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paramedic drugs 2012

dosages

QuestionAnswer
Epinephrine (1:10,000) dose (cardiac) & Epi (1:1000) infusion 1mg/10ml IVP (every 3-5 min)prn Infusion- 1-2mg/250 or 500ml 2-10mcg/min Beta- 2-5mcg/min Alpha- 5-10mcg/min
Dopamine-dose beta= 2-10mcg/kg. Start @ 2-5mcg/kg/min Alpha= 10-20 mcg/kg. Start @ 10-15mcg/kg/min Infusion-200,400,800 mg in 250-500cc
Norepinephrine-dose 0.1 - 0.5mcg/kg/min infusion 4mg/250cc or 8mg/500cc D5W/NS Titrate to SBP 90-110
Midazolam (Precardioversion) 2-4mg SIVP
Propranolol (inderal)-dose 1-3 mg SIVP (1mg/min) - dilute in 10-30ml After 2 min - repeat Total- 5mg
Metoprolol (lopressor)-dose 5mg SIVP/1-2 min after 5 min- repeat (2x more doses) total- 15mg
Atenolol (tenormin)-dose 5mg SIV/ 5 min repeat in 10 min TD- 10mg
Lidocaine-dose 1-1.5 mg/kg IVP/IO after 5-10min- 0.5-0.75mg/kg TD- 3mg/kg Infusion- 1-2gm/250 or 500ml range- 1-4mg/min *same infusion range as procainamide
Procainamide-(Pronestyl)dose 20-50 mg SIVP over 1 min Sub- 20-50mg SIVP over 1 min TD 17mg/kg Infusion-1-2gm/250 or 500cc range 1-4 mg/min *Same infusion range as lidocaine
Amiodarone(cordarone)-dose Cardiac Arrest= 300mg IVP Sub dose- after 3-5min- 150mg IVP no more Pulsing Tachycardia= 150/100cc (over 10min) Sub dose- after 10min- 150mg/100cc/10 min
Magnesium Sulfate (Cardiac) VF/Pulseless VTACH- 1-2gm/10ml SIVP over 5-20min Stable Pulsing Torsades- 1-2gm/10ml SIVP over 5-60min
Adenosine (adenocard)-dose 6mg RIVP,SD- 12mg (after 1-2mins)-TD 18mg
Calcium Chloride-Dose 500-1000mg/5-10ml SIVP Sub dose- repeat PRN 500-1000mg SIVP
Verapimil (isoptin)-dose 2.5-5mg SIVP over 2min (3min elderly) Sub dose- after 15-30min- 5-10mg SIVP PRN TD- 20mg w/in 30min
Diltiazem (cartizem)-dose 0.25mg/kg over 2 min (15-20mg Avg Pt) Sub dose- 0.35mg/kg over 2 min (20-25mg Avg Pt) Maintenance dose- 125mg(25cc)100ml Infuse @ 5-15mg over 1 hour Titrate to hr
Atropine-dose 1mg IVP Sub dose- after 3-5min- 1mg IVP TD- 3mg
Digoxin (lanoxin)-dose 4-6 mcg/kg SIVP over 5 min Sub dose- 2-3 mcg/kg @ 4-8 hour intervals
Aspirin-Dose Pain:325-650mg/ MI:160-325mg
Midazolam (Status epilepticus) IVP/IM or IN IM or IN- 0.2mg/kg Sub dose- repeat TD-10mg (1ml per nostril) IVP- 0.1mg/kg SIVP Sub dose- repeat
Sodium Bicarbonate -Dose 1 mEq/kg IVP repeat 10min 0.5 mEq/kg
Morphine-dose Non-STEMI/Unstable angina- 1-5mg SIVP or 5-20mg IM Stemi/CHF- 2-4mg SIVP over 1-5 min 2-8mg 5-15min intervals (BP > 100)
Fentanyl-dose 50-100mcg SIVP (1mcg/kg) over 1-2 min sub dose- repeat TD- 150mcg
Furosemide(lasix)-dose 0.5-1mg/kg SIVP over 1-2 min sub dose- 2mg/kg over 2 min
Nitroglycerin-dose 0.4mg up to 3 max 5min apart
Diazepam-(VALIUM) dose Status Epilepticus- 5mg SIVP over 5 min (10mg IM) Sub dose- after 10-15min- 5mg SIVP TD- 30mg Precardioversion- 5-15mg SIVP (5-10min prior)
Magnesium Sulfate (Status Asthmaticus/Severe Bronchoconstriction) Status Asthmaticus- 1-2gm/10ml SIVP over 15-30 min Severe bronchoconstriction- 40mg/kg PRN TD- 2gm
Created by: rebeccabelleth
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