Drug Dosages

Front 1

ATROPINE in unstable bradycardia

Back 1

0.5mg IV able to repeat once at
0.5mg IV to the maximum of 1.0mg IV after 3-5 minutes

Front 2

ATROPINE in cardiac arrest IV

Back 2

1.0mg IV every 3-5 minutes to a maximum of 3.0mg (3 doses total)

Front 3

ATROPINE in cardiac arrest ETT

Back 3

2.0mg ETT every 3-5 minutes to a maximum of 6.0mg (3 doses total)

Front 4

ADENOSINE in stable tachycardia

Back 4

6mg rapid IV Push with 10cc NS flush. After 2 minutes if the tachycardia persists 12mg rapid IV push with 10cc NS flush

Front 5

AMIODARONE in stable tachycardia

Back 5

150mg IV over 10 minutes. If the tachycardia persists after 5 minutes the paramedic may repeat 150mg IV amiodarone.

Front 6

AMIODARONE in cardiac arrest

Back 6

300mg IV/IO first dose; 150mg IV/IO second dose to a maximum of 2 doses

Front 7

EPINEPHRINE in adult cardiac
arrest IV/IO

Back 7

1:10,000 1mg (10ml) every 3-5 minutes to a maximum of 3 doses prior to BHP patch

Front 8

EPINEPHRINE in adult cardiac arrest ETT

Back 8

1:10,000 2mg (20ml) every 3-5 minutes to a maximum of 3 doses prior to BHP patch

Front 9

EPINEPHRINE in paediatric cardiac
arrest IV/IO

Back 9

Epinephrine Concentration
1: 10,000 IV/IO
0.01 mg/ kg = 0.1ml/ kg IV/IO minimum dose 0.1mg (1 ml)

Front 10

EPINEPHRINE in paediatric cardiac
arrest ETT

Back 10

Epinephrine Concentration
1: 1000 ETT
0.1 mg/ kg = 0.1 ml/ kg ETT minimum dose 1mg (1ml)

Front 11

Morphine in adult analgesia for trauma

Back 11

2-5mg IV every 5 minutes for ongoing pain to a maximum of 20mg

Front 12

Morphine in paediatric analgesia for trauma

Back 12

0.05mg/ kg IV not exceeding a dose of 2mg every 10 minutes to a maximum of 2 doses

Front 13

Morphine in cardiac ischemia

Back 13

2mg IV every 5 minutes alternatively with NTG to a maximum of 10 mg (5 doses)

Front 14

Fentanyl in adult analgesia for trauma

Back 14

25-50mcg IV every 5 minutes to a maximum of 200mcg IV for ongoing pain

Front 15

Naloxone IV for suspected opioid overdose

Back 15

With BHP order 0.4mg IV every
5 minutes to a maximum of 2mg

Front 16

Naloxone SC/ IM/ IN for suspected opioid overdose if no IV is available

Back 16

With BHP order 0.8mg SC/ IM/ IN every 5 minutes to a maximum of 2mg

Front 17

Dextrose 50% Water for an adult

Back 17

Administer 50mL of D50W (25g)

Front 18

Dextrose 50% Water for a patient who is 2-11 years old

Back 18

Administer 1ml/kg to a max of 50ml

or

0.5g/kg to a maximum of 25g

Front 19

Dextrose for a patient who is > 2 years old

Back 19

Administer 2ml/kg of D25W dilute
1:1 with NS

or

0.5g/kg of D25W dilute 1:1 with NS

Front 20

Dextrose for a patient who is >28 days

Back 20

Administer 2ml/kg of D10W dilute 1:4 with NS

or

0.2g/kg of D10W dilute 1:4 with NS

Front 21

Midazolam for a combative patient

Back 21

2-5 mg IV/ IN/ IM to a maximum single dose of 5 mg. A second dose can be repeated 2-5 mg IV/ IN/ IM with a maximum single dose of 5 mg. Maximum of 2 doses.

Front 22

Midazolam for procedural sedation

Back 22

2-5 mg IV/ IN/ IM to a maximum single dose of 5 mg. A second dose can be repeated 2-5 mg IV/ IN/ IM with a maximum single dose of 5 mg. Maximum of 2 doses.

Front 23

Midazolam for intubated patients

Back 23

2-5 mg IV/ IN/ IM to a maximum single dose of 5 mg. A second dose can be repeated 2-5 mg IV/ IN/ IM with a maximum single dose of 5 mg. Maximum of 2 doses.

Front 24

Midazolam for seizures

Back 24

Where there is no IV available 0.2mg/kg to a maximum of 5mg in a single dose. May be repeated once at same dose to a total of 10mg after 5 minutes if seizure persists.

