Acadian Texas Drug Reference

Front 1

Adenosine
narrow complex tachycardia

Back 1

Elevate arm, 12 mg IVP RAPID (1-3 sec), followed by a 10 ml RAPID bolus with saline syringe in tubing port above injection port. Repeat 12 mg dose in 1-2 minutes if needed.

Front 2

albuterol
asthma/copd

Back 2

2.5 mg nebulizer; set O2 flow rate at 8 LPM.
*Ipratropium in initial treatment only

Front 3

Amiodarone
Post-Resuscitation
Tachycardia-Wide Complex

Back 3

150 mg IV/IO Infusion over 10 minutes.
Preparation: 150 mg in 100 ml D5W/macro tubing rate of 100 gtts/min.

Front 4

Amiodarone
Ventricular Fibrillation

Back 4

300 mg IV/IO. Consider repeating 150 mg IV/IO in 3-5 minutes.
Disregard the packaging suggestion that amiodarone must be diluted.

Front 5

Aspirin
Acute Coronary Syndrome
Respiratory Distress/CHF

Back 5

81 mg chewable (baby). Give 4 tablets (324 mg).

Front 6

Atropine
Bradycardia

Back 6

0.5 mg IV/IO q 3 minutes with a maximum dose of 3 mg

Front 7

Atropine
Organophosphate Poisoning

Back 7

2.0 mg IV/IO q 5 minutes until symptoms relieved

Front 8

Calcium Chloride
Asystole/PEA
Ventricular Fibrillation

Back 8

500 mg IV/IO q 10 minutes

Front 9

Dextrose 50%
Diabetic Emergency

Back 9

25 g IV/IO
Glucagon should be given BEFORE giving Dextrose 50% IO route

Front 10

Dextrose 50%
Asystole/PEA

Back 10

25 g IV/IO

Front 11

Diltiazem
Tachycardia-Narrow Complex (afib/flutter R v R)

Back 11

10 mg IV/IO slow over 2 minutes. Repeat 10 mg dose in 5 minutes if
needed.
Preparation: Inject 10 ml of NS into 100 mg vial (10 mg/ml
concentration). Gently shake the vial until the medication is dissolved.
*****Do NOT administer Diltiazem and Metoprolol to the same patient

Front 12

Diphenhydramine
Allergic Reaction

Back 12

50 mg IM/IV/IO

Front 13

Dopamine
Bradycardia
Post Resuscitation
Shock-Medical
Shock-Trauma

Back 13

5-20 micrograms/kg/min titrate to SBP of 90
Preparation: 400 mg in 250 ml D5W/mini drip set.

-10% of TBW in LBS (drop digit) x 2 - 1 = 10mcg/kg/min

Front 14

Epinephrine 1:1000
Allergic Reaction
Asthma/COPD

Back 14

0.3 mg IM (if age < 50 yrs)
0.15 mg IM (if age > 50 yrs)

Front 15

Epinephrine 1:10,000
Asystole/PEA
Ventricular Fibrillation

Back 15

1.0 mg IV/IO q 3 - 5 minutes

Front 16

Epinephrine 1:10,000
Bradycardia

Back 16

2–10 mcg/min IV infusion. Titrate to effect.
Preparation: 1.0 mg in 250 ml D5W at a rate of 30 – 150 gtts/min.

Front 17

Epineqhrine 1:10,000
Allergic Reaction

Back 17

0.5-1.0 mg slow IV/IO

Front 18

Fentanyl
Pain Management

Back 18

25–50 mcg IV/IM/IN q 2 minutes PRN. Maximum 200 mcg.
Preparation (IV Only): Dilute Fentanyl 100 mcg / 2 ml with 8 ml of NS to
yield a 10 mcg/ml concentration.

