| Drug |
2nd name |
class |
Standard dosing |
Indications |
| Activated Charcoal | Activated Charcoal | Adsorbant | 1g/kg | Acute ingested poisoning |
| Adenosine | Adenocard | Antidysrythmic | 6mg, 12mg, 12mg. | PSVT refractory to vagal manuevers |
| Albuterol | Ventolin,Proventil, Salbutamol | Sympatholmimetic (B2 selective) | 2 inhalations (90mcg) via MDI
2.5mg in 2.5-3ml of NS | Bronchospasm and asthma in COPD |
| Aminophyllin | Theophyllin | Xanthine Bronchodilator | 250 - 500 mg IV over 20-30 min. | Bronchospasm in asthma and COPD refractory to sympathomimetics and other bronchodilators and in CHF |
| Amiodarone | Cordarone,Pacerone | Antidysrythmic | 150mg/100ml over 10 min, 1mg/min ovr next 6 hours | Life-threatening Ventricular and supraventricular dysrythmia, frequent A-Fib |
| Aspirin | ASA | Platelet inhibitor, anti-inflammatory | 162-325 mg PO | In accordance with ACS protocol |
| Calcium Chloride | CaCl | Electrolyte | 2-4 mg/kg IV (10% solution)/10 min, as needed | Hyperkalemia, hypocalcemia, hypermagnessemia, and Calcium chanel blocker toxicity |
| Cetacaine | Benzocaine,Tertracaine,Hurricaine, Pontocaine | Topical anesthetic | 1-2 second spray | topical anesthesetic for all muscous membranes EXCEPT the eyes. |
| Dextrose 10% | D10 | Carbohydrate | 5g | hypoglycemia |
| Dextrose 25% | D25 | Carbohydrate | 12.5g | hypoglycemia |
| Dextrose 50% | D50 | Carbohydrate | 25g IV | hypoglycemia |
| Diltiazem | Cardizem | Calcium Channel Blocker | 0.25mg/kg IV over 2 min, may rpeat with 0.35mg mg/kg followed by a drip of 5-10mg/hr not to exceed 15mg/hr over 24 hours | Supraventricular Tachydysrythmias (A-Fib, A-flutter, PSVT refractory to adenosine) and to increase coronary artery perfusion in angina |
| Dimenhydrinate | Dramamine,Gravol | Antihistamine | 12.5-25mg IV; 50mg IM/4hrs PRN | to relieve N/V with motion sickness or narcotic use |
| Diphenhydramine | Benedryl | Antihistamine | 25-50mg IV/IM | Anaphalaxis, allergic reactons and dystonic reactions |
| Dopamine | Intropin | Sympathomimetic | 2-5 mcg/kg/min, titrated to effect. | Nonhypovelmic hypotension (70-100 mmHg) and cardiogenic shock |
| Epinephrine 1:1000 | Adrenalin | Sympathomimetic | Arrest:1mg of 1:10000 IV/3-5min (ET 2.0-2.5 mg 1:1000)
Allergic reaction: 0.3-0.5 mg of 1:1000 SC/5-15 min prn or 0.5-1mg of 1:10000IV if SC dose is inefective or severe reaction | To restore cardiac rythym in cardiac arrest and severe allergic reactions |
| Epinephrine 1:10000 | Adrenalin | Sympathomimetic | Arrest:1mg of 1:10000 IV/3-5min (ET 2.0-2.5 mg 1:1000)
Allergic reaction: 0.3-0.5 mg of 1:1000 SC/5-15 min prn or 0.5-1mg of 1:10000IV if SC dose is inefective or severe reaction | To restore cardiac rythym and severe analphalaxis |
| Furosemide | Lasix | Loop diuretic | 40-120mg mg slow IV | CHF and pulmonary edema |
| Glucagon | Glucagon | Hormone, Antihypoglycemic | Hypoglycemia: 1mg IM/SC q 5-20 min
Beta Blocker OD: 50-150mg/kg IV over 1 min | Hypoglycemia without IV access and to reverse Beta Blocker OD |
| Abciximab | Epptifibitide | Glycoprotein IIb/IIIa inhibitor | (blank) | (blank) |
| Hydralazine | Apresoline | Antihypertensive (potent vasodilator) | 20 -40 mg IV/IM repeated 4-6 hours | HTN crisis and pre-eclampsia |
| Hydrocortisone Na Succinate | Solu-Cortef | Steroid | 40 - 250 mg IV/IM | Inflammation during allergic reactions, severe analphalaxis, asthma, and COPD |
| Hydroxyzine | Atarax, Vistaril | Antihistamine | Anxiety:50-100 mg Deep IM
N/V:25-50 mg Deep IM | Acute anxiety, N/V |
| Ipatropium Bromide | Atrovent | Anticholinergic | 500mcg in 2.5 - 3ml NS SVN, or 2 puffs MDI | Bronchospasm associated with asthma, COPD, and inhaled irritants |
