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EMT-Intermediate Drug Dosages
Drug dosages within the EMT-I Scope of Practice. Scope is based on NCOEMS Protocols.
23
Pharmacology
Not Applicable
01/16/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
Acetaminophen
Definition

Adult: 1000 mg PO

 

Pediatric: 10 mg/kg PO

Term
Albuterol
Definition

Adult: 2.5-5.0 mg (3cc) in nebulizer x3 doses, if no hx of cardiac dz and HR ≤ 150

 

Pediatric: See Color Coded List

2.5 mg (3cc) in nebulizer x3 doses, if no hx of cardiac dz and HR ≤ 200

Term
Aspirin (ASA)
Definition

Adult: 81 mg chewable (baby) Aspirin x4

(or 325 mg x1)

 

Pediatric: Not indicated

Term
Charcoal
Definition

Adult: 50 gms po or NG tube

 

Pediatric: See Color Coded List

1 gm/kg po (max 25 gms)

Term

Cimetidine

(Tagamet)

Definition

Adult: 300 mg IV/IM/PO

 

Pediatric: not indicated

Term

D10W

(Dextrose 10%)

Definition

Adult: Not indicated

 

Pediatric: See Color Coded List

2-10 ml/kg IV or IO starting at low dose

Repeat based on BG results

Term

D50

(Dextrose 50%)

Definition

Adult: One amp or 25gm IV

Repeat based on BG results

 

Pediatric: Not indicated

Term

Diphenhydramine

(Benadryl)

Definition

Adult: 50 mg IV/IM/PO

 

Pediatric: See Color Coded List

1mg/kg IV/IO/IM

Do not give in infants < 3 mo

(Max dose 25mg)

Term
Epinephrine 1:1,000
Definition

Adult: 0.3mg IM (if age < 50 yrs)

0.15 mg IM (if age > 50 yrs)

Nebulized: 2mg in 1ml of NS

 

Pediatric: See Color Coded List

0.01 mg/kg IM (max 30mg)

Nebulized: 2mg in 1ml of NS

Term
Epinephrine 1:10,000
Definition

Adult: 1.0mg IV q 3-5min until reponse

may be given ET tube in double IV dose

 

Pediatric: See Color Coded List

0.01 mg/kg IV or IO q 3-5min (max dose 0.5mg)

Term

Famotidine

(Pepcid)

Definition

Adult: 20mg IV

20-40 mg PO

 

Pediatric: not indicated

Term
Glucagon
Definition

Adult: 1-2mg IM

follow blood glucose in 15 minutes, if <60 repeat

 

Pediatric: See Color Coded List

0.1 mg/kg IM

age > 3yrs

Term
Oral Glucose
Definition

Adult: 1 tube or packet

repeat based on BG results

 

Pediatric: See Color Coded List

1 tube or packet

min age = 3 yrs

Term

Ibuprofen

(Motrin)

Definition

Adult: 400 - 800mg PO

 

Pediatric: See Color Coded List

10mg/kg PO

Term

Ipratropium

(Atrovent)

Definition

Adult: 2 puffs per dose of MDI (18mcg/spray(

or

500mcg per nebulizer tx

 

Pedatric: Combine with Albuterol or Levalbuterol

500mcg per nebulizer tx

Term

Ketorolac

(Toradol)

Definition

Adult: 30mg IV or IM

 

Pediatric: Not indicated

Term

Levalbuterol

(Xopenex)

Definition

 Adult: 0.63-1.25 mg (3cc) in nebulizer x3 doses,

if no hx of cardiac dz and HR ≤ 150

 

Pediatric: See Color Coded List

0.31-0.63 mg (3cc) in nebulizer x3doses,

if no hx of cardiac dz and HR < 200

Term

Naloxone

(Narcan)

Definition

Adult: 0.5-2mg IV bolus titrated to pt's resp response

1-2mg Nasally via Atomizer

may be given IM if no IV or atomizer

 

Pediatric: See Color Coded List

0.1 mg/kg IV, IO, Nasally via atomizer

may repeat in 5 mins if no result

Term
Normal Saline
Definition

Adult: KVO for IV Access

bolus in 250-500 ml for cardiac

500-1000 ml for volume

1000ml amounts for burns (see NCOEMS burn reference)

 

Pediatric:

KVO for IV access

Bolus of 20ml/kg for volume (may repeat x3)

See NCOEMS Burn reference for burns

Term
Nitroglycerin
Definition

Adult: 1 spray/tablet SL q 5 mins until pain free or 3 doses

if SBP < 100, contact MC

1" Paste after pain free or 3 doses

 

Pediatric: Not indicated

Term

Oxymetazoline

(Afrin)

Definition

Adult: 2 sprays in affected nostril

 

Pediatric: See Color Coded List

1-2 sprays in affected nostril

Term

Ranitidine

(Zantac)

Definition

Adult: 50mg IV

150mg PO

 

Pediatric: Not indicated

Term

Vasopressin

(Pitressin)

Definition

Adult: 40 units IV x1

 

Pediatric: Not indicated

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