Term
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Definition
Usage: Narrow Complex Tachycardia
Dose: 1st 6 mg rapid IV push
Dose: 2: 12 mg rapid IV push
**Pediatric Dose: 0.1 mg/kg (maximum 6 mg)
Repeat: 0.2 mg/kg (maximum 12 mg) Rapid IV/IO bolus |
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Definition
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Term
| Atrovent (Ipatropium Bromide) |
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Definition
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Term
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Definition
Usage: Pulseless V-Tach or V-Fib
Dose: 1st 300-mg bolus
2nd 150-mg bolus
ROSC-1mg/min IV Infusion
Loading Dose: 150 mg over 10 min.
Usage: V-Tach with a Pulse
Dose: 150 mg over 10 min.
**Pediatric Dose: 5 mg/kg IV/IO
Repeat up to 15 mg/kg
Maximum: 300 mg |
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Term
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Definition
Usage: Chest Pain
Dose: 324 mg (four 81mg tabs) |
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Term
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Definition
Usage: Bradycardia
Dose: 0.5mg IV every 3-5 min. to a total of 3 mg.
Usage: Organophosphates (Absorbed) Poisoning
Dose: 2 mg IV Push with M.D. approval
**Pediatric Dose: Atropine 0.02 mg/kg IV/IO
(Higher doses may be used with organophosphate poisoning)
Minimum dose: 0.1 mg
Maximum single dose: Child 0.5 mg - Adolescent 1 mg |
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Term
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Definition
***Not in Standing Orders: must contact Medical Control***
Usage: hyperkalemia, hypocalcemia, calcium channel blocker, antidote for magnesium sulfate.
Dose: 2-4 mg/kg of a 10% solution Q 10 minutes.
**Pediatric Dose: (10%) 20 mg/kg IV/IO (0.2 ml/kg) Slowly |
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Term
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Definition
Usage: Hypoglycemia
Dose: 25 grams IVP
**Pediatric Dose: Glucose 0.5–1 g/kg IV/IO
D10W: 5–10 ml/kg
D25W: 2–4 ml/kg
D50W: 1–2 ml/kg |
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Term
| Diphenhydramine (Benadryl) |
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Definition
Usage: swelling, itching, rash or hives with NO respiratory distress, wheezing, or hypotension
Dose: 1 mg/kg (max 50mg) IM or IV Push |
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Term
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Definition
Usage: Hypotension, Cardiogenic shock, Medical Shock
Dose: infusion at 2 - 10 mcg/kg/min and titrate
Drip: mix 400 mg in a 250 ml bag D5W and use a 60 gtts set.
***Quick method for 5 mcg/kg/min:***
Weight in pounds, (200 lbs). Drop last number (20). Subtract 2 from number (18). This equals 18 gtts/min for 5 mcg/kg/min. |
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Term
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Definition
Usage: Cardiac arrest
Dose: 1mg 1:10,000 IV every 3-5 min
Usage: Anaphylaxis with systemic reaction present
Dose: 1:1000, 0.3 mg SQ (Use with caution in patients over 35)
Usage: Anaphylaxis with Severe systemic reaction present
Dose: 1:10,000, 0.5 - 1 mg IV Push (Use with caution in patients over 35)
Usage: Adult Bradycardia (with pulse)
Dose: 2-10 mcg per minute IV.
Drip: Mix 1 mg 1:1000 in 1,000 ml NS bag. Use 60 gtts set and run at 60 gtts per mcg needed.
