Critical care quick reference
ACLS
Cardioversion 100J, 200J, 300J, 360J (sync)
Defibrilation 360J, 360J, 360J
Amiodarone 300 mg IV bolus (arrest); 150 mg over 10 min, then 1mg/min x 6 hrs (perfusing)
Atropine 0.5-1mg IV [0.02 mg/kg] (max x 3)
Epinephrine 1mg IV (1:10,000) [0.1 cc/kg] IV/IO
Lidocaine 100mg IV [1mg/kg]
Procainamide 20mg/min over 1 hr
Vasopressin 40 Units IV (once)
Other Cardiac
Adenosine 6mg, 12mg, 12mg IVP
Diltiazem 20mg IV over 2min [0.25mg/kg ], may repeat 25mg after 15min
Esmolol 500ug/kg (slow load then 50ug/kg/min)
Magnessium 2gm IVP (4cc of 50% solu) diluted in 10mL D5W
Metoprolol 5mg IVP Q5min (x 3)
NTG 10ug/min (titrate up to 200 ug/min, mix 50mg/250cc D5W)
Nipride 0.5ug/kg/min (titrate up, mix 50mg/250cc D5W)
Glucagon 1-5 mg IV
RSI (70kg)
Etomidate 20mg [0.3 mg/kg]
Versed 5-10 mg [0.1 mg/kg]
Propofol 150mg [2-3 mg/kg]
Succ 100mg [1.5 mg/kg] (if <10 y/o 2.0 mg/kg)
Roc 70mg [1 mg/kg]
Vec 7mg [0.1 mg/kg]
CNS
Ativan 2-4 mg IV [0.1mg/kgIV/IM]
Valium [0.2mg/kg IV/IO; 0.5 mg/kg PR]
Dilantin 1gm over 20 min [20mg/kg IV load, < 50 mg/min]
Phenobarbital 20mg/kg IV
Pentobarbital Coma 10mg/kg IV
Mannitol 25-100 gm over 20 min [0.25-1gm/kg IV]
Pressors
Dopamine 10-20ug/kg/min (mix 400mg in 250 D5W)
Dobutamine 5-20ug/kg/min (mix 250mg in 250 mg D5W)
Levophed/NE 5-100ug/min (8mg in 500cc D5W)
Neosynephrine/phenylephrine 20-100ug/min (20mg in 250 cc D5W)
Epinephrine 1-20ug/min (1:10,000 mix 1mg in 250 D5W)
See Also
Source
Adapted from ACLS, Lampe, Matt Smith, Donaldson