Pharm test 2024

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Questions and Answers

Which medication is correctly defined as an adrenergic agonist?

  • Thiamine
  • Lidocaine
  • Glucagon
  • Dopamine (correct)

What is the most correct standard adult dosage of albuterol via small volume nebulizer (SVN)?

  • 1.0 to 1.5 mg/kg
  • 2.5 mg - 5.0 mg (correct)
  • 0.01 mg/kg (1:10,000)
  • 0.5 - 1.0 mg/kg

What is the correct pediatric dosage of naloxone?

  • 0.05 to 0.1 mg/kg
  • 1 - 2 mcg/kg, up to 50mcg
  • 0.8 mg/kg
  • 0.1 mg/kg (up to 2.0 mg per dose)IV/IO/IM, 1.0 mg sprayed in each nostril IN, ET: 2.0 to 4.0 mg diluted in 3.0 to 5.0 mL normal saline, May repeat the dosage every 2 minutes (correct)

What is the correct standard dosage of glucagon?

<p>1.0 mg, may repeat the dosage in 7 to 10 minutes (A)</p> Signup and view all the answers

What is the correct dosage range for verapamil given slow intravenous push (SIVP)?

<p>2.5 - 5.0 mg SIVP (B)</p> Signup and view all the answers

Which medication is correctly classified as an anticholinergic?

<p>Atropine (C)</p> Signup and view all the answers

How many milliliters are in a liter?

<p>1,000 liters (C)</p> Signup and view all the answers

How many milligrams are there in 1 gram?

<p>1,000 (B)</p> Signup and view all the answers

What is the initial dosage of lidocaine?

<p>1.0 to 1.5 mg, max dosage 3.0 mg/kg, Maintenance infusion: 2.0 to 4.0 mg/minute (C)</p> Signup and view all the answers

Which medication is correctly defined as a pancreatic hormone?

<p>Glucagon (D)</p> Signup and view all the answers

What is the correct pediatric dosage range for Ativan (lorazepam)?

<p>0.05 to 0.1 mg/kg (B)</p> Signup and view all the answers

What is the correct dosage of Ketamine in mg/kg?

<p>1.5 mg/kg (A)</p> Signup and view all the answers

What is the most standard adult dosage of Lasix (furosemide) in mg/kg?

<p>0 5- 1.0 mg/kg (A)</p> Signup and view all the answers

What is the correct dosage of Rocuronium (Rocc) in mg/kg?

<p>1.0 mg/kg (B)</p> Signup and view all the answers

What is the correct dosage of Succinylcholine (Succs) in mg/kg?

<p>1.5 mg/kg (A)</p> Signup and view all the answers

How many micrograms are there in 1 gram?

<p>1,000,000 micrograms (A)</p> Signup and view all the answers

What is the correct initial dosage of Fentanyl in mcg/kg for pediatric patients?

<p>1 - 2 mcg/kg, up to 50mcg (A)</p> Signup and view all the answers

What is the initial Lorazepam (Ativan) dosage?

<p>2-4mg IV/IO, 2 mg/min max IM, max of 8mg(2-8mg) (D)</p> Signup and view all the answers

What is the typical adult initial dosage for etomidate?

<p>0.3 mg/kg (A)</p> Signup and view all the answers

What is the initial dosage of thiamine?

<p>100 mg (B)</p> Signup and view all the answers

What is the initial dosage for midazolam (Versed)?

<p>1-5mg SIVP, 2 -10 IM, 0.2-0.3mg/kg IN, Max of 10, May repeat in 10(1-10 mg) (A)</p> Signup and view all the answers

What is the formula for an amiodarone or magnesium infusion?

<p>VTBI( volume to be infused) x ggts/mL(drops per milliliter) divided by time (A)</p> Signup and view all the answers

What is the pediatric dosage for epinephrine?

<p>0.01 mg/kg (1:10,000) IV/IO, May repeat the dosage every 3 to 5 minutes during resuscitation (C)</p> Signup and view all the answers

What is the initial dosage for Amiodarone?

<p>Cardiac arrest: 300 mg RIVP, followed by a 10- 20 mL NS flush, Ventricular arrhythmias infusion: 1mg/minute- 150 mg in 50 mL D5W over 10 minutes (A)</p> Signup and view all the answers

What is the initial dosage of morphine sulfate?

<p>1- 4 mg over 1- 5 minutes (B)</p> Signup and view all the answers

What is the cardiac dysrhythmias dosage for magnesium sulfate( Torsaids de points and ventricular dysrhythmias refractory to amiodarone and lidocaine in the presence of a cardiac arrest)?

