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63 Cards in this Set
- Front
- Back
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• Protocol: PEA
Vent. Fibrillation • Indicated for severe hyperkalemia • One amp (10 ml) or 1 gm IV • Avoid use if pt is taking digoxin • 20 mg/kg IV or IO slowly |
Calcium Chloride
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• Protocol: Overdose
• Binds, or absorbs, various chemical agents and drugs from the GI tract • Combined with Sorbitol to promote GI motility • 50 gms po or NG Tube • 25 gms po or NG Tube |
Charcoal
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• Protocol: Hypertension
• Medication used to control hypertension • 0.1 mg po q 10-15 minutes |
Clonidine
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• Protocol: Fever
PEA Heat Emergencies Abdominal Pain Altered Mental Status Epistaxis Hypotension Vomiting and Diarrhea Neonatal Ped. Bradycardia Ped. Hypotension Ped. Multiple Trauma Back Pain Burns Electrical Injuries Multiple Trauma • The IV fluid of choice for access or volume infusion • KVO for IV access • Bolus in 250 ml for cardiac • Bolus in 500 to 1000 ml amount for volume • Bolus in 1000 ml amount for burns or electrical injuries • KVO for IV or IO access • Bolus in 20ml/kg for volume (May be repeated x 3) |
Crystalloid Solutions
(Normal Saline) |
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• Protocol: Suspected cyanide
poisoning • Sodium Nitrite 300 mg IV (10 cc of 3% Sodium Nitrite) – OR – Amyl Nitrite capsule po if unable to obtain IV access • Sodium Thiosulfate 12.5 gm IV (50 cc of 25% Sodium Thiosulfate) • Sodium Nitrite 0.33cc/kg of 3% sodium nitirite • Sodium Thiosulfite 1.65 cc/kg of 25% sodium Thiosulfite |
Cyanide Poisoning
Antidote Kit |
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• Protocol: Seizure
Ped. Seizure • Seizure control • Mild Sedation • 4 mg IV initially then 2 mg IV every 3 - 5 minutes up to 10 mg max unless med control dictates • IM dosage = double the IV dosage up to 20 mg total • 0.1 - 0.3 mg/kg IV/IO • (Max dose 4 mg IV, IO) • O.5 mg/kg rectally (Dia-Stat) • (Max dose 18 mg rectally) • Repeat as directed by medical control. |
Diazepam
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• Protocol: Per specific agency
• Agent used to improve cardiac output in CHF and to assist with rate control in atrial fibrillation • IV bolus and infusion rate per medical control |
Digoxin
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• Protocol: Allergic Reaction
• Antihistamine for control of allergic reactions • 50 mg IV/IM/PO • 1 mg/kg IV/IO/IM • Do not give in infants < 3 mo • (Max dose 50 mg) |
Diphenhydramine
(Benadryl) |
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• Protocol: Per specific agency
• Pressor agent used to maximize cardiac output • 2-20 micrograms/kg/min titrate to BP systolic of 90 mmHg or as per medical control • 2 - 20 micrograms/kg/min IV or IO, titrate to BP systolic appropriate for age |
Dobutamine
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• Protocol: Bradycardia
PEA Post Resuscitation Hypotension Ped. Hypotension • A vasopressor used in shock or hypotensive states • 2 - 20 micrograms/kg/min titrate to BP systolic of 90 mmHg • 2 - 20 micrograms/kg/min IV or IO, titrate to BP systolic appropriate for age |
Dopamine
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• Protocol: Allergic Reaction
Resp. Distress Ped. Resp. Distress • Vasopressor used in allergic reactions or anaphylaxis • 0.3 mg SQ (if age < 50 yrs) • 0.15 mg SQ (if age > 50 yrs) • 0.01 mg/kg SQ • (Max dose 0.3 mg) |
Epinephrine 1:1,000
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• Protocol: Asystole
PEA Vent. Fibrillation Allergic Reaction Ped. Bradycardia Ped. Pulseless Arrest • Vasopressor used in cardiac arrest. • 1.0 mg IV • Repeat every 3 - 5 minutes until observe response • (May be given by Endotracheal tube in double the IV dose) • 0.01 mg/kg IV or IO • (Max dose 0.5 mg) • Repeat every 3 - 5 minutes until observe response • (May be given by Endotracheal tube --10 times the IV dose) |
