-
Adenosine
- OLMC
- 6mg, 12mg, 12mg Flushed rapidly with 20cc NS
- PED: 0.2mg/kg repeat same dose
-
Albuterol
2.5mg/3cc may repeat x 3
-
Amiodarone
- (Voice Order)V/Tach with pulse & A/Fib=150mg over 10 min repeat as necessary per order
- (Standing Order)Cardiac arrest = 300mg IV, repeat @150mg in 3-5 min Max dose 2.2g over 24hrs
-
Aspirin
324mg PO(chewed) 4 each - 81mg tablets
-
Atropine
- (ET=2x normal dose not to exceed 6mg)
- Symptomatic Bradycardia-0.5mg IV every 5 min not to exceed 3mg
- -PED: 0.02mg/kg IV min of 0.1mg
- Asystole/PEA: 1mg IV/ET q 5min not to exceed 3mg
- -PED: 0.02mg/kg IV minimum of 0.1mg
- OLMC:Organophosphate:2mg IV repeat as needed till LS clear
-
D50
- 12.5-25grams, can repeat same dose
- PED: 25% solution (mix 1:1 with NS), 2cc/kg
-
Diazepam
- OLMC
- 5-10mg slox IV (1 minute for every 5mg)
- PED: 0.2mg/kg IV/IO/PR
-
Diphenhydramine
- Administer slowly with 1 minute per 25mg
- Allergic reaction (BP<90) 50mg IV/IM (Deep IM)
- Allergic reaction (BP>90) 25-50mg IV/IM (Deep IM)
- Anaphylactic Shock 50-100mg IV/IM (Deep IM)
- PED 1-2mg/kg slow IV/IM (Deep IM)
- OLMC Nausea 25mg IV, 50mg IM (Deep IM)
-
Dopamine
- 5-10mcg/kg/minute (cardiac)
- Weight in lbs (200lbs)
- keep first two digits (20)
- minus 1 (19qtts per min)
- 1-5=renal
- 10-20=vasopressor
-
EPI 1:1K
- Asthma 0.3-0.5mg SQ, repeat in 10-15 minutes
- Asaphylaxis 0.3-0.5 SQ repeat in 10-15 minute
- PED: 0.01 mg/kg SQ not to exceed 0.5mg
- Cardiac arrest: 2-2.5 mg ET with 10ml flush every 3-5 minutes
-
EPI 1:10k
- Cardiac arrest 1mg IV every 3-5 minutes
- OLMC Anaphylaxis Adult 0.3-0.5 mg IV
- OLMC Anaphylaxis Pediatric 0.1mg IV
- Pediatric Cardiac Arrest dose: 0.1mg/kg IV/ET/IO every 3-5 minutes, Minimum 0.1mg, MAX of 2mg
-
Fenatnyl
- OLMC
- 25-100mcg IV Slowly over 1min
- PED: 1.7 -3.3mcg/kg
- Reduce in very old or very young
-
Furosemide
20-80mg IV (80mg per protocol)
-
Xopenex
- 0.63-1.25mg/3ml
- PED:>6 & <12 years = 0.31mg/3ml
-
Lidocaine
- Standing order
- 1-1.5mg/kg IV Bolus
- 2-3mg/kg ET followed by 10cc Flush
- Infusion: 1-4mg solution concentration of 4mg/cc
- clock= 1mg@15qtts/min, 2@30, 3@45, 4@60
- if 1mg/kg converts use 2mg @ 30qtts per min
- IO 20mg of 2% slow IV push may repeat once
-
Viscous Lidocaine
- Standing Order
- 1-2cc into nare or coat ET Tube
-
Metropolol
- OLMC
- 5mg slow IV repeat q 2min, three times if tolerated
- Goal is HR of 60
-
Midazolam
- OLMC
- Versed
- Sedation 1-2.5mg slow IV or 0.08mg/kg IM (5mg avg)
- PED: 0.05-0.1 mg/kg IV for sedation slow IV
- PED: 0.15mg/kg Status Seizure slow IV
-
Morphine
- OLMC
- 2-5mg IV q 5min titrate to effect
- PED: 0.1-0.2mg/kg IV Bolus Max 15mg
-
Narcan
- 2mg IV/IM q 5 min
- 4mg ET followed by 10cc flush
- PED 0.1mg/kg IV/IM/IO
- PED 0.2mg/kg ET
-
Neosynephrine
2 sprays in nostril for patients 8yrs and older
-
Nitro
- 0.4mg x 3 q 3-5 min 1.2mg MAX unless DR ordered
- OLMC for 3doses HTN, Pulmonary Edema
-
Sodium Bicarb
- OLMC
- 1mEq/kg q 15min repeat at 0.5mEq/kg
-
Solu-Medrol
- OLMC
- Severe anaphylaxis 125-250mg IV
- Asthma or COPD 80-125mg IV
- Acute spinal cord injury = 30mg/kg over 15 min
-
-
Vasopressin
- 40 units
- Can replace first or second dose of EPI,
- Give one time only, Half life is 10-20 min
- Defib within 30-60 seconds of admin
- After 10-20 minutes return to EPI administration
-
Zofran
- 4mg IV/IO over 2-5min may reeat after 20 minutes with OLMC permission
- PED >40kg =4mg NO REPEAT DOSE FOR PEDS
- PED: 2yrs to 40kg = 0.1mg/kg over 2-5min
- PED <2yrs OLMC
-
Drugs that require OLMC
other
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