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Paramedic Meds


Adenosine (PSVT) 6 mg IV rapid bolus, flush/elevate follow in 1-2 min w/ 12 mg
Albuterol Sulfate 3 ml solution @ 6-8 Lpm O2
Amiodarone (Cardiac Arrest) 300 mg IV bolus
Amiodarone (Refractory V-fib/tach in arrest) 150 mg IV bolus
Amiodarone (V-tach w/ pulse) 150 mg IV infusion w/ 100 ml NS over 10 min
Aspirin Four 81 mg tablets PO (324 mg)
Atropine Sulfate (symptomatic bradycardia) 0.5 mg IV q 5 min, max 3 mg
Atropine Sulfate (Asystole/PEA) 1 mg IV q 5 min (0.02 mg/kg Peds)
Atropine Sulfate (SLUDGE dose) 2 mg IVP q 5 min, after 3 doses contact OLMC
Atropine Sulfate (Peds RSI) 0.02 mg/kg IVP (no more/less than 0.5 mg/0.1 mg)
Calcium Chloride (Ca++ channel blocker OD / hypocalcemia) 1 g SLOW IV over 2 min
Calcium Chloride (Cardiac Arrest w/ suspected hypocalcemia) 1 g IVP, after 1st shock & Epi
Dextrose 25 g IVP
Diltiazem 10 mg IV over 2 min (repeat in 15 min w/ 10-20 mg IV over 2 min)
Diphenhydramine Hcl 25-50 mg IV slow / deep IM
Epinephrine (Cardiac Arrest) 1 mg 1:10,000 IV q 5 min (0.01 mg/kg Peds)
Epinephrine (Anaphylaxis) 0.3 mg 1:1000 SQ,IM OR *0.2-0.3 mg 1:10,000 IV OLMC*
Epinephrine (Asthma) 0.3 mg 1:10,000 IV or ETT
Etomidate 10 mg IVP for elderly/small pts 20 mg IVP for ave. adult pts 30 mg IVP for obese adult pts
Fentanyl Citrate 50-100 mcg IV,IM,IN q 5 min PRN up to 200 mcg
Furosemide (Pulmonary Edema, Hypertensive w/ diastolic >120 mmHg) 40 mg IVP, 80 mg IVP if no response or if pt on Lasix and in acute pulm. edema
Glucagon 1 mg IM q 20 min PRN
Glucose (oral) 15 g PO
Metoclopramide HCl 10 mg IV over 1-2 min repeat in 15 min w/ 5 mg if persistent emesis
Midazolam (sedation/pain relief) 1-2.5 mg IV over 2 min
Midazolam (RSI) 10-20 mg IVP, *0.2 mg/kg IM (10-15 mg ave.)* repeat w/ 3-15 mg post-intubation
Midazolam (Seizures) 2.5-5 mg IV OR 0.2 mg/kg IM max 15 mg
Morphine Sulfate 3 mg IV, 3 mg IV q 5 min (2 mg if over 70 y/o)
Naloxone 2 mg IVP,IM,ET,SQ OR 4 mg IN q 3 min thrice
Nitroglycerine (Angina/Chest Pain/Infarct) 1 spray q 5 min (w/ SBP > 100 mmHg)
Nitroglycerine (pulmonary edema/HTN crisis) 2 sprays
Pancuronium Bromide *OLMC 0.1 mg/kg IV*
Sodium Bicarb (Cardiac Arrest) 1 mEq/kg IV repeat w/ 0.5 mEq q 10 min
Sodium Bicarb (Tricyclic OD w/ dysrhythmia) *OLMC 1 mEq/kg IV*
Succinylcholine 1.5-2 mg/kg IVP or 2-4 mg/kg IM
Tetracaine HCl 1-2 drops in eye
Dopamine Premix Bag 400 mg in 250 ml NS (1600 mcg/ml) IV infusion @ 2-10 mcg/kg/min via Pump titrate to effect
Droperidol (Inapsine) 25-50 mg Benadryl IM/IVP then 2.5-5 mg IM/IVP Inapsine
Lidocaine (PVCs) 1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg max 3 mg/kg (support w/ drip)
Lidocaine (Tachycardia) 1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg q 5-10 min. max 3 mg/kg (support w/ drip)
Lidocaine (Arrest) 1-1.5 mg/kg repeat w/ 0.5-0.75 mg/kg q 5 min. max 3 mg/kg (support w/ drip)
Lidocaine (RSI w/ head injury) 1.5 mg/kg IV pre-sux
Lidocaine (drip) 2-4 mg/min (x1/2 in pts over 70 or w/ chronic disease/hypotension
Lidocaine (IO anesthetic, pt CAO) 40 mg IO, flush w/ 10 cc NS
Mag Sulfate 2 grams in 20 ml NS IV over 2 min
Oxytocin (Post-delivery vaginal hemorrhage) 20 units in 1000 ml NS wide open
Thiamine (Alcohics prior to D5W) 100 mg IV over 5 min
Zofran (severe N/V) 4 mg IV/IM q 15 min, max 8 mg
Created by: gadolf