Drugz By Route/dose

Front 1

ASA Route

Back 1

PO chewed

4 tablets 81mg each or
325 mg.

Front 2

Albuterol Dose/route

Back 2

inhaled nebulized 2.5mg every 5 to 15 minutes - three doses may be given.

May be combined with Atrovent for second and third dose if no improvement the first dose.

ETT alternate route

Front 3

Atrovent route/dose

Back 3

Inhaled bebulized
Adult 2.5mL
Pedi under 1 y.o. half the regular dose
Pedi over 1 y.o. 2.5 mL

ETT alternate route

Front 4

Nitroglycerin route

Back 4

sublingual spray
patch
paste

0.4 mg may be repeated twice

Front 5

Furosemide (lasix)

Back 5

Slow IV push (20 mg per min)

40 mg.
If pt is already taking lasix, double their usual daily dose up to 100 mg.

Front 6

Epinephrine 1:1000 Dose/route

Back 6

subcutaneous
ETT alternate route

0.3mg to 0.5mg SQ

Front 7

Epinephrine 1:10,000 Route/Dose

Back 7

1mg IV push

2 mg ETT alternate route for adult CPR.

Anaphylaxis: .0.1 to 0.2 Slow IV push over one minute.

Pedi; 0.01 mg/kg IV push Maximum 0.3 per dose.

Front 8

Vasopressin route/dose

Back 8

40 U via IV push / replaces first or second dose of epinephrine during CPR

Front 9

Morphine sulfate route

Back 9

Titrated doses of 2 to 4 mg Slow IV push up to max of 10mg.
Pedi: 0.1 mg/kg

Front 10

Ameodarone

Back 10

Unstable V-Tach 300 mg
Second dose or stable Tach 150 mg.
Sustained tach w/pulse 150mg

Front 11

Atropine

Back 11

PEA or Asystole: 1mg IV push (max total dose - 0.04 mg/kg)
Symptomatic bradycardia: 0.5mg to 1mg IV push (max 0.04 mg/kg)
Organophosphate poisoning: 2mg IV push every 5 to 15 minutes until excessive secretions are diminished.
Nerve Agents; 2 to 20 mg IM or I'V push.

Front 12

Calcium Chloride

Back 12

10 to 15 mg/kg of a 10 percent solution slow IV push

Front 13

Dobutamine

Back 13

Adult: 2 to 20 mcg/kg per minute @ dilution ratio of 250mL, 500mL, 1000mL of NS or D5W (or Lactated Ringers depending on fluid requirements of the pt.

Pedi: mgc/kg titrated to desired effect

Dilution ratio: 16:6

Front 14

Dopamine HCL

Back 14

Adult: 2 to 20 mcg/kg/minute (BioTel)
Dilution ratio: Use a 400 mg/250mL D5W (premix) or add 400 mg to 250mL NS.
OR
Use 800 mg/500mL D5W (premix) or add 800mg to 500mL NS.
After BioTel determines mcg/min, refer to the Drug Drip Chart for drops/minute.
Pedi: not used in prehospital setting

Front 15

Lidocaine

Back 15

Adult: V-Fib, unstable V-tach or pulseless V-tach - 1.5 mg/kg.
Non-sustained v-tach or treatable PVC's 1mg/kg
Max. total dose 3mg/kg

Pedi: 1mg/kg

Front 16

Magnesium Solfate

Back 16

Adult: CPR for Torsades de Pointes - 2grams of a 10 percent solution infused IV push over 6 to 10 minutes.

V-tach (torsades de pointes with a pulse) 2 grams in 250 mL NS infused IVPB over 6 to 10 minutes.

Refractory Bronchospasm: 2 grams in 250 mL NS infused IVPB over 6 to 10 minutes.
(not used for pediatrics in prehospital setting)

Front 17

Norepinephrine (Levophed)

Back 17

Adult: 8 to 10 mcg/minute "Recipe" (dilution ratio) - add 4mg to 250 mL NS (16 mcg/mL)
OR
Add 8 mg to 500 mL NS (16mcg/mL)

After biotel determines mcg/minute, refer to drug drip chart for drop/minute.
Not used for pediatrics in prehospital setting.

Front 18

Procainamide Hydrochloride

Back 18

Adult: 20 mg/min IV piggyback (maximum total dose of 17mg/kg)
50mg/min IV push in urgent situations (maximum total dose of 17 mg/kg)

Stop the medication when one of the following occurs:
Max. dose of 17 mg /kg or bag is empty)
Arrhythmia is suppressed
QUS widens by greater than 50%
Hypotension occurs

Front 19

Sodium Bicarbonate

Back 19

Adult: 1 mEq/kg IV push

Pedi: same

Front 20

Glutose

Back 20

Adult: Full Tube of 25 to 50 mg given in small doses.

Pediatric: 0.5 gm/kg given in small doses

Front 21

Glucagon

Back 21

Adult: 1 mg (may be repeated in 15 minutes.

Pediatric: (May rarely be ordered by biotel). -over 1 year old=1mg
Under 1 Year = 0.5 mg

Front 22

Dextrose 50

Back 22

Adult: 25-50 grams of D50
Pediatric: 0.5 gm/kg
Newborn to 1 month: D10 Dilute D50 (1:4) and administer 5mL/kg
1 month - 12 years - D25 Dilute D50 (1:1) and administer 2 mL/kg

Front 23

Adenosine

Back 23

12 mg rapid IV push followed immediately by a rapid 20mL NS flush.
Repeat doses (if indicated) are the same.
Pediatric: contact biotel.

Front 24

Midazolam (Versed)

Back 24

0.1 mg/kg max 5 for seizures

Front 25

Diazapam (Valium)

Back 25

2.5mg up to 10 for seizures

Front 26

Adenosine

Back 26

12 mg rapid IV followed immediately by 20mg NS rapid flush.

Front 27

Dextrose

Back 27

25 g IV followed by another 25 g if necessary.

Front 28

Diltiazem (Cardizem)

Back 28

First Dose 0.25 mg/kg IV Push over 2 minutes
Second Dose given 15 minutes after first dose is 0.35 mg/kg

Front 29

Diphenhydramine HCL (Benadryl)

Back 29

25 - 50 mg

Front 30

Glucagon

Back 30

1 mg may be repeated in 15 minutes.

Front 31

Glutose

Back 31

25 to 50 mg tube

Front 32

Naloxone (Narcan)

Back 32

0.4 titrated to effect

Front 33

Ondansetron HCL (Zofran)

Back 33

2mg slowly IV or IM (do not exceed 4 mg cumulative dose.

Pedi: .1 mg/kg(do not exceed 4mg)

Front 34

Proparcaine HCL (Alcaine)

Back 34

1-2 drops in affected eyes