click below
click below
Normal Size Small Size show me how
Dosages
Drug Dosages
Term | Definition |
---|---|
Vasopressin | Dosage via IV/IO or ETT 40 units one time only |
Amiodarone | Dosage are IV/IO or infusion VF/Pulseless VT - 300mg IV push 30-60 seconds, may repeat in 3-5 minutes with 150mg. Wide Complex Tachycardia, AFib/Aflutter - 150mg IV over 10 minutes (mix in 50cc bag) |
Solu-Medrol | All dosages via slow IV push 125mg slow IV push |
Atrovent | All dosages via oxygen powered SVN with mouth piece, facemask or in-line BVM. Usually mixed with albuterol in prehospital setting. Atrovent 0.5mg premixed solution added to 2.5mg albuterol via SVN repeated per agency protocol |
Lasix | Dosage is via slow IV push 40mg slow IV push |
Albuterol | All dosages via oxygen powered small volume nebulizer (SVN) with mouth piece, facemask or in-line BVM. 2.5 mg premixed solution via SVN repeated per agency protocol |
Glucagon | All hypoglycemic doses are IM. Other indications may be given IV. Hypoglycemia- 1mg IM Smooth muscle relaxant/beta blocker overdose- Per agency or patch with medical control |
Pitocin | All dosages via IV infusion or IM Infusion - 10 units added to 1000cc LR infused at rate necessary to control bleeding. IM - 10 units IM |
Calcium | All dosages are IV push Calcium channel blockers OD, Hypocalcemia, Hypermagnesemia - 10% 0.5-1.0 gram IV push. May repeat in 10 min Pretreatment of Verapamil - 10% 2-4 mg/kg IV push |
Magnesium 1 | All dosages diluted. Routes: IV/IO slow push, IV infusion |
Magnesium 2 | Cardiac Arrest: VFib/Pulseless VTach/Torsade de Points - 2 grams diluted in 10 cc NS IV over 1 minutes Torsade de Points with pulse - 2 grams in 50 or 100 cc NS bag infusion over 5 minutes |
Magnesium 3 | Antiarrhythmic action related to maintaining intracellular K+ & blocking Ca channels |
Magnesium 4 | Severe bronchospasm refractory to inhaled beta 2 agonist - 2 grams in 50 or 100 cc NS bag infusion over 10 minutes. Why? Antagonizes calcium and blocks calcium channels causing bronchial smooth muscle relaxation. |
Magnesium 5 | Pre-eclampsia and/or eclampsia = 4-6 grams in 50 or 100 cc NS bag infusion over 20 minutes Why? Antagonizes calcium and blocks calcium channels causing CNS depression. Reduces acetylcholine release from neurons causing CNS depression. |
Epinephrine 1 | Dosage via IV/IO, IM, Sub-Q, SVN or ETT |
Epinephrine 2 | Cardiac arrest, all rhythms (1st drug for dead people) 1mg of 1:10,000 IV push with 20 cc NS flush q 3-5 minutes, no limit ETT route: 2 mg of 1:1,000 diluted in syringe with 8cc |
Epinephrine 3 | Anaphylaxis/Refractory bronchospasm - 0.3mg of 1:1,000 IM |
Epinephrine 4 | Infusion for hypotension - 1,2 or 4 mg 1:1,000 added to 250cc NS at 2-10 mcg/min Use after other treatment |
Verapamil | All dosages are VERY slow IV push over 2-5 minutes with the patient supine. 2.5 - 5.0mg VERY slow IV push over 2-5 minutes. May repeat in 15-30 minutes with 5.0-10.0mg |
Dopamine | All dosages via IV infusion Drug Prep: Add 400 mg to 250 cc NS bag giving 1600 mcg/cc Symptomatic bradycardia with hyotension & or Non-hypovolemic shock 5 mcg/kg/min initial infusion, increase if no response |
Atropine 1 | All dosages are IV Push or ETT. MUST BE GIVEN FAST Symptomatic bradycardia / Atrial mechanisms only - 0.5mg IV push 3-5 minutes, max limit of 0.04 mg/kg |
Atropine 2 | Acetylcholinesterase inhibitor poisioning/Cholinergic poisoning - 2.0 - 5.0mg IV push q 5 minutes until symptoms resolved |
Adenosine 1 | All dosages are VERY rapid IV push over 1-3 seconds followed by 20cc NS flush with patient supine. IV should be 16 or 18 gauge in the AC Use injection port closest to hub. Have ECG printing during administration |
Adenosine 2 | 6mg rapid IV push with 20cc NS flush. May repeat twice q 2 minutes with 12mg. |
Lidocaine 1 | Dosages are IV push, ETT or infusion 1.0-1.5 mg/kg IV push q 5-10 minutes at 1/2 original dose to 3.0 mg/kg max If successful infusion at 2-4 mg/min by adding 1 gram to 250cc NS |
Lidocaine 2 | Cardiac Arrest:NS flush after giving ETT dose: Double IV dose |
Morphine | Dosage via slow IV push or IM Chest pain or isolated musculoskeletal injury: 2-4 mg slow IV push q 5 minutes if BP > 100, max 10 mg Major Burns: 2-4 mg slow IV push q 5 minutes if BP > 100, max 20 mg |
Nitroglycerin | Dosage is via Sub-lingual tablet or spray Chest pain: 0.4 mg SL tablet or spray q 5 minutes if BP > 100 max 3x CHF with pulmonary edema: 0.4 mg SL tablet or spray q 5 minutes if BP > 100, no max |
Aspirin | Dosage is chewed and then swallowed 324 mg chewed and swallowed by giving 4, 81 mg children's chewable |
Oxygen | Nasal Cannula 1-6 LPM Simple face mask 8-10 LPM Non-Rebreather 10-15 LPM BVM 15 LPM |