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51 Cards in this Set
- Front
- Back
ACTIVATED CHARCOAL
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Dosage and Administration
Note, if not in Pre-mixed slurry, dilute with 1-part charcoal/ 4 parts water. Adult: 1-2 gm/kg PO or via NGT Pediatric: 1-2 gm/kg PO or via NGT |
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ADENOSINE
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Dosage and Administration
Adult: 6 mg over 1-3 seconds; If no response after 1-2 minutes, administer 12 mg over 1-3 seconds, Maximum total dose = 30 mgs. Pediatric: 0.1 - 0.2 mg/kg rapid IV; maximum single dose = 12 mgs. |
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ALBUTEROL
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Dosage and Administration
Adult: Administer 2.5 mg. Dilute 0.5 ml of 0.5% solution for inhalation with 2.5 ml normal saline in nebulizer and administer over 10-15 minutes. MDI: 1-2 inhalations (90-180 mcg). Five minutes between inhalations |
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AMINOPHYLLINE
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Loading dose (Adult): 5-6 mg / kg in 60-100 ml of diluent over 30 min. IV infusion not to exceed 20 mg/min.;
Loading dose (Pediatric): 5-6 mg / kg in 50-100 ml; diluent IV infusion. Maintenance infusion Adult: First 12 hours: 0.5-0.7 mg/kg/hour (lower doses for elderly, CHF, liver disease). Subsequent: 0.1-0.5 mg/kg/hour (based on serum aminophylline levels) Pediatric: 1.0 mg/kg/hour. |
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AMIODARONE
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Adult: 300 mg slow IV Push over 1-2 minutes in 10 ml Normal Saline, (For ACLS VF/ Pulseless VT)
IV Drip 0.5-1mg per minute. (For malignant ventricular arrhythmias) per ordering physician. |
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AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE
(CYANIDE ANTIDOTE KIT) |
Dosage and administration
Adult: Amyl nitrite: breathe 30 seconds out of every minute. Sodium Thiosulfate and sodium nitrite: IV per antidote kit directions. Pediatric: Same as adult |
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ASPIRIN
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Dosage and Administration:
160 mg or 325 mg PO. |
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ATROPINE SULFATE
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Dosage and Administration:
Adult: - Bradydysrhythymias: 0.5 - 1.0 mg IV every 3-5 minutes as needed to maximum total dose of 0 .0 4 mg / kg. - Asystole: 1.0 mg IV push every 3-5 minutes as needed to maximum total dose of 0.04 mg / kg Pediatric: - Bradydysrhythmias: 0.02 mg / kg IV / IO (minimum single dose 0.1 mg, maximum single dose 1.0 mg). - Asystole: Same as for Bradydysrhythmias: minimum dose 0.1 mg; maximum dose 0.5 mg for a child and 1.0 mg for adolescent. |
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CALCIUM CHLORIDE / CALCIUM GLUCONATE
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Dosage and Administration
Adult: 2-4 mg/kg of 10% solution slowly IV over 5 minutes; may repeat in 10 minutes. (maximum: 1 gm dose) Pediatric: 20 mg/kg/dose of 10% solution slow IV/ IO (maximum: 1 gm dose); (may repeat in 10 minutes.) |
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DEXAMETHASONE SODIUM PHOSPHATE
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Dosage and Administration
Adult: 10-100 mg IV (1 mg/kg slow IV bolus). (considerable variance through Medical Control). Pediatric: 0.25-1.0 mg/kg/dose IV, IO, IM |
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DEXTROSE
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Dosage and Administration
Adult: 12.5-25 gram slow IV; may be repeated as necessary. Pediatric: 0.5-1 gm/kg/dose slow IV; may be repeated as necessary |
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DIAZEPAM
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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. |
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DIAZOXIDE
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Dosage and Administration
Adult: 5 mg/kg IV push over 10-30 seconds. Pediatric: 5 mg/kg IV push over 10-30 seconds |
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DILTIAZEM HCL
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Dosage and Administration:
Adult: Initial bolus: 0.25 mg/ kg (average dose 20 mg) IV over two (2) minutes. If inadequate response, may re-bolus in 15 minutes: 0.35 mg / kg IV over two (2) minutes. Maintenance infusion of 5-15 mg / hour. Pediatric: not recommended. |
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DIPHENHYDRAMINE
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Dosage and Administration
Adult: 25 - 50 mg IM or IV or P.O. Pediatric: 1-2 mg/kg IV, IO slowly or IM. If given PO: 5 mg./ kg./ 24 hours |
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DOPAMINE
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Dosage and Administration
Adult: 2- 20 mcg / kg / min. (Rate determined by physician). Pediatric: 2 - 20 mcg / kg / min. (Rate determined by physician). |
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EPINEPHRINE
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Dosage and Administration