Epinephrine 1:10,000
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• Protocol: RSI
• Hypnotic • 0.3 mg/kg IV • Usual adult dose = 20 mg |
Etomidate
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• Protocol: Overdose
• Medication that reverses benzodiazepine sedation • May precipitates seizures, esp in mixed-drug overdose • 0.2 mg IV • May repeat q 1 min for 5 total doses • May repeat series of 5 doses 3 times per hour (Maximum dose = 3 mg/hour) • 0.01 mg/kg (max 0.2 mg) • May repeat q 1 minute for 5 total doses • Maximum dose is 1 mg/hour |
Flumazenil
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• Protocol: Pulmonary Edema
• Diuretic for pulmonary edema or CHF • 20 mg IV or dose to equal patient’s normal single home PO dose |
Furosemide
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• Protocol: Altered Mental Status
CVA Seizure Syncope Ped. Head Trauma Ped. Hypotension Ped. Pulseless Arrest Ped. Seizure • Drug acting to release glucose into blood stream by glycogen breakdown • Use in patients with no IV access • 1 - 2 mg IM • Follow blood glucose in 15 minutes, if < 60 repeat. • 0.5 mg IM • Follow blood glucose in 15 minutes, if < 60 repeat. • Age > 3 years |
Glucagon
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• Protocol: Neonatal
Ped. Bradycardia Ped. Head Trauma Ped. Hypotension Ped. Pulseless Arrest Ped. Seizure • Use in unconscious or hypoglycemic states • 5 ml/kg IV or IO • Repeat based on blood glucose results |
Glucose solutions -
Dextrose 10% |
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• Protocol: Altered Mental Status
CVA Seizure Syncope • Use in unconscious or hypoglycemic states • One amp or 25 gm IV bolus • Repeat based on blood glucose results |
Glucose Soluntions -
Dextrose 50% |
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• Protocol: Behavioral
• Medication to assist with sedation of agitated patients • 10 mg IV/IM • May repeat as per Medical Control |
Haldoperidol (Haldol)
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• Protocol: Per specific agency
• Anticoagulant used in the setting of suspected myocardial ischemia, pulmonary embolism, etc. • Bolus and infusion rate per medical control |
Heparin
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• Protocol: Per specific agency
• Medication used to control stomach acid and to assist in severe allergic reactions • 300 mg IV/IM/PO |
Histamine 2 Blocker
(Cimetidine/Tagamet) |
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• Protocol: Per specific agency
• Medication used to control stomach acid and to assist in severe allergic reactions • 50 mg IV • 150 mg PO |
Histamine 2 Blocker
(Ranitadine/Zantac) |
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• Protocol: Per specific agency
• Medication used to control hyperglycemia and in the treatment of hyperkalemia • Hyperglycemia: per medical control based on blood glucose levels • Hyperkalemia: 10 units IV. Give with one amp dextrose IV |
Insulin
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• Protocol: Per specific agency
• Medication used in addition to albuterol to assist in patients with asthma and COPD • 2 puffs per dose of MDI (18 mcg/spray) --- OR --- • 500 mcg per nebulizer treatment |
Ipatroprium
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• Protocol: Per specific agency
• Agent used to increase heart rate • 0.02-0.06 mg IV • 2-20 mcg/min infusion |
Isoproterenol
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• Protocol: Post Resuscitation
Vent. Ectopy Vent. Fibrillation Vent. Tachycardia Ped. Pulseless Arrest • Antiarrhythmic used for control of ventricular dysrrythmias • 1.5 mg/kg IV bolus (ETT dose = 2 x IV dose) • Initial Dose 0.75 mg/kg in patients > 60 years of age. • Repeat 1/2 initial dose in 10 minutes. • 1 mg/kg IV, IO bolus. • Repeat 1/2 initial bolus in 10 minutes no drip. |
Lidocaine
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• Protocol: Seizure
