WorksheetsCardiology and Critical Care Dosing
Total questions: 31
Worksheet time: 23mins
SS presents to the clinic with symptoms of acute ischemic stroke. What is the dose of t-PA?
IV: 0.9mg/kg (max total dose 100mg)
Give 10% IV push over 1 minutes followed by 90% over 1 hour
IV: 0.9mg/kg (max total dose 90mg)
Give 10% IV push over 1 minutes followed by 90% over 1 hour
IV: 0.9mg/kg (max total dose 90mg)
Give 90% IV push over 1 minutes followed by 10% over 1 hour
IV: 0.9mg/kg (max total dose 150mg)
Give 10% IV push over 1 minutes followed by 90% over 1 hour
LM presents to the clinic with symptoms of v.fib. What is the appropriate treatment dose?
Amiodarone
150mg IV over 10 min
then 1mg/min IV infusion for 6 hours
Followed by 0.5mg/minute for 18 additional hours then switch to PO therapy
Amiodarone
1500mg IV over 10 min
then 10mg/min IV infusion for 6 hours
Followed by 0.05mg/minute for 18 additional hours then switch to PO therapy
Amiodarone
15mg IV over 10 min
then 0.1mg/min IV infusion for 6 hours
Followed by 0.05mg/minute for 18 additional hours then switch to PO therapy
Amiodarone
1.5mg IV over 10 min
then 1.5mg/min IV infusion for 6 hours
Followed by 0.25mg/minute for 18 additional hours then switch to PO therapy
What is the dose of Atropine for bradycardia?
IV, IM: 0.05mg q3-5 min; max total dose: 0.3mg
IV, IM: 0.25mg q3-5 min; max total dose: 0.3mg
IV, IM: 5mg q3-5 min; max total dose: 30mg
IV, IM: 0.5mg q3-5 min; max total dose: 3mg
What is the proper dose of Buprenex for moderate to severe pain?
Slow IV: 30mg q6-8h prn
Fast IV: 30mg q6-8h prn
Slow IV: 0.3mg q6-8h prn
Fast IV: 0.3mg q6-8h prn
What is the treatment dose of Stadol for pain management?
IV: 1mg, may repeat every 3-4 hours prn
IV: 10mg, may repeat every 3-4 hours prn
IV: 2mg, may repeat every 3-4 hours prn
IV: 3mg, may repeat every 3-4 hours prn
What is the proper treatment dose of Platinol for ovarian cancer?
Cisplatin 10mg/m2 q4weeks
Cisplatin 1mg/m2 q4weeks
Cisplatin 100mg/m2 q4weeks
Cisplatin 1000mg/m2 q4weeks
What is the proper dose of Dantrolene for malignant hyperthermia?
IV: 0.5mg/kg continuously repeat dose until symptoms subside
IV: 0.25mg/kg continuously repeat dose until symptoms subside
IV: 25mg/kg continuously repeat dose until symptoms subside
IV: 2.5mg/kg continuously repeat dose until symptoms subside
Which of the following is true in regards to Aranesp (Darbepoetin) for anemia due to CKD for pt ON DIALYSIS?
Reduce dose if hemoglobin approaches or exceeds 11g/dL
IV, SubQ: 0.45mcg/kg once weekly
0.75 mcg/kg q2 wks
All of the above
What is the proper dose of dexamethasone for adrenal crisis?
40-100 as single dose, repeated if necessary
1-4mg as single dose, repeated if necessary
4-10mg as single dose, repeated if necessary
0.1-0.4 as single dose, repeated if necessary
What is the appropriate dose of Lanoxin for a.fib?
0.50mg with repeat dosing to a max of 1.5mg over 24 hours followed by oral maintenance regimen
25mg with repeat dosing to a max of 15mg over 24 hours followed by oral maintenance regimen
0.025mg with repeat dosing to a max of 1.05mg over 24 hours followed by oral maintenance regimen
0.25mg with repeat dosing to a max of 1.5mg over 24 hours followed by oral maintenance regimen
What is the initial dose of Dobutamine for cardiac decompensation?
0.1-2mcg/kg/min
0.5-1mcg/kg/min
5-10mcg/kg/min
10-15mcg/kg/min
What is the appropriate dose of Anzemet for postoperative nausea and vomiting?
IV: 12.5mg ~15 min before cessation of anesthesia
IV: 25mg ~15 min before cessation of anesthesia
IV: 1.25 ~15 min before cessation of anesthesia
IV: 5mg ~ 15 min before cessation of anesthesia
What is the appropriate dose of Dopamine for hemodynamic support?
0.5mcg/kg/min (max: 10mcg/kg/min)
1mcg/kg/min (max: 20mcg/kg/min)
2-20mcg/kg/min (max: 50mcg/kg/min)
25mcg/kg/min (max: 100mcg/kg/min)
What is the appropriate dose of Inapsine for acute undifferentiated agitation?
Initial 250mg-1000mg as monotherapy or in combo with BZD (max dose: 2000mg per episode)
Initial 0.25mg-5mg as monotherapy or in combo with BZD (max dose: 10mg per episode)
Initial 25mg-100mg as monotherapy or in combo with BZD (max dose: 20mg per episode)
Initial 2.5mg-10mg as monotherapy or in combo with BZD (max dose: 20mg per episode)
What is appropriate dose of Epinephrine for asystole/pulseless arrest. pulseless VT/VF?
