Pharm - Adult Dosages & Brand Name

Front 1

BRAND NAME

diazepam

Back 1

Valium

Front 2

ADULT DOSAGE

diazepam

Back 2

2 mg increments slow IV/IO push. Administer no faster than 2 mg/min.

Front 3

BRAND NAME

diphenhydramine HCl

Back 3

Benadryl

Front 4

ADULT DOSAGE

diphenhydramine HCl

Back 4

ANAPHYLAXIS: 25-50 mg slow IV push or deep IM.

EXTRAPYRAMIDAL SYMPTOMS AND ANTIEMETIC: 10-50 mg IV or deep IM, dose individualized according to the needs and pt response.

Front 5

ADULT DOSAGE

lorazepam

Back 5

Status epilepticus: 2-4 mg IV/IO given slowly (over 2-5 min). May repeat dose in 10-15 min if needed (max 8 mg). May give IM if no IV access.

Front 6

BRAND NAME

charcoal, activated (without sorbitol)

Back 6

Charcola, Actidose-aqua

Front 7

ADULT DOSAGE

midazolam hydrochloride

Back 7

PATIENTS 14-60 YEARS OF AGE: 1-5 mg IV, titrate to effect, administer slowly in small increments of no more than 2.5 mg over at least 2 min, or 2-5 mg IM.

PATIENTS OVER 60 YEARS OF AGE: 1-3.5 mg IV, titrate to effect, administer slowly in small increments of no more than 1.5 mg over at least 2 min, or 1-3 mg IM.

TOTAL DOSE: Should not exceed 20 mg.

FOR EMERGENCY INTUBATION: 0.1 mg/kg up to 0.3 mg/kg with dosage limit of 20 mg.

SEIZURES: 0.2 mg/kg IM for status seizures if no IV access.

Front 8

ADULT DOSAGE

charcoal, activated (without sorbitol)

Back 8

30 - 60 gm (1-2 gm/kg) PO or OG/NG tube; if not in pre-mixed slurry, mix one part charcoal with four parts water.

Front 9

ADULT DOSAGE

albuterol sulfate

Back 9

Give 2.5 mg of premixed solution for inhalation (0.083%) via SVN, or in-line with a ventilatory device. Repeat doses per medical control.

Front 10

ADULT DOSAGE

morphine sulfate

Back 10

Administer 1-3 mg increments slow IV/IO push (over 1-3 min) until desired effect.

Front 11

BRAND NAME

vasopressin

Back 11

Vasopressin

Front 12

ADULT DOSAGE

succinylcholine

Back 12

1.5 mg/kg IV push, may repeat in 2-3 min to achieve paralysis

Front 13

ADULT DOSAGE

dexamethasone sodium phosphate

Back 13

REACTIVE AIRWAY DISEASE, ANAPHYLAXIS: 8-24 mg IV/IO or deep IM.

CEREBRAL EDEMA: 1-5 mg/kg IV/IO or deep IM.

Front 14

ADULT DOSAGE

nitrous oxide 50%

Back 14

Self-administered and self-regulated by the patient, who must hold the mask to the face to create an airtight seal until the pain is significantly relieved or the patient drops the mask.

Front 15

ADULT DOSAGE

adenosine

Back 15

INITIAL: 6 mg rapid IV/IO push over 1-3 seconds

ADMINISTRATION PROCEDURE: 18 ga IV/IO AC↑, press print on monitor, use hub closest to IV catheter to push drug, immediate 20 mL flush in other hub.

REPEAT: 12 mg rapid IV/IO push over 1-3 seconds (twice) if needed. Repeat only after 1-2 minutes if no response.

ADMINISTRATION PROCEDURE: 2 repeat doses if needed: press print, hub closest to IV catheter to push drug, immediate 20 mL flush in other hub.

Front 16

ADULT DOSAGE

etomidate

Back 16

0.3 mg/kg IV over 30-60 seconds

Front 17

ADULT DOSAGE

dextrose 50%

Back 17

HYPOGLYCEMIA, ALOC OR SEIZURES OF UNKNOWN ETIOLOGY: 25-100 mL of D50 (12.5-50 gm, 1 to 2 amps) IV/IO.

