minutes - 2 hours
2.5 mg of 0.083% (3 mL) via nebulizer (6 LPM oxygen) until missed stops, usually 5 to 15 minutes.
5 mg o.083% (6 mL) via nebulizer, up to 20mg total.
Amiodarone (Cordarone) - Correct Answer Antiarrhythmic (class III)
Peak Effect: 3-7 hours
Ventricular tachycardia with a pulse: 150 mg IV/IO over 10 minutes with D5W
Pulseless ventricular tachycardia/ventricular fibrillation: 300 mg IV/IO Bolus. Repeat dose of 150 milligram IV/IO
Bolus
pVT/pVF converts to a supraventricular rhythm and has not received > 300 mg / 100mL over 10 min
Aspirin - Correct Answer Antiplatelet agent
Peak Effect: 1-3 hours, 4 hour half-life
324 mg showed and swallowed within past eight hours
Atropine - Correct Answer Anticholinergic
Peak Effect: 2-4 minutes
Bradycardia: 0.5 mg rapid IV/IO every 3 minutes up to 3 mg.
Muscarinic poisonings: 2 mg rapid IV/IO every three minutes. No max dose.
, Nerve gas exposure antidote: 2-6 mg IV/IM repeated twice at hourly intervals.
Atropine peds - Correct Answer Anticholinergic (Parasympathetic blocker)
Peak Effect: 2-4 minutes
Bradycardia/Spinal/ neurogenic shock: 0.02 mg per kilogram rapid IV/IO. Minimum dose 0.1 mg. May repeat x1 in 3
to 5 minutes in bradycardia, repeat x2 in spinal/ neurogenic shock.
Max single dose 0.5 mg.
Max total dose 1 mg in bradycardia
1.5 mg in spinal/neurogenic shock.
Muscarinic poisoning: 0.02 mg rapid IV/IO q 3 minutes. Minimum dose 0.1 mg. No max.
Benadryl (diphenhydramine) - Correct Answer Antihistamine, H1 blocker
Peak effect: 1 hour
50 mg IM or slow IV (liquid PO if injectable unavailable)
Benadryl (diphenhydramine) peds - Correct Answer Antihistamine, H1 blocker
Peak effect: 1 hour
1 mg/kilogram IM or PO with lower acuity. Max dose 50 mg
1 mg/kilogram slow IV/IO when Emergent. Max dose 50 mg
Benzocaine (Hurricane) - Correct Answer Topical anesthetic (ester type)
Peak Effect: >5 minutes
0.5-1 second spray in posterior pharynx. May repeat x1 in 30 seconds
Dextrose - Correct Answer Carbohydrate, antihypoglycemic
Peak effect: variable
Dextrose 10% 10g / 100mL solution IV push
May repeat if partial or no improvement or blood glucose remains <60. First repeat will be 10 g (100 mL), second
repeat dose will be 5 g (50mL)
Dextrose peds - Correct Answer Carbohydrate, antihypoglycemic
Peak effect: variable
Dextrose 10% 5 mL/kg (0.5 g/kg, max 25 g) slow IV.
May repeat x 1 following reassessment if partial or no improvement or blood glucose remains <60
Diastat - Correct Answer Benzodiazepine, sedative-hypnotic, CNS depressant, anticonvulsant
Peak effect: 15-30 minutes
Dosing of the Accu dial dosing system is set according to the prescription. There are two delivery systems, capable of
delivering up to 10 (5, 7.5 or 10) or 20 (12.5, 15, 17.5 or 20) mg. Compare the labeled dose to the dose window on
the side of the device before administering
Dopamine Hydrochloride (intrepin) - Correct Answer Adrenergic, they suppressor, inotropic agent
Adenocard (adenosine) - Correct Answer Antiarrhythmic
Peak Effect: seconds
Initial dose of 6mg rapid IV (over 1 - 2 seconds) followed by a 10 mL rapid saline flush and extremity elevation.
First dose does not eliminate rhythm in 1 - 2 minutes, give 12 mg rapid IV followed by 10 mL rapid saline flush and
extremity elevation.
May repeat second dose(12 mg) once.
