Drug Dose and Route for EMS Drugs
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| Activated Charcoal-Actidose, Class- Absorbant | 25-50 grams or .5-1 gm/kg
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| Albuterol-Proventil/Ventolin, Class- Sympathomimetic Bronchodilator | Two inhalations (90 mcg) via MDI or 2.5 mg in 3ml NS via nebulizer, repeat as needed every 10 min. Pedi: .15 mg/kg in 3ml ns via nebulizer, repeat as needed.
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| Atorphine Sulphate-Aptrophine, Class- Parasympatholytic | Alive- .5 mg IV push, Dead, Asystole- 1 mg IV push,Slow PEA- 1 mg IV push
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| Amiodarone-Cordarone, Class- Antidysrythmic | Dead (VFIB, PVT) 300 mg IV push, Alive (VFIB, PVT) 150 mg IV push
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| Aspirin, Class- Analgesic | 81 mg, 324 mg total
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| Calcium Chloride 10%-Calcium Chloride, Class- Electrolyte | 2-4 mg/kg IV push
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| Ipratromim Bromide-Atrovent, Class- Parasympatholytic Bronchodilator | .5 mg same as albuterol
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| Epinephrine 1:1,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | .3-.5 mg SQ
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| Epinephrine 1:10,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | 1 mg IV push every 3-5 minutes, .3-.5 mg IV push for hives, difficulty breathing, <BP
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| Diazepam-Valuim, Class-Sedative; Hyptnotic; anticonvulsant; benzodiazapine; antianxiety | Muscle relaxer- 2-10 mg IV push slow, Stop Seizures- 2 mg per dose
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| Dextrose 50%-D50W, Class- Carbohydrate | 25-50 gm IV push
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| Diphenhydramine-Benadryl, Class- Antihistamine | 25-50 mg IV/IM
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| Dopamine-Intropin, Class- Sympathomimetic | 2-20 mcg/kg/min, (IV piggy back only)
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| Furosemide-Lasix, Class- Loop Diuretic | 40-120 mg slow IV, Pedi: .5-1 mg/kg IV push
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| Glucogon-Glucogen, Class- Hormone | 1 mg IM
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| Lidocaine-Xylocaine, Class- Antidysrhythmic | Dead (VFIB, PVT) 1-1.5 mg/kg IV push, Alive .5-1 mg/kg IV push
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| Magnesium Sulfate-Magnesium, Class- Electrolyte | Eclampsia- 2 gm IV or 2 gm IM, VFIB- 2 gm IV push
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| Morphine Sulfate-Morphine, Class- Narcotic Analgesic | 2-10 mg slow IV push
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| Naloxone-Narcan, Class- Narcotic Antagonist | .4-2 mg IV or IM or ETT, repeat every 3-5 min for desired effect
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| Nitroglycerine-Nitrostat/Nitrospray, Class- Nitrate | .4 mg Sublingual
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| Nitrous Oxide-Nitronox, Class- General Anesthetic | 50% gas and 50% nitrous Oxide mixed
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| Nor-Epinephrine Bitartrate-Levophed, Class- Sympathomimetic | .5-12 mcg/min (piggy back only)
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| Ondansterone-Zofran, Class- Antiemetic | 2-4 mg IV push
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| Promethazine-Phenergan, Class- Antiemetic | 6.5, 12.5, 25 mg, IV port farthest from site, wide open, rectal, IM, pill
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| Sodium Bi-carbonate, Class- Electorlyte | 1 mcg/kg IV push only
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| Terbutaline-Brethine, Class- Bronchodilator | .25 mg SQ repeated in 15 min
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| Thiamine-Vitamin B1, Class- Vitamin | Adult- 50-100 mg IV/IM, Pedi- 10-25 mg IV/IM
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| Methylprednisolone-Solu-Medrol, Corticosteroid, Anti-inflammatory | Asthma/COPD/Anaphylaxis: 125-250 mg IV/IM. Pedi: 1-2 mg/kg IV/IM.
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| Adenosine-Adenocard, Class- Antidysrhythmic | 6mg rapidly IV, then with saline. If ineffective, 12mg in 1 to 2 min, may be repeated.
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| Digoxin-Lanoxin, Class- Cardiac Glycoside | Adult Dose: 0.25-0.5 mg slow IV. Pediatric Dose: 10-50 mcg/kg IV.
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| Diltiazem-Cardizem, Class- Calcium Channel Blocker | Adult Dose: 0.25 mg/kg IV bolus over 2 min; if inadequate response, may repeat in 15 min with 0.35 mg/kg, followed by a continuous infusion of 5-10 mg/hr (max dose: 15 mg/kg for 24 hr).
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| Midazolam-Versed, Class- Sedative | Adult Dose: 1.0-2.5 mg slow IV (usual dose is 5 mg), Pediatric Dose: 0.05-0.20 mg/kg IV, 0.10-0.15 mg/kg IM, 3 mg intranasal.
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| Succinylcholine-Anectine, Class- Depolarizing Nueromuscular Blocker | To facilitate endotracheal intubation; Adult Dose: 1.0-1.5 mg/kg IV/IM, Pediatric Dose: 1.0-2.0 mg/kg IV/IM Onset is .5-1 min IV and 2-3 min IM, duration is 2-3 min IV and 10-30 min IM.
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| Vasopressin-Pitressin, Class- Hormone-Vasopressor | Adult Dose: 40 Units IV (single dose only), Vaso pressin used to control esophegeal varicies dose by IV infusion 0.2-0.4 U/min
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| Etomidate-Amidate, Class- Hypnotic | Adult Dose: 0.1-0.3 mg/kg IV over 15-30 sec. Pediatric Dose: Over 10 yrs, same as adult.
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| Lorazepam-Ativan, Class- Sedative | Most potent of available benzodiazepines. Sedation for cardioversion: 2-4 mg IM, 0.5-2 mg IV. To manage status epilepticus Adult Dose: 2 mg slow IVCan be given rectally if IV cannot be placed.
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| Oxytocin-Pitosin, Class- Hormone | To control postpartum Hemorrahge, Adult dose: 3-10 U IM following delivery of placenta
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| Fentanyl-Sublimaze, Class- Narcotic Analgesic | 25-100 mcg slow IV (over 2-3 min)
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| Haliperidol-Haldol, Class- Antipsychotic | 2-5 mg IM
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| Labetalol-Normodyne, Class- Beta Blocker | 20 mg slow IV with 40-80 mg every 10 minutes as needed up to 300 mg total
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| Vecuronium-Norcuron, Class- Nondepolarizing Skelatal Muscle Relaxant | 0.08-0.10 mg/kg IV
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| Verapemil-Isopstin, Class- Calcuim Channel Blocker | 2.5-5.0 mg slow IV, may repeat at double dose in 15-30 min as needed
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| Flumazenil-Romazicon, Class- Benzodiazepine Antagonist | 0.2 mg IV over 30 seconds, may be repeated up to 1 mg
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