Drug Dose Adult

Front 1

ACTIVATED CHARCOAL

(Aqua, Actidose, Liqui-Char)

Back 1

1 gm/kg

PO or by NG or OG tube

Front 2

ADENOSINE

(Adenocard)

Back 2

SVT & Monomorphic Wide Complex :

6 mg IV rapidly over 1-3 seconds. Flush with 20 ml bolus of NS,elevate IV arm. If no effect in 1-2 minutes, give 12 mg over 1-3seconds. May repeat 12 mg bolus one more time.

Front 3

ALBUTEROL

(Proventil, Ventolin)

Back 3

Bronchospasm secondary to COPD, Asthma, Pulmonary Edema, Allergic Reaction: 1.25-2.5 mg (0.25-0.5 ml) mixedin 3 ml normal saline in nebulizer

Front 4

AMIODARONE

(Cordarone)

Back 4

Cardiac Arrest: VF/VT: 300 mg IVP. Mayrepeat 150 mg IVP in 3-5 minutes. If patient converts to perfusing rhythm - consider 1 mg/min drip

Stable Wide Complex Tachycardia:Rapid Infusion: 150 mg IV over 10 minutes. ( mix 150 mg in 100 ml of NSor D5W and run at 10ml/min or 600 µgtt/min (Set Pump to 600 ml/hr) Mayrepeat 150 mg in 10 min.

Front 5

ASPIRIN

(ASA, Bayer, Ecotrin, St. Joseph, Others)

Back 5

Acute Myocardial Infarction: 160-325 mg PO (2 – 4 chewable children’saspirin)

Front 6

ATROPINE SULFATE

Back 6

Symptomatic Bradycardia: 0.5 mg IVP q 3-5 minutes; up to 3 mg total dose

Organophospate or Carbamate Insecticide poisoning: 2-5 mg IV/IO q 5-10minutes Until secretions dry or HR increases ( No Max Dose in OPP)

Front 7

Cefazolin

(Ancef)

Back 7

Open Fracture:

weight > 120 kg administer 3000 mg

weight > 20 kg - 120 kg administer 2000 mg

Front 8

DEXAMETHASONE

(DECADRON, HEXADROL)

Back 8

Asthma, Stridor, Croup, COPD, Severe Allergic Reaction ( Anaphylaxis):

10 mg IV/IO or IM

Front 9

DEXTROSE 50% & 25%

Back 9

Diabetic Emergencies (Hypoglycemia):

12.5 - 25 gm ( 25 - 50 ml D-50 )slow IV or IO repeat as needed ( D-25 is preferred for Io but not required.

Front 10

DIAZEPAM

(Valium)

Back 10

Status Generalized Motor Seizures, Overdose toxic exposure seizures,Eclampsia seizures, Skeletal Muscle Relaxation, Pain, Premedicationprior to Cardioversion or Pacing

Front 11

DILTIAZEM

(Cardizem)

Back 11

Supraventricular Tachycardia: Bolus initial dose 10mg IV SLOW over 2 -5 minutes (up to 0.25mg/kg). May be repeated in 15 minutes at 0.35 mg/kg IVover 2-5 minutes

Front 12

DIPHENHYDRAMINE

(Benadryl)

Back 12

Allergic Reactions, Anaphylaxis: 25mg (IV) or 50 mg (Deep IM), may berepeated x1.

Front 13

DOPAMINE

(Intropin)

Back 13

Hypotension, Bradycardia: 5-20 µg/kg/min, titrate to effect.Use premix or mix 400 mg in 250 ml D5W (1600 µg/ml) use 60 gtt set

Front 14

EPINEPHRINE

(Adrenalin)

Back 14

Cardiac Arrest: 1 mg IV/IO q 3-5 minutes. 1:10,000 IV or IO

Allergic Reaction/ Severe Asthma: 0.3-0.5 mg IM or Nebulized (0.3-0.5 ml 1:1000)

Anaphylaxis with hypoperfusion: 0.3-0.5 mg slow IV (3-5 ml 1:10,000)

Bradycardia: 2 –10 µg/min IV infusion. (mix 1 mg in 250 ml of D5W) Runon pump or use microdrip tubing

Front 15

ETOMIDATE

(Amidate)

Back 15

PAI or Sedation:0.3 mg/kg IV slowly

Front 16

FENTANYL CITRATE

(SUBLIMAZE)

Back 16

Analgesia: 1 – 2 mcg/kg IV slow over at least 1 minute – preferably over 2 – 3 minutes. May be given IV or IM IN -2 mcg/kg– ½ in each nostril

Front 17

FUROSEMIDE

(Lasix)

Back 17

CHF with Pulmonary Edema, Hypertensive Crisis: 0.5-1.0 mg/kg Slow IV.Maximum dose: 2 mg/kg

Front 18

GLUCAGON

Back 18

Hypoglycemia: 0.5-1.0 mg (or unit) IM, SQ, IV Beta Blocker OD: 3-10 mg IV (50-100 µg/kg), followed by drip: 1-5mg/hour

Anaphylaxis: 1 – 2 mg IV

Front 19

IPRATROPIUM

(Atrovent)

Back 19

Bronchial Asthma, Chronic Bronchitis, Emphysema: 0.5mg nebulized – max 3 dosesCan be administered with a B2 agonist in a nebulized treatment

