Paramedic Drug Dosages

Front 1

Amiodarone (Cordarone)

Back 1

300mg initial IVP followed w/ 150mg IVP

Hint 1

Unstable & recurrent ventricular and SVT rhythms

Front 2

Atropine

Back 2

0.5mg 3-5min w/ 3mg max dosage

Hint 2

Sinus bradycardia, Asystole PEA, secondary use w/presentation of high degree block 2nd degree type 2 or 3rd degree. RSI prevent bradycardia with intubation die to vagus nerve simulation.

Front 3

Dopamine infusion (Intropin)

Back 3

2-20mcg/kg/min titration

Hint 3

Symptomatic bradycardia, Pulmonary edema and heart failure.

Front 4

Epi: 1:10,000 infusion

Back 4

0.1mcg/kg/min - 0.5mcg/kg/min

Hint 4

Asystole/PEA, Anaphylaxis

Front 5

Adenosine (adenocard)

Back 5

6mg RAPID IVP followed by 12mg 1-2 min

Hint 5

SVT, V TACH, PSVT, used to determine underlying rhythm.

Front 6

Procainamide (pronestyl)

Back 6

17mg/kg titration to effect no more than 20 mg/min max

Front 7

Sotolol ( beta space )

Back 7

1 - 1.5 mg/ kg IV

Hint 7

V-Tach & SVT

Front 8

Metoprolol ( lopressor )

Back 8

5mg slow IVP max 3 times Q 5 minutes

Hint 8

AMI

Front 9

Esmolol (Brevibloc)

Back 9

20 - 100 mcg/kg/min 1min loading dose

50mcg/kg/min over 4 minutes

Hint 9

Beta blocker SVT with RvR

Front 10

Labetalol ( trandate, Normodyne)

Back 10

10 mg slow IVP.

Then 20 - 40 mg / 10 min

150mg max

Hint 10

Acute hypertensive crisis

Front 11

Atenolol (Tenormin)

Back 11

5mg every 5min, max 15mg

Hint 11

Non Q-wave AMI & unstable angina

Front 12

Propanolol (Inderal)

Back 12

0.1mg/kg divided by 3 given every 2-3min

Hint 12

V-Fib, Pulseless VTach that is non responsive to Lidocaine

Front 13

Verapamil (Isoptin)

Back 13

2.5mg-5mg IV over 2-3 min, followed by 5-10 mg after 15-30min w/ maximum of 20mg

Hint 13

PSVT non refractory to adenosine, A-flutter, A-Fib w/ RVR

Front 14

Albuterol

Back 14

2.5mg - 3ml NS.

90mcg-MDI.

Hint 14

Bronchodilator smooth muscle relaxant

Front 15

Aminophylline

Back 15

20 - 300mg IV over 10min

Hint 15

Prolongs Bronchodilation and decreases mucus production

Front 16

Bumex (Bumetanide)

Back 16

0.5-1.0mg IM/IV over 1-2min

Hint 16

Related to Furosemide w/ faster onset and shorter duration. 40 times stronger. Produces Mild hypotension.

Front 17

Stadol (Butorphanol)

Back 17

1mg IV

Hint 17

Synthetic narcotic 5 times stronger than morphine

Front 18

Calcium Chloride

Back 18

500-1000mg IV

Hint 18

Increases myocardial contractility

Front 19

Thorazine (Chlorpromazine)

Back 19

25-50mg IM

Hint 19

Used to manage psychotic episodes. Produces reduced initiative, interest, and affect.

Front 20

Dexamethasone (Decadron)

Back 20

4-24mg IV/IM

Hint 20

Synthetic adrenocorticoid w/ intense anti-inflammatory activity

Front 21

Digoxin

Back 21

4-6mcg/kg

Hint 21

CHF and rapid atrial treatments, increases cardiac output while decreasing rate.

Front 22

Diltiazem (Cardizem)

Back 22

0.25mg/kg (15-20mg) IV over 2 min.

Hint 22

Slow calcium channel blocker, dilated coronary arteries

Front 23

Diphenhydramine

Back 23

12.5mg-25mg IM/IV

Hint 23

Increases cardiac contractility w/o increasing rate

Front 24

Dopamine (Inotropin)

Back 24

2-20mcg/kg/min IV, titrate to effect

Hint 24

Increases cardiac output without increasing myocardial oxygen demand.

Front 25

Fentanyl (Sublimaze)

Back 25

25-100mcg slow IV push 2-3 min.

Hint 25

Synthetic narcotic analgesic

Front 26

Furosemide (Lasix)

Back 26

0.5-1.0mg/kg slow over 2 min

Hint 26

Rapid acting potent diuretic

Front 27

Glucagon

Back 27

1mg IM/SQ

Hint 27

Promotes breakdown of glycogen stored in liver to glucose.

