Drug Dosages
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| Vasopressin | Dosage via IV/IO or ETT
40 units one time only
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| 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)
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| Solu-Medrol | All dosages via slow IV push
125mg slow IV push
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| 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
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| Lasix | Dosage is via slow IV push
40mg slow IV push
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| 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
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| 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
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| 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
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| 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
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| Magnesium 1 | All dosages diluted.
Routes: IV/IO slow push, IV infusion
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| 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
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| Magnesium 3 | Antiarrhythmic action related to maintaining intracellular K+ & blocking Ca channels
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| 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.
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| 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.
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| Epinephrine 1 | Dosage via IV/IO, IM, Sub-Q, SVN or ETT
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| 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
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| Epinephrine 3 | Anaphylaxis/Refractory bronchospasm - 0.3mg of 1:1,000 IM
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| 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
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| 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
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| 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
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| 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
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| Atropine 2 | Acetylcholinesterase inhibitor poisioning/Cholinergic poisoning - 2.0 - 5.0mg IV push q 5 minutes until symptoms resolved
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| 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
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| Adenosine 2 | 6mg rapid IV push with 20cc NS flush. May repeat twice q 2 minutes with 12mg.
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| 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
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| Lidocaine 2 | Cardiac Arrest:NS flush after giving
ETT dose: Double IV dose
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| 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
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| 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
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| Aspirin | Dosage is chewed and then swallowed
324 mg chewed and swallowed by giving 4, 81 mg children's chewable
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| Oxygen | Nasal Cannula 1-6 LPM
Simple face mask 8-10 LPM
Non-Rebreather 10-15 LPM
BVM 15 LPM
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Created by:
akullos
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