Usage: Severe Asthma (Must contact Medical Control)
Dose: 1:1000, 0.3 mg’s SQ (Use with extreme caution in patients over 35)
Usage: PEDIATRIC CROUP / EPIGLOTTITIS
Dose: (1:1000, 0.3 mg’s + 3cc NS) with MD approval
**Pediatric Dose: Epinephrine 0.01 mg/kg (0.1 ml/kg 1:10 000) IV/IO |
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Term
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Definition
Usage: Hypertension (Must contact Medical Control)
Dose: 40 mg or double the patient’s normal daily dose IVP
Usage: Pulmonary Edema/CHF
Dose: 40 mg or double the patient’s normal daily dose IVP |
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Term
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Definition
Usage: Stable monomorphic V-Tach, Pulseless VT/V-Fib,
Initial Dose: 1-1.5 mg/kg bolus IV/IO
2nd Dose: 0.5-0.75 mg/kg in five minutes (do not exceed 3 mg/kg total)
Drip: 1-4 mg/min.
**Pediatric Dose: 1 mg/kg IV/IO - Maximum dose: 100 mg
Infusion: 20–50 μg/kg per minute |
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Term
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Definition
Usage: Torsades (Polymorphic V-Tach)
Dose: Pulseless = 1-2 G IV diluted in 10 mL D5W or NS.
Pulse = 1-2 G IV diluted in 50-100 mL D5W or NS over 15 min.
Usage: Asthma/COPD (Must contact Medical Control)
Dose: 1-2 G IV diluted in 50-100 mL D5W or NS over 15 min.
Usage: Pre-Eclampsia/Toxemia with active seizures
Dose: 2 G IV Push with Direct M.D. approval
**Pediatric Dose: 25–50 mg/kg IV/IO over 10–20 min
faster in Torsades de Pointes
Maximum dose: 2g |
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Term
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Definition
***Must always have Medical Control to push Morphine***
Usage: Extremity Fracture
Dose: 2-4 mg IV Push
Usage: Chest Pain
Dose: 2 mg increments IV Push up to 10 mg total for relief of severe
pain
Usage: Thermal, Chemical, Electrical, and Inhalation Burns
Dose: 2 mg increments IV Push up to 10 mg total for relief of severe
pain
Usage: Hypertension
Dose: 2-4 mg IV Push
Usage: Pulmonary Edema, CHF
Dose: 2-4 mg IV Push |
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Term
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Definition
Usage: Seizures - if narcotic overdose is suspected
Dose: 2.0 mg IV Push
Usage: Poisoning/Overdose
Dose: 2.0 mg IV Push
**Pediatric Dose: <5 y or 20 kg: 0.1 mg/kg IV/IO/ET*
Use lower doses to reverse respiratory depression associated with therapeutic opioid use (1–15 μg/kg)
5 y or >20 kg: 2 mg IV/IO/ET* |
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Term
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Definition
Usage: Hypertension
Dose: 1/150 g SL Q5 minutes until diastolic BP <110 - (Max 3)
Usage: Chest Pain
Dose: 1/150 g SL Q5 minutes until diastolic BP <110 - (Max 3)
Usage: Pulmonary Edema, CHF
Dose: 1/150 g SL Q5 minutes until diastolic BP <110 - (Max 3) |
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Term
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Definition
Usage: CHEST PAIN SUSPICIOUS OF CARDIAC ORIGIN
Dose: If severe nausea: 6.25 - 12.5 mg’s IVP |
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Term
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Definition
Usage: Poisoning/Overdose
Dose: 1 meq/kg in a tricyclic antidepressant overdose with M.D. approval
**Pediatric Dose: 1 mEq/kg per dose IV/IO slowly |
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Term
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Definition
Usage: Anaphylaxis
Dose: 125mg IVP
Usage: Asthma/COPD
Dose: 125mg IVP |
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Term
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Definition
Usage: Cardiac Arrest (may replace 1st or 2nd dose of epinephrine)
Dose: 40 units IV/IO |
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Term
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Definition
***Must always have Medical Control to push Valium***
Usage: Pre-Eclampsia/Toxemia with siezures
Dose: 5 mg IV Push
Usage: active seizure >2 - 3 minutes
Dose: 2 - 5 mg IV slowly
Usage: Trauma Airway
Dose: 5 - 10 mg IV for Intubation. |
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