Paramedic FINAL Medication Study

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Ritameeker
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246542
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Paramedic FINAL Medication Study
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2013-11-17 20:16:17
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Paramedic Medications Meds Drugs Study Review
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Medication review for paramedic final.
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  1. Aspirin / St. Joseph's / Bayer

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    • Aspirin / St. Joseph's / Bayer
    • Platelet Aggregation Inhibitor
    • CP suggestive of MI or ACS
    • Adult: 160 - 325 mg orally
    • Pedi: 10 - 15 mg/kg/dose every 4 - 6 hours
  2. Nitroglycerin / Nitro BID / Nitrostat

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Nitroglycerin / Nitro BID / Nitrostat

    Nitrate

    • CP suggestive of MI or ACS
    • CHF

    Adult: 0.4 mg SL every 3 - 5 minutes

    Pedi: Not indicated
  3. Epinephrine / Adrenalin 1:1000

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Epinephrine / Adrenalin 1:1000

    Sympathomimetic

    • Anaphylaxis
    • Bronchial Asthma
    • Exacerbation of COPD

    • Adult: 0.3 - 0.5 mg IM
    • Pedi: 0.01 mg/kg up to 0.3mg IM
  4. Epinephrine / Adrenalin 1:10,000

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Epinephrine / Adrenalin 1:10,000

    Sympathomimetic

    Cardiac Arrest

    • Adult: 1.0 mg IV/IO every 3 - 5 min
    • Pedi: 0.01 mg/kg IV/IO every 3 - 5 min
  5. Vasopressin

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Vasopressin

    Hormone

    Cardiac Arrest

    Adult: 40 units IV/IO - single dose only, can replace 1st or 2nd dose of Epinephrine

    Pedi: Not Indicated
  6. Atropine

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Atropine

    Parasympatholytic (anticholinergic)

    • Symptomatic Bradycardia
    • Organophosphate Poisoning

    • Adult: 0.5 mg IV/IO every 3 - 5 min to max of 3.0 mg (bradycardia)
    • (2 - 5 mg or more for Organophosphate Poisoning)

    Pedi: 0.02 mg/kg (minimum of 0.1 mg) Max single dose is 0.5 mg
  7. Amiodarone / Cordarone

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Amiodarone / Cordarone

    Potassium Channel Blocker / Antiarrhythmic

    • V-Tach
    • V-Fib

    • Adult:
    • V-Fib / Pulseless V-Tach -
    • 300 mg IV/IO.  May be repeated once at 150 mg after 3 - 5 min.

    • Narrow-complex tachycardias -
    • 150 mg IV/IO over 10 min & repeated as needed

    • Pedi:
    • 5 mg/kg IV/IO over 30 min. 
    • May repeat twice up to 15 mg/kg. 
    • Max single dose is 300 mg
  8. Lidocaine / Xylocaine

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Lidocaine / Xylocaine

    Sodium Channel Blocker

    V-Tach / V-Fib refractory to Amiodarone or if Amio is unavailable

    • Adult: 1.0 - 1.5 mg/kg IV/IO
    • Additional boluses of 0.5 - 0.75 mg/kg every 5 - 10 minutes -
    • until arrhythmia suppressed
    • or 3.0 mg/kg administered.

    • Pedi:
    • 1.0 mg/kg IV/IO
  9. Procainamide / Pronestyl

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Procainamide / Pronestyl

    Sodium Channel Blocker

    • V-Tach with a pulse
    • Pre-excited A-Fib

    • Adult:
    • 20 - 50 mg/min until arrhythmia suppressed.
    • Discontinue if:
    • Arrhythmia suppressed
    • Hypotension
    • QRS widens by 50%
    • Total of 17 mg/kg given

    Pedi: Not Indicated
  10. Sotolol / Betapace / Sotacor

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Sotolol / Betapace / Sotacor

    Beta Blocker

    • Hemodynamically stable monomorphic V-Tach
    • (Stable V-Tach)

    Adult: 1.5 mg/kg infused over 5 min - slower is preferred.

