Paramedic Drug Card

  1. Adenosine (Adenocard)
    Initial: 6 mg rapid IV push with 20 ml saline flush. Repeat at 1-2 mins at 12mg up to 2 times if no effect Peds: Safety not established
  2. Albuterol (Ventolin; Proventil)
    • Nebulizer: 2.5 mg diluted to 2.5 ml over 15 minutes.
    • MDI: 1-2 puffs (90 μg/spray)
    • Peds: 0.15 mg/kg (0.03 ml/kg diluted to 2.5 ml in nebulizer
  3. Aminophylline
    Load with 5 mg/kg IV/IO slowly over a 20 to 30-minute period, followed by an infusion. An infusion rate of 0.4 mg/kg/hr is effective for a nonsmoker, but a patient who smokes can require a high infusion rate at 0.8 mg/kg/hr IV/IO. When treating patients with CHF, reduce the dose to 0.2 mg/kg/hr
  4. Amiodarone (Cordarone)
    • VT with pulse: 150mg over 10 minutes, 15mg/min, either by infusion or bolus
    • VT/VF 300mg IV push may repeat at 3-5 minutes at 150mg IV push if no change. Maintenance drip is 1mg/min for first 6 hrs then 0.5mg/min thereafter; Peds: 5mg/kg IV or IO
    • VT with Pulse 2.2 g over 24 hours
    • VT/VF 450 mg
  5. Aspirin (ASA)
    • 325mg PO once.
    • Not recommended for Peds
  6. Atenolol (Tenormin)
    5 mg IV/IO over a 5-minute period; repeat in 5 minutes
  7. Atropine
    • Indication : Symptomatic bradycardia - except second degree type 2 and third degree blocks
    • 0.5 mg q 3-5 min rapid IV/IO push
  8. Atropine
    • Indication : Organophosphate Poisoning
    • 3-5 mg every 3-5 minutes until secretions dry; doses of 100 mg have been reported
  9. Calcium Chloride
    2-4mg/kg of a 10% solution slow IV push q 10 minutes
  10. Calcium Gluconate
    500 to 1000 mg IV, IO administered slowly at a rate of approximately 1 to 1.5 mol/min
  11. Dexamethasone (Decadron, Hexadrol)
    • 4-24mg IM, IV, IO;
    • Peds: 0.2-0.4mg/kg
  12. Dextrose 50% (D50)
    • Adult: 25g IV push
    • Peds: 0.5g/kg dilute 1:1 to form 25% solution.
    • Neonates: receive 10% solution
  13. Diazepam (Valium)
    • Status epilepticus 5-10 mg slow IV/IO
    • Anxiety 2-5mg slow IV /IO or IM and
    • Premedication 5-15 mg IV/IO
    • Peds: 0.1-0.2mg/kg for status epilepticus IV/IO or rectal
  14. Diltiazem (Cardizem)
    0.25mg/kg actual body wt. IV/IO over 2 minutes (20mg avg. person)
  15. Diphenhydramine (Benadryl)
    • Adult: 25-50mg slow IV/IO or IM;
    • Peds: 1-2mg/kg slow IV/IO to a max of 50 mg
  16. Dopamine (Intropin)
    • Low: 2-5 mcg/kg/min;
    • Medium: 5-10 mcg/kg/min; High: 10-20 mcg/kg/min.
    • Bradycardia (AHA): 2-10 mcg/kg/min
  17. Epinephrine 1:1000 (Adrenalin)
    • Indication: Asthma/ Anaphylaxis
    • Adult: 0.3-0.5 mg IM/SQ;
    • Peds: 0.01mg/kg IM/SQ
  18. Epinephrine 1:10,000 (Adrenalin)
    • Indication: All Cardiac Arrests: PEA, VT/VF without a pulse and Asystole
    • Adult: 1mg q 3-5 minutes for life of code IV or IO.
    • Peds: 0.01mg/kg q3-5 minutes
  19. Epinephrine 1:10,000 (Adrenalin)
    • Indication: Asthma/ Anaphylaxis
    • Adult: 0.1 mg IV/ IO;
    • Peds: 0.01mg/kg IV/IO.
  20. Epinephrine 1:10,000 (Adrenalin)
    • Indication: Bradycardia refractory to TCP, atropine and dopamine
    • 2-10mcg/min continuous IV Infusion (mix 1mg in 250 ml D5W) Titrate to effect.
  21. Fentanyl citrate
    25–50 mcg IV/IM/IN q 2 minutes PRN
  22. Flumazenil (Romazicon)
    Initial dose is 0.2 mg IV, IO over a 15-second period. If the desired effect is not observed after 45 seconds, administer a second 0.2-mg dose, again over a 15-second period. Doses can be repeated a total of four times until a total dose of 1 mg has been administered
  23. Furosemide (Lasix)
    • Adult: 0.5-1.0 mg/kg or match pt. single PO dose;
    • Peds: 1mg/kg
  24. Glucagon
    • Indication: Hypoglycemia when IV line is not available
    • 1.0mg Deep IM if > 20kg 0.5mg if < 20kg
  25. Glucagon
    • Indication: Beta blocker or calcium channel blocker overdose
    • 2-5mg Iv/IO over a 1-minutes period followed by a second dose of 10 mg IV if the symptoms of bradycardia and hypotension recur.
  26. Ipratropium bromide (Atrovent)
    500mcg added to small volume nebulizer along with first dose of bronchodilator
  27. Ketamine (Ketalar®)
    1-4.5 mg/kg IV/IO; 6.5-13 mg/kg IM
  28. Ketorolac (Toradol)
    15-30mg IV or 30-60mg IM
  29. Levalbuterol (Xopenex)
    • Adults: MDI 2 sprays;
    • Nebulizer - 0.63 mg, repeat prn.

