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Statewide Protocols

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Term
Definition
Adenosine (Adenocard)   show
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Adenosine (Adenocard) Dosing   show
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show Indications: Nebulized treatment for use in respiratory distress with bronchospasm  
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Albuterol - Beta Agonist Dosing   show
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Amiodarone (Cordarone)   show
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Amiodarone (Cordarone) Dosing   show
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Aspirin   show
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show Acute Coronary Syndrome -324 mg chewed PO  
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Atropine   show
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show Bradycardia: 0.5 - 1mg IV/IO every 3-5 mins up to max of 3mg Organophosphate Poisoning and Nerve Agent 2-6mg IM/IV/IO every 5 mins as needed  
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Atropine and Pralidoxime Auto-Injector (DuoDote) Nerve Agent Kit   show
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show Nerve agents: -Pts experiencing: apnea, convulsions, unconsciousness, flaccid paralysis administer 3 DuoDote and 1 Atropine (10mg) auto injectors -Pts experiencing: dyspnea, twitching, nausea, vomiting, sweating, anxiety, confusion, constricted pupils, restlessness, weakness administer 1 DuoDote  
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Calcium Chloride 10% solution   show
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Calcium Chloride 10% solution Dosing   show
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show Indications: Antidote for Cyanide Poisoning  
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Cyanide Antidote Kit (Amyl Nitrite, Sodium Nitrite and Sodium Thiosulfate) Dosing   show
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show Indications: Antidote for Cyanide Poisoning  
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Cyanokit (Hydroxocobalamin) Dosing   show
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show Indications: Symptomatic hypoglycemia  
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show Diabetic Emergencies: - 12.5g to 25g IV/IO Name Concentration Volume (25g) D50 0.5g/mL. 25g/50mL D25. 0.25g/mL. 25g/100mL D10. 0.1g/mL. 25g/250mL  
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Diazepam (Valium) Benzodiazepine   show
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show Sedation for Electrical Therapy - 2.5-5mg IV/IO/IM/IN/PR Nerve Agent -10mg IV/IN/IO/IM/PR. OR - 10mg IM via auto-injector Seizure/Poisoning/Substance abuse/OD -5-10mg IV/IO/IM/PR Induced Therapeutic Hypothermia - 5-10mg IV/IO/IM/PR (for shivering)  
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show Indications/Contraindications: -Calcium channel blocker used to treat narrow complex SVT -Contra: in pts with heart block, ventricular tachycardia, WPW and/or acute MI  
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show Tachycardia- Narrow Complex Tachycardia: 0.25 mg/kg slow IV/IO push; may repeat dose in 15 mins at 0.35mg/kg if necessary  
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Diphenhydramine (Benadryl)   show
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show Allergic Reaction/Anaphylaxis: 25-50 mg IV/IO/IM  
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show Indications: -A vasopressor used in shock or hypotension -Used when infusion pump/norepinephrine not available  
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Dopamine Dosing   show
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show Indications: Bronchodilation in asthma and COPD exacerbation. primary tx for anaphylaxis  
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Epinephrine 1:1,000 (Auto-Injector ONLY) Dosing   show
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show Indications: Vasopressor Post-Resuscitation, Bradycardia, allergic reaction  
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Epinephrine 1:1,000 (by Infusion ONLY) Dosing   show
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Epinephrine 1:10,000   show
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Epinephrine 1:10,000 Dosing   show
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Epinephrine (Racemic, for inhalation)   show
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Epinephrine (Racemic, for inhalation) Dosing   show
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Fentanyl (Sublimaze)   show
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Fentanyl (Sublimaze) Dosing   show
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show Indications: CHF, Pulmonary Edema, Hypertensive Emergencies, Toxicology  
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show CHF, Pulmonary Edema 20-40mg IV/IO Hypertensive Emergencies 0.5-1mg/kg IV/IO Toxicology 40mg IV/IO  
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show Indications: -Hypoglycemia -Beta Blocker or Calcium channel blocker overdose  
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show Amlodipine (Norvasc) Diltiazem (Cardizem, Tiazac,) Felodipine. Isradipine. Nicardipine. Nifedipine (Adalat CC, Afeditab CR, Procardia) Nisoldipine (Sular) Verapamil (Calan, Verelan)  
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show acebutolol (Sectral) atenolol (Tenormin) betaxolol (Kerlone) betaxolol (Betoptic S) bisoprolol fumarate (Zebeta) carvedilol (Coreg) esmolol (Brevibloc) labetalol (Trandate [Normodyne - discontinued]) metoprolol (Lopressor, Toprol XL) nadolol (Corgard) nebivolol (Bystolic) penbutolol (Levatol) propranolol (Hemangeol, Inderal LA, Inderal XL, InnoPran XL) sotalol (Betapace, Sorine) timolol timolol ophthalmic solution (Timoptic, Betimol, Istalol)  
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show Diabetic Emergencies 1mg IV/IO/IM/IN/SC Beta Blocker/Calcium Channel Blocker Overdose 1-5mg IV/IO/IM/IN/SC Bradycardia 1-5mg IV/IO/IM/IN/SC  
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show Indications: Use in conscious hypoglycemic patients  
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show Diabetic Emergencies Administer 1-2 tubes of commercially prepared glucose gel or equivalent  
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show Indications/Contra Medication to assist with sedation of agitated patients  