    Pedi: Not Indicated
  11. Metoprolol / Lopressor

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Metoprolol / Lopressor

    Beta Blocker

    • MI with HTN
    • Stable, narrow-complex tachycardia refractory to vagal maneuvers/adenosine
    • Control ventricular rate in A-Fib or A-Flutter

    • Adult:
    • 5 mg slow IV/IO
    • repeat up to 3 doses (15 mg) every 2 - 5 min

    Pedi: Not Indicated
  12. Labatolol / Trandate / Normodyne

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Labatolol / Trandate / Normodyne

    Beta Blocker

    HTN emergency - elevated BP causing end-organ changes such as altered mental status, CP, renal failure

    • Adult:
    • 20 mg slow IV/IO over 2 min.
    • Additional boluses of 40 mg every 10 min until desired supine BP is reached or max of 300 mg is given.

    OR:

    500 mg into 250mL of D5W (1.0 mg/mL) at a rate of 2 mg/min to max of 300 mg.

    Pedi: Not Indicated
  13. Dobutamine / Dobutrex

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Dobutamine / Dobutrex

    Sympathetic Agonist

    CHF - short term management, when increased cardiac output without increased HR is desired

    • Adult:
    • 2 - 20 mcg/kg/min (range)
    • 5 - 10 mcg/kg/min (common range)

    • Pedi:
    • 2 - 20 mcg/kg/min
  14. Dopamine / Intropin

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Dopamine / Intropin

    Sympathetic Agonist

    • Hemodynamically significant hypotension - 70 - 100 mmHg NOT resulting from hypovolemia or cardiogenic shock.
    • Symptomatic bradycardia refractory to Atropine

    • Adult:
    • 2 - 20 mcg/kg/min - increase until BP improves or max of 20 mcg/kg/min
    • Should be piggybacked into an already established IV infusion

    • Pedi:
    • 2 - 20 mcg/kg/min
  15. Norepinephrine / Levophed

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Norepinephrine / Levophed

    Sympathetic Agonist

    Hypotension - systolic <70 mmHg, NOT due to hypovolemia

    • Adult:
    • 0.1 - 0.5 mcg/min per AHA, however higher doses may be required.
    • Should be piggybacked into existing IV with a pump
    • (dilute 8 mg in 500 mL D5W - 16 mcg/mL)

    • Pedi:
    • 0.01 - 0.5 mcg/kg/min (rarely used)
  16. Cardizem / Diltiazem

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Cardizem / Diltiazem

    Calcium Channel Blocker

    • Narrow-complex tachycardia only. (refractory to adenosine or if SVT is recurrent)
    • To control ventricular rate in A-Fib or A-Flutter

    • Adult:
    • 0.25 mg/kg IV bolus over 2 minutes
    • 0.35 mg/kg after 15 minutes if needed

    Pedi: Rarely used
  17. Verapamil / Isoptin / Calon

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Verapamil / Isoptin / Calon

    Calcium Channel Blocker

    • Narrow-complex tachycardia -
    • refractory to adenosine
    • or if SVT is recurrent
    • to control ventricular rate in A-Fib or A-Flutter

    • Adult:
    • 2.5 - 5.0 mg IV/IO over 2 min
    • Repeat at 5.0 - 10.0 mg over 2 min in 15 - 30 min if needed

    • Pedi:
    • 0 - 1 yr: 0.1 - 0.2 mg/kg (max 2.0 mg)
    • 1 - 15 yrs: 0.1 - 0.3 mg/kg (max 5.0 mg)
    • Administered slowly
  18. Adenosine / Adenocard

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Adenosine / Adenocard

    Antiarrhythmic

    Tachy arrhythmias refractory to vagal maneuvers

    • Adult:
    • 6 mg rapid IV/IO followed by rapid flush - in closest available vein to the heart
    • 12 mg rapid IV/IO w/flush after 1 - 2 min if needed

    • Pedi:
    • <50 kg - 0.05 - 0.1 mg/kg (max 0.3 mg/kg/dose) up to 12 mg
    • >50 kg - same as adult dose
  19. Retavase / Reteplase Recombinant

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Fibrinolytic

    • Acute coronary syndrome
    • Acute MI

    • Adult:
    • 10 units IV over 2 minutes
    • Repeat in 30 minutes (max 20 units)