Adult Allergic reactions and asthma: 0.3 - 0.5 mg (0.3 - 0.5 ml 1:1000) IM Anaphylaxis: 0.3 - 0.5 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: 0.01 mg/kg (0.01 mL/kg 1:1000) IM to maximum of 0.5 mg. Cardiac: (asystole, PEA, VF) IV, IO: Standard initial dose: 0.01 mg/kg (1:10,000, 0.1mL/kg) Severe croup: 5 mg. as 5 ml. of 1:1000 solution administered via nebulization; may repeat every 30 minutes. Racemic epinephrine 11.25mg via nebulization |
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FENTANYL CITRATE
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Dosage and Administration
Adult: 1 mcg/kg. to max. 150 mcg. slow IV push. Pediatric: The safety and efficacy of fentanyl citrate in pediatric patients under two years of age has not been established. Nasal administration may be permitted by the State Treatment Protocols in certain cases. |
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FUROSEMIDE
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Dosage and Administration
Adult: 0.5-1.0 mg / kg injected slowly IV. Pediatric: 1 mg / kg / dose IV, IO. |
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GLUCAGON
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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. |
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GLUCOSE - ORAL
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Dosage and Administration
Adult: Should be sipped slowly by patient until clinical improvement noted. Pediatric: Same as adult. |
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GLYCOPROTEIN IIb / IIIa INHIBITORS
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Dosage and Administration
Variable depending upon Brand utilized |
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HEPARIN SODIUM
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Dosage and Administration
Adult: Loading dose: 80 units / kg IV; maintenance dose: 18 units / kg / hour IV. Pediatric: Loading dose: 50 u / kg IV; maintenance dose: 7.5 units / kg / hour IV. |
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HYDROCORTISONE/METHYLPREDNISOLONE
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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 |
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HYDROXOCOBALAMIN (Vitamin B 12)
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Dosage and Administration:
The starting dose of hydroxocobalamin for adults is 5 g (i.e., both 2.5g vials) administered as an intravenous (IV) infusion over 15 minutes (approximately 15 mL/min), i.e., 7.5 minutes/vial. Depending upon the severity of the poisoning and the clinical response, a second dose of 5 g may be administered by IV infusion for a total dose of 10 g. The rate of infusion for the second dose may range from 15 minutes (for patients in extremis) to two hours, as clinically indicated. The pediatric dose is 70 mg/kg. This dose should be given over 15 minutes |
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INSULIN
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Dosage and Administration
Dosage adjusted relative to blood sugar levels. May be given SC, IM or IV. Standard doses for diabetic coma Adult: 10-25 units Regular insulin IV, followed by infusion of 0.1 units / kg / hour. Pediatric: 0.1 - 0.2 units / kg / hour IV or IM followed by infusion: 50 units of regular insulin mixed in 250 ml of NS (0.2 units / ml), at a rate of 0.1 - 0.2 units / kg / hour. |
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IPRATROPIUM BROMIDE
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Dosage and Administration:
Adult: 2-3 puffs via metered dose inhaler (MDI) tid-qid; maximum 12 puffs/day. ALT: 500mcg NEB q 6-8hrs (may mix neb solution with Albuterol if used within 1 hour) Pediatric: < 12 yo: 1-2 puffs (MDI) tid-qid; max: 8 puffs ALT: 250mcg NEB q 6-8hrs (may mix neb solution with Albuterol if used within 1 hour) |
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LABETALOL
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Dosage and Administration:
Adult: (Systolic <90 mmHg) Infuse wide open until systolic pressure of 100mmHg is obtained. (Systolic 100mmHg or >) Infuse at a rate of 100 ml/hr. Pedi: 20 ml/kg repeated as required based on hemodynamic response |
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LACTATED RINGERS Solution
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Dosage and Administration:
Adult: (Systolic <90 mmHg) Infuse wide open until systolic pressure of 100mmHg is obtained. (Systolic 100mmHg or >) Infuse at a rate of 100 ml/hr. Pedi: 20 ml/kg repeated as required based on hemodynamic response |
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LIDOCAINE HCL (2%)
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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. |
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LORAZEPAM
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Dosage and Administration
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. Adult: 2-4 mg slow IV at 2 mg / min. or IM; may repeat in 15-20 minutes to maximum dose of 8 mg. For sedation: 0.05 mg / kg up to 4 mg IM. Pediatric: 0.05 - 0.20 mg / kg slow IV, IO slowly over 2 minutes or IM; may repeat in 15-20 minutes to maximum dose of 0.2 mg / kg. |
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MAGNESIUM SULFATE
