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Nitroglycerin
- 1 tablet (0.4mg) SL (May be repeated every 3 to 5 min up to 1.2mg
- 1/2 an inch topical ointment
- 1 spray (0.4mg) up to 1.2mg/ 25 mins
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Fentanyl
25 to 100mcg slow IV (2 to 3 min)
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Diazepam
- Siezures: 5 to 10mg IV
- Anxiety: 2.5 to 5mg IV/IM
- Premed: 5 to 15mg IV
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Flumazenil
0.2mg over 30sec/min up 1mg
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Dextrose 50% in Water
25g in 50mL IV
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Isoproterenol
2 to 10mcg/min titrated to cardiac rate
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Albuterol
2.5mg in 2.5 to 3mL normal saline via nebulizer
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Morphine
- Pain: 2.5 to 15mg IV
- Pain: 5 to 20mg IM
- AMI/ Pulmonary Edema: 1 to 2mg/ 6 to 10 min response
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Furosemide
40 to 120mg slow IV
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Dobutamine
2 to 20mcg/kg/min IV
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Etomidate
0.1 to 0.3mg/kg IV over 15 to 30 sec
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Lidocaine
- Cardiac Arrest: 1 to 1.5mg/kg IV every 3 to 5 min up to 3mg/kg; follow with 2 to 4mg/min IV drip
- VTach/VFib: 1 to 1.5mg/kg IV; may be repeated at half dose every 5 to 10 min until conversion up to 3mg/kg; follow with 2 to 4mg/min IV drip
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Dopamine
2 to 5mcg/kg/min up to 20mcg/kg/min titrated to effect
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Midazolam
- 1 to 2.5mg slow IV
- 0.07 to 0.08mg/kg IM (usually 5mg)
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Bretylium
5mg/kg IV, then 10mg/kg IV every 15 to 30 min up to 30mg/kg
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Procainamide
- 20 to 30mg/min IV drip
- Stop Points:
- 1: up to 17mg/kg to effect
- 2: ectopy resolves
- 3: QRS complex widens more than 50% from original
- 4: Hypotension ensues
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Ipatropium
- 500mcg in 2.5 to 3mL normal saline via nebulizer
- 2 sprays metered-dose inhaler
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Vasopressin
- Cardiac Arrest: 40 units IV
- Esophageal Varices: 0.2 to 0.4mg/min IV drip
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Epinephrine
- Cardiac Arrest: 1mg 1:10,000 IV/ 3 to 5 min (2 to 2.5mg ET 1:1,000)
- Allergic Reaction: 0.3 to 0.5mg 1:1,000 SQ/ 5 to 15min as needed or 0.5 to 1mg 1:10,000 IV if SQ dose is ineffective or reaction is severe enough
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Naloxone
0.4 to 2mg IV every 2 to 3 min up 10mg (2 to 2.5 the dose ET)
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Succinylcholine
1 to 1.5mg/kg IV/IM
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Adenosine
6mg rapid IV (over 1 to 2 sec) then flush with saline, if ineffective, 12mg may be repeated in 1 to 2 min
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Amiodarone
150 to 300mg IV over 10 min, then 1mg/min over the next 6 hours.
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Atropine
- Symptomatic Bradycardia: 0.5mg IV (1mg ET); repeat every 3 to 5 min up to 3mg
- Asystole: 1mg IV (2mg ET) May repeat every 3 to 5min up to 3mg
- Organophosphate poisoning: 2 to 5mg IV/IM/IO/10 to 15 min
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Diltiazem
- 0.25mg/kg IV over 2 min, may repeat as needed with 0.35mg/kg
- followed by a drip of 5 to 10 mg/hr not to exceed 15 mg/hr over 24 hours.
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Tridil
0.2 to 1.5mcg/kg/min
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Verapamil
2.5 to 5 mg IV bolus over 2 to 3 min, then 5 to 10 mg after 15 to 30 min to a max of 30 mg in 30 min
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