Term
Acetaminophen
Contra:
Dose: |
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Definition
Contra:
*Previous administration within last 4 hours
* Age < 3 * Inability to swallow * Respiratory Distress
* Persistant vomiting
* Known or suspected liver disease (including current alcohol consumption
* Hypersensitivity
Dose:
3-5 years old: unit Dose 160mg
6-9 years old: 2 unit doses of 160mg, 320mg
10+ years: 4 unit doses of 160mg or 640mg
Obtain medical direction for significant over/under weight pt |
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Term
Activated Charcoal
Contra:
Dose: |
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Definition
Contra: AMS, Pt's who recieved an emetic
Dose: 1g/kg (adult & Peds) |
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Term
Adenosine
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Hypersensitivity
Dose Adult: 6mg-12mg-12mg
Peds Dose: .1mg/kg-.2mg/kg-.2mg/kg
(Don't exceed adult max) |
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Term
Albuterol
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Hypersensitivity
Dose: pt >2yrs 2.5mg
1.25mg if < 2yrs |
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Term
Aspirin
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Hypersensitivity
Dose: 324mg PO
Peds not reccomended |
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Term
Atropine
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
Allergy
tachy dysrythmias
AV blocks 2nd and 3rd degree
suspected MI
Glaucoma
Dose adult:
Aystole- 1mg IVP Max 3mg
Bradycardia - .5mg max 3mg
Dose Peds:
Bradycardia- .02mg/kg (min .1mg max 1 mg) |
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Term
Atrovent
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Allergy to Atropine or Atrovent
Age < 1 year
Dose Adult: 500mcg
Dose Peds: Age between 1 & 2 : 250mcg
Age > 2 500mcg |
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Term
Calcium Chloride
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Pt taking Digoxin or Cardiac Arrest
Dose: .5-1 gram (Max 1 gram)
Administer 250mg if hypotenstion after cardizem
Ped: 20mg/kg max of 1 gram |
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Term
Captopril
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Allergy, Known Angioedema hx, BP less then 110 systolic
Dose: 25mg sublingual
Peds: Not indicated |
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Term
Dexamethasone
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
Allergy, Systemic Fungal Infection, Premature Infants
Dose Adult: 10mg IV preferred to PO
Dose Peds: .5mg/kg PO preferred to IV |
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Term
Dextrose 50%
Contra:
Dose (Adult & Peds): |
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Definition
Contra: hyperglycemia
Dose Adult: 25grams IV 50ml
Dose < 2months: D10 @ 10ml/kg
Dose >2 months < 2 years: D25 @ 2-4 ml/kg
Dose > 2 years: D50 @ 2ml/kg |
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Term
Diltiazem (Cardizem)
Contra:
Dose (Adult & Peds): |
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Definition
Contra: hypotenstion (90mm hg), Heart blocks, Pt < 12
Dose: .25mg/kg (max 20mg) .35mg/kg (max 25mg) |
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Term
Diphenhydramine
Contra:
Dose (Adult & Peds):
When to consult: |
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Definition
Contra: allergy
Dose adult: 25-50mg IV/IM
Dose Peds: 1mg/kg IV/IM
When to consult:
Mild allergic reaction, asthma, nursing mothers |
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Term
Dopamine
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
pheochromocytoma (adrenal tumor), tachydysrythmia, uncorrected hypovolemia
Dose:
2-20mcg/kg/min IV titrated to age or consult specific systolic BP, initial infusion rate is 2mcg/kg/min |
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Term
Epinephrine
Doses (Adult & Peds & Neonate) for Cardiac Arrest |
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Definition
Adult Dose: 1mg 1:10,000 IVP
Peds Dose: .01 mg/kg (.1ml) 1:10,000 IVP
.03mg/kg 1:1000 diluted in 5ml LR via ET
Neonate Dose: IV same as above
.03mg/kg 1:10,000 diluted in 1ml LR via ET |
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Term
Epinephrine
Bradycardia
Contra:
Dose (Adult & Peds & Neonate): |
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Definition
Contra:
Hypertension, tachdysrythmia w/ pulse, avoid use in pregnant females
Adult dose:
Bradycardia use is not indicated
Peds dose:
Bradycardia
.01mg/kg 1:10,000 IVP or .03mg/kg 1:1,000 ET
Neonate Dose:
Bradycardia
.01mg/kg IVP or .03mg/kg 1:10,000 ET |
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Term
Epinpehrine
Allergic Reaction
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
Hypertension, tachdysrythmia w/ pulse, avoid use in pregnant females
For Anaphylaxis SHOCK ONLY
.01 mg/kg 1:10,000 IVP max 1mg
Dose Adult: .01 mg/kg 1:1,000 IM max .5mg
