Activated Charcoal
1-2 Grams/kg PO or NG
Adenosine
6,12,12mg IVP FAST
Albuterol
2.5 mg Nebulize
Amiodarone
150mg slow IV over 10 (alive) May repeat Q 10 min PRN
300mg IV (dead) then 150mg for second dose after 3-5 min (no 3rd dose)
Amyl Nitrite
1-2 ampules crushed and inhaled for 30 seconds each until Sodium Nitrite is ready for admin.
Aspirin
160-325 mg PO chewed preferably
Atenolol
5 mg IV slow over 5 min, wait 10 min and repeat dose at 5mg IV over 5 min
Atropine Sulfate
0.5mg Q 3-5 min (max dose 3 mg)
Bumetanide
0.5-1 mg IV slow or IM
Calcium Chloride
500-1000 mg (10% Solution) IV push
Calcium Gluconate
Hyperkalemia- 500-1000 mg Slow IV/IO
CCB or BB OD- 3-6 G IV/IO followed by an hourly infusion of the same dose
Clopidogrel
300-600 mg PO
Decadron
10-100 mg IV ( contact medical control or go by protocol before administering)
Dextrose
12.5-25 G IV ONLY slow
Diazepam
5-10 mg IV Q 10-15 min PRN (max dose 30 mg)
Digoxin
4-6 mcg/kg over 5 min, 2nd and 3rd 2-3 mcg/kg at 4-8 hour intervals
Diltiazem
Initial dose 0.25mg/kg over 2 min, if inadequate response may re-bolus in 15 min at a dose of 0.35mg/kg
Diphenhydramine
25-50 mg IM IV PO
Dolasetron
12.5 mg IV once or 100 mg PO once
Dobutamine
2-20 mcg/kg/min titrated to desired effect
Dopamine
2-20 mcg/kg/min titrated to desired effect
Epinepherine 1:1000
mild allergic reactions : 0.3-0.5 mg SC
Epinepherine 1:10,000
anaphylaxis : 0.1 mg SC
Cardiac arrest : 1 mg IV IO
Etomidate
0.2-0.6 mg/kg IV over 30-60 seconds
Fentanyl Citrate
50-100 mcg IM, IV, IO ( Max 150 mg)
Flumazenil
0.2 mg IV/IO then 0.3 mg IV/IO then 0.5 mg IV/IO wait 30 seconds between doses to asses for results. ( max 3mg)
Furosemide
0.5-1 mg/kg IV over 1-2 min, if no response double dose to 2 mg/kg
Glucagon
Hypoglycemia- 1mg IM
CCB or BB OD- 3-10 mg IV over 3-5 min then bolus at 3-5 mg/hr as needed
Haldol
2-5 mg IM ONLY
Heparin
Draw blood prior to administration
60 U/kg bolus ( max 4,000 U )
Solu-Cortef
4 mg/kg slow IV bolus
Hydroxyzine
25-100 mg IM ONLY * Hurts IM FYI
Ipratropium
0.25-0.5 mg nebulized
Isoetharine
2.5-5 mg Nebulized
Ketorolac
30-60 mg IM (can give 30 mg IV but no more than 30)
Labetalol
10 mg IVP over 1-2 min, may repeat Q 10 min until max dose of 150 mg reached
Lidocaine
1-1.5 mg/kg (cut dose in half if over 70)
Lorazepam
2-4 mg IV(diluted 1/2 &1/2 ) slow or IM
Magnesium Sulfate
Eclamptic Seizures : 1-4 G 10% solution IV/IO over 3 min
Tsorades de Pointes : (cardiac arrest)1-2 G IV/IO over 2-20 min
( with a pulse) 1-2 G IV/IO over 5-60 min
Meperidine
50-100 mg IM SC or 25-50 mg IV slow
Metaporterenol
0.2-0.3 ml of 5% solution nebulized
Solu-Medrol
Spinal 30 mg/kg IV over 30 min
Asthma, COPD, anaphylaxis 1-2 mg/kg IV slow
Metoprolol
5 mg IV slow at 5 min intervals X 3
Midazolam
2-2.5 mg IV slow
Morphine sulfate
STEMI : 2-4 mg Slow IV, repeat at 2-8 mg at 5-15 min intervals
NSTEMI/ Angina: 1-5 mg IVP slow
Naloxone
2 mg IM IV IO SQ (max 10 mg)
Nitroglycerin
0.3-0.4 mg SL Q 5 min up to 3 times
1-2 cm transdermal
1-2 sprays at 5 min intervals (max 3 sprays)
Norepinephrine Bitartrate
Dilute 8 mg in 500 ml D5W or 4 in 250
dose at 0.1-0.5 mcg/kg/min titrated to desired effect
Ondansetron HCL
4 mg IV/IM may repeat in 10 min
Oral Glucose
15-45 G PO **
must have intact gag reflex and be able to swallow
*
Pancuronium Bromide
0.06-0.1 mg/kg slow IV repeat Q 30-60 min PRN
Phenobarbital
100-250 mg slow IV or IM
Phenytoin
Seizures: 10-20 mg/kg slow IV (max 1 G )
Dysrhythmias: 50-100 mg IV diluted slow over 5-15 min
Procainamide
20 mg/min slow IV Max 17 mg
Promethazine
12.5-25 mg IV or deep IM or PO
Propranolol
Dilute 1-3 mg in 10-30 ml of D5W give at 1mg/min
Rocuronium
0.6-1.2 mg/kg IV or IO
Sodium Bicarb
1 mEq/kg slow IV/ or IO push, may repeat every 10 min at 0.5 mEq/kg
Succinycholine Chloride
1-1.5 mg/kg Rapid IV repeat once if needed
Terbutaline
0.25 mg SC
Thiamine
100 mg slow IV or IM
Vasopressin
40 U IV/ IO once to replace first or second dose of Epi
Vecuronium
0.1-0.2 mg/kg IVP
Verapamil HCL
2.5-5 mg IV bolus over 2-3 min every 15-30 min (max dose 20mg )