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29 Cards in this Set

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ADENOSINE
Adult:
1st -6 mg
2nd - 12 mg
3rd - 12 mg
Maximum total dose = 30 mgs.

Pediatric: 0.1 - 0.2 mg/kg rapid IV; maximum single dose = 12 mgs.
ALBUTEROL
Adult: 2.5mg in 3cc NS

Pediatric: 2.5mg in 6cc NS

May repeat every 20 minutes three times.
AMIODARONE
Adult:
Cardiac Arrest: (For ACLS VF/ Pulseless VT)
1st - 300mg
2nd - 150mg (Med Control Option)

V-Tach With A Pulse:

150mg in 10cc NS IVP over 8-10min

Infusion Mix - 100mg:100ml
Infusion Drip Rate: 1mg/min

Max - 2.2g in 24hrs due to Renal Inability to Diurese
ASPIRIN
162mg - 324mg
ATIVAN
(LORAZEPAM)
Adult:
2mg-4mg -Max - 8mg

Sedation:
.05mg/kg to 4 mg IM.

Pediatric:
.05mg - .20mg/kg to max .2mg/kg

Note: When given IV or IO, must dilute with equal volume of sterile water or sterile saline (When given IM, Lorazepam is not to be diluted.)
ATROPINE
(ATROPINE SULFATE)
Bradydysrhythymias:

Adult:
.5 - 1mg q 3-5 min to max 3mg
Pediatric:
.02mg/kg
.1mg - min
.5mg - max
1mg - max adolescent

Organophosphate Poisoning
Adult:
2mg-6mg q 5-10 min (to dry secretions)
Pediatric:
.05mg/kg q 15min
ATROVENT
(IPRATROPIUM BROMIDE)
Adult:
500mcg NEB q 6-8hrs
Pediatric:
250mcg NEB q 6-8hrs
BENADRYL
(DIPHENHYDRAMINE)
Adult:
25-50mg (IM or IV or P.O.)
Pediatric:
1-2mg/kg (IV, IO slowly or IM.)
If given PO: 5 mg/kg/24 hours.
Ca Cl
(CALCIUM CHLORIDE)
(CALCIUM GLUCONATE)
Adult:
2-4 mg/kg (10% solution) q 10 min to max - 1g
Pediatric:
20 mg/kg/ (10%solution) q 10 min to max - 1g
CARDIZEM
(DILTIAZEM HCL)
Adult:
1st dose - .25mg/ kg (average dose 20 mg)
2nd dose - .35mg/kg
(wait 15 min between doses)

Maintenance infusion:
5-15mg/hour.

Pediatric: not recommended.
DEXTROSE
Adult:
12.5-25g
Pediatric:
.5-5 g/kg
neonates - 10%
< 50kg - 25%
> 50kg - 50%
DOPAMINE
Adult: 2-20mcg/kg/min
Pediatric: Same

Dose Ranges:
1-5mcg/kg/min - Renal Dose
5-10mcg/kg/min - Beta Dose
10-20mcg/kg/min - Alpha Dose (vasoconstrict)

Infusrion mix:
400mg - 250ml NS
EPINEPHRINE
EPI 10K
EPI 1K
RACEMIC EPINEPHERINE
Adult
Allergic reactions and asthma: .3-.5 mg (.3-.5 ml 1:1000) IM
Anaphylaxis: .3-.5 mg (3- 5 ml 1:10,000) IV

Cardiac: (asystole, PEA, VF)
1 mg IV push (1:10,000) every 3- 5 minutes

Epinephrine Infusion 1-10 mcg/minute. Mix Epinephrine (1:1000) 1 mg in 250 mL
Normal Saline. (15 micro drops/minute = 1 mcg / min.)


Pediatric
Allergic reactions and asthma: .01mg/kg (.01 mL/kg 1:1000) IM to maximum of .5 mg.
Cardiac: (asystole, PEA, VF)
IV, IO: Standard initial dose: .01 mg/kg (1:10,000, 0.1mL/kg)

Racemic epinephrine 11.25mg via nebulization
FENTANYL
(FENTANYL CITRATE)
Adult:
1 mcg/kg. to max 150mcg

Pediatric: NOT RECOMMENDED
GLUCAGON
Dosage and Administration
Adult: 0.5 - 1 mg IM, SC, or slow IV; may repeat q 20 minutes PRN.
Pediatric: 0.03 - 0.1 mg / kg / dose (not to exceed 1 mg) q 20 min. IM, IO, SC, slow IV.
Nasal administration may be permitted by the State Treatment Protocols in certain cases.
LASIX
(FUROSEMIDE)
Dosage and Administration
Adult: 0.5-1.0 mg / kg injected slowly IV.
Pediatric: 1 mg / kg / dose IV, IO.
LIDICAINE
(LIDOCAINE HCL (2%))
Dosage and Administration
Adult:
Cardiac arrest VT/ VF: 1.5 mg / kg IV push; repeat q 3-5 minutes to maximum dose of 3 mg/kg. After conversion to NSR, begin drip at 2-4 mg / min.
VT with pulse: 1-1.5 mg / kg IV Push; then 0.50 - 0.75 mg / kg q 5-10 min. to max. of 3 mg/kg. Start drip at 2-4 mg/min. ASAP.
PVCs with pulse: 0.5-1.5 mg/kg IV Push; additional boluses of 0.5-1.5 mg/kg q 5-10 min. to max. of 3 mg/kg. Start drip at 2-4 mg/ min. ASAP.
VF prophylaxis: 0.5 mg/kg IV Push; additional boluses 0.5 mg/kg in 8-10 minutes up to 2 mg/kg. Start drip at 2-4 mg/min. ASAP.
IM dose: 300 mg (4 mg/kg) of 10% solution.
Pediatric:
VF or Pulseless V-tach: 1 mg/kg IV / IO per dose. Infusion: 20-50 mcg/kg/min.
PVCs with pulse: 1 mg/kg IV / IO per dose. Infusion: 20-50 mcg/kg/min.
LOPRESSOR
(METOPROLOL)
Dosage and Administration:
Adults: I.V.
Hypertension: Has been given in dosages 1.25-5 mg every 6-12 hours in patients unable to take oral medications