| Isoetherine | Bronkosol, Bronkometer | Sympathomimetic (B2 selective) | 0.5ml in 2-3ml saline via SVN, 1-2 puffs MDI | Bronchospasm in asthma and COPD |
| Isoproterenol | Isuprel | Sympathomimetic | Bradycardia: 2-10 mcg/min titrateed to cardiac rate
Status asthmaticus: 1-2 puffs MDI | Bradycardia refractory to atropine when pacing is not available and for severe asthmaticus |
| Ketorolac Tromethamine | Toradol | NSAID | 30mg IV/IM (15 mg >65 y/o or weight <50kg) | Mild or loderate pain |
| Labetalol | Trandate, Normodyne | Sympathetic Blocker (B blocker) | 20 mg slow IV, then 40 -80mg/10min prn up to 300 mg. OR IVPB 2mg/min up to 300 mg | Acute HTN crisis |
| Lidocaine | Xylocaine | Antidysrythmic | Arrest: 1-1.5mg/kg IV q 3-5 min up tp 3mg/kg, follow conversion with IVPB up to 2-4mg/min
VTACH:(w/pulse)1-1.5mg slow IV, may repeat @ half dose q 5-10 min until conversion up to 3mg/kg. follow conversion with IVPB 2-4mg/min | Pulsless Vtach, Vfib, VTACH w/pulse |
| Lorazepam | Ativan | Benzodiazepine (tranquilizer) | Sedation: 2-4 mg IM, 0.5-2mg IV
Status Epilepticus: 2mg slow IV/PR (2mg/min) | Sedation for cardioversion and status epilepticus |
| Magnesium Sulfate | MgSO4 | Anticonvulsant, antidysrythmic | VFIb or Tachycardia: 1-2g IV over 2 min
Torsades de pointes: 1-2g IV followed by infusion og 0.5-1g/hr IV
AMI:1-2g/kg IV over 5-30 min
Eclampsia: 2-4g IV/IM | Refractory VFib and pulseless Vtach (esp Torsades de pointes), AMI, Eclamptic seizures |
| Meperidene | Demerol | Narcotic analgesic | 25-50mg IV, 50-100mg IM | Moderate to severe pain |
| Metaproterenol | Alupent | Sympathomometic (B2 selective) | 0.65mg via MDI (2 puffs);0.2-0.3 ml in 2.5-3.0ml NS via SVN | Bronchospasm, as in asthma or COPD |
| Methylprednisone | Solu-Medrol | Steroid (cortico) | Asthma/COPD/Anaphalaxis:125-250mg IV/IM
Spinal Cord injury:30mg/kg IV over 15 min, after 45 minutes an IVPB of 5.4mg/kg/hr | Spinal cord injury, asthma, severe analphylaxis, COPD |
| Metoclopramide | Reglan | Phenothiazine Antiemetic | 10-20mg IM; 10mg slow IVP(over 1-2 min) | N/V |
| Metoprolol | Lopressor, Toprol XL | Sympathetic Blocker (B2 selective) Beta Blocker | 5 mg slow IV/5 min up to 3 times | AMI |
| Midazolam | Versed | Benzodiazapine (tranquilizer) | 1-2.5mg slow IVP; 0.07-0.08mg/kg IM (usually 5mg) | To induce sedation prior to cardioversion or intubation |
| Morphine Sulfate | Astramorph | Narcotic Analgesic | Pain: 2.5-15mgIV; 5-20mg IM/SC
AMI or PE: 1-2mg/6-10 miutes to response | Moderate to severe pain and in MI and to reduce venous return in pulmonary edema |
| Nalbuphine | Nubaine | Synthetic Analgesic | 5mg IV/IM/SC, repeat as 2mg doses up to 20mg | Moderate to severe pain |
| Neosynephrine | Phenylephrine HCL | Sympathomimetic | (blank) | (blank) |
| Nitroglycerine Tablet | Nitrostat | Antianginal, Nitrate | 0.4mg SL repeatr up to 3 q 3-5 min | CP associated with AMI, Angina, PE |
| Nitroglycerine Paste | Nitro-Bid | Antianginal, Nitrate | 1/2in-1in topical. | CP associated with AMI, Angina, PE |
| Nitroglycerine Spray | Nitro-Lingual | Antianginal,Nitrate | 0.4mg SL(one spray)up to three aprays in 25 min | CP associated with AMI, Angina, PE |
| Oxygen | O2 | Gas | 2-25 lpm via any means of oxygenation | any and or all pt's |
| Oxytocin | Pitocin | Hormone | 3-10 units IM after delivery of placenta; 10-20 units in 1000ml of D5W or NS IVP titrated | Severe Postpartum hemmorage |
| Pancuronium Bromide | Pavulon | Non depolarizing neuromuscular blocker | 0.04-0.1mg/kg IV | To facilitate endotrachael intubation |
| Phenobarbital | Luminal | Barbituate | 100-300mg slow IV/IM | Seizures, status epilepticus, and acute anxiety |
