Butte College Paramedic Drugs Dosages
Terms
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- Morphine Sulfate
-
IVP: 2-20mg at 2/min
IM/SQ: 5-20mg
for 3-5hours - Furosemide (Lasix)
-
IVP: 40-80mg at 10-20/min
for 3-5hours - Aspirin
-
325mg chewed
for 24hours -
Epi
(Asthma) - SQ: .3-.5mg
-
Epi
(Ped symptomatic bradycardia)
(DOC) -
IVP/IO:
.01mg/kg MR q3-5 until dysrythmia resolves -
Epi
(symptomatic bradycardia) - 2-10mcg/min
- Adenosine
-
IVP/IO: 6mg fast, 20ml NS, (1-2min) MR 12mg x2 q1-2min
consider Verapamil next (for SVT w/ narrow QRS)
for < 10 seconds -
Epi
(cardiopulmonary arrest) -
IVP: 1mg (1:10,000) q3-5min as needed (in pulseless rhythm)
ET: 2mg (1:1000) to 10ml NS -
Albuterol
(inhaler & nebulizer) -
1-2 90mcg
2.5mg in 2-4ml NS with 6-8O2 over 5-15 min
for 4-6 hours -
Atropine Sulfate
(bradycardia) -
IVP: .5mg q3-5 (max 3)
ET:2x
2-5 for 20min -
Atropine Sulfate
(asystole/PEA<60!) -
IVP: 1.0mg q3-5 (max 3mg [max.04mg/kg] or rate>60)
ET: 2x
2-5 for 20min -
Atropine Sulfate
(organophosphate poisoning) -
IVP: 2-3mg q5 (until asymptomatic or toxic)
ET: 3-4mg q5
If S&Sx coninue after 5 min --> 2Pam Cl - D50W
- IVP: 25g/50ml NS MRx1 (aspirate)
- Diazepam (Valium)
-
titrate 2.5-10mg at 5mg/min (max 20)
(rectal option)
for 15min-1hr - Dopamine (inotropin)
-
'dose' mcg/kg/min
'renal' 1-5
'cardiac' 5-10
'vasopressor' 10-20
titrate to BP of 90-100 or perfusion (max 20mcg/kg/min)
onset 5min for 5-10min -
Glucagon
+ route(s), I, CI -
IM/SQ: 1mg
1min - Glucose (oral)
-
10-20g swallowed or bottle
MR in 10min - Naloxone
-
IM/SQ/IVP: .4-2mg. MR PRN.
(rethink after 10mg)
titrate to respiratory status - NTG
-
.4mg
I: pulmonary edema
hypotensive crisis
onset 1-3min for 20-30min - Verapamil
-
IVP: 2.5-5mg slow. MR 5-10mg q15-30 (max 30)
>70, 2-4mg slower
CI:WPW, SSS, wide complex tach, heart fail/block/beta-block -
Midazolam (Versed)
(cardioversion) -
IV: .5mg/3-5min (max 2)
NorCal: 2mg/2min MRx1 after 10min(max4)
1mg if Resp. Dep. or >60y/o -
Midazolam (Versed)
(seizure/status epilepticus) -
slow IVP: .1mg/kg at 1mg/min (max 10mg/dose)
MRx1 after 10min if needed (seizure reoccurs) -
Epi
(allergic rxn) - SQ: .3-.5mg MRx2
-
Epi
(anaphylaxis) -
IVP:.3-.5mg/90sec. MR q10min.
ET:2x -
Lidocaine (Xylocaine)
- V ectopy/VTach w/ pulses
/post cvn -
IVP: 1-1.5 mg/kg at 50mg/min. MR 1/2(i) q5-10min (max 3mg/kg)
ET:2mg/kg to 10mL NS. MRx1
If not responsive (to V ectopy) try Mag Sulfate or Procainamide -
Lidocaine (Xylocaine)
VFib/Pulseless VTach -
IVP: 1-1.5 mg/kg fast. If no cvn (after defibrilation), MR 1/2(i) q5-10min (max 3mg/kg)
ET:2mg/kg to 10mL NS. (no repeat) -
Lidocaine (Xylocaine)
Maintenance Infusion -
give 2-4mg/min
2mg/min= 1mg/kg bolus, + 30ugtts/min
3:2:45
4:3:60 -
Potassium Chloride
KCl (IFT's) -
mixture of 20-40mEq/L for Norcal
at prescribed rate - Sodium Bicarbonate
-
Cardiac Arrest:
IVP: 1mEq/kg. MR 1/2(i) q10
Tricyclic OD (NorCal):
BHO (mix 50mEq/L) - (activated) charcoal
-
PO/gastric tube: 50-100g in water (unless Sorbitol).
CI: corrosives, CN, heavy metal, petroleum, iron - Amyl Nitrite Inhalants
-
1 ampoule (.3ml)/15-30 sec.
MR w/in 5 min.
Flammable
S&Sx of OD: SCUPE
SOB,Circumoral Cyanosis,Unusual weakness,Pulse -weak and fast, Extreme head pressure - Diphenhydramine
-
IVP: 25-50mg at 25/min
IM: 25-50mg - Sodium Thiosulfate
- IVP:12.5g at 2.5-5ml/min
- Pralidoxime Chloride (2-Pam Cl)
-
asymptomatic "exposure"= 0
mild = 1
moderate = 2 (1, MRx1 in 5-10)
severe = 3
autoinjector is 600mg. squat. - Neosynephrine Spray
-
.5ml of.5 sol'n in nostrils.
alpha-agonist b4 Nasal intubation - Magnesium Sulfate
-
Torsades/refractory VF/VT
IV: 1-2g at 1/min, then 1-4g/hr
OB
IVP: 4g/20min, then 2g/hr [10g/100ml sol'n) - Procainamide
-
I: -PVCs/recurrent VT (after lido)
-A & V dysrhythmias
IVPB: 20mg/min until :
0 wide 17 HO - Tricyclic OD drugs
- Mag Sulfate, Bicarb (50mEq/L)
- Calcium Chloride
-
IVP: 2-4mg/kg. MR q10;
NorCal 1-4g
for 1hr