Front 20

KETAMINE

(Ketalar)

Back 20

Pain Control: 0.5 - 1.0 mg/kg IV over 1 minute – may repeat 1 time or 2 to 4 mg/kg IM

PAI - Violent Patient Agitated Delirium: 1 – 2 mg/kg IV over 1 minute or 2-3mg/kg IM/IN

Front 21

LABETALOL

(Normodyne, Trandate)

Back 21

Hypertensive Crisis: 10-20 mg IV over 1-2 minutes. May repeator double dose q 10 minutes until a total dose of 150 mg OR startinfusion at 2 mg/min.Drip: Mix 200 mg (40 ml) in 160 ml of D5W for a concentration of1 mg/ml. Start at 2 mg/min.

Front 22

LIDOCAINE

(Xylocaine)

Back 22

Cardiac Arrest VT/VF: 1-1.5 mg/kg IVP. ( ET dose 2-4 mg/kg )May repeatwith 0.5-0.75 mg/kg IVP q 5-10 minutes. Maximum: 3 mg/kg. If effectiveconversion start drip ASAP (2-4 mg/min )

VT with Pulse: 1 – 1.5 mg/kg IVP; then 0.5 – 0.75 mg/kg q 5 – 10 minutesup to 3 mg/kg. Start Drip ASAP ( 2 – 4 mg/min )

AICD firing, and/or Frequent PVC’s with cardiac symptomology: 0.5 – 1.5mg/kg IV. May repeat as above up to 3 mg/kg. Start Drip ASAP ( 2 – 4mg/min )

Pre-induction (PAI) secondary to head trauma or CVA: 1 – 1.5 mg/kg IV

Intraosseous Infusion Pain control: 40mg and then wait at least 1- 2 minutesprior to flushing with 10cc NS May use a subsequent dose if pain returns oris persistent with 10 – 20mg.

Front 23

MAGNESIUM SULFATE

Back 23

Cardiac Arrest (Torsades, Hypomagnesemia, Refractory VF/VT): 1-2 gmIVP (5-10 gm may be needed)

Torsades with a pulse: 1-2 gm IV over 5-60 min (mix in 50 ml of D5W)

Seizures secondary to Eclampsia: 1-4 gm IV slowly

Asthma – 2 gm nebulized (after Med Control approval)

Front 24

MIDAZOLAM HYDROCHLORIDE

(Versed)

Back 24

Sedation & Traumatic Injury: 0.1 mg/kg slow IV, or IN.Maximum single dose 5 mg – May repeat 1 time.

Seizures & Agitated Delirium: 2.5 mg slow IV or IN. If unable tostart IV, may give 5 mg IM, or IN PAI: 2.5mg Q 2 minutes up to max dose of 20 mg until sedated orB/P falls below 90 systolic

Front 25

MORPHINE SULFATE

Back 25

Analgesia, pulmonary edema: 2-5 mg IV, IM, SQ. May repeat q5minutes up to 20 mg

Front 26

NALOXONE

(Narcan)

Back 26

Narcotic OD, Coma, Decreased LOC: 0.4-2 mg IV, IM, SQ, SL, IN ( or ETdiluted) May repeat in 5 minute intervals up to 10 mg

Front 27

NITROGLYCERIN

(Nitrostat and others)

Back 27

Angina, Hypertensive Crisis, Pulmonary Edema: 0.4 mg SL spray or tablet.May repeat in 3-5 minutes (maximum 3 doses) prn pain withouthypotension

Unstable Angina (IV Drip) 5 – 200 mcg/min titrated to blood pressure andsymptoms

Front 28

ONDANSETRON HYDROCHLORIDE

(ZOFRAN)

Back 28

Nausea: 4-8mg IV Slow (over 1 minute) or IM. May repeat once up to max dose of 8mg

Front 29

PROMETHAZINE

(Phenergan)

Back 29

Nausea/Vomiting, Potentiate effects of analgesics: (25 mg ordeep IM) (This drug has not been FDA approved for IVadministration and is not recommended by the drug manufacturerto be administered IV)

Front 30

RACEMIC EPINEPHRINE

Back 30

Bronchospasm/Croup- 0.5 mL NEB q3-4h of 2.25% solution

Front 31

SODIUM BICARBONATE 8.4%

Back 31

Prolonged Cardiac Arrest with good ventilation: 1 mEq/kg IV (1 ml/kg)followed by 0.5 mEq/kg q 10 minutes

Hyperkalemia, OD from Tricyclics, ASA, Phenobarbital, Cocaine,Benadryl: 1 mEq/kg IV

Front 32

SUCCINYLCHOLINE

(Anectine)

Back 32

PAI: 2 mg/kg IV (onset 1 minute, recovery 4-6 minutes) IM dose:3-4 mg/kg: onset 2-3 minutes with Max dose of 150 mg

Front 33

TRANEXAMIC ACID

(TXA)

Back 33

Hemorrhage: 1 gram mixed in 100cc bag of NS and infuse IV or IOover 10 minutes. If possible – follow initial bolus with maintenancedrip by reconstituting 1 gram in 250cc NS and infuse over the next 8hours (31ml/hr.)