HYPERKALEMIA: 50 gm of Dextrose 50% IV total may be given over 1 hour. This is part of a comination drug therapy. See: CaCl and NaHCO3

Front 18

ADULT DOSAGE

methylprednisolone sodium succinate

Back 18

REACTIVE AIRWAY DISEASE, ANAPHYLAXIS, BURNS POTENTIALLY INVOLVING THE AIRWAY: Usual dose 125 mg slow IV bolus (much larger doses can be used).

Front 19

ADULT DOSAGE

phenylephrine nasal spray 0.5%

Back 19

2-4 sprays in each nostril before attempting tube insertion.

Front 20

BRAND NAME

adenosine

Back 20

Adenocard

Front 21

ADULT DOSAGE

vasopressin

Back 21

V/Fib-Pulseless V-Tach: 40 Units IV/IO/ET, one time only prior to administration of 1st or 2nd dose of epi.

Front 22

ADULT DOSAGE

glucagon

Back 22

(children and adults greater than 20 kg or 44 lbs)

HYPOGLYCEMIA: 1 mg IM, may repeat in 7-10 min

Front 23

ADULT DOSAGE

furosemide

Back 23

ON ORAL FUROSEMIDE THERAPY: Consider initial dose of 2 times daily oral dose; if no effect in 20 min may double inital dose.

NOT ON ORAL FUROSEMIDE THERAPY: 0.5-1 mg/kg to a maximum of 2 mg/kg (usually 20-40 mg) IV/IO slowly.

Front 24

BRAND NAME

lorazepam

Back 24

Ativan

Front 25

ADULT DOSAGE

ipratropium bromide

Back 25

Give 500 mcg in 2.5 mL NS (1 unit dose vial) via SVN or in-line with a ventilatory device. Repeat according to medical control preference.

May mix one unit dose vial of ipratropium bromide with one unit dose vial of albuterol.

Front 26

ADULT DOSAGE

diltiazem

Back 26

INITIAL: 0.25 mg/kg IV/IO (usually 20 mg) administered over 2 minutes

REPEAT IN 15 MIN IF RESPONSE IS INADEQUATE: 0.35 mg/kg IV/IO administered over 2 min

MAINTENANCE INFUSION: 5.0-15.0 mg/hr

Front 27

ADULT DOSAGE

ondansetron

Back 27

4-8 mg IV slow push over 2-5 min

8mg PO ODT or tablet

Front 28

ADULT DOSAGE

sodium bicarbonate 8.4%

Back 28

PRE-EXISTING METABOLIC ACIDOSIS OR ALKALINIZATION OF BLOOD: 50-100 mEq IV/IO per medical control authority.

INFUSION: 50 mEq of sodium bicarbonate in 250 mL of NS or as determined by medical control.

CARDIAC ARREST: First dose usually 1 mEq/kg with subsequent doses of 0.5 mEq/kg every 10 minutes after other standard treatment (defib, CPR, intubation, ventilation and more than one trial of epi) has been used.

Front 29

ADULT DOSAGE

naloxone HCl

Back 29

IV, IM, SC, Inject SL, ET: 2.0 mg initial bolus IV or ET, may repeat every 2 minutes as necessary; titrate to effect.

INTRA-NASAL: 1.0 mg each nostril using a Mucosal Atomizer Device for a total of 2 mg. May repeat every 2 minutes as necessary. Titrate to effect.

Front 30

BRAND NAME

sodium bicarbonate 8.4%

Back 30

Sodium Bicarbonate 8.4%

Front 31

ADULT DOSAGE

amiodarone

Back 31

VF/PULSELESS VT: 300 mg IV/IO push over 30-60 seconds, may repeat in 3-5 min with 150 mg IV/IO push

WIDE COMPLEX TACHYCARDIAS, AFLUTTER, AFIB, SVT WITH CARDIOVERSION: 150 mg IV/IO over 10 min (mix in 50 mL bag of D5W) may repeat q 10 min.

MAINTENANCE INFUSION POST RESUSCITATION/CONVERSION: After successful defib, follow with 1 mg/min IV/IO infusion for 6 hours, then up to 0.5 mg/min IV/IO infusion for up to 18 hours, max daily dose is 2.2 grams.

Front 32

ADULT DOSAGE

magnesium sulfate

Back 32

CARDIAC:

VF/Pulseless VT: 1-2 gm IV diluted in 50-100 mL NS or D5W, administered over 1-2 minutes.

Torsade de pointes: 1-2 gm IV diluted in 50-100 mL NS or D5W administered over 1-2 minutes, followed by the same amount infused over 1 hour.