Front 28

Hydrocortisone (Solu-Cortef)

Back 28

40-250mg IV/IM

Hint 28

Reduces allergic reaction, inhibits histamine release

Front 29

Ipatropium (Atrovent)

Back 29

500mcg in 2.5ml NS

Hint 29

Bronchodilator that dries up airway secretions.

Front 30

Ketamine (Ketalar)

Back 30

1.0-4.5mg/kg IV

Hint 30

Sedative, hypnotic, analgesic, RSI agent

Front 31

Ketorolac (Toradol)

Back 31

30mg IV/IM

Hint 31

Anti-inflammatory, Kidney Stones, Thermal burns, Electrical burns

Front 32

Lidocaine (Xylocaine)

Back 32

Cardiac arrest 1-1.5mg/kg repeated @ 0.5-0.75mg every 5-10 min

V-Tach 0.5-1.5mg/kg follow with infusion of 1-4mg/min

Hint 32

Anti dysrythmic that suppresses automaticity

Front 33

Magnesium sulfate

Back 33

Cardiac Arrest 1-2g diluted in 10ml of D5W IV/IO

Torsades 1-2g diluted in 50-100ml of D5W over 5-60min

Eclampsia 2-4g IV/IM

Hint 33

Calcium channel blocker acting as a CNS depressant and anticonvulsant as well as smooth, skeletal cardiac muscle depressant.

Front 34

Methylprednisolone (Solu-Medrol)

Back 34

Asthma/COPD/anaphylaxis 125-250mg IV/IM

Hint 34

Adrenal Corticosteroid effective as an anti-inflammatory and allergic reactions. Spinal injury by reducing inflammation

Front 35

Morphine Sulfate

Back 35

MI 2-4g IV/IO every 3-5 min

Pain 2-15mg IV

Hint 35

Potent analgesic and sedative that causes some vasodilation, reducing venous return and reduced myocardial oxygen demand.

Front 36

Nalbuphine (Nubain)

Back 36

0.4-2.0mg IV/IM/IO related 2-3 min max 10mg

Hint 36

Synthetic narcotic with no adverse respiratory effects.

Front 37

Ondansetron (zofran)

Back 37

4-8 mg over 1-5 min IV

Hint 37

Serotonin receptor antagonist preventing nausea and vomiting

Front 38

Promethazine (Phenergan )

Back 38

12.5-25mg IV/IM

Hint 38

Enhances analgesics and a potent antiemetic

Front 39

Sodium Bicarb

Back 39

1mEq/kg IV/IO

Hint 39

Reduce effects of metabolic acidosis and treatment of some overdoses. TCA overdose

Front 40

Thiamine

Back 40

50-100mg IV/IM

Hint 40

Required to convert glucose to energy

Front 41

Levalbuterol (Xopenex)

Back 41

0.63-1.25mg Nebulized

Hint 41

Bronchodilator

Front 42

Geodon

Back 42

20mg/20ml IM

Hint 42

Schizophrenia, bipolar, excited delirium, manic disorders

Front 43

Magnesium Sulfate

Back 43

Adult: Seizure activity associated with pregnancy: 1-4 gm IV push over 3 minutes. For Torsades de Pointes or Refractory VF/VT: 1-2 grams IV push over 1-2 minutes.

Hint 43

Front 44

Dopamine

Back 44

Adult: 2- 20 mcg / kg / min. titrated to patient response. Pediatric: 2 - 20 mcg / kg / min. titrated to patient response.

Hint 44

Cardiogenic, septic or spinal shock, hypotension with low cardiac output states. Distributive shock.

Front 45

Diltiazem drip

Back 45

Maintenance infusion of 5-15 mg / hour (100mg of Cardizem in 100ml of D5W or NS to give a concentration of 1mg/ml).

Hint 45

Front 46

Diltiazem (Bolus)

Back 46

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.

Hint 46

Control of rapid ventricular rates due to atrial flutter, atrial fibrillation, PSVT. Angina pectoris

Front 47

Thiamine

Back 47

Adult: 100mg slow IV or IM.

Pediatric: 10-25 mg slow IV or IM

Hint 47

Coma of unknown origin. Delirium tremens. Wernicke's encephalopathy

Front 48

Vasopressin

Back 48

Adult: 40 units (2ml) q 30 minutes (20 min half life) single dose recommended IV only.

Hint 48

Ventricular fibrillation, pulseless ventricular tachycardia, slow or stop GI bleeding, diabetes insipidus.

Front 49

Bumetanide (Bumex)

Back 49

Ampules containing 0.5 mg in 2 ml of solvent (0.25 mg per ml). It is also supplied in 2-, 4-, and 10-ml vials containing 0.25 mg per ml.

Hint 49

Congestive heart failure Pulmonary edema