Lex EMS Drugs

25-100mcg IV/IM/IO/Intranasal

4mg IV/IM over 2-5min

1-10mg IV/IM/IO

0.15mg/kg IV over 2-5min

1-2mcg/kg IV, IM, IO, Intranasal

1-10mg IV/IM/IO

20cc/kg increments up to 40cc/kg

Up to 1000cc with exceptions of renal failure patients

1mg q 3-5min

• 1. 300mg initial
• 2. 150mg repeat

1 meq/kg

0.01mg/kg (0.1ml/kg) IV or IO q 3-5min

5mg/kg over 20min. Max single dose of 150mg (150mg of amiodarone in 100ml NS/D5=1.5mg/ml)

1meq/kg

1. Atropine 0.5mg IVP/IO q 3-5min, total dose 3mg

2. External Pacing (Demand Mode)- 70bpm/increaseing to achieve hemodynamic stability

3. Epinephrine infusion @ 2-10 mcg/min. (1mg epi 1:1000 into 250cc NS=4ug/ml) 2mcg/min=infuse 1gtts/2seconds with 60gtts set. titrate to effect.

• 1. Insure adequate O2
• 2. Epi 1:10 @ 0.01mg/kg
• 3. Atropine 0.02mg/kg -min dose .1mg max single dose 0.5mg <8, max single dose >8 1mg
• 4. NS bolus 20ml/kg max 500cc
• 5. External pacing 70bpm increase milliamps until electronic and physical capture
• 6. Epi infusion

• 1. Vagal
• 2. Adenosine 12mg repeat to max of 36mg

• 1. Adenosine 12mg
• 2. Synchronized cardioversion @ 50j
• 3. Repeat at 100j

• 1. Vagal maneuvers
• 2. Adenosine 0.2mg/kg (max single dose of 12mg) Max total dose of 24mg

• 1. Adenosine 0.2mg/kg (max single dose of 12mg) Max total dose of 24mg
• 2. Synchronized Cardioversion 0.5-1.0j/kg

• 1. Vagal
• 2. Adenosine 12mg
• 3. Amiodarone 150mg over 10min (150mg of Amiodarone in 100ml NS/D5=1.5mg/ml) With a 10gtts/ml set infuse at 1.5gtts/second

• 1. Synchronized cardioversion at 50j
• 2. Repeat at 100j

• 1. Adenosine 0.2mg/kg (max 12mg)
• 2. Sync Cardio 0.5-1j/kg repeat at 1-2j/kg
• 3. Amiodarone 5mg/kg over 20min. Max single dose of 150mg (150mg of Amiodarone in 100ml NS/D5=1.5mg/ml)

• 1. Vagal
• 2. Amiodarone 5mg/kg over 20min. Max single dose of 150mg (150mg of Amiodarone in 100ml NS/D5=1.5mg/ml)

• 1. Albuterol 2.5mg + Atrovent 500mcg via nebulizer at 6l
• 2. fore severe SOB consider PPV
• 3. Albuterol 2.5mg (max 5mg)

• 1. Albuterol 1.5mg+Atrovent 500mcg via neb @ 6l
• 2. Albuterol 1.5mg

• 1. Ask about PDE inhibitors
• 2. NTG 0.4mg SL is BP >90 may repeat x3
• 3. PPV via CPAP
• 4. Lasix 20-120mg IV (20mg for pt. not one lasix, doulbe daily dose up to 120mg for pt. on lasix)
• 5. Morphine 2-10mg IV/IM

• 1. Epi IM 1:1 0.01mg/kg (max .3mg)
• 2. NS bolus 1000ml for Hypotension
• 3. Benadryl 1mg/kg IV/IM (max 50mg)

• 1. Epi IM 1:1 0.01mg/kg (max .3mg)
• 2. NS bolus 20ml/kg max 500ml
• 3. Benadryl 1mg/kg IV/IM max 50mg

• 1. oral glucose
• 2. Dextrose 50% 25g IV
• 3. Glucagon 1mg IM/Intranasal

• 1. Oral glucose
• 2. Dextrose 25% 2-4ml/kg
• 3. Glucagon 1mg IM/Intranasal

• 1.Narcan 0.4 mg IV/Intranasal may repeat to 2mg
• 2. Sodium Bicarb 1meq/kg for trycicylic

• 1. Narcan 0.1mg/kg IV/Intranasal max single dose 1mg repeat once to 2mg
• 2. bicarb 1meq/kg

Midazolam 2.5mg IV/IO/IM/Intranasal

Valium 5-10mg IV max 15mg. IM max 10mg