I.

ADVANCE CARDIAC LIFE SUPPORT MEDS

Epinephrine 1 mg/amp 1 amp IV q3-5 minutes
OR Epinephrine 2-2.5 mg in 10 cc H2O via ET tubes q3-5 minutes

Anti-arrhythmics:
Vfib or Vtach
Amiodarone 150-300 mg (1-2 amps) slow IV push in 10 minutes, then 1mg/min for 6 hours, or
Lidocaine 50-100mg (1 mg/kg) IV, then drip at 2mg/min up to max of 4mg/min

Torsades de pointes/polymorphic Vtach

Magnesium sulfate 1-2 grams IV in 10 cc D5W given in 5-20 minutes
If with pulse, MgSO4 1-2 grams IV in 50-100 cc D5W

Vtach with pulse

Synchronized cardioversion (100, 200, 300 J) + sedation, OR
Amiodarone 150 mg/amp 1 amp slow IV push in 10 minutes, then drip 1 mg/min in 6 hours

Bradycardia
Atropine 0.5-1 mg IV (0.04mg/kg; max 4mg)
May give Dopamine or Epinephrine drip as temporizing measure

II. HYPERTENSIVE URGENCY/EMERGENCY

Nicardipine drip

Nitroglycerine drip

Clonidine 75 mg SL, up to 3 doses

III. SEPTIC SHOCK

Dopamine drip 200mg/amp 1 amp + 250 cc D5W to run for __ cc/hr (same as ugtt/min)
Titrate by 2-3 cc/hr to maintain BP>= 90/60

__ ugtt/min = ___ desired dose mcg/kg/min (2-10 inotropic; >10 vasoconstrict; Dopamax 20)
x ___ body weight (kg)
/ ___ dopamine factor (1 amp 200 mg – 13.3; 2 amps 400 mg – 26.6)

Norepinephrine drip 2 mg/amp + 250cc D5W to run for __ cc/hr (same as ugtt/min)
Titrate by 5 cc/hr to maintain BP>= 90/60

__ ugtt/min = ___ desired dose mcg/min (2-4 inotropic/vasoconstrict; Max 15 mcg/min)

/ ___ norepi factor (1 amp 2 mg – 0.133; 2 amps 4 mg – 0.266; 4 amps 8 mg – 0.532)

a. broad spectrum antibiotics

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 Ceftriaxone 2 g IV LD then 1 g IV OD ANST () then 1g IV q12
Cefuroxime 1.5 g IV LD ANST ()

IV. CARDIOGENIC SHOCK WITH DECOMPENSATED HEART FAILURE

Dobutamine drip 250mg/amp 1 amp + 250cc D5W to run for __ cc/hr (same as ugtt/min; Dobumax 15)
Titrate by 2 cc/hr to maintain BP>= 90/60

__ ugtt/min = ___ desired dose mcg/kg/min (2.5 – minimal INO/chronotropic; 5+ - moderate chrono; 10-
chrono + vasodilatory)
x ___ body weight (kg)
/ ___ dobutamine factor (1 amp 200 mg – 16.6; 2 amps 400 mg – 33.2)

V. HYPOVOLEMIC SHOCK

VI. ANAPHYLACTIC SHOCK/HYPERSENSITIVITY REACTION

Epinephrine 1:10000 1mL IM or IV

Diphenhydramine 25 or 50 mg cap 1 tab BID-TID, or 50mg/mL amp IM or IV

Sedative: Hydroxyzine (iterax) 10 or 25 mg tab BID-QID, or 50-100 mg tab HS
Midazolam 5mg/mL amp (0.07-0.1mg/kg) IM or IV

Hydrocortisone IV

VII. DIABETES MELLITUS

Insulin orders, DKA

Insulin drip

VIII. ACUTE MYOCARDIAL INFARCTION

Unfractionated heparin drip

Aspirin
Clopidogrel
Rivaroxaban
UFH
Beta blockers
ARBs
Nitroglycerin

Laxatives

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 Bisacodyl 5mg tab 1-2 tabs HS, or 10mg suppository 1 supp
Lactulose 1-2 tablespoons HS

Trimetazidine 20 mg tab BID

IX. CEREBROVASCULAR ACCIDENT

CVD

Citicoline IV

Aspirin

Lactulose 10mL ODHS

X. SEIZURES

Diazepam 5 or 10 mg tab 1 tab OD-TID, or 10mg/2mL amp 5-10mg IM or IV

Pain Meds
Ketorolac 30mg/amp q4-6hrs
Morphine sulfate 10mg/mL amp (10mg/70kg patient IM; 1-4mg SIVP for MI patients)
Nalbuphine 10 mg/mL amp (0.15-0.20 mg/kg IV q3-6hrs)
Tramadol 50-100 mg IV or IM q6-8hrs (max 400mg/day)

Celecoxib 200 mg tab BID

Naproxen 275mg tab TID

XI. CAP

Cefuroxime 750 mg IV q8hrs ANST ()

Azithromycin 500 mg tab OD x 3 days

Or Ceftriaxone 1 g IV LD

Salbutamol + Ipratropium nebulization q8hrs

Acetylcysteine 600 sachet dissolve in ½ glass water BID x 5 days
Levopront

XII. BRONCHIAL ASTHMA OR COPD

Salbutamol + Ipratropium nebulization q8hrs

XIII. UTI

XIV. ACUTE GASTRITIS/PEPTIC ULCER

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Antiflatulents
Simeticone 40mg tab 1-2 tabs after meals
Domperidone 10 mg tab 1 tab TID

XV. DENGUE FEVER

Ranitidine 50 mg IV, or Omeprazole 40 mg IV OD

HNBB 20 mg IV for abdominal pain
Metoclopramide 5-10 mg IV
Isoprinosine tab

XVI. LEPTOSPIROSIS

XVII. ACUTE GASTROENTERITIS WITH DEHYDRATION

Ampicillin

For neonates:
Ampicillin

Gentamycin

Antidiarrheals
Loperamide 2mg cap 2 caps initially then 1 cap each LBM (max 6 caps per day)

Antispasmodics
HNBB 10 mg tab 1-2 tabs TID, or 20mg amp 1-2 amps IM or IV

XVIII. CKD/ MULTIPLE ELECTROLYTE IMBALANCES

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