    • Pedi:
    • Not indicated
  20. Heparin

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Anticoagulant

    • Acute coronary syndrome
    • Pulmonary embolism

    • Adult:
    • 60 - 70 units/kg/hr IV

    • Pedi:
    • 50 units/kg IV
  21. Plavix / Clopidogrel

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Platelet Aggregation Inhibitor

    • Acute coronary syndrome
    • Recent MI
    • Stroke
    • Peripheral Vascular Disease (PVD)

    • Adult:
    • ACS & NSTEMI: 300 mg loading dose, followed by 75 mg daily

    • Pedi:
    • Not Indicated
  22. Morphine

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Morphine

    Narcotic

    Severe pain with MI, kidney stones, etc.

    • Adult:
    • 2 - 10 mg IV/IO initial dose
    • Additional doses of 2 mg every few min until pain is relieved or respiratory depression occurs.

    • Pedi:
    • 0.1 - 0.2 mg/kg IV/IO
  23. Fentanyl / Sublimaze

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Fentanyl / Sublimaze

    Narcotic

    • Severe pain
    • Adjunct to RSI
    • Maintenance of analgesia

    • Adult:
    • 25 - 100 mcg IV/IO
    • slowly over 1 - 3 minutes

    • Pedi:
    • 2 - 12 yrs - 1.7 - 3.3 mcg/kg/dose
  24. Narcan / Naloxone

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Narcan / Naloxone

    Narcotic Antagonist

    Narcotic overdose (morphine, heroin, Percocet, demeral, methadone, fentanyl, dilaudid, oxycodone)

    • Adult:
    • 1 - 2 mg IV/IO
    • (can also be delivered IM & Intranasal)

    • Pedi:
    • <5 yrs - 0.1 mg/kg
    • >5 yrs - 1 - 2 mg
  25. Calcium Chloride

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Calcium Chloride

    Calcium Supplement

    • Acute hyperkalemia
    • Acute hypocalcemia
    • Calcium channel blocker toxicity (verapamil, diltiazem/Cardizem)

    • Adult:
    • 2 - 4 mg/kg IV
    • may be repeated every 10 min as needed

    • Pedi:
    • 5 - 7 mg/kg of a 10% solution
  26. Magnesium Sulfate

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Magnesium Sulfate

    Anticonvulsant / Antiarrhythmic

    • Pregnancy: Eclampsia
    • Cardiac: Torsade de pointes (irregular polymorphic V-Tach)

    • Adult:
    • Torsades: 1 - 2 g IV/IO
    • Eclampsia: 2 - 4 g IV/IO
    • dilute in 10 mL NS over 15 min

    Pedi: Not Indicated
  27. Sodium Bicarbonate

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Sodium Bicarbonate

    Alkalinizing Agent

    • Tricyclic antidepressant OD
    • Severe acidosis refractory to hyperventilation

    • Adult:
    • 1 mEq/kg initially IV/IO
    • 0.5 mEq/kg every 10 min as indicated by blood gas studies

    • Pedi:
    • Same as adult dose
  28. Etomidate / Amidate

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Etomidate / Amidate

    Sedative / Hypnotic

    Induction agent for RSI / Intubation

    • Adult:
    • 0.1 - 0.3 mg/kg IV over 15 - 30 seconds

    • Pedi:
    • >10 yrs - same as adult dose
    • <10 yrs - Not indicated
  29. Ketamine / Ketalar

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Ketamine / Ketalar

    Sedative / Hypnotic / Analgesic

    Induction agent for RSI / Intubation

    • Adult:
    • 0.5 - 1.0 mg/kg IV/IO over 30 - 60 seconds
    • OR: 2.0 - 4.0 mg/kg IM

    • Pedi:
    • 0.5 - 3.0 mg/kg IV/IO or IM
  30. Propofol / Diprovan

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Propofol / Diprovan

    Sedative / Hypnotic

    Induction & maintenance of sedation

    • Adult:
    • 2 mg/kg IV/IO for induction/intubation
    • followed by 25 - 75 mcg/kg/min as needed

    • Pedi:
    • 1 mg/kg IV/IO
  31. Succinylcholine / Anectine

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Succinylcholine / Anectine

    Depolarizing Paralytic

    To achieve paralysis to facilitate intubation when muscle tone or seizure activity prevents it.