Front 19

Fluid-D5W

Back 19

Various: Used for mixing medication infusions
Diabetic Emergency-Hypoglycemia: 250 ml/hr

Front 20

Fluid-Normal Saline

Back 20

Various: KVO for IV access
Burn: 500 ml bolus, then KVO or per Medical Control
Child Birth (Mother): 125 ml/hr
Diabetic Emergency-DKA: Bolus 250 ml
Obstetrical Emergencies: KVO
PEA: Bolus 250 ml if hypovolemia is suspected
Shock- Medical: Fluid Bolus 500 ml
Shock- Trauma: Fluid Bolus 500 ml to Systolic BP of 90 mmHg
Syncope: Fluid Bolus 500 ml to maximum of 1000 ml

Front 21

Glucagon
Diabetic Emergency

Back 21

1.0mg IM/IN

Front 22

Glucose (Oral)
Diabetic Emergency

Back 22

15 g may be repeated in 10 minutes

Front 23

Ipratropium
Asthma/COPD

Back 23

500 mcg in nebulizer; only administer with first albuterol treatment

Front 24

Lidocaine 2%
Adult Intraosseous (EZ-IO)

Back 24

2.5 ml IO, for conscious patient receiving IO only

Front 25

Magnesium Sulfate
Asthma/COPD

Back 25

2 g IV infusion over 10 minutes
Preparation: 2 g in 100 ml of D5W/macro drip at 100 gtts/min.

Front 26

Magnesium Sulfate
Eclampsia

Back 26

2 g slow IV/IO.

Front 27

Magnesium Sulfate
Tachycardia-Wide Complex

Back 27

1 g IV infusion over 10 minutes
Preparation: 1 g in 100 ml of D5W/macro drip at 100 gtts/min.

Front 28

Magnesium Sulfate
Tosades De Pointes/ VTach, VFib

Back 28

2 g IV/IO

Front 29

Methylprednisolone
Asthma/COPD
Allergic Reaction

Back 29

125 mg IV/IM/IO

Front 30

Metoprolol
Tachycardia-Narrow Complex (afib/flutter R v R)

Back 30

5 mg IVP q 5 min. Maximum dose of 15 mg.
*****Do NOT administer Metoprolol and Diltiazem to the same patient

Front 31

Midazolam
Adult Airway Breathing

Back 31

Sedation Facilitated Intubation: 5.0 mg IN/IV q 2 minutes as needed
for effective sedation, maximum dose of 10 mg via standing orders.

Front 32

Midazolam
Airway-Orotracheal Intubation maintenance

Back 32

Post-Intubation Management: 5 mg IN/IV repeat q 2 minutes as
needed for effective sedation, maximum dose of 20 mg via standing
orders.

Front 33

Midazolam
Behavioral
Restraint Procedure

Back 33

5 mg IN/IM/IV. Maximum dose of 10 mg via standing orders.

Front 34

Midazolam
Excited Delirium

Back 34

5.0-10 mg IN/IM/IV. Maximum dose of 20 mg via standing orders.

Front 35

Midazolam
External Pacing Procedure

Back 35

2.5 mg IN/IV. Maximum dose of 2.5 mg via standing orders.

Front 36

Midazolam
Seizure

Back 36

2.5 mg IN/IV q 2 minutes until termination of seizure. Maximum of 10 mg
via standing orders.

Front 37

Naloxone
Altered Mental Status
Overdose

Back 37

0.5-2 mg IN/IM/IV

Front 38

Nitroglycerin
Acute Coronary Syndrome
Respiratory Distress/CHF

Back 38

1 spray SL q 3 minutes as long as SBP >90. Apply 1” paste after 3 doses
of SL NTG.
*****Erectile Dysfuntion Drugs

Front 39

Ondansetron
Nausea/Vomiting

Back 39

4 mg IV/IM. May repeat in 10 minutes if necessary.

Front 40

Oxymetazoline HCL 0.05%
Nasotracheal Intubation

Back 40

2-4 sprays in each nostril before attempting nasal intubation

Front 41

Sodium Bicarbonate
Overdose (Tricyclics)

Back 41

50 mEq, may repeat 25 mEq in 10 minutes if signs/symptoms persist

Front 42

Sodium Bicarbonate
Asystole/PEA

Back 42

50 mEq, may repeat 25 mEq in 10 minutes