Myocardial infarction (acute): I.V. 5 mg every 5-10 minutes up to 3 doses in early treatment of myocardial infarction.
MAGNESIUM SULFATE
Dosage and Administration
Adult: Seizure activity associated with pregnancy: 1-4 gm IV over 10 minutes. For Torsades de Pointes or Refractory VF/VT: 1-2 grams IV over 1-2 minutes.
Pediatric: Asthma/bronchospasm, severe: 25 mg./kg. over 10 minutes IV.
Usually mixed in 50-100 CC of NS to be given IV.
MORPHINE
(MORPHINE SULFATE)
Dosage and Administration
Adult: 1-3 mg IV/IM/SC/IO every 5 minutes titrated to maximum of 10 mg.
Adult: Morphine 0.1mg/kg to a maximum of 10mg IV/IM/SC/IO
~
Pediatric: 0.1 - 0.2 mg / kg / dose IV, IO, IM, SC every 5 minutes titrated to max. of 5 mg.
NARCAN
(NALOXONE)
Dosage and Administration
Adult: 0.4 - 2.0 mg IV, IM, SC, Nasal via atomizer; min. recommended = 2.0 mg repeat at 5 minute intervals to 10 mg maximum dose. (Medical Control may request higher amounts). Infusion: 2 mg in 500 ml of D5W (4 mcg/ml), infuse at 0.4 mg / hr (100 ml/hour).

Pediatric: 0.1 mg / kg / dose IV, IM, SC; maximum of 0.8 mg; if no response in 10 minutes, administer an additional 0.1 mg / kg /dose.
NITRO
(NITROGLYCERIN)
Dosage and Administration
Adult:
Tablets: 0.3 - 0.4 mg SL; may repeat in 3-5 minutes to maximum of 3 doses.
NTG spray: 0.4 mg under the tongue; 1-2 sprays.
NTG IV infusion: 5 ug / min.; increase by 5-10 ug / min. every 5 minutes until desired effect.
Pediatric: not recommended.
NITROPASTE
Dosage and Administration
Adult: For CHF/PE; HTN
Paste: Apply 1 inch, cover with plastic wrap and secure with tape.

Pediatric: not recommended
SODIUM BICARB
(SODIUM BICARBONATE 8.4%)
Dosage and Administration
Adult: 1 mEq / kg IV; may repeat with 0.5 mEq / kg every 10 minutes.
Pediatric: same as for adult.

Adult infusion: 1 – 4 amps in 1 liter D5W or NS, rate determined by sending physician.
Pediatric infusion: same as for adult.
SOLU-MEDROL
(HYDROCORTISONE) (METHYLPREDNISOLONE)
Dosage and Administration
Hydrocortisone, 2 mg./kg. IV bolus to maximum of 100 mg.; 100 mg. in adult.
Methylprednisolone 2 mg./kg/ IV bolus to maximum of 125 mg.; 125 mg. in adult.
THIAMINE
Dosage and Administration
Adult: 100 slow IV or IM.
Pediatric: 10-25 mg slow IV or IM.
VALIUM
(DIAZEPAM)
Dosage and Administration
Seizure activity: Adult: 5-10 mg IV q 10-15 minutes prn (5 mg over 5 min.)(maximum dose = 30 mgs.)

Seizure activity: Pediatric: 0.2-0.3 mg/kg/dose IV every 15-30 minutes (no faster than 3 mg over 5 minutes) (max. = 10 mg).
Rectal diazepam: 0.5 mg/kg via 2” rectal catheter and flush with 2-3 ml air after administration.
Sedation for cardioversion: 5- 15 mg IV over 5-10 minutes prior to cardioversion.
VERSED
(MIDAZOLAM)
Dosage and Administration
Adult: 0.5 - 2.5 mg slow IV push;
(may be repeated to total maximum: 0.1 mg / kg).

Pediatric: To facilitate intubation: Medical control may order:
(6 months- 5 years) Use of Midazolam 0.05-0.1 mg/kg IV maximum dose of 5 mg.
(6-12 year old) Use of Midazolam 0.1 mg/kg IV maximum dose of 8 mg.

WMD: (See APPENDIX Dosing Table)
Nasal administration may be permitted by the State Treatment Protocols in certain cases.
ZOFRAN
(ONDANSETRON)
Dosage and Administration:
Children:
For child under or up to 30 kg. 1 mg. IV/IM;
For a child over 30 kg., 2 mg. IV/IM.

Adults:
Adult: 4 mg. IV/IM.