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Activated Charcoal (Adult)
50gm PO
Activated Charcoal (Ped)
1gm/kg PO
Adenosene
6mg IV, 20ml flush. 12mg IV, 20ml flush after 2 mins. MR 12mg IV x1.
Albuterol
2.5mg HHN over 5-15
ASA
162mg PO (2 81mg tabs)
Atropine (Adult Brady)
0.5mg rapid IV Max 3mg or 0.04mg/kg
Atropine (Adult PEA/Asystole)
1mg rapid IV Max 3mg or 0.04mg/kg
Atropine (Adult Organophosphates)
2mg rapid IV MR prn till asymptomatic
Calcium Chloride (Adult)
8-16mg/kg (5-10ml)
D50 (Adult)
50ml rapid IV/IO
D50 (Ped)
0.5gm/kg of D50 Dilute with equal amount of NS or use D25
D50 (Infant)
0.5gm/kg of D25
Diphenhydramine (Adult)
50mg IM 25mg IV over 1 min.
Diphenhydramine (Ped)
2mg/kg IM 1mg/kg IV over 1 min.
Dopamine (PTs >9 yr)
400mg in 250ml D5W 5-20mcg/kg/min (approx 30-60 mcgtts)
Epi (Adult Arrest)
1mg IV/IO During CPR after Defib.
Epi (Ped Arrest <9 yr)
0.01mg/kg IV/IO During CPR after Defib. 0.1mg/kg ET diluted to total 2-5ml.
Epi (Ped Arrest >9 yr)
1mg IV/IO During CPR after Defib.
Epi (Post Resuscitative Care <9 yr)
0.005mg/kg (1:10,000) IV/IO MR 10min prn.
Epi (Adult Allergic Reaction)
0.3mg SQ (1:1,000) MR x1 Max total 0.5mg SQ for anaphylaxis.
Epi (Ped Allergic Reaction)
0.01mg/kg SQ (1:1,000) Up to 0.3mg SQ Max total 0.05mg/kg for anaphylaxis.
Lasix (Adult)
40-100mg IV or 2x PT daily dose. Max dose 100mg SLOW. ONLY BHO or RCF
Lasix (Ped)
1mg/kg IV SLOW BHO ONLY
Glucagon (Adult)
1mg IM/IV
Glucagon (Ped)
0.025mg/kg IM MR x1 in 20. Do not exceed 1mg.
Atrovent (Adult)
0.5mg HHN over 5-15
Atrovent (Ped <1 yr)
0.25mg HHN over 5-15
Atrovent (Ped >1 yr)
0.5mg HHN over 5-15
Lidocaine (Adult Arrest/Vent Arrhythmias)
1.5mg/kg SLOW IV/IO after 2 cycles of CPR. MR 0.75mg/kg IV/IO every 5 Max 3mg/kg ET 2x IV/IO diluted to 5-10ml. Begin 2-4mg/min infusion after conversion.
Calcium Chloride (Ped)
BHO ONLY
Lidocaine (Ped Arrest <9 yr)
1mg/kg IV/ET/IO after 2 cycles of CPR. MR 0.5mg/kg in 5 Max 3mg/kg.
Lidocaine (Ped Arrest >9 yr)
1.5mg/kg SLOW IV/IO after 2 cycles of CPR. MR 0.75mg/kg IV/IO every 5 Max 3mg/kg ET 2x IV/IO diluted to 5-10ml. Begin 2-4mg/min infusion after conversion.
Mag Sulfate (Adult Toxemic SZ)
4gm IV/IO diluted with 20ml NS. Give slow over 3-4.
Mag Sulfate (Adult Toxemic SZ-Infusion)
2gm in 100ml NS. 0.5ml/min (30ml/hr) ONLY IN RCF OR BHO
Mag Sulfate (Adult Stable VT/Wide Complex Tach-Torsades)
2gm in 100ml NS over 5mins.
Versed (Adult Sedation)
1-2mg SLOW IVP
Versed (Adult SZ)
2.5-5mg IV/IO 5-10mg IM
Versed (Ped SZ)
0.1mg/kg IV/IO MAX 2.5-5mg 0.2mg/kg IM MAX 10mg
MS (Adult AMI)
2-4mg IV titrated in increments to effect. MAX 10mg prior to contact.
MS (Adult Tramas)
2mg IV in increments up to 20mg.
MS (Adult Burns)
2-4mg IV in increments up to 30mg.
MS (Ped Trauma)
0.1-0.2mg/kg IV not to exceed 2mg increments up to 5mg IV or 10mg IM.
MS (Ped Burns)
0.1-0.2mg/kg IV not to exceed 2mg increments up to 20mg.
Narcan (Adult)
1-2mg IV/IM
Narcan (Ped)
0.1mg/kg IV/ET
NTG (AMI)
1 spray (0.4mg) onto tongue. 1 tablet SL. MR prn.
NTG (CHF/Pulm Edema)
1 spray (0.4mg) onto tongue. 1 tablet SL. MR prn.
Oxytocin
Monitor 10-20 units in 1000ml NS.
Phenylephrine (Neo-Synephrine)
1 metered spray into nostril 30 seconds prior to NTI. MR x1 w/o contact.
Procainamide
Mix 1gm/250ml NS. Give 20mg(5ml) IVP over 1 min. Repeat until conversion or 17mg/kg. 1-4mg/min infusio if conversion with BHO.
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