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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. |
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MANNITOL 20%
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Dosage and Administration
Adult: 0.50g - 2 g / kg IV infusion over 15-30 minutes; may repeat after 5 minutes if no effect. Pediatric: 0.5 - 1g / kg / dose IV, IO infusion over 30-60 minutes; may repeat after 30 minutes if no effect. |
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MEPERIDINE
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Dosage and Administration
Adult: 50-100 mg IM, SC or 25 - 50 mg slowly IV. Pediatric: 1-2 mg / kg / dose IV, IO, IM, SC. |
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METOPROLOL
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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. |
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MIDAZOLAM
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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. |
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MORPHINE SULFATE
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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. |
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NALOXONE
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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. |
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NITROGLYCERIN
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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. |
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NITROPASTE
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Dosage and Administration
Adult: For CHF/PE; HTN Paste: Apply 1 inch, cover with plastic wrap and secure with tape. Pediatric: not recommended |
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OCTREOTIDE
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Dosage and Administration
Adult: as per infusion orders. |
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ONDANSETRON
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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. |
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OXYGEN
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Dosage and Administration
Adult: Cardiac arrest and Carbon Monoxide poisoning: 100%. Hypoxemia: 10-15 L/ min. via non-rebreather. COPD: 0-2 L/ min. via nasal cannula or 28-35% venturi mask. Be prepared to provide ventilatory support if higher concentrations of oxygen needed. Pediatric: Same as for adult with exception of premature infant. |
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PRALIDOXIME CHLORIDE
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Dosage and Administration
NOTE: If Protopam is to be used, it should be administered almost simultaneously with atropine. Adult: Initial dose of 1-2 grams as an IV infusion with 100 ml saline over 15-30 minutes. Pediatric: 20-40 mg / kg as IV infusion over 15-30 minutes. Doses may be repeated every 1 (one) hour if muscle weakness persists. If IV administration is not feasible, IM or SC injection may be utilized. For Autoinjectors: (See Nerve Agent Antidote) |
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PROCAINAMIDE
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Dosage and Administration
Adult: 20-30 mg / min.; maximum total dose is 17 mg / kg. Maintenance infusion: 1-4 mg / min. Pediatric: 2-6 mg / kg IV, IO at less than 20 mg / min.; maximum dose is 17 mg / kg. Maintenance infusion: 20-80 micrograms/kg/min. |
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SODIUM BICARBONATE 8.4%
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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. |
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STREPTOKINASE
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Dosage and Administration
NOTE: Reconstitute by slowly adding 5 ml sodium chloride or D5W, directing stream to side of vial instead of into powder. Gently roll and tilt vial for reconstitution; Dilute slowly to 45 ml total. Adult: 500,000 - 1,500,000 IU diluted to 45 ml IV over one (1) hour. Pediatric: safety not established. |
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TETRACAINE
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Dosage and Administration
Adult: Ophthalmic Solution: Instill 1-2 drops Pediatric: Safety and efficacy have not been established. |
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THIAMINE
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Dosage and Administration
Adult: 100 slow IV or IM. Pediatric: 10-25 mg slow IV or IM. |
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TISSUE PLASMINOGEN ACTIVATOR (tPA)
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Dosage and Administration
Adult: 10 mg bolus IV over 2 minutes; then 50 mg over one hour, then 20 mg over the second hour and 20 mg over the third hour for a total dose of 100 mg. (other doses may be prescribed through Medical Direction. Pediatric: safety not established. |
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VASOPRESSIN (Pitressin)
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Dosage and Administration
Adult: 40 units (as a single dose only) IV or IO to replace the first or second dose of epinephrine in cardiac arrest |