<p>Torsaids: 1- 2 Gm in 50- 100 mL over 5 minutes, Cardiac arrest: 1- 2 Gm over 1- 2 minutes (A)</p> Signup and view all the answers

What is the preeclampsia infusion dosage for magnesium sulfate?

<p>3.0- 6.0 Gm in 100 mL over 10- 20 minutes (C)</p> Signup and view all the answers

What is the dosage for reactive airway disease for magnesium sulfate?

<p>2.0 Gm in 50 mL over 5- 10 minutes (A)</p> Signup and view all the answers

What is the pediatric dosage racemic epinephrine for children 4 years or younger for croup, bronchiolitis, and bronchospasm associated with asthma?

<p>0.25 mL of 2.25% inhalation solution mixed in 3.0 mL normal saline or 0.5 mL/kg of 1.0 mg/1.0 mL epinephrine (1:1,000) mixed in 3.0 mL normal saline Maximum dose: 2.5 mL (C)</p> Signup and view all the answers

magnesium sulfate pediatric dosage

<p>Reactive airway conditions infusion: 25 to 50 mg/kg 10% solution infused over 15 to 30 minutes Maximum dosage 2.0 gm (B)</p> Signup and view all the answers

What is the pediatric dosage racemic epinephrine for children 4 years or older for croup, bronchiolitis, and bronchospasm associated with asthma?

<p>up to 0.5 mL of 2.25% inhalation solution mixed in 3.0 mL normal saline or 0.5 mL/kg of 1.0 mg/1.0 mL epinephrine (1:1,000) mixed in 3.0 mL normal saline<br /> Maximum dose: 5.0 mL(2mL of 1:1,000 epinephrine in 3mLs of NS) (A)</p> Signup and view all the answers

What is the pediatric dosage for methylprednisolone?

<p>2.0 to 4.0 mg/kg (B)</p> Signup and view all the answers

What is the pediatric dosage for epinephrine for anaphylaxis?

<p>0.01 mg/kg IM(1:1,000) EPI auto injector 0.15 mg IM (1:1,000) (D)</p> Signup and view all the answers

What is the dopamine infusion rate for pediatric patients?

<p>2.0 to 20 mcg/kg/minute (A)</p> Signup and view all the answers

What is the pediatric dosage for atropine?

<p>Hemodynamically significant bradycardia: 0.02 mg/kg May repeat the dosage every 3 to 5 minutes to maximum dosage 1.0 mg in children and 2.0 mg in adolescents Organophosphate poisoning/carbamate poisoning/nerve agent exposure: 0.03 to 0.05 mg/kg every 10 to 20 minutes (B)</p> Signup and view all the answers

What is the pediatric dosage for amiodarone?

<p>Ventricular fibrillation: 5.0 mg/kg May repeat the dosage every 5 minutes twice Maximum dosage 300 mg(15mg/kg Max daily dose) Ventricular tachycardia: 5.0 mg/kg over 20 minutes May repeat the dosage twice (A)</p> Signup and view all the answers

What is the pediatric dosage for lidocaine?

<p>VF and pulseless VT: 1.0 mg/kg May repeat the dosage 1.0 mg/kg one time in 3 to 5 minutes during resuscitation Ventricular dysrhythmias with a pulse: 1.0 mg/kg May repeat the dosage in 5 to 10 minutes Maximum dosage 3.0 mg/kg Maintenance infusion: 20 to 50 mcg/kg/minute ET: 2.0 to 2.5 times the bolus dosage diluted in 3.0 to 5.0 mL normal saline (D)</p> Signup and view all the answers

What is the pediatric dosage for adenosine?

<p>0.1 mg/kg (up to 6.0 mg) RAPID bolus over 1 to 3 seconds followed by 5 to10 mL normal saline flush If no response to the initial bolus after 1 to 2 minutes, administer 0.2 mg/kg (up to 12 mg) RAPID bolus over 1 to 3 seconds followed by 5.0 to 10 mL normal saline flush (A)</p> Signup and view all the answers

What is the pediatric dosage for midazolam?

<p>Seizure IV/IO: 0.05 to 0.1 mg/kg Seizure IM: 0.2 mg/kg Maximum dosage: 10 mg Procedural sedation IV/IO: 0.05 to 0.5 mg/kg Maximum dosage 0.1 mg/kg (B)</p> Signup and view all the answers

What is the pediatric dosage for diphenhydramine?

<p>1.0 to 1.25 mg/kg (A)</p> Signup and view all the answers

What is the pediatric dosage for morphine sulfate?

<p>0.1 to 0.2 mg/kg (A)</p> Signup and view all the answers

What is the pediatric dosage for pediatric patients 4 to 14 years for ondansetron oral/IV/IO?

<p>4.0 mg, Maximum dosage 4.0 mg (A)</p> Signup and view all the answers

What is the pediatric dosage for oral glucose?

