EMERGENCY DRUG CARD - ADULT

 EMERGENCY DRUG CARD - ADULT

RSI (Rapid sequence intubation)

Etomidate(Amidate)-

0.3.3 mg/kg (~20 mg) IV push over 30-60 sec; onset 10-20 sec

Lidocaine 2% (Xylocaine)

1-2 mg/kg (~ 100 mg) IV push over 1 min (20mg=1mL)

Rocuronium(Zemuron)

0.6-1.2 mg/kg (~70 mg) IV push; onset 1-2 min

Succinylcholine(Anectine)

IV: 1-1.5 mg/kg (100 mg) IV push over 10-30 sec; onset 30-60 sec 

IM: 3-4 mg/kg (max 150mg); onset 1-4 min

Vecuronium(Norcuron)

0.08-0.1 mg/kg (~10 mg) IV push; onset 2-3 min

CARDIAC

Amiodarone (Cordarone)

Cardiac Arrest (pulseless): 300 mg IV push, may repeat 150 mg IV push in 3-5 min

Wide complex tachycardia (stable): 150 mg IV over 10 min, then

1 mg/min infusion x 6 hours, then 0.5 mg/min infusion x 18 hrs

Diltiazem(Cardizem)

Bolus: 0.25 mg/kg (~20 mg) IV bolus over 2 min, may repeat in 15 min

0.35 mg/kg (~25 mg) IV over 2 min

Infusion: 5-15 mg/hr IV

Esmolol(Brevibloc)

Bolus: 500 mcg/kg IV push over 1 min

Infusion: 50-300 mcg/kg/min IV

Labetalol (Trandate)

Bolus: 20 mg IV push over 2 min; may administer 40-80 mg at 10 min

intervals; MAX 300 mg cumulative

Infusion: 2 mg/min IV, titrate to response; usual effective dose 50-200 mg; MAX 300 mg cumulative

Nicardipine (Cardene)

Infusion: 2.5-15 mg/hr IV, increase by 2.5 mg/hr every 5-15 min 

Procainamide (Pronestyl)

ACLS: 20-50 mg/min IV until arrhythmia resolved, hypotension occurs,

or QRS prolonged by 50% or total cumulative dose of 17 mg/kg is

given

Loading Dose: 1 gram (or 17 mg/kg) IV over 30 min Infusion: 1-4 mg/min IV

SEDATION AND ANALGESIA

Fentanyl

Bolus: 1mcg/kg IV

Infusion: 25-150 mcg/hr IV, titrate to goal

Ketamine (Ketalar)

IV: 0.5-2 mg/kg IV push over 1 min, may repeat with % of dose every

5-10 min PRN

IM: 3-8 mg/kg IM PO: 6-10 mg/kg (mix with cola, give 30 min. prior to procedure)

Infusion: 2-80 mcg/kg/min IV

Propofol (Diprivan)

Bolus (Procedural sedation):

0.5-1 mg/kg IV push, may repeat with 0.5 mg/kg

every 3-5 min PRN

Infusion (sedation): 10-80 mcg/kg/min IV

ELECTROLYTES

Calcium gluconate (peripheral IV)

Hyperkalemia: 1-3 grams IV push over 3-5 minutes

*** 3 gm calcium gluconate = 1 gm calcium chloride***

Magnesium Sulfate

Asthma: 2 g IV over 15-30 min

Pre-eclampsia: 4-6 g IV over 15-20 min, followed by infusion 1-2 g/h IV ACLS/torsades de pointes: pulseless 1-2 g IV push over 1 min, with

pulse give dose over 15 min