Hypomagnesemia: 1-2 gm IV diluted in 50-100 mL NS or D5W administered IV push over 5-60 minutes.

RESPIRATORY:

Respiratory/severe asthma: Initial infusion (field) 2 gm magnesium sulfate mixed in 50 mL NS or D5W to be infused IV using microdrip tubing over 5-10 minutes. Stop infusion if hypotension, respiratory depression or bradycardia develops.

PRE-TERM LABOR (PTL): Initial bolus 4-6 gm over 15-20 minutes (suggestion is to add 4 gm to 100 mL D5W, LR or NS. Resultant concentration is 40 mg/mL.)

PREGNANCY INDUCED HYPERTENSION, PRE-ECLAMPSIA/ECLAMPSIA: Initial bolus: 3-6 gm over 10-15 minutes (suggestion is to add 4 gm to 100 mL D5W, LR, NS. Resultant concentration is 40 mg/mL).

Front 33

ADULT DOSAGE

thiamine HCl (vitamin B1)

Back 33

100 mg SIVP or Deep IM

Front 34

ADULT DOSAGE

oxytocin

Back 34

POSTPARTUM HEMORRHAGE: 10-20 USP units added to 1000 mL NS or LR and run at a rate necessary to control uterine atony or 10 USP units may be given IM after delivery of the placenta.

Front 35

ADULT DOSAGE

acetylsalicylic acid, aspirin, ASA

Back 35

CARDIAC: 160-325 mg PO (2-4 pediatric chewable tabs), chew or swallow

PAIN/DISCOMFORT/FEVER: 325 mg PO (4 pediatric chewable tabs), chew or swallow

Front 36

ADULT DOSAGE

calcium chloride

Back 36

HYPOCALCEMIA, CALCIUM CHANNEL BLOCKER OD, HYPERKALEMIA, HYPERMAGNESEMIA: 5-10 mL (0.5-1 gm) of CaCl 10% IV/IO. May repeat in 10 min.

PRE-TREATMENT FOR IV VERAPAMIL ADMINISTRATION: 3 mL of 10% CaCl. May be repeated once.

Front 37

ADULT DOSAGE

atropine sulfate

Back 37

SYMPTOMATIC BRADYCARDIA: IV/IO - 0.5 mg IV push q 5 min. Do NOT exceed a total dose of 3 mg or 0.04 mg/kg if symptoms profound.

ASYSTOLE: IV/IO - 1 mg. Repeat q 3-5 min (generally up to 3 doses) if asystole persists. Total dose should not exceed 0.04 mg/kg.

ORGANOPHOSPAHTE OR CARBAMATE POISONING: IV/IO - Initially: 1-5 mg. Doses should be doubled q 5 min until signs of muscarinic excess abate (clearing of bronchial secretions, bronchospasm, and adequate oxygenation).

Front 38

ADULT DOSAGE

epinephrine HCl

Back 38

PULSELESS ARREST: 1 mg of 1:10,000 solution IV/IO; repeat every 3-5 min OR

ET: Give 2-2.5 mg via the ET. May use 1:10,000 or dilute 1:1000 to equal 10 mL via ET tube for adult. 2 mg 1:1,000 epi with 8 mL NS in a 10 mL syringe.

INFUSION FOR HYPOTENSION OR SYMPTOMATIC BRADYCARDIA: 1 mg added to 500 mL of NS administered at 1 mcg/min titrated to desired hemodynamic response (range 2-10 mcg/min); not first-line therapy.

ANAPHYLAXIS & ASTHMA: Give 0.3-0.5 mg of 1:1,000 solution IM (preferred), SC, or inject SL, may repeat every 15-20 min; in extreme cases only, may be asked to use 1:10,000 solution and give 0.1 mg every 5 min IV/IO or continuous IV/IO infusion of 1-4 mcg/min to prevent multiple injections.

Front 39

ADULT DOSAGE

dopamine

Back 39

(dosage range 2-10 mcg/kg/min)

PREPARATION: (If premixed not carried) Add 400 mg to 250 mL NS or dextrose = 1600 mcg/mL

BRADYCARDIA: Start at 5 mcg/kg/min

SHOCK - CARDIOGENIC OR SEPTIC (non-hypovolemic)

BP <70 systolic: Start drip at 5 mcg/kg/min

BP >70 systolic: Start drip at 2.5 mcg/kg/min

Front 40

ADULT DOSAGE

lidocaine HCl

Back 40

PULSELESS VF/VT: Initial bolus of 1-1.5 mg/kg IV/IO push q 3-5 min to a total dose of 3 mg/kg.

