Lex EMS Drugs

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Author:
scfireman18
ID:
134987
Filename:
Lex EMS Drugs
Updated:
2012-02-13 15:18:01
Tags:
EMS
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Description:
Drugs
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  1. Fentanyl (Adult Dose)
    25-100mcg IV/IM/IO/Intranasal
  2. Zofran (Adult Dose)
    4mg IV/IM over 2-5min
  3. Morphine (Adult Dose)
    1-10mg IV/IM/IO
  4. Zofran (Pedi Dose)
    0.15mg/kg IV over 2-5min
  5. Fentanyl (Pedi Dose)
    1-2mcg/kg IV, IM, IO, Intranasal
  6. Morphine (Pedi Dose)
    1-10mg IV/IM/IO
  7. Fluid Bolus (Pedi)
    20cc/kg increments up to 40cc/kg
  8. Fluid Bolus (Adult)
    Up to 1000cc with exceptions of renal failure patients
  9. EPI 1:10 CA (Adult)
    1mg q 3-5min
  10. Amiodarone CA (Adult)
    • 1. 300mg initial
    • 2. 150mg repeat
  11. Sodium Bicarb CA (Adult)
    1 meq/kg
  12. EPI 1:10 CA (Pedi)
    0.01mg/kg (0.1ml/kg) IV or IO q 3-5min
  13. Amiodarone CA (pedi)
    5mg/kg over 20min. Max single dose of 150mg (150mg of amiodarone in 100ml NS/D5=1.5mg/ml)
  14. Sodium Bicarb CA (pedi)
    1meq/kg
  15. Unstable Bradycardia (Adult)
    1. Atropine 0.5mg IVP/IO q 3-5min, total dose 3mg

    2. External Pacing (Demand Mode)- 70bpm/increaseing to achieve hemodynamic stability

    3. Epinephrine infusion @ 2-10 mcg/min. (1mg epi 1:1000 into 250cc NS=4ug/ml) 2mcg/min=infuse 1gtts/2seconds with 60gtts set. titrate to effect.
  16. Unstable Bradycardia (pedi)
    • 1. Insure adequate O2
    • 2. Epi 1:10 @ 0.01mg/kg
    • 3. Atropine 0.02mg/kg -min dose .1mg max single dose 0.5mg <8, max single dose >8 1mg
    • 4. NS bolus 20ml/kg max 500cc
    • 5. External pacing 70bpm increase milliamps until electronic and physical capture
    • 6. Epi infusion
  17. Stable SVT Adult
    • 1. Vagal
    • 2. Adenosine 12mg repeat to max of 36mg
  18. Unstable SVT (adult)
    • 1. Adenosine 12mg
    • 2. Synchronized cardioversion @ 50j
    • 3. Repeat at 100j
  19. Stable SVT Pedi
    • 1. Vagal maneuvers
    • 2. Adenosine 0.2mg/kg (max single dose of 12mg) Max total dose of 24mg
  20. Unstable SVT (pedi)
    • 1. Adenosine 0.2mg/kg (max single dose of 12mg) Max total dose of 24mg
    • 2. Synchronized Cardioversion 0.5-1.0j/kg
  21. Wide Complex Tachycardia Stable (Adult)
    • 1. Vagal
    • 2. Adenosine 12mg
    • 3. Amiodarone 150mg over 10min (150mg of Amiodarone in 100ml NS/D5=1.5mg/ml) With a 10gtts/ml set infuse at 1.5gtts/second
  22. Wide Complex Tachycardia Unstable (adult)
    • 1. Synchronized cardioversion at 50j
    • 2. Repeat at 100j
  23. Wide Complex Tachycardia Unstable (pedi)
    • 1. Adenosine 0.2mg/kg (max 12mg)
    • 2. Sync Cardio 0.5-1j/kg repeat at 1-2j/kg
    • 3. Amiodarone 5mg/kg over 20min. Max single dose of 150mg (150mg of Amiodarone in 100ml NS/D5=1.5mg/ml)
  24. Wide Complex Tachycardia Stable (pedi)
    • 1. Vagal
    • 2. Amiodarone 5mg/kg over 20min. Max single dose of 150mg (150mg of Amiodarone in 100ml NS/D5=1.5mg/ml)
  25. Reactive Airway Disease (Adult)
    • 1. Albuterol 2.5mg + Atrovent 500mcg via nebulizer at 6l
    • 2. fore severe SOB consider PPV
    • 3. Albuterol 2.5mg (max 5mg)
  26. Reactive Airway Disease (pedi)
    • 1. Albuterol 1.5mg+Atrovent 500mcg via neb @ 6l
    • 2. Albuterol 1.5mg
  27. CHF
    • 1. Ask about PDE inhibitors
    • 2. NTG 0.4mg SL is BP >90 may repeat x3
    • 3. PPV via CPAP
    • 4. Lasix 20-120mg IV (20mg for pt. not one lasix, doulbe daily dose up to 120mg for pt. on lasix)
    • 5. Morphine 2-10mg IV/IM
  28. Anaphylaxis (adult)
    • 1. Epi IM 1:1 0.01mg/kg (max .3mg)
    • 2. NS bolus 1000ml for Hypotension
    • 3. Benadryl 1mg/kg IV/IM (max 50mg)
  29. Anaphylaxis (pedi)
    • 1. Epi IM 1:1 0.01mg/kg (max .3mg)
    • 2. NS bolus 20ml/kg max 500ml
    • 3. Benadryl 1mg/kg IV/IM max 50mg
  30. Insulin Shock (adult)
    • 1. oral glucose
    • 2. Dextrose 50% 25g IV
    • 3. Glucagon 1mg IM/Intranasal
  31. Insulin Shock (pedi)
    • 1. Oral glucose
    • 2. Dextrose 25% 2-4ml/kg
    • 3. Glucagon 1mg IM/Intranasal
  32. Overdose (Adult)
    • 1.Narcan 0.4 mg IV/Intranasal may repeat to 2mg
    • 2. Sodium Bicarb 1meq/kg for trycicylic
  33. Overdose (pedi)
    • 1. Narcan 0.1mg/kg IV/Intranasal max single dose 1mg repeat once to 2mg
    • 2. bicarb 1meq/kg
  34. Seizure (adult)
    Midazolam 2.5mg IV/IO/IM/Intranasal

    Valium 5-10mg IV max 15mg. IM max 10mg
  35. Seizure (pedi)

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