    • Pediatric: MDI 1 spray;
    • Nebulizer - 0.63 mg repeat prn.
  30. Labetalol (Normodyne, Trandate)
    Cardiac Indications: 10 mg IV, IO over a 1- to 2-minute period. May repeat every 10 minutes to a maximum dose of 150 mg or give initial bolus and then follow with infusion at 2 to 8 mg/min; Severe Hypertension: Initial dose is 20 mg IV, IO slow infusion over a 2-minute period. After the initial dose, blood pressure should be checked every 5 minutes. Repeat doses can be given at 10-minute intervals. The second dose should be 40 mg IV, IO, and subsequent doses should be 80 mg IV, IO, to a maximum total dose of 300 mg. The effect on blood pressure typically will occur within 5 minutes from the time of administration. Alternatively, may be administered via IV infusion at 2 mg/min to a total maximum dose of 300 mg
  31. Lorazepam (Ativan)
    Analgesia and Sedation: Adult: 2 mg or 0.44 mg/kg IV, IO, whichever is smaller; Pediatric: 0.05 mg/kg IV, IO. Each dose should not exceed 2 mg IV, IO; Seizures: Adult: 4 mg IV, IO given over 2 to 5 minutes; may repeat in 10 to 15 minutes (max total dose: 8 mg in a 12-hour period); Pediatric: Adolescents: 0.07 mg/kg slow IV, IO given over 2 to 5 minutes (max single dose: 4 mg). May repeat in 10 to 15 minutes (max dose: 8 mg in a 12-hour period); Children and infants: 0.1 mg/kg slow IV, IO given over 2 to 5 minutes (max single dose: 4 mg). May repeat at half the original dose in 10 to 15 minutes if seizure activity resumes; Neonates: 0.05 mg/kg slow IV, IO given over 2 to 5 minutes. May repeat in 10 to 15 minutes
  32. Lidocaine (Xylocaine)
    1-1.5mg/kg IV push
  33. Lidocaine Infusion
    2-4mg/min IV drip (dose dependant on amount of lidocaine used in initial IV bolus)
  34. Magnesium Sulfate
    • Indication: Wide complex lethal rhythms such as V-Tach and V-Fib / Torsade de pointes
    • VF/Pulseless VT: 1-2g IV over 2 min; Torsades: 5-10 g IV at 1g/min until rhythm is suppressed
  35. Magnesium Sulfate
    • Indication: Bronchospasm, asthma
    • Adult: 1-2 g IV over 30 minutes.
    • PEDS: 75 mg/kg over 30 minutes up to adult dose.
  36. Magnesium Sulfate
    • Indication: Toxemia (seizures of pregnancy)
    • 1-4g IV, IM
  37. Meperidine (Demerol)
    • Adult: 50 to 150 mg IV, IO, IM, or Sub-Q.
    • Elderly: 50 mg IV, IO, IM, or Sub-Q;
    • Peds: 1 to 2 mg/kg IV, IO, IM, or Sub-Q
  38. Methylprednisolone (Solu-Medrol)
    125-250mg IV, IM
  39. Metoprolol (Lopressor)
    5 mg IV q 5 min
  40. Midazolam (Versed)
    • Indication: Status epilepticus
    • Adult: 2.5mg increments up to a total of 10mg IV, IO, IM or IN. Must be diluted before IV Use
    • Ped: 0.03mg/kg
  41. Midazolam (Versed)
    • Indication: Chemical Restraint and sedation for cardioversion
    • 2.-2.5mg IM or IN
  42. Morphine
    2-10mg IV q 3-5 min in 2mg increments (titrate to effect)
  43. Naloxone (Narcan)
    0.4mg to 2mg IV, IO, IN and 2 x dose ET diluted in 10 ml titrate to relief of respiratory depression
  44. Nitroglycerine SL (Nitrostat)
    0.4mg sl q 3-5minutes
  45. Nitroglycerine TD (Nitro-Bid)
    1/2-1 inch applied to anterior chest wall
  46. Norepinephrine (Levophed® )
    8-12 mcg/min IV/IO infusion titrate to effect; maintenance drip 2-4 mcg/min
  47. Nitroglycerine IV (Tridil)
    5-10mcg/min on IV Pump only
  48. Ondansetron (Zofran)
    4 mg IV/IM; may repeat in 10 minutes if necessary
  49. Promethazine (Phenergan)
    • Adult: 12.5-25mg IV/IM/IO
    • Peds: 0.5mg/kg
  50. Propranolol (Inderal)
    • Adult: 1 to 3 mg IV, IO at a rate of 1 mg/min; may repeat the dose 2 minutes later;
    • Peds: 0.01 to 0.1 mg/kg slow IV, IO over a 10-minute period
  51. Racemic Epinephrine (MicroNEFRIN)
    0.25-0.75 ml of a 2.25% solution in 2ml NaCl Nebulizer
  52. Sodium Bicarbonate
    1meq/kg IV/IO push initial repeat doses at 0.5meq/kg q 10 minutes
  53. Thiamine (Vitamin B1)
    • Wernicke-Korsakoff Syndrome: 100 mg IV/IO;
    • Peds: Not recommended for pediatric patients
  54. Vasopressin (ADH)
    40 units IV/IO push
  55. Verapamil (Isoptin, Calan)
    2.5-5mg slow IV push repeat dose at 15 -30 minutes of 5-10mg slow IV push
Card Set
Paramedic Drug Card
55 drugs name/dose/route