Dose Ped: .01 mg/kg 1:1,000 IM max .5mg
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Term
Epinpehrine
Croup
Contra:
Dose (Adult & Peds): |
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Definition
Adult: Not indicated
Ped: 2.5 ml of 1:1,000 via NEB & consider 2nd dose |
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Term
Furosemide
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
allergy, allergy to sulfomides, dehydrated pt, pregnance, electrolyte imbalance
Dose adult: 1mg/kg IVP
Dose Peds: 1mg/kg w/ max of 50mg |
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Term
Glucagon
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Allergy
Dose adult: 1 mg IM
Dose Ped <25kg: .5mg IVP |
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Term
Haloperidol
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Parkison's, age < 6, CNS depression/Injury
Dose 15-69 years: 5mg IV/IM
Age > 69: 2.5 mg IV/IM
Age 6-11: .05mg/kg max 2.5mg
age 12-14: 2.5-5mg |
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Term
Lactated Ringer
Contra:
Dose (Adult & Peds): |
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Definition
Contra: fluid overload
Dose adult: 20ml/kg or BP 100 systolic
Dose Peds: 10ml/kg (for volume sensitive) or 20ml/kg |
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Term
Lidocaine
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
allergy, AV blocks, idoventricular rythems, hypo-perfusion, shock
Dose Adult: 1.5mg/kg max 3mg/kg
Dose Peds: 1mg/kg then 1mg/kg or .5mg/kg (with or without a pulse) to max of 3mg/kg
IO pain Dose > 40kg: 2% lidocaine IO
Nasal anesthesia age > 12: 4% lidociane 80mg per nair to puffs
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Term
Midazolam (Versed)
Contra:
Dose (Adult & Peds): |
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Definition
Contra: allergy or hypotension
Reduce by 50% if age > 69
Dose Adult:
.1mg/kg max of 5mg dose IV/IO 2mg increments
5mg IM
Dose Peds:
.1mg/kg max of 5mg IV/IO 2mg increments
.2mg/kg IM |
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Term
Morphine
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
Head injury, multiple trauma, COPD with respiratory comprimise, allergy to codiene or percodan, hypotension
Dose Adult:
.1mg/kg max of 20mg in 2mg/min 2nd dose is halved
Dose Peds:
same as adult |
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Term
Naloxone (Narcan)
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
N/A
Dose Adult:
.4-2mg IV/IM
Dose Peds:
.1mg/kg max of 2mg IV/IM |
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Term
Nitroglycerin
Chest Pain
Contra:
Dose (Adult & Peds): |
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Definition
Conta:
allergy, age < 12, ED drugs, asymptomatic hypertension, BP < 90, HR < 60
Dose Adult:
0.4mg SL every 3-5 min. Max 1.2mg w/o consult
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Term
Nitroglycerin
Pulmonary Edema
Contra:
Dose w/ or w/o CPAP: |
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Definition
Contra:
Allergy, vitals (BP < 90, HR < 60), ED meds, age < 12
Dose w/ cpap:
.4 mg
.8 mg
.8 mg (total 2 mg)
If SPB > 110 captopril and 1" nitro paste
Dose w/o CPAP:
.4mg
.8mg
.8mg
.8mg
.8mg
.8mg Total 4.4mg
If SPB > 110 captopril and 1" nitro paste
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Term
Ondansetron (Zofran)
Contra:
Dose (Adult & Peds):
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Definition
Contra: Allergy
Dose Adult: 4mg IV/IM
Dose Peds: .1mg/kg max 4mg |
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Term
Oxygen
Contra:
Dose (Adult & Peds): |
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Definition
Contra: N/A
Dose:
NC 2-6lpm
NRB 12-15lpm |
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Term
Saline Neb
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
airway hyperresponsiveness (epiglottitis)
Dose adult: Not indicated
Dose Peds: 3ml via NEB |
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Term
Sodium Bicarbonate
Non Crush Syndrome
Contra:
Dose (Adult & Peds): |
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Definition
Contra: alkalosis
Dose Adult:
1 mEq/kg IVP with .5mEq/kg @ 10 min intervals
Dose Peds:
1 mEq/kg, if pt less then 1 year dilute 1:1 |
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Term
Sodium Bicarbonate
Crush Syndrome
Contra:
Dose (Adult & Peds): |
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Definition
Contra: Alkalosis
Dose Adult:
50 mEq Slow IVP followed by 100mEq in 1000 of LR
Dose Peds:
1mEq/kg diluted if less then 1 year |
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Term
Terbutaline Sulfate
Contra:
Dose (Adult & Peds): |
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Definition
Contra:
Hypertension, digitalis intoxication, Peds < 12
Dose Adult:
.025mg IM
Note- does not exert cardiovascular side effects seen with EPI in adults |
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