• Benzodiazepine used to control seizures • Be alert for respiratory depression • 2-4 mg IV/IM • May repeat q 5-10 minutes if seizures not controlled • 0.05-0.1 mg/kg IV/IM (max 2 mg/dose) • May repeat q 5-10 minutes if seizures not controlled |
Lorazepam (Ativan)
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• Protocol: OB / Gyn
Emergency Vent. Fibrillation Vent. Tachycardia • Elemental electrolyte • 2 g slow IV push • dose may be repeated once |
Magnesium Sulfate
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• Protocol: Per specific agency
• Medication to control intracranial pressure • 1 gram/kg IV over 30 to 60 minutes. • Typical Adult dose is 100 grams. |
Mannitol
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• Protocol: Per specific agency
• Medication used to treat methemoglobinemia • 1-2 mg/kg IV over 5 minutes |
Methylene Blue
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• Protocol: Allergic Reaction
Respiratory Distress • Steroid used to reduce inflammation • 125 mg IV • Per Medical Control only • 2 mg/kg IV |
Methylprednisolone
(Solu-medrol) |
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• Protocol: Behavioral
SVT Vent. Tachycardia Seizure • Quick acting Benzodiazepine • Preferred over Valium for IM use • Use with caution if BP < 110 • 0.5-2 mg IV slowly over 2-3 minutes. May slowly titrate dose up to 5 mg total if needed. Usual total dose: 2.5-5 mg • IM dosage: 5 mg • Per Medical Control only • 0.05-0.2 mg/kg IV |
Midazolam (Versed)
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• Protocol: Per specific agency
• Medication to increase cardiac output in congestive heart failure • 0.375-0.75 mcg/kg/min |
Milrinone
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• Protocol: Pain Control
Chest Pain • Narcotic pain relief • Antianxiety • Possible beneficial effect in pulmonary edema • Avoid use if BP < 110 • 4 mg IV bolus then 2 mg IV/IM every 3 - 5 minutes until 10 mg or improvement • 0.1 mg/kg IV, IO single bolus only |
Narcotic Analgesic
(Morphine Sulfate) |
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• Protocol: Altered Mental Status
Overdose Neonatal Ped. Bradycardia Ped. Head Trauma Ped. Pulseless Arrest • Narcotic antagonist • 0.5 - 2 mg IV bolus titrated to patient’s respiratory response • May be given IM if unable to establish IV in a known narcotic overdose • 0.01 mg/kg IV, IO • May repeat in 5 minutes if no effect. |
Narcotic Antagonoist
(Naloxone/Narcan) |
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• Protocol: Airway
Epistaxis • Vasoconstrictor used with nasal intubation and epistaxis • Relative Contraindication is significant hypertension • 2 sprays in affected nostril • 1-2 sprays in affected nostril |
Nasal Spray
(Afrin, Otrivin) |
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• Protocol: Chest Pain
Pulmonary Edema Hypertension • Vasodilator used in anginal syndromes, CHF and Hypertension. Chest Pain • 1 spray/tablet SL every 5 minutes until painfree or 3 doses • If SBP < 100, contact medical control • 1” paste after pain free or 3 doses Pulmonary Edema • 1 spray/tablet SL every 1-2 minutes if BP >110 Systolic Hypertension • 1 spray/tablet SL every 1-2 minutes until BP <110 Diastolic |
Nitroglycerin
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• Protocol: Per specific agency
• Medication used to treat severe hypertension • 0.3-10 mcg/kg/min IV. Titrate to desired blood pressure |
Nitroprusside Sodium
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• Protocol: Per specific agency
• Medication used to assist with control of pain • Inhaled gas to effect per local protocol with 50/50 mix |
Nitrous Oxide
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• Protocol: Per specific agency
• Various over-the-counter medications which do not require a perscription to use or obtain. • Per local protocol or Medical Direction • Per local protocol or Medical Direction |
Non-Prescription
Drugs |
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• Protocol: Fever