An initial bolus of 1.5 mg/kg should be given for cardiac arrest situations.

Following the return of a spontaneous rhythm, initiate a drip at 2-4 mg/min for maintenance infusion.

ANTIDYSRHYTHMIC OR RHYTHMS WITH A PULSE: Initial boluses can be given as 1-1.5 mg/kg IV/IO push and additional boluses can be given as 0.5-0.75 mg/kg q 5-10 min to a total dose of 3 mg/kg. Following the return of a spontaneous rhythm, initiate a drip at 2-4 mg/min.

MAINTENANCE INFUSION: Started after return of spontaneous rhythm for either indication above. Add 1-2 gm to a 250 mL NS or 5% dextrose solution or use premixed solution (2 gm in 500 mL) and initiate a drip at 2-4 mg/min according to concentration.

Patients > 70 years or with hepatic, renal disease or poor perfusion state - reduce maintenance infusion by half.

Pre-intubation for head trauma or suspected intracranial hemorrhage (consider administration of 1 mg/kg IV bolus 1-2 min prior to intubation.)

Front 41

ADULT DOSAGE

nitroglycerin

Back 41

SL FOR CHEST PAIN: 1/150 gr (0.4 mg) tablet or one full spray, may repeat x 3.

SL FOR PULMONARY EDEMA: 1-2 of the 1/150 gr (0.4 mg) tablets may be given SL every 5-10 minutes as long as the systolic BP is greater than 90-100 systolic.

Front 42

ADULT DOSAGE

verapamil HCl

Back 42

2.5-5 mg SLOW IV/IO push over 2-3 min. May rebolus in 15-30 min with 5-10 mg IV/IO push until a max dosage of 20 mg.

Front 43

BRAND NAME

albuterol sulfate

Back 43

Proventil, Ventolin

Front 44

BRAND NAME

midazolam hydrochloride

Back 44

Versed

Front 45

BRAND NAME

magnesium sulfate

Back 45

Magnesium Sulfate

Front 46

BRAND NAME

morphine sulfate

Back 46

Morphine Sulfate

Front 47

BRAND NAME

dexamethasone sodium phosphate

Back 47

Decadron

Front 48

BRAND NAME

succinylcholine

Back 48

Succinylcholine

Front 49

BRAND NAME

dextrose 50%

Back 49

Dextrose 50%, D50

Front 50

BRAND NAME

nitrous oxide 50%

Back 50

Nitronox

Front 51

BRAND NAME

methylprednisolone sodium succinate

Back 51

Solu-Medrol

Front 52

BRAND NAME

etomidate

Back 52

Etomidate

Front 53

BRAND NAME

phenylephrine nasal spray 0.5%

Back 53

Neo-synephrine Nasal Spray 0.5%

Front 54

BRAND NAME

glucagon

Back 54

Glucagon

Front 55

BRAND NAME

diltiazem

Back 55

Cardizem

Front 56

BRAND NAME

furosemide

Back 56

Lasix

Front 57

BRAND NAME

ipratropium bromide

Back 57

Atrovent

Front 58

BRAND NAME

ondansetron

Back 58

Zofran

Front 59

BRAND NAME

naloxone HCl

Back 59

Narcan

Front 60

BRAND NAME

amiodarone

Back 60

Amiodarone

Front 61

BRAND NAME

acetylsalicylic acid, aspirin, ASA

Back 61

Bufferin, Anacin, APC, among others

Front 62

BRAND NAME

thiamine HCl (vitamin B1)

Back 62

Betalin

Front 63

BRAND NAME

oxytocin

Back 63

Pitocin, Syntocin

Front 64

BRAND NAME

calcium chloride

Back 64

Calcium Chloride

Front 65

BRAND NAME

epinephrine HCl

Back 65

Adrenalin

Front 66

BRAND NAME

atropine sulfate

Back 66

Atropine Sulfate

Front 67

BRAND NAME

dopamine

Back 67

Intropin

Front 68

BRAND NAME

lidocaine HCl

Back 68

Xylocaine

Front 69

BRAND NAME

nitroglycerin

Back 69

Nitrostat, Tridil

Front 70

BRAND NAME

verapamil HCl

Back 70

Isoptin, Calan, Verelan