2009 Ems Manual Pharmacology Dosages

Front 1

Acetylsalicylic Acid (Aspirin, ASA)

Back 1

Acute Coronary Syndrome: 162mg PO.

Front 2

Adenosine (Adenocard)

Back 2

SVT: 6mg IV for first dose. 12mg IV for second and third dose. Fast push w/ 20ml saline. 1-2 minutes between doses.

Front 3

Albuterol (Ventolin)

Back 3

Wheezing/SOB from Allergic Reaction or Pulmonary Edema: 2.5mg NEB for moderate and severe. Repeat as needed.
Hyperkalemia from Electrolyte Abnormalities or Crush Syndrome: 10mg NEB
Astham/COPD/Brochospasms: 5mg NEB mixed with .5mg of Ipratropium Bromide. 2.5mg NEB mixed with .5mg of Ipratropium Bromide for subsequent doses.

Front 4

Atropine (Atropine Sulfate)

Back 4

Aystole/PEA: 1mg IV per dose. Max of 3mg total. 3-5 minutes between doses.
Bradycardia: .5mg IV per dose. Max total of 3mg. 3-5 minutes between doses.

Front 5

Calcium Chloride (10%)

Back 5

Obstetric Emergencies: 1g IV (10ml) over 2 minutes. If refractory after 5-10 minutes repeat once.
Beta Blocker/Calcium Channel Blocker Overdose: Contact OLMD.
Magnesium Overdose: 1g IV (10ml) over 2 minutes. If refractory after 5-10 minutes repeat once.

Front 6

Dextrose (50%)

Back 6

Hypoglycemic: 25g IV slow.
Hyperkalemia: 25g IV slow.

Front 7

Diazepam (Valium)

Back 7

Organophosphate/Nerve Agent Poisoning: 5mg IV

Front 8

Diphenhydramine (Benadryl)

Back 8

Allergic Reactions: 50mg IV or IM

Front 9

Dopamine Hydrochloride (Intropin)

Back 9

Bradycardia: 10mcg/kg/min
Hypoperfusion: 10mcg/kg/min

Front 10

Epinephrine (Adrenaline)

Back 10

Allergic Reactions: .3mg IM of 1:1,000 per dose. May repeat once.
Cardiac Arrest: 1mg IV of 1:10,000 per dose. Repeat every 3-5 mins.
Asthma/Bronchospasm: .3mg SQ of 1:1,000. Contact OLMD to repeat.

Front 11

Fentanyl Citrate (Sublimaze)

Back 11

ACS: 0.25mcg/kg to max single dose of 25mcg IV. If refractory repeat once.
Pain Managment: 0.5mcg/kg IV to max single dose of 50mcg. If refractory repeat once.

Front 12

Furosemide (Lasix)

Back 12

Pulmonary Edema: contact OLMD first. 40mg IV slow push.

Front 13

Glucagon

Back 13

Hypoglycemia: 1mg IM. Repeat once.
Hypotension or symptomatic bradycardia from beta Blocker/Calcium Channel Blocker overdose: 3mg IV

Front 14

Glucose Tube

Back 14

Hypoglycemia: 15g PO (1 tube). Repeat once.

Front 15

Ipratropium Bromide (Atrovent)

Back 15

Asthma/Bronchospasm/COPD: 0.5mg NEB mixed with 5mg of Albuterol. If refractory then 0.5mg NEB mixed with 2.5mg of Albuterol

Front 16

Lidocaine (2%) (Xylocaine)

Back 16

V-fib/V-tach without a pulse: 1.5mg/kg IV. 2nd and 3rd dose .75mg/kg IV. Can be administer via ET.
Post Resuscitation Management: 2mg/min IV if Lidocaine was used and ROSC occurred.
Pain Management from IO Infusion: 40mg IV slow immediately after.
Prevent brain injury from intubation: 1mg/kg IV 3-5 minutes prior.

Front 17

Magnesium Sulfate (50%)

Back 17

(Polymorphic V-tach) Torsades de pointes during V-fib/V-tach without pulse: 2g in 100ml NS IV drip run wide open as inital antidysrhythmic.
Polymorphic V-tach with a pulse: 2g in 100 ml NS IV drip 60 gtts/minute in 10gtt/ml set.
Eclamptic Seizures: 4g in 100ml NS IV drip 60gtts/min (10gtt/ml set)
Asthma/Brochospasm: 2g in 10ml of NS IV drip, 30gtts/min (10gtt/ml set)

Front 18

Methylprednisolone (Solu-Medrol)

Back 18

Wheezing or SOB from Allergic reaction: 125mg IV slow
Asthma/Bronchospasm/COPD: 125mg IV slow.

Front 19

Midazolam (Versed)

Back 19

Prevent removal of advanced airways in post resuscitatio management: 2mg IV
Sedating prior to synchronized cardioversion/pacing: 2mg IV slow.
Seizures: 5mg IV slow. May repeat once. Can do IM or IN
Patient Restraint: 5mg IM or 2mg IV slow.

Front 20

Morphine (Morphine Sulfate)

Back 20

ACS: 2mg IV slow. If refractory after 5 mins then repeat once.
Pain Management: 2-4mg IV or IM slow. Repeat every 5 mins as needed up to 10mg total.

Front 21

Naloxone (Narcan)

Back 21

Narcotic Overdose: 0.4mg IV or IM. Repeat to max of 2mg as needed. If no vascular access, then 2mg IN.

Front 22

Nitroglycerin

Back 22

ACS: 0.4mg SL every 5 mins to max of 3 doses.
Respiratory emergencies from pulmonary edema: 0.4-0.8mg SL max. Repeat every 3-5 mins as needed.

Front 23

Ondansetron (Zofran)

Back 23

Nausea/Vomiting: 4mg PO or in 100ml of NS IV drip run wide open (10gtt/ml set) or 4mg IM.

Front 24

Sodium Bicarbonate (8.4%)

Back 24

Metabolic acidosis, hyperkalemia (dialysis patient, tricyclic overdose: 50mEq IV over 5 mins.
Entrapment greater than 4 hours: 1mEq/kg IV over 5 mins to max of 100mEq.