Front 25

Diazepam IV for seizures in a patient greater than 5 years old

Back 25

5mg IV given over a period of 1 minute. If the seizure persists over 2 minutes the same 5mg dose may be repeated for a total maximum of 10mg IV

Front 26

Diazepam PR for seizures in a patient greater than 5 years old

Back 26

10mg PR. If the seizure persists over 2 minutes the same 10mg dose may be repeated for a total maximum of 20mg PR.

Front 27

Diazepam IV for seizures in a patient greater than 1 year old and less than 5 years old

Back 27

1mg IV per year of age may be given. If there seizure persists over 2 minutes the same dose may be repeated.

Front 28

Diazepam PR for seizures in a patient greater than 1 year old and less than 5 years old

Back 28

2mg PR per year of age may be given. If there seizure persists over 2 minutes the same dose may be repeated.

Front 29

Diazepam IV for seizures in a patient less than 1 year old

Back 29

0.5mg IV given over a period of 1 minute. If the seizure persists over 2 minutes the same 0.5mg dose may be repeated for a total maximum of 1.0mg IV

Front 30

Diazepam PR for seizures in a patient less than 1 year old

Back 30

1.0mg PR. If the seizure persists over 2 minutes the same 1.0mg dose may be repeated for a total maximum of 2.0mg PR.

Front 31

Lidocaine IV prior to intubation of a CVA or head injury patient

Back 31

1.0mg/kg IV over 3 minutes prior to intubation

Front 32

Lidocaine SPRAY prior to intubation

Back 32

20 sprays of lidocaine directed into the hypo-pharynx and or vocal cords. In blind Nasotrachial intubation 10 sprays per nostril.
10.0 mg per spray to a maximum dose of 5.0 mg/ kg
(5 sprays/ 10 kg)

Front 33

Lidocaine ETT in adult cardiac arrest

Back 33

3.0mg/kg ETT each dose to a maximum of 2 doses. Lidocaine replaces Amiodarone when no IV/IO

Front 34

Dopamine administration in Cardiogenic shock

Back 34

5 ug/ kg/ minutes and titrate by 5 ug/ kg/ min every 5 minutes if
as required to achieve a SBP of
90-100 mmHg or to a maximum of
20 mg/ kg/ min

Front 35

Dopamine administration post arrest

Back 35

5 ug/ kg/ minutes and titrate by 5 ug/ kg/ min every 5 minutes if as required to achieve a SBP of 90 mmHg or to a maximum of
20 mg/ kg/ min. For patients less than 40 kg age x 2 plus 70.

Front 36

IV Normal Saline TKVO for patients greater than or equal to 40kg

Back 36

unless otherwise specified TKVO rate is 30-60 ml/ hour for patients greater than or equal to 40 kg

Front 37

IV Normal Saline TKVO for patients less than 40kg

Back 37

unless otherwise specified TKVO rate is 15ml/kg for patients <40kg

Front 38

IV Normal Saline bolus for patients greater than or equal to 40kg

Back 38

for patients > 40 kg is 20ml/ kg repeat vitals and chest auscultation 250ml return to TKVO when bolus is completed, systolic blood pressure is greater than 100 mmHg or chest auscultation reveals crackles.

Front 39

IV Normal Saline bolus for patients less than 40kg

Back 39

for patients &lt; 40 kg is 20ml/ kg repeat vitals and chest auscultation every 250 ml and return to TKVO when Bolus is complete systolic blood pressure > 2 x age + 70 or chest auscultation reveal crackles.

Front 40

IV Normal Saline bolus for patients less than 40kg suspected of DKA

Back 40

n patients < 40 kg suspected of DKA give IV fluid boluses to a maximum of 10 ml/ kg.

Front 41

Otravin prior to nasal intubation

Back 41

2 sprays into each bare

Front 42

Sodium Bicarbonate in adults

Back 42

1mEq/ kg slow IV push and repeat in 10-15 minutes at 0.5 mEq/ kg as needed.

Front 43

Sodium Bicarbonate in children

Back 43

Children 1-3 mEq/ kg slow IV or IO to a max of 50 mEq repeat in 10-15
minutes at 0.5 mEq/ kg as needed.

Front 44

Sodium Bicarbonate in infants

Back 44

1-2 mEq/ kg (4.2% solution) very slow IV/ IO repeat in 10-15 minutes
at 0.5 mEq/ kg as needed.

Front 45

Lasix administration

Back 45

20-40 mg slow IV, 80 mg may be given as a single dose in patients who are on Lasix PO. May be repeated after 15 minutes prn to a max of 2 mg/kg.