Paramedic Drug Cards - All Doses Ii

Front 1

Tetracaine

Back 1

1 - 2 drops.

Front 2

Diazepam

Back 2

Dose (Adult): 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)

Dose (Pedi): Anxiety: 0.04 - 0.3 mg / kg / dose IV/IM q 4 hrs (MAX: 0.6 mg / kg) ; Seizure (5 yrs+): 1 mg IV/IO over 3 min q 2 - 5 min (MAX: 10 mg) ; Seizure (30 days - 5 yrs): 0.2 - 0.5 mg IV/IO over 3 min q 2 - 5 min (MAX: 5 mg) ; Seizure (Neonate): 0.1 - 0.3 mg / kg IV / IO over 3 - 5 min q 15 - 30 min (MAX: 2 mg) ; Seizure (12 yrs+): 0.2 mg / kg PR ; Seizure (6 - 11 yrs): 0.3 mg / kg PR ; Seizure (2 - 5 yrs): 0.5 mg/kg PR ; Seizure (<2 yrs): Not Recommended PR

Front 3

Aspirin

Back 3

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

Pedi: MI: 3 - 5 mg / kg / day up to 5 mg / kg / day ; Pain or Fever: 60 - 90 mg / kg / day divided into doses q 4 - 6 hrs.

Front 4

Atropine

Back 4

Adult: 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.

Adolescent: Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV / IO every 3 - 5 min, MAX 2 mg

Pediatric: Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV/IO every 3 - 5 min (MAX: 1 mg) ; Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 10 - 30 min.

Infant: Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 5 - 20 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

Adult: 325 - 650 mg PO q 4 - 6 hrs, 650 mg PR q 4 - 6 hrs.

Pedi: 5 - 10 mg / kg PO q 4 - 6 hrs.

Pedi under 3 yrs: Not recommended.

Front 7

Magnesium Sulfate

Back 7

Adult: Eclampsia: 2 - 4 g IV over 15 min ; RAD: 1 - 2 g IV over 15 min ; Torsades: 1 - 2 g IV over 15 min.

Pedi: Acute Nephritis: 20 - 40 mg / kg IM PRN ; RAD: 25 - 100 mg / kg IV over 10 - 20 min ; Torsades: 25 - 50 mg / kg IV/IM.

Front 8

Midazolam

Back 8

Adult: 1 - 2.5 mg slow IVP, titrate ; 0.07 - 0.08 mg / kg IM.

Pediatric: 0.03 mg / kg

Front 9

Heparin

Back 9

Adult: 5,000 U IVP

Pedi: 50 U / kg IVP, then 25 U / kg / hr Infusion

Front 10

Etomidate

Back 10

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

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

Front 11

Vecuronium

Back 11

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

Pedi: 0.08 - 0.10 mg / kg (MAX: 3.6 mg / kg)

Front 12

Amiodarone

Back 12

Adult: 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)

Pedi: VFib / VTach: 5 mg / kg IV/IO bolus ; Stable w / PVC's: 5 mg / kg very slow IV/IO over 20 - 60 min, repeat up to 15 mg / kg ; (MAX PEDI DOSE: 300 mg)

Front 13

Odanestron

Back 13

Adult: 0.15 mg / kg q 4 - 8 hrs

Pedi, >6 mos: 0.15 mg / kg q 4 - 8 hrs.

Front 14

Furosemide

Back 14

Adult: 40 - 80 mg IV

Pedi: 1 mg / kg IV

Front 15

Calcium Chloride

Back 15

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

Pedi, >1 yr: 20 mg / kg IV / IO slow IVP (MAX: 500 mg)

Front 16

Epinephrine

Back 16

Adult: Cardiac Arrest: 1 mg IVP q 3 - 5 min; Anaphylaxis: 0.3 mg SQ / IVP ; Asthma: 0.3 mg SQ /IVP

Pediatric: Cardiac Arrest: 0.01 mg / kg IVP q 3 - 5 min ; Anaphylaxis: 0.15 mg SQ ; Asthma: 0.15 mg SQ.

Front 17

Bumetanide

Back 17

Adult: 0.5 mg - 1 mg IV/IM, q 2 - 3 hrs (MAX: 10 mg / day)

Pedi: 0.015 - 0.1 mg / kg PO

Front 18

Adenosine

Back 18

Adult: 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)

Pedi <50 kg: 0.1 mg / kg rapid IVP with 10 cc ND flush, repeat: 0.2 mg / kg rapid IVP with 10 cc NS Flush (MAX: 12 mg)

Front 19

Labetalol

Back 19

Adult: 10 - 20 mg slow IVP.

