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Dosages

Drug Dosages

TermDefinition
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
Created by: akullos