| Physotigmine | Antilirium | Cholinesterase inhibitor, parasympathomimetic | 0.5-3mg IV no faster than 1 min. repeat as needed | Tricyclic antidepressants (CNS and Cardiac efects) and anticholinergic OD |
| Phenytoin | Dilantin | Anticonvulsant, antidysrythmic | Seizures: 10-15 mg/kg Slow IV
Dysrythmias:100 mg slow IV (over 5 min) to max of 1000mg | Seizures, status epilepticus, cardiac dysrythmias secondary to digitalis toxicity |
| Pralidoxime | 2-pam/protopam | cholinesterese reactivator | 1-2g in 250-500ml NS IVPB over 15-30 min; or 1-2g IM/SC if no IV access | Organophosphate poisoning |
| Promethazine | Phenergan | Phenothiazine Antihistamine | 12.5-25mg IV/IM/PR | N/V, Motion sickness, induce sedation, and to enhance the effects of sedation |
| Propranolol | Inderal | Sympathetic Blocker (B Blocker) | 1-3 mg slow IV (2-5 min) not to exceed 1mg/min, may repeat/2min to 0.1mg/kg | Vfib, Pulseless VTACH rerfractory to lidocaine and bretylium and selected SVT's |
| Salbutamol | Albuterol,Ventolin,Proventil | Sympathomimetic (B2 selective) | 2 inhalations (90mcg) via MDI
2.5mg in 2.5-3ml of NS | Asthma,COPD |
| Sodium Bicarbonate | NaHCO3 | Alkalinizing agent | 1 mEq/kg IV, then 0.5mEq/kg/10min | Tricyclic antidepressant and barbituate OD, refractory acidosis, or hyperkalemia |
| Thiamine | Vitamin B1 | Vitamin | 50-100mg IV/IM | Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremors |
| Vecuronium | Norcuron | Non depolarizing neuromuscular blocker | 0.08-0.1mg/kg IV | Facilitated endotracheal intubation |
| Amyl Nitrate | Amyl Nitrate | Nitrate | Inhalent broken and inhaled for duration of transport | Cyanide poisoning |
| Atropine | Atropine | parasympatholitic (anticholinergic) | Arrest: 1mg IV, 2-2.5mg ETT
Bradycardia: 0.5mg q 3-5 min to max of 0.04mg/kg
Organophosphate poisoning: 2-5mg | Asystole, significant bradycardia, hypotension secondary to bradycardia, organophosphate poisoning |
| Flumazenil | Romazicon | Benzodiazepine antagonist | 0.2mg IV over 30 sec up to max of 1.0mg | Reverse CNS depression from Benzodiazepines |
| Mannitol | Osmotrol | Diuretic (osmotic) | 1.5-2g/kg IV | Aute cerebral edema, Blood transfusion reactions |
| Norepinephrine | Levaphed/levarternol | Sympathomimetic | 0.5-30mcg/min (8mg in 500ml D5W, with concentration of 16mcg/ml) | Hypotension (systolic <70mmHg refractory to other sympathomimetics), Neurogenic shock, |
| tPA | Tissue plasminogen activator, Activase | Fibronolytic | 100mg IV/IM | AMI |
| Vasopressin | ADH | Hormone, Vasoconstrictor | 40 units IV (single dose only) | Cardiac arrest |
| Succinylcholine | Anectine | Neuromuscular blocker (depolarizing) | 1-1.5mg/kg (40-100mg adult) | Facilitate endotracheal intubation |
| Streptokinase | Strepase | Fibronolytic | 1.5million units over 1 hour | AMI |
| Naloxone | Narcan | Narcotic Analgesic | 1-2mg IV/IM/ETT(2-2.5 times the dose), Atomizer | Reverse effects of narcotics |
| Procainamide | Pronestyl | Antidysrythmic | Initial: 20mg/min, maintainance 1-4mg/min | Cardiac arrest dur to persistant Vfib refractory to lidocaine, PVC's refractory to lidocaine |
| Terbutaline | Brethine | Sympathomimetic | MDI ( 2 puffs), SQ 0.25mg | Asthma, COPD, Preterm Labor |
| Bretylium | Bretylol | Antidysrythmic | 5mg/kg, then 10mg/kg 15-30 min, to a max 30mg/kg. Following conversion:1-2mg/min drip. | Vfib and Vtach refractory to lidocaine |
| Verapamil | Isoptin, Calin | Calcium Channel Blocker | 2.5=5 mg IVP over 2-3 min, then 5-10 mg after 15-30 min to a max of30mg in 30 min. | PSVT refractory to adenosine, atrial flutter, and Afib with rapid ventricular response |