Pedi: 0.3 - 1 mg / kg slow IVP q 10 min (MAX: 20 mg)

Front 20

Albuterol

Back 20

Adult: MDI: 4 - 8 puffs q 4 - 8 hrs ; Neb: 2.5 - 5 mgs / 20 min (MAX: 3 doses)

Pedi: MDI (over 4 yrs): 2 puffs q 4 - 6 hrs ; Neb (over 12 yrs): 0.5 mg / kg / hr ; Neb (under 12 yrs): 0.15 mg / kg / hr OR 0.5 mg / kg / hr. (MAX: 3 doses)

Pregnant: MDI: 2 - 4 puffs q 4 hrs ; Neb: 2.5 mg / 0.5 mL by 0.5% sol over 5 - 20 min.

Front 21

Procainamide

Back 21

Adult: VTach: 20 - 30 mg / min IVP PRN, maintenance infusion 1 - 4 mg / min ; Refractory VFib: 30 mg / min IVP

Pedi: Not indicated.

Front 22

Dextrose 50%

Back 22

Adult: Hyperkalemia: 25 g D50 IV / IO ; Hypoglycemia: 10 - 25 g D50 IV (20 - 50 mg sol)

Pedi: Hyperkalemia: 0.5 - 1 mg / kg D50 IV/IO ; Hypoglycemia (>2 yrs): 2 mL / kg D50 IV/IO ; Hypoglycemia (<2 yrs): 2 - 4 mL / kg D10 IV/IO

Front 23

Oral Glucose

Back 23

Adult: 15 g PO (MAX: 40 g)

Pediatric: 7.5 g PO (MAX: 20 g)

Front 24

Glucagon

Back 24

Adult: 0.25 - 0.50 U IV or 1 mg IM

Pedi: 0.03 mg / kg IV/IM

Front 25

Diltiazem

Back 25

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

Pedi: not recommended.

Front 26

Ketorolac

Back 26

Adult: 30 mg slow IVP over 1 - 2 min

Pedi: 0.5 mg / kg IM/IV

Front 27

Methylprednisolone

Back 27

Adult: 125 mg IVP

Pedi: 2 mg / kg IVP

Front 28

Ketamine

Back 28

Adult or Pedi:

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

4 - 5 mg / kg IM

Front 29

Ibuprofen

Back 29

Adult: 200 - 400 mg q 4 - 6 hrs (MAX: 1200 mg)

Pedi: 5 - 10 mg / kg q 4 - 6 hrs (MAX: 40 mg / kg)

Front 30

Lorazepam

Back 30

Adult: 2 - 4 mg IV/IM q 10 min (MAX: 8 mg)

Pedi: 0.1 mg / kg IV/IM, 0.05 mg / kg q 10 min.

Front 31

Fentanyl

Back 31

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

Pedi: 1.7 - 3.3 mcg / kg

Front 32

Lidocaine

Back 32

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

Pedi: 1 mg / kg IV up to 3 mg / kg

Front 33

Nitroglycerin Sublingual

Back 33

Adult: 0.3 - 0.4 mg SL q 5 min.

Pedi: Not Recommended.

Front 34

Vasopressin

Back 34

Adult: 40 U (2 mL) q 30 min. (SINGLE DOSE)

Pedi: Not Recommended.

Front 35

Flumazenil

Back 35

Adult: 0.2 mg (2 mL) IV over 30 sec

Pedi: Not Indicated.

Front 36

Morphine Sulfate

Back 36

Adult: IV: 2 - 5 mg, then 2 mg q few minutes, titrate ; IM: 5 - 15 mg

Pedi: IV: 0.1 - 0.2 mg / kg

Front 37

Naloxone

Back 37

Adult: 1 - 2 mg q 5 min Slow IVP

Pedi: 0.1 mg / kg

Front 38

Sodium Bicarbonate

Back 38

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

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

Front 39

Clopidogrel

Back 39

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

Pedi: Not Indicated.

Front 40

Succinylcholine

Back 40

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

Pedi: 1 mg / kg Rapid IVP, repeat once if needed.

Front 41

Ipatropium Bromide

Back 41

Adult: Neb: 500 mcg

Pedi: Not Recommended

Front 42

Eptifibatide

Back 42

Adult: 180 mcg / kg IVP

Pedi: Not Indicated.

Front 43

Norepinephrine

Back 43

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

Pedi: 0.01 - 0.5 mcg / kg / min infusion

Front 44

Nitroglycerin Paste

Back 44

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

Pedi: Not Recommended

Front 45

Metoprolol

Back 45

Adult: 5 mg slow IVP q 5 min (MAX: 15 mg)

Pedi: 1 mg / kg slow IVP

Front 46

Promethazine

Back 46

Adult: 12.5 - 25 mg

Pedi: 0.5 mg / kg

Front 47

Thiamine

Back 47

Adult: 100 mg slow IVP

Pedi: Not Recommended

Front 48

Dopamine

Back 48

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

Pedi: 2 - 20 mcg / kg / min

Front 49

Haloperidol

Back 49

Adult: 2 - 5 mg IM q 30 min

Pedi: 1 - 3 mg IM q 2 - 4 hr

Front 50

Diphenhydramine

Back 50

Adult: 25 - 50 mg slow IVP or deep IM

Pedi: 2 - 5 mg / kg IVP or deep IM