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More Code Drugs
Drug Indication Adult Dosage
Adenosine Narrow Complex Paroxysmal Supraventricular With patient in reverse Trendelenburg
Tachycardia (PSVT) position:
Initial bolus of 6 mg rapidly over 1-3 seconds, followed by 20 ml normal
saline, then elevate the extremity
Repeat dose of 12 mg in 1-2 minutes if needed
A third dose of 12 mg may be given in 1-2 minutes if needed
Calcium Known or suspected hypercalcemia; Hyperkalemia, calcium channel
Chloride hypocalcemia; antidote for calcium channel blocker overdose, or IV prophylaxis
blocker or B-adrenergic blocker overdose; before calcium channel blocker:
Prophylactically before IV calcium channel Slow IV push of 500-1000 mg/kg
blockers to prevent hypotension (5-10ml of a 10% solution).
Dopamine Symptomatic Bradycardia (after atropine) See IV Drips section below
Hypotension(SBP<70-100 mmHg)with s/s shock
Levophed Hypotension SBP <70 with S/S shock See IV Drips section below
Lidocaine Ventricular Fibrillation (VF) Cardiac Arrest from VF/VT: Initial
Pulseless electrical Activity (PEA) dose:1-1.5mg/kg IV. For refractory
Stable Ventricular Tachycardia (VT) VF may give additional 0.5-
0.75mg/kg IV, repeat in 5-10
minutes (max dose of 3mg/kg).
Single dose of 1.5mg/kg IV
ETT: 2-4mg/kg (Also see IV Drips)
Magnesium For use in cardiac arrest only if Torsades De Cardiac arrest for torsades de
Sulfate Pointes or suspected hypomagnesemia is present pointes or hypomagnesemia: 1-2g
(2-4ml of 50% solution) diluted in
10ml of D5W IV over 5 – 20 min.
Non-cardiac arrest with Torsade de
pointes:Loading dose of 1-2g mixed
in 50-100ml of D5W over 5-60
minutes. Follow with 0.5-1g/h IV
(titrate to control the torsades)
Nitroglycerin Suspected ischemic pain or MI IV infusion: 10-20mcg/min.
Increase by 5 – 10 mcg/min every 5
– 10 minutes until desired response.
Onset of actions 1-2 minutes
Sublingual: 1 tablet (0.3-0.4mg) x3
at 5 minute intervals(Also see IV Drips)
Oxygen Suspected ischemic chest pain 4 lpm per nc for uncomplicated MI;
100% oxygen during resuscitation