Pain Control • A nonsteroidal anti-inflammatory drug (NSAID) used for pain and fever control. • Not to be used in patients with history of GI Bleeding (ulcers) or renal insufficiency. • Not to be used in patients with allergies to aspirin or other NSAID drugs • Avoid in patients currently taking anticoagulants, such as coumadin. • 400-800 mg po • 10 mg/kg po |
Nonsteroidal Antiinflammatory
– PO (Ibuprofen/Motrin) |
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• Protocol: Pain Control
• A nonsteroidal anti-inflammatory drug used for pain control. • Not to be used in patients with history of GI bleeding (ulcers), renal insufficiency, or in patients who may need immediate surgical intervention (i.e. obvious fractures). • Not to be used in patients with allergies to aspirin or other NSAID drugs such as motrin • Avoid in patients currently taking anticoagulants such as coumadin • 30 mg IV or IM |
Nonsteroidal Antiinflammatory
– IV/IM (Ketorolac/Toradol) |
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• Protocol: As per specific agency
• Medication used to increase blood pressure in the setting of nonhemmorhagic shock • 2-12 mcg/kg/min – titrate to desired blood pressure |
Norepinephrine
(Levophed) |
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• Protocol: Universal patient care
• Useful in Airway, Chest Pain, and Respiratory Distress. Required for pre-oxygenation whenever possible prior to intubation. • 1-4 liters/min via nasal cannula • 6-15 liters/min via NRB mask • 15 liters via BVM • 1-4 liters/min via nasal cannula • 6-15 liters/min via NRB mask • 15 liters via BVM |
Oxygen
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• Protocol: Per specific agency
• Medication used to induce labor and to control postpartum bleeding • 0.001-0.02 units/min IV infusion • 10 units IM X 1 for postpartum hemmorrhage |
Oxytocin
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• Protocol: RSI
• Paralytic • Avoid in patients with burns >24 hours old, chronic neuromuscular disease (e.g., muscular dystrophy), ESRD, or other situation in which hyperkalemia is likely. • 1.5 mg/kg IV. If inadequate relaxation after 3 minutes, may repeat dose. Consider atropine to avoid bradycardia associated with repeat dosing. • 1.5 mg/kg IM (onset of action is variable and may be substantially delayed) • 1-2 mg/kg IV, IO • 1-2 mg/kg IM (onset of action is variable and may be substantially delayed) • Consider atropine (appropriate per color coded list) for any pediatric patient due to likelihood of bradycardia associated with succinylcholine administration) |
Paralytic Agents
(Succinylcholine) |
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• Protocol: RSI
• Paralytic • Avoid in patients with chronic neuromuscular disease (e.g., muscular dystrophy). • 0.1 mg/kg IV. If inadequate relaxation after 5 minutes, may repeat dose. • 0.1 mg/kg IV, IO • Avoid in Broselow Pink |
Paralytic Agents
(Vecuronium) |
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• Protocol: Per specific agency
• Medication to control seizures • 10-20 mg/kg IV bolus to control seizures • Infusion rate per medical control • 10-20 mg/kg IV bolus to control seizures (maximum total dose 40mg/kg) • Infusion rate per medical control |
Phenobarbital
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• Protocol: Seizures
• Medication to control • Must be a administered very slowly due to cardiac toxicity and local pain at the infusion site • 15-20 mg/kg IV over 30 minutes to control seizures • Patient must be on ECG monitor during drug administration. • 15-20 mg/kg IV to control seizures • Patient must be on ECG monitor during drug administration. |
Phenytoin
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• Protocol: Seizures
• Medication to control seizures by the same mechanism as phenytoin (Dilantin); this medication is safer to administer • 15-20 PE/kg IV/IM to control seizures • 15-20 PE/kg IV/IM to control seizures |
Phenytoin Derivatives
(Fosphenytoin) |