<p>5.0 to 50 gm, may repeat the dosage (A)</p> Signup and view all the answers

What is the pediatric dosage for calcium chloride?

<p>0.2 to 0.25 mL/kg 10% solution (A)</p> Signup and view all the answers

Flashcards

Adrenergic Agonist

Medication that stimulates adrenergic receptors.

Standard Adult Albuterol Dosage(SVN)

2.5 mg - 5.0 mg

Pediatric Naloxone Dosage

0.1 mg/kg IV/IO/IM (max 2mg), 1mg IN per nostril. May repeat every 2 minutes

Standard Glucagon Dosage

1.0 mg, may repeat in 7-10 minutes

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Verapamil Dosage Range (SIVP)

2.5 - 5.0 mg SIVP

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Anticholinergic

Medication that blocks acetylcholine receptors.

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Milliliters in a Liter

1,000 milliliters

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Milligrams in a Gram

1,000 milligrams

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Initial Lidocaine Dosage

1.0-1.5 mg/kg, Max 3mg/kg. Maintenance: 2-4 mg/min

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Glucagon

Hormone secreted by the pancreas that increases blood glucose levels.

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Pediatric Lorazepam (Ativan) Dosage

0.05 to 0.1 mg/kg

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Ketamine Dosage (mg/kg)

1.5 mg/kg

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Standard Adult Lasix (Furosemide) Dosage (mg/kg)

0.5-1.0 mg/kg

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Rocuronium (Rocc) Dosage (mg/kg)

1.0 mg/kg

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Succinylcholine (Succs) Dosage (mg/kg)

1.5 mg/kg

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Micrograms in a Gram

1,000,000 micrograms

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Initial Fentanyl Dosage (Pediatric)

1-2 mcg/kg, up to 50mcg

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Initial Lorazepam (Ativan) Dosage

2-4mg IV/IO, 2mg/min max IM, max of 8mg (2-8mg)

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Typical Adult Initial Etomidate Dosage

0.3 mg/kg

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Initial Thiamine Dosage

100 mg

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Initial Midazolam (Versed) Dosage

1-5mg SIVP, 2-10 IM, 0.2-0.3mg/kg IN, max of 10, repeat in 10 (1-10 mg)

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Calculating Infusion Rate

VTBI x ggts/mL / time

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Pediatric Epinephrine Dosage

0.01 mg/kg (1:10,000) IV/IO, repeat every 3-5 minutes

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Initial Amiodarone Dosage

Cardiac Arrest: 300 mg RIVP, then NS flush. Ventricular Arrhythmias: 1mg/minute- 150 mg in 50 mL D5W over 10 minutes

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Initial Morphine Sulfate Dosage

1-4 mg over 1-5 minutes

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Reactive Airway Disease - Magnesium Sulfate Dosage

Reactive Airway: 2.0 Gm in 50 mL over 5-10 minutes

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Racemic Epinephrine Dosage (≤4 years)

0.25 mL of 2.25% in 3.0 mL NS or 0.5 mL/kg of 1:1,000 in 3.0 mL NS (max 2.5 mL)

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Magnesium Sulfate Pediatric Dosage

25-50 mg/kg 10% solution over 15-30 minutes (max 2.0 gm)

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Racemic Epinephrine Dosage (> 4 years)

up to 0.5 mL of 2.25% in 3.0 mL NS or 0.5 mL/kg of 1:1,000 in 3.0 mL NS (max 5.0 mL)

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Pediatric Methylprednisolone Dosage

2.0 to 4.0 mg/kg

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Study Notes

  • Common measurement conversions are necessary for everyday tasks, including converting milligrams to grams, milliliters to liters, and vice versa.
  • To convert milligrams to grams, divide the number of milligrams by 1000. For example, 1 mg = 0.001 g.
  • Converting milliliters to liters involves dividing the number of milliliters by 1000. For instance, 1 mL = 0.001 L.
  • For liters to milliliters conversion, multiply the number of liters by 1000. For example, 0.5 L = 500 mL.
  • Amidate is an IV anesthetic used for induction with a typical initial adult dose range of 0.2–0.3 mg/kg, reaching up to 0.6 mg/kg in specific cases.
  • Rocuronium is a muscle relaxant with a typical adult dosage range of 0.6–1.2 mg/kg and a loading dose of 1.2 mg/kg for rapid sequence intubation.
  • Ketamine, a dissociative anesthetic, has varying dosages depending on use, with a bolus dose of 0.5–1 mg/kg IV during induction.
  • Succinylcholine, another muscle relaxant, has an initial dose of 1.5 mg/kg IV, potentially increasing to 2 mg/kg in certain situations.

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