10mg q3-5 min until spontaneous circulation
1mg q3-5 min until spontaneous circulation
0.5mg q3-5 min until spontaneous circulation
100mg q3-5 min until spontaneous circulation
What is the appropriate dose of Neupogen for bone marrow transplantation?
IV infusion: 1.5mcg/kg/day (more than 24 hours after chemo and bone marrow infusion)
IV infusion: 15mcg/kg/day (more than 24 hours after chemo and bone marrow infusion)
IV infusion: 100mcg/kg/day (more than 24 hours after chemo and bone marrow infusion)
IV infusion: 10mcg/kg/day (more than 24 hours after chemo and bone marrow infusion)
What is the appropriate treatment of Normodyne for hypertensive emergency?
0.5mg-1mg IV push over 2 min (max: 30mg)
10mg-20mg IV push over 2 min (max: 300mg)
100mg-200mg IV push over 2 min (max: 3000mg)
1mg-2mg IV push over 2 min (max: 30mg)
What is the appropriate treatment of folate-deficiency megaloblastic anemia with Wellcovorin?
≤ 1mg QD
≤ 10mg QD
≤ 100mg QD
≤ 5mg QD
What is the appropriate treatment for VF or pulseless VT for Xylocaine?
0.5mg/kg IV/IO
15mg/kg IV/IO
1-1.5mg/kg IV/IO
5mg/kg IV/IO
What is the appropriate treatment for MI with Metoprolol?
25mg every 5 min as tolerated for up to 3 doses
50mg every 5 min as tolerated for up to 3 doses
5mg every 5 min as tolerated for up to 3 doses
15mg every 5 min as tolerated for up to 3 doses
What is the appropriate treatment of inotropic support in heart failure with Milrinone?
500mcg/kg admin over 10 min followed by maintenance dose
20mcg/kg admin over 10 min followed by maintenance dose
15mcg/kg admin over 10 min followed by maintenance dose
50mcg/kg admin over 10 min followed by maintenance dose
What is the appropriate treatment of angina with Tridil?
5mcg/min, increase by 5mcg/min every 3-5mins to 20mcg/min
50mcg/min, increase by 5mcg/min every 3-5mins to 200mcg/min
2mcg/min, increase by 5mcg/min every 3-5mins to 5mcg/min
20mcg/min, increase by 5mcg/min every 3-5mins to 50mcg/min
What is the appropriate treatment of hypotension/shock with Levophed?
8-12 mcg/min; titrate to desired response
MD: 2-4 mcg/min
2-4 mcg/min; titrate to desired response
MD: 8-12 mcg/min
5 mcg/min; titrate to desired response
MD: 2-4 mcg/min
20 mcg/min; titrate to desired response
MD: 10 mcg/min
What is the appropriate treatment of hypotension/shock with phenylephrine?
IV bolus: 1-5mcg/dose q10-15 min prn
IV bolus: 10-50mcg/dose q10-15 min prn
IV bolus: 100-500mcg/dose q10-15 min prn
IV bolus: 0.5mcg/dose q10-15 min prn
What is the appropriate treatment of hypokalemia with Potassium Chloride?
Peripheral or central line: ≤20 mEq/hour; repeat as needed based on lab values
Peripheral or central line: ≤1 mEq/hour; repeat as needed based on lab values
Peripheral or central line: ≤100 mEq/hour; repeat as needed based on lab values
Peripheral or central line: ≤10 mEq/hour; repeat as needed based on lab values
What is the appropriate treatment of ventricular arrhythmias with Procainamide?
Maintenance infusion: 20-60mg/min by continuous infusion
Maintenance infusion: 2-6mg/min by continuous infusion
Maintenance infusion: 10mg/min by continuous infusion
Maintenance infusion: 60mg/min by continuous infusion
What is the appropriate treatment of a.fib with propanolol?
5mg/dose slow IVP
10mg/dose slow IVP
1-3mg/dose slow IVP
30mg/dose slow IVP
What of the following is treat based on the treatment of heparin overdose with protamine
1mg of protamine neutralizes 100 units of heparin
Immediate dose of protamine is 1-1.5mg
Immediate dose of protamine if 10-15mg
Options 1 and 2 are correct
What is the appropriate treatment of acute MI with streptokinase?
IV single dose of 5 million units infused over 1 hour ASAP after onset of symptoms
IV single dose of 3 million units infused over 1 hour ASAP after onset of symptoms
IV single dose of 2 million units infused over 1 hour ASAP after onset of symptoms
IV single dose of 1.5 million units infused over 1 hour ASAP after onset of symptoms
Which of the following is correct regarding the treatment of APAP overdose with Mucomyst
21-hour regimen: consist of 3 doses; total dose delivered 300mg/kg
LD: 150mg/kg (max 15g) infused over 1 hour
Second dose: 50mg/kg (max 5g) infused over 4 hours
Third dose: 100mg/kg (max 10g) infused over 16 hours
All of the above are correct
Which of the following is correct regarding adenosine for the treatment of paroxysmal supraventricular tachycardia?
IV rapid infusion over 1-2 seconds via peripheral line
Initial: 6mg; if not effective within 1-2 min, 12mg may be given
Adenosine is a class IV antiarrhythmic agent
All of the above are correct
