Paramedic Drug Cards - Adult Doses Ii

Front 1

Tetracaine

Back 1

1 - 2 drops.

Front 2

Diazepam

Back 2

Anxiety, Moderate: 2 - 5 mg slow IV/IM ; Anxiety, Severe: 5 - 10 mg slow IV/IM (<5 mcg / min) ; DTs: 10 mg IV ; Seizure: 5 - 10 mg IV/IO q 10 - 15 min (MAX: 30 mg)

Front 3

Aspirin

Back 3

MI: 160 - 325 mg PO
MI: 300 mg PR
Pain or Fever: 325 - 650 mg PO q 4 - 6 hrs.

Front 4

Atropine

Back 4

Symptomatic Bradycardia: 0.5 mg IV / IO every 3 - 5 min (MAX: 3 mg)
Asystole/PEA: 1 mg IV/IO every 3 - 5 min, (MAX 3 mg) or 2 - 2.5 mg / 5 - 10 mL NS every 3 - 5 min
Nerve Agent Poisoning: 2 - 4 mg IV/IM every 20 - 30 min
Severe Nerve Agent Poisoning: up to 6 mg IV every 5 - 60 min.

Front 5

Bumetanide

Back 5

(Adult): 0.25 mg SQ q 15 - 30 min (MAX 0.5 mg / 4 hr) ; MDI: 2 inhalations (400 mcg) q 4 - 6, 1 - 2 min between inhalations ; Neb: 0.15 - 1 mg / 2 mL

(Pedi): 0.01 mg / kg SQ ; MDI: 2 inhalations (400 mcg) q 4 - 6 hrs, 1 - 2 min between inhalations ; Neb: 0.03 - 0.05 mg / kg / 2 mL.

Front 6

Acetaminophen

Back 6

325 - 650 mg PO q 4 - 6 hrs

650 mg PR q 4 - 6 hrs

Front 7

Magnesium Sulfate

Back 7

Eclampsia: 2 - 4 g IV over 15 min

RAD: 1 - 2 g IV over 15 min

Torsades: 1 - 2 g IV over 15 min.

Front 8

Midazolam

Back 8

1 - 2.5 mg slow IVP, titrate

0.07 - 0.08 mg / kg IM

Front 9

Heparin

Back 9

Any: 5,000 U IVP

Front 10

Etomidate

Back 10

Any: 0.1 - 0.3 mg / kg IVP over 15 - 30 sec

Front 11

Vecuronium

Back 11

Any: 0.08 - 0.10 mg / kg (MAX: 2.4 mg / kg)

Front 12

Amiodarone

Back 12

VFib / Pulseless VTach: 300 mg IVP, then 150 mg IVP after 3 - 5 min

Stable w / PVCs: 150 mg over 10 min, q 10 min PRN

Maintenance Infusion: 540 mg IV over 18 hrs

ADULT MAX DOSE: 2.2 g IV / 24 hrs

Front 13

Odanestron

Back 13

Any: 0.15 mg / kg q 4 - 8 hrs

Front 14

Furosemide

Back 14

Any: 40 - 80 mg IV

Front 15

Calcium Chloride

Back 15

Any: 8 - 16 mg / kg slow IVP, over 5 min, q 10 min

Front 16

Epinephrine

Back 16

Cardiac Arrest: 1 mg IVP q 3 - 5 min

Anaphylaxis: 0.3 mg SQ / IVP

Asthma: 0.3 mg SQ /IVP

Front 17

Bumetanide

Back 17

Any: 0.5 mg - 1 mg IV/IM, q 2 - 3 hrs

(MAX: 10 mg / day)

Front 18

Adenosine

Back 18

6 mg rapid IVP followed by 20 cc NS Flush, repeat: 12 mg rapid IVP followed by 20 cc NS Flush, q 1 - 2 min

(MAX: 30 mg)

Front 19

Labetalol

Back 19

Any: 10 - 20 mg slow IVP

Front 20

Albuterol

Back 20

MDI: 4 - 8 puffs q 4 - 8 hrs

Neb: 2.5 - 5 mgs / 20 min (MAX: 3 doses)

Front 21

Procainamide

Back 21

VTach: 20 - 30 mg / min IVP PRN, maintenance infusion 1 - 4 mg / min

Refractory VFib: 30 mg / min IVP

Front 22

Dextrose 50%

Back 22

Hyperkalemia: 25 g D50 IV / IO

Hypoglycemia: 10 - 25 g D50 IV (20 - 50 mg sol)

Front 23

Oral Glucose

Back 23

Any: 15 g PO (MAX: 40 g)

Front 24

Glucagon

Back 24

Any: 0.25 - 0.50 U IV or 1 mg IM

Front 25

Diltiazem

Back 25

Any: 20 mg IV bolus (0.25 mg / kg) over 2 min

Front 26

Ketorolac

Back 26

Any: 30 mg slow IVP over 1 - 2 min

Front 27

Methylprednisolone

Back 27

Any: 125 mg IVP

Front 28

Ketamine

Back 28

1 - 2 mg / kg IV over 1 - 2 min

4 - 5 mg / kg IM

Front 29

Ibuprofen

Back 29

Any: 200 - 400 mg q 4 - 6 hrs

(MAX: 1200 mg)

Front 30

Lorazepam

Back 30

Any: 2 - 4 mg IV/IM q 10 min

(MAX: 8 mg)

Front 31

Fentanyl

Back 31

Any: 25 - 100 (0.025 - 0.1 mg) slow IVP over 2 - 3 min.

Front 32

Lidocaine

Back 32

Any: 0.75 - 1.5 mg / kg IV up to 3 mg / kg

Front 33

Nitroglycerin Sublingual

Back 33

Any: 0.3 - 0.4 mg SL q 5 min.

Front 34

Vasopressin

Back 34

Any: 40 U (2 mL) q 30 min.

(SINGLE DOSE)

Front 35

Flumazenil

Back 35

Any: 0.2 mg (2 mL) IV over 30 sec.

Front 36

Morphine Sulfate

Back 36

IV: 2 - 5 mg, then 2 mg q few minutes, titrate

IM: 5 - 15 mg

Front 37

Naloxone

Back 37

Any: 1 - 2 mg q 5 min Slow IVP

Front 38

Sodium Bicarbonate

Back 38

Any: 1 mEq / kg, repeat with 0.5 mEq / kg q 10 min

Front 39

Clopidogrel

Back 39

Unstable Angina Pectoris, Non-Q-Wave AMI: Loading Dose: 300 mg PO, then 75 mg daily.

Front 40

Succinylcholine

Back 40

Any: 1.5 mg / kg Rapid IVP, repeat once if needed

Front 41

Ipatropium Bromide

Back 41

Neb: 500 mcg

Front 42

Eptifibatide

Back 42

180 mcg / kg IVP

Front 43

Norepinephrine

Back 43

2 - 12 mcg / min (4 mg in 500 mL D5W) infusion

Front 44

Nitroglycerin Paste

Back 44

4 x 2 " area, .5 " deep - 6 x 6 " area, 1 " deep

Front 45

Metoprolol

Back 45

5 mg slow IVP q 5 min

(MAX: 15 mg)

Front 46

Promethazine

Back 46

12.5 - 25 mg

Front 47

Thiamine

Back 47

100 mg slow IVP

Front 48

Dopamine

Back 48

2 - 20 mcg / kg / min, increased as needed (800 mg in 500 mL D5W)

Front 49

Haloperidol

Back 49

2 - 5 mg IM q 30 min

Front 50

Diphenhydramine

Back 50

25 - 50 mg slow IVP or deep IM