-
Adenosine
- (Adenocard) Antidysrhythmic
- 6mg rapidly IV, then flush the line with saline, 12mg in 1 to 2 min if ineffective, 30mg max
-
Albuterol
- (Proventil, Ventolin)
- 2.5mg in 2.5 to 3mL NS via nebulizer
-
Amiodarone
- (Cordarone, Pacerone) Antidysrhythmic
- 150 to 300mg IV over 10 min, then 1mg/min over the next 6 hours
-
Aminophylline
(Somophyllin) Methylxanthine Blocker
-
Aspirin
- (Acetylsalicylic Acid) Analgesic, Antipyretic, Platelet Inhibitor, Antiinflammatory
- 160 to 325mg PO
-
Atropine
- Parasympatholytic
- 0.5mg IV repeat every 3 to 5 min up to 3mg (Symptomatic Bradycardia)
- 1mg IV repeat every 3 to 5 min up to 3mg (asystole)
- 2 to 5mg IV/IM/IO/10 to 15 min (Organophosphate poisoning)
-
Ipratropium
- (Atrovent) Anticholinergic
- 500mcg in 2.5 to 3mL NS via nebulizer or 2 sprays MDI
-
Bretylium
- (Bretylol) Antidysrythmic
- 5mg/kg IV, then 10mg/kg every 15 to 30 min to a max of 30mg/kg
-
Butorphanol
(Stadol) Narcotic Analgesic
-
Chlordiazepoxide
- (Librium) Benzodiazepine Derivative
- 50 to 100 IV/IM
-
Calcium Chloride
- Electrolyte
- 2 to 4mg/kg IV (10% solution) every 10 min as needed
-
Chlorpromazine
(Thorazine) Tranquilizer, Antipsychotic
-
-
Dobutamine
- (Dobutrex) Sympathomimetic
- 2 to 20mcg/kg/min
-
Dopamine
- (Intropin) Sympathomimetic
- 2 to 5mcg/kg/min up to 20mcg/kg/min
-
Diphenhydramine
- (Benadryl) Antihistamine
- 25 to 50mg IV/IM
-
Diazepam
- (Valium) Benzodiazepine
- 5 to 10mg IV/IM (seizures)
- 2 to 5mg IV/IM (anxiety)
- 5 to 15mg IV (premed)
-
Epinephrine
- (Adrenalin) Sympathomimetic
- 1mg 1:10000 IV/ 3 to 5 min (cardiac arrest)
- 0.3 to 0.5mg 1:1000 SQ/ 5 to 15 min or 0.5 to 1mg 1:10000 IV if SQ dose ineffective (allergic reaction)
-
Etomidate
- (Amidate) Hypnotic
- 0.1 to 0.3mg/kg IV over 15 to 30 sec
-
Fentanyl
- (Sublimaze) Narcotic Analgesic
- 25 to 100mcg over 2 to 3 min
-
Flumazenil
- (Romazicon) Benzodiazepine Antagonist
- 0.2mg IV over 30sec/min up to 1mg
-
Furosemide
- (Lasix) Diuretic
- 40 to 120mg slow IV
-
Haloperidol
- (Haldol) Antipsychotic
- 2 to 5mg IM
-
Isoproterenol
- (Isuprel) Sympathomimetic
- 2 to 10mcg/min
-
Lidocaine
- (Xylocaine) Antidysrhythmic
- 1 to 1.5mg/kg IV every 3 to 5 min up to 3 mg/kg (Cardiac Arrest)
- 1 to 1.5mg/kg IV May repeat at 1/2 dose every 5 to 10 mins up to 3mg/kg (VTach with pulse)
Follow both with infusion of 2 to 4mg/min
-
Lorazepam
- (Ativan) Benzodiazepine
- 2 to 4mg IM; 0.5 to 2mg IV (sedation)
- 2mg IV/ PR (status epilepticus)
-
Magnesium Sulfate
- Electrolyte
- 1 to 2g IV over 2 min (VFib, VTach)
- 1 to 2g IV followed by infusion of 0.5 to 1g/hr (Torsade de pointes)
- 1 to 2g IV over 5 to 30 min (AMI)
- 2 to 4g IV/IM (eclampsia)
-
Meperidine
- (Demerol) Narcotic Analgesic
- 25 to 50mg IV, 50 to 100mg IM
-
Methylprednisolone
- (Solu-Medrol) Corticosteroid, Antiinflammatory
- 125 to 250mg IV/IM (Asthma, COPD, anaphylaxis)
- 30mg/kg IV over 15 min, after 45 min an infusion of 5.4mg/kg/hr (spinal cord injury)
-
Metoclopramide
- (Reglan) Antiemetic
- 10 to 20mg IM; 10mg slow IV
-
Midazolam
- (Versed) Benzodiapine
- 1 to 2.5mg slow IV; 0.07 to 0.08mg/kg IM (usually 5mg)
-
Morphine
- Narcotic Analgesic
- 2.5 to 15mg IV; 5 to 20mg IM/SQ (pain)
- 1 to 2mg/ 6 to 10min to response (AMI or PE)
-
Naloxone
- (Narcan) Narcotic Antagonist
- 0.4 to 2mg IV/IM every 2 to 3 min up to 10mg
-
Nitroglycerin
- (Nitrostat) Nitrate
- 1 tablet (0.4mg) SL repeated every 3 to 5 min up to 3 tablets
- 1/2" topical ointment
- 0.4mg (one spray) SL up to 3 sprays/25 min
-
Nalbuphrine
(Nubain) Narcotic Analgesic
-
Pancuronium
- (Pavulon) Nondepolarizing Neuromuscular Blocker
- 0.04 to 0.1mg/kg IV
-
Phenytoin
- (Dilantin) Anticonvulsant
- 100mg Slow IV (over 5 min) to a max of 10000mg
-
Procainamide
- (Pronestyl) Antidysrhythmic
- 20 to 30mg/min IV drip
- Stop points:
- -up to 17mg/kg
- -ectopy resolves
- -hypotension ensues
- -QRS complex widens more than 50%
-
Promethazine
- (Phenergan) Antiemetic
- 12.5 to 25mg IV/IM/PR
-
Terbutaline
(Brethine, Bricanyl) Sympathetic Agonist
-
Tridil
- (Nitroglycerin Injection) Vasodilator, Nitrate
- 0.2 to 1.5mcg/kg/min
-
Sodium Bicarbonate
- (NaHCO3) Alkalizing Agent
- 1 mEq/kg IV then 0.5 mEq/kg/10 min
-
Succinylcholine
- (Anectice) Depolarizing Neuromuscular Blocker
- 1 to 1.5mg/kg IV/IM
-
-
Vasopressin
- (Pitressin) Hormone, Vasopressor
- 40 units IV (arrest)
- 0.2 to 0.4 units/min IV drip (esophageal varices)
-
Vecuronium
- (Nocuron) Nondepolarzing Neuromuscular Blocker
- 0.08 to 0.1mg/kg IV
-
Verapamil
- (Isoptin, Calan) Calcium Channel Blocker
- 2.5 to 5mg IV bolus over 2 to 3 min, then 5 to 10mg after 15 to 30min to a max of 30mg in 30 min
-
Zofran
- Antiemetic
- single 24mg tablet ODT; 4mg IV over 30 sec
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