Level II Treatments/Medications

  1. Paramedic Protocol 2018-What is the definition of Level II treatments? ***Pg 1
    Make base contact. Continue if radio failure.
  2. Paramedic Protocol 2018-Level II Treatments Pg.4***
    • Cricothyrotomy  
    • Thoracic decompression
    • Administer 9 additional drugs
  3. Paramedic Protocol 2018-LEVEL II PARAMEDIC PROCEDURES - Cricothyrotomy Comments*** Pg 4
    May only be utilized if ventilation attempts by all other means are unsuccessful. Division approved device is a 10g IV catheter.
  4. Paramedic Protocol 2018-What are the 9 Level II Drugs? Pg.4***
    • Activated Charcoal
    • Calcium Chloride
    • Diazepam (Valium)
    • Diphenhydramine
    • Dopamine
    • Glucagon
    • Magnesium Sulfate
    • Midazolam (Versed)
    • Sodium Bicarbonate
  5. Paramedic Protocol 2018-LEVEL II MEDICATIONS Activated Charcoal Adult Dose***
    50 grams PO/NG (No Lavage)
  6. Paramedic Protocol 2018-LEVEL II MEDICATIONS Activated Charcoal Pediatric Dose***
    25 grams PO/NG (No Lavage)
  7. Paramedic Protocol 2018-LEVEL II MEDICATIONS Calcium Chloride Adult Dose
    1 gram IV/IO push over 2 min.
  8. Paramedic Protocol 2018-LEVEL II MEDICATIONS Calcium Chloride Pediatric Dose
    20 mg/kg IV/IO push over 2 min.
  9. Paramedic Protocol 2018-LEVEL II MEDICATIONS Diazepam (Valium) Adult Dose***
    5mg IV/IO, may repeat dose with 5 mg every 10 minutes to a max dose of 30 mg***
  10. Paramedic Protocol 2018-LEVEL II MEDICATIONS Diazepam (Valium) Pediatric Dose
    0.3 mg/kg IV/IO, may repeat dose with 0.3 mg/kg every 25 minutes to a max dose of 5 mg. Rectal dose 0.5 mg/kg to a max dose of 10 mg
  11. Paramedic Protocol 2018-LEVEL II MEDICATIONS Diphenhydramine (Benadryl) Adult Dose
    • 50-100 mg IM
    • 25-50 mg IV over 2-3 1min.
  12. Paramedic Protocol 2018-LEVEL II MEDICATIONS Diphenhydramine (Benadryl) Pediatric Dose***
    12.5 IM only***
  13. Paramedic Protocol 2018-LEVEL II MEDICATIONS Dopamine HCL Adult Dose
    2-10 mcg/kg/min.

    400 mg in 500 ml NS ran at 2-10 mcg/kg/min. with a micro drip

    • 200 mcg/min = 15 gtts/min
    • 400 mcg/min = 30 gtts/min
    • 600 mcg/min = 45 gtts/min
    • 800 mcg/min = 60 gtts/min
  14. Paramedic Protocol 2018-LEVEL II MEDICATIONS Dopamine HCL Pediatric Dose***
    2-20 mcg/kg/min.***
  15. Paramedic Protocol 2018-LEVEL II MEDICATIONS Fentanyl Adult Dose***
    50 mcg slow IV/IM/IO/Atomized, may repeat in 50 mcg increments to a max dose of 200 mcg***
  16. Paramedic Protocol 2018-LEVEL II MEDICATIONS Fentanyl Pediatric Dose
    1 mcg/kg slow IV/IM/IO/Atomized, a max of 50 mcg/dose. Max dose 3 mcg/kg
  17. Paramedic Protocol 2018-LEVEL II MEDICATIONS Glucagon Adult Dose***
    1 mg IM***
  18. Paramedic Protocol 2018-LEVEL II MEDICATIONS Glucagon Pediatric Dose
    Less than or equal to 8 years old: 0.5mg IM/ greater than 8 years old: 1mg IM
  19. Paramedic Protocol 2018-LEVEL II MEDICATIONS Magnesium Sulfate Adult Dose Cardiac/Respiratory***
    1-2 grams IV/IO infused over 5 min.***
  20. Paramedic Protocol 2018-LEVEL II MEDICATIONS Magnesium Sulfate Pediatric Dose Cardiac
    25-50 mg/kg IV/IO over 10-20 minutes. Max dose 2g for torsades de pointes.
  21. Paramedic Protocol 2018-LEVEL II MEDICATIONS Magnesium Sulfate Adult Dose Eclampsia:
    2-4 grams IV/IO bolus over 2-3 min.
  22. Paramedic Protocol 2018-LEVEL II MEDICATIONS Magnesium Sulfate Pediatric Dose Respiratory***
    40 mg/kg MAX 2g/ 30 min***
  23. Paramedic Protocol 2018-LEVEL II MEDICATIONS Morphine Sulfate Adult Dose***
    5 mg IV/IM/IO, may increase in 5 mg increments to a max dose of 20 mg.***
  24. Paramedic Protocol 2018-LEVEL II MEDICATIONS Morphine Sulfate Pediatric Dose
    0.1-0.2 mg/kg IV/IM/IO, may increase in 0.1mg/kg increments to a max dose of 10 mg
  25. Paramedic Protocol 2018-LEVEL II MEDICATIONS Midazolam (Versed) Adult Dose***
    1mg IV/MAD/IO, may repeat in 2 min to a max dose of 5 mg.***
  26. Paramedic Protocol 2018-LEVEL II MEDICATIONS Midazolam (Versed) Pediatric Dose
    0.2 mg/kg IM, may repeat after 15 min IV/IO/MAD to a max dose of 6mg
  27. Paramedic Protocol 2018-LEVEL II MEDICATIONS Sodium Bicarbonate Adult Dose***
    1 mEq/kg IV/IO, may repeat with 0.5 mEq/kg every 10 minutes during cardiac arrest.***
  28. Paramedic Protocol 2018-LEVEL II MEDICATIONS Sodium Bicarbonate Pediatric Dose
    1 mEq/kg IV/IO, may repeat with 0.5 mEq/kg every 10 minutes during cardiac arrest.
  29. Paramedic Protocol 2018-SEIZURE ACTIVITY-What is the FIRST LINE THERAPY FOR SEIZURE in Peds ?***Page 79
    PEDS: VERSED 0.2MG/KG IM MAY REPEAT AFTER 15 MIN IV/IO/ATOMIZED TO MAX DOSE 5 MG
Author
engmedic19
ID
336335
Card Set
Level II Treatments/Medications
Description
2018 EMS Level II Treatments/Medications
Updated