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• Protocol: Per specific agency
• Medication used to increase intravascular volume in the setting of shock, liver disease, etc. • IV infusion rate per specific agent/local medical control |
Plasma Protein
Fragments |
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• Protocol: Per specific agency
• Medication used in acute coronary syndromes • IV dosing per specific agency protocol |
Platelet Iib/IIIa
Inhibitors (e.g., ReoPro, Aggrastat, Integrelin) |
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• Protocol: Per specific agency
• Medication used to treat hypokalemia • IV Infusion rate per medical control only • Maximum rate is 10 meq per hour IV controlled via an IV pump |
Potassium Chloride
(KCl) |
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• Protocol: Overdose
• Antidote for Nerve Agents or Organophosphate Overdose • Administered with Atropine • 600 mg IM or IV • per Medical Control only |
Pralidoxime (2-PAM)
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• Protocol: Per specific agency
• Anti-dysrhythmic medication. Monitor for QRS widening and hypotension • 100 mg IV load • May repeat q 10 minutes per medical control order • 10-20 mg/min IV infusion |
Procainamide
(Pronyestyl) |
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• Protocol: Per specific agency
• Medication for local anesthesia • Inject SQ for local pain control. Maximum dose = 10mg/kg if < 100kg or 1000mg if > 100 kg • Dilute to 0.5% concentration • Max dose = 15 mg/kg |
Procaine (Novacain)
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• Protocol: Per specific agency
• Medication for local anesthesia of the eye. Useful for pain control prior to, or during, irrigation • Per local medical direction • Per local medical direction |
Proparacaine
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• Protocol: Asystole
Overdose PEA Vent. Fibrillation Electrical Injuries • A buffer used in acidosis to increase the pH in Cardiac Arrest or Tricyclic Overdose. • 1 amp (50 mEq) IV initially, then 1/2 amp IV every 10 minutes as needed • In TCA (tricyclic), 1 amp (50 mEq) bolus, then 2 amps in 1 liter of NS for infusion at 200 ml/hr. • 1 meq/kg IV, IO initally, then 1/2 meq/kg IV every 10 minutes as needed. • TCA (trycyclic) overdose per medical control. |
Sodium Bicarbonate
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• Protocol: Altered Mental Status
CVA Seizure Syncope • Essential vitamin needed for glucose metabolism • Given if patient receives D50 • 100 mg IV or IM • Dilute IV dose in 10 ml Normal Saline |
Thiamine
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• Protocol: Per specific agency
• A medication used to disolve blood clot associated with stroke or heart attack • Per specific medical control order |
Thrombolytic Agents
(e.g., tPA) |
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• Protocol: Per specific agency
• Used in a dedicated IV for nutritional support. TPN lines cannot be used for any other medication/fluid administration • Infusion rate per medical control order • Infusion rate per medical control order |
Total parenteral
nutrition (TPN) |
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• Protocol: Per specific agency
• Medication used in place of and/or in addition to epinephrine in the setting of ventricular fibrillation/pulsesless ventricular tachycardia • 40 units IV X 1 |
Vasopressin
(Pitressin) |
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• Protocol: Per specific agency
• To be used in transfer and in the treatment of victims of hemmorhagic shock • Continuation of transfusion initiaited at the transferring facility per medical control • Initiation of non-type specific transfusion on an emergent basis by on-line or off-line medical control • Continuation of transfusion initiaited at the transferring facility per medical control • Initiation of non-type specific transfusion on an emergent basis by on-line or off-line medical control |
Whole Blood and
Blood Components |