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Haloperidol (Haldol) Phenothiazine Preparation Dosing   show
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show Indications/Contra -Adrenal Insufficiency/Crisis -Other inflammatory processes (COPD/Asthma)  
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show Adrenal Insufficiency/Crisis 100mg IV/IO/IM Respiratory Distress (COPD/Asthma) 100mg IV/IO/IM  
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show Indications/Contra -Anticholinergic bronchodilator. Blocks the muscarinic receptors of acetylcholine -Relief of bronchospasm in patients with reversible obstructive airway disease and bronchospasm  
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Ipratropium Bromide (Atrovent) Dosing   show
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show Indications: Agitated patient  
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show Behavioral: 4mg/kg IM only, to a max dose of 400mg IM only as a single dose  
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show -Antiarrhythmic used for control of ventricular dysrhythmias -Used prior to intubation of pts c suspected increased intracranial pressure (ex. TBI, ICH) to reduce increases in intracranial pressure -Anesthetic for nasotracheal intubation and intraosseous procedures  
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show Cardiac Arrest: 1-1.5mg/kg IV/IO; repeat dose 0.75mg/kg up to max 3mg/kg follow by 2-4mg/min maint. infusion V. Tachycardia c pulses: 1-1.5mg.kg IV/IO (consider 2nd therapy to amiodarone) repeat dose of 0.5-0.75mg/kg every 3-5 mins - total of 3 mg/kg follow by 2-4 mg/min maint. infusion Post-Resus.: 1-1.5mg/kg IV/IO follow by 2-4mg/min maint infus Nasotracheal intub.: 2% lidocaine jelly Intraosseous: 40mg 2% lidocaine slow bolus over 2 mins follow 10mL normal saline flush, then use IO access for meds  
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Lorazepam (Ativan) Benzodiazepine   show
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show Used to reduce anxiety  
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show Behavioral: 2-4mg IV/IO/IM Nerve Agent/Seizures 2-4mg slow IV/IO/IM  
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show Indications: -Elemental electrolyte used to treat eclampsia during the third trimester of pregnancy -A smooth muscle relaxer used in refractory respiratory distress resistant to beta-agonists -Torsades de Pointes  
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show Asthma/RAD 2 grams in 100mL NS given IV over 10 mins Seizures 4 grams IV over 10 mins in the presence of a sz in 3rd trimester of pregnancy or post party Cardiac Arrest/Tachycardia-Torsades de Pointes 1-2 grams IV over 5 mins  
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show Indications: Steroid used in respiratory distress to reverse inflammatory and allergic reactions  
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show Asthma/COPD/RAD 125mg IV/IO/IM  
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Metoprolol (Lopressor)   show
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Metoprolol (Lopressor) Dosing   show
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show Seizure control sedation anxiolytic  
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show Behavioral/Sz/Induced Therapeutic Hypothermia 2-6mg IV/IO/IM/IN Nerve Agent/Organophosphate Poisonin 2mg IV/IO/IN every 5 mins or 6mg IM every 10 mins as needed Sedation for Electrical Therapy 0.5mg -2mg IV/IO/IM/IN Difficult Airway 2mg slow IV/IO/IM/IN, repeat if needed up to total dose of 6mg  
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show Opioid analgesic Avoid use if BP < 100mmHg  
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Morphine Sulfate Dosing   show
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Naloxone (Narcan) Opioid Antagonist   show
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Naloxone (Narcan) Opioid Antagonist Dosing   show
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Nitroglycerin   show
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Nitroglycerin Dosing   show
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Norepinephrine (Levophed)   show
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Norepinephrine (Levophed) Dosing   show
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How many epinephrine and norepinephrine are there?   show
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Ondansetron (Zofran) Anti-emetic   show
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Ondansetron (Zofran) Anti-emetic Dosing   show
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Oxygen   show
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Oxygen Dosing   show
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Pralidoxime (2-PAM)   show
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show Nerve Agent/Organophosphate Poisoning 600mg via Auto-Injector IM per kit, 1-3 kits  
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Sodium Bicarbonate   show
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Sodium Bicarbonate Dosing   show
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show Organophosphate are used as insecticides, medications, and nerve agents. Symptoms include increased saliva and tear production, diarrhea, vomiting, small pupils, sweating, muscle tremors, and confusion. Carbamate poisoning can present similarly.  
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show Antidepressant overdose Examples: Amitriptyline Amoxapine Doxepin Nortriptyline (Pamelor) Protriptyline (Vivactil) Trimipramine (Surmontil)  
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show Potassium level in your blood that's higher than normal. Potassium is a nutrient that is critical to the function of nerve and muscle cells, including those in your heart. Your blood potassium level is normally 3.6 to 5.2 millimoles per liter (mmol/L). Symptoms: asymptomatic, nausea,fatigue,muscle weakness, tingling sensations, slow heartbeat or weak pulse  
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Tetracaine 0.5%   show
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show Eye injuries 1-2 drops to affected eye; repeat every 5 mins as needed  
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Vasopressin   show
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show Cardiac Arrest; Asystole, Pulseless Electrical Activity, Ventricular Fibrillation, Ventricular Tachycardia (without pulses) 40 units IV/IO in place of first or second dose of epinephrine  
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