Adenocard (adenosine) peds - Correct Answer Antiarrhythmic
Peak Effect: Seconds
Initial dose of 0.1 mg/kilogram rapid IV/IO over 1 to 2 seconds followed immediately 5 mL rapid saline flush and
extremity elevation. max initial dose 6 mg
If first dose does not eliminate rhythm in 1 - 2 minutes, give 0.2 mg/kilogram rapid IV/IO followed immediately by 5 mL
rapid saline flush and extremity elevation. Max repeat dose 12 mg
May repeat second dose (0.2 mg/kilogram)
Albuterol (proventil, Ventolin) - Correct Answer Bronchodilator, beta agonist, sympathomimetic
Peak Effect: 30 minutes - 2 hours
2.5 mg of 0.083% (3 mL) via nebulizer (6 LPM oxygen) until missed stops, usually 5 to 15 minutes.
5 mg o.083% (6 mL) via nebulizer, up to 20mg total.
Amiodarone (Cordarone) - Correct Answer Antiarrhythmic (class III)
Peak Effect: 3-7 hours
Ventricular tachycardia with a pulse: 150 mg IV/IO over 10 minutes with D5W
Pulseless ventricular tachycardia/ventricular fibrillation: 300 mg IV/IO Bolus. Repeat dose of 150 milligram IV/IO
Bolus
pVT/pVF converts to a supraventricular rhythm and has not received > 300 mg / 100mL over 10 min
Aspirin - Correct Answer Antiplatelet agent
Peak Effect: 1-3 hours, 4 hour half-life
324 mg showed and swallowed within past eight hours
Atropine - Correct Answer Anticholinergic
Peak Effect: 2-4 minutes
Bradycardia: 0.5 mg rapid IV/IO every 3 minutes up to 3 mg.
Muscarinic poisonings: 2 mg rapid IV/IO every three minutes. No max dose.
, Nerve gas exposure antidote: 2-6 mg IV/IM repeated twice at hourly intervals.
Atropine peds - Correct Answer Anticholinergic (Parasympathetic blocker)
Peak Effect: 2-4 minutes
Bradycardia/Spinal/ neurogenic shock: 0.02 mg per kilogram rapid IV/IO. Minimum dose 0.1 mg. May repeat x1 in 3
to 5 minutes in bradycardia, repeat x2 in spinal/ neurogenic shock.
Max single dose 0.5 mg.
Max total dose 1 mg in bradycardia
1.5 mg in spinal/neurogenic shock.
Muscarinic poisoning: 0.02 mg rapid IV/IO q 3 minutes. Minimum dose 0.1 mg. No max.
Benadryl (diphenhydramine) - Correct Answer Antihistamine, H1 blocker
Peak effect: 1 hour
50 mg IM or slow IV (liquid PO if injectable unavailable)
Benadryl (diphenhydramine) peds - Correct Answer Antihistamine, H1 blocker
Peak effect: 1 hour
1 mg/kilogram IM or PO with lower acuity. Max dose 50 mg
1 mg/kilogram slow IV/IO when Emergent. Max dose 50 mg
Benzocaine (Hurricane) - Correct Answer Topical anesthetic (ester type)
Peak Effect: >5 minutes
0.5-1 second spray in posterior pharynx. May repeat x1 in 30 seconds
Dextrose - Correct Answer Carbohydrate, antihypoglycemic
Peak effect: variable
Dextrose 10% 10g / 100mL solution IV push
May repeat if partial or no improvement or blood glucose remains <60. First repeat will be 10 g (100 mL), second
repeat dose will be 5 g (50mL)
Dextrose peds - Correct Answer Carbohydrate, antihypoglycemic
Peak effect: variable
Dextrose 10% 5 mL/kg (0.5 g/kg, max 25 g) slow IV.
May repeat x 1 following reassessment if partial or no improvement or blood glucose remains <60
Diastat - Correct Answer Benzodiazepine, sedative-hypnotic, CNS depressant, anticonvulsant
Peak effect: 15-30 minutes
Dosing of the Accu dial dosing system is set according to the prescription. There are two delivery systems, capable of
delivering up to 10 (5, 7.5 or 10) or 20 (12.5, 15, 17.5 or 20) mg. Compare the labeled dose to the dose window on
the side of the device before administering
Dopamine Hydrochloride (intrepin) - Correct Answer Adrenergic, they suppressor, inotropic agent
