M1 Respiratory

Epinephrine 0.3-0.5 mg (1:1,000) IM every 15 min.

Life threatening 0.1 mg 1:10,000 IV

Benadryl 50 mg IV, IM

Decadron 20 mg IV

Albuterol 5 mg

BP< 90, two liters of fluid, Dopamine 5-20 mcg/kg/min, Levophed 5-30 mcg/min

Glucagon 1 mg if not responsive to Epi and on beta blockers

Albuterol 2.5 mg/ Atrovent 0.5 mg q 30 min x 3

Moderate to severe 10-15 mg continuosly

Solu-Medrol 125 mg IV, Decadron 10-20 mg IV

SEVERE: Epi 1:1,000 0.3-0.5mg SC/IM q 20 minutes

Mag Sulfate 2-4 grams IV over 20 minutes in 50 mL's

ETCO2, SpO2 > 92%

Lasix 40-80 mg IV if CHF confirmed on CXR and BP > 140.

NTG SL if BP > 160 repeat x 3 if BP > 140.

NTG infusion with BP >180 with symptoms

Bronchodilators only if wheezing

Dopamine, Levophed if BP < 90

Atropine 0.5 mg if bradycardic

• Etomidate 0.3-0.5 mg/kg IV
• Ketamine 2 mg/kg IV
• Versed 2-5 mg IV

Succinylcholine 1.5 mg/kg

Zemuron 1 mg/kg