    • Adult:
    • 1.0 - 1.5 mg/kg IV/IO

    • Pedi:
    • 1.0 mg/kg
  32. Rocuronium / Zemuron

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Rocuronium / Zemuron

    Nondepolarizing Paralytic

    Induction of skeletal muscle paralysis

    • Adult:
    • 600 mcg/kg IV/IO - initial
    • 100 - 200 mcg/kg - maintenance

    • Pedi:
    • 600 mcg/kg IV/IO - initial
    • 75 - 100 mcg/kg - maintenance infusion
  33. Vecuronium / Norcuron

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Vecuronium / Norcuron

    Nondepolarizing Paralytic

    To achieve paralysis to facilitate intubation when muscle tone or seizure activity prevents it. (Neuromuscular blockage lasts approx. 25- 30 min)

    • Adult:
    • 0.08 - 0.10 mg/kg IV/IO

    • Pedi:
    • 0.01 mg/kg IV/IO
  34. Mannitol / Osmotrol

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Osmotic Diuretic

    • Acute cerebral edema
    • Blood transfusion reactions

    • Adult:
    • 1.5 - 2.0 g/kg slow IV bolus

    • Pedi:
    • 0.25 - 0.5 g/kg IV over 60 min
  35. Toradol / Ketorolac

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Toradol / Ketorolac

    NonSteroidal Anti-Inflammatory Agent (NSAID)

    Mild to moderate pain

    • Adult:
    • 30 mg IV
    • 30 - 60 mg IM
    • Dose s/be halved in elderly Pts

    • Pedi:
    • 0.5 mg/kg/dose (max dose 30 mg)
  36. Phenobarbital / Luminal

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Phenobarbital / Luminal

    Barbituate

    • Major motor seizures
    • Status epilepticus
    • Acute anxiety states

    • Adult:
    • 100 - 250 mg slow IV

    • Pedi:
    • 10 mg/kg slow IV
  37. Enalapril / Vasotec / Enalaprilat

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Angiotensin-Converting Enzyme (ACE) Inhibitor

    • HTN
    • CHF

    • Adult Dose:
    • 1.25 - 5.0 mg IV over 5 minutes

    • Pedi:
    • Not indicated prehospitally
  38. Captopril / Capoten

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    ACE Inhibitor

    • HTN
    • CHF

    • Adult:
    • 12.5 - 25 mg SL

    • Pedi:
    • Not indicated prehospitally
  39. Albuterol / Proventil / Ventolin

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Albuterol / Proventil / Ventolin

    Sympathomimetic - B2 Selective

    • Asthma
    • Reversible bronchospasm assoc with COPD

    • Adult:
    • 2.5 - 5.0 mg in 2.5 mL NS over 5 - 15 min (small volume neb)

    • Pedi:
    • <1 yr: 0.05 - 0.15 mg/kg/dose
    • 1 - 5 yr: 1.25 - 2.5 mg
    • 5 - 12 yr: 2.5 mg
    • >12 yr: same as adult
  40. Ipratropium / Atrovent

    Class
    Emegency Use
    Adult Dose & Route
    Pedi Dose
    Parasympatholytic / Anticholinergic

    • Bronchial asthma
    • Reversible bronchospasm assoc with COPD & Emphysema

    • Adult:
    • 500 mcg/dose (typically with a B agonist) in a small volume Neb

    • Pedi:
    • 350 - 500 mcg/dose - small volume neb
  41. Terbutaline / Brethine

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Sympathetic Agonist (B2 selective)

    • Pre-term labor
    • Reversible bronchospasm assoc with COPD
    • Bronchial asthma

    • Adult:
    • Pre-term labor: 0.25 mg SQ

    • Pedi:
    • 0.01 mg/kg SQ
  42. Benadryl / Diphenhydramine

    Class
    Emegency Use
    Adult Dose & Route
    Pedi Dose
    Benadryl / Diphenhydramine

    Antihistamine

    • Allergic reaction
    • Anaphylaxis

    • Adult:
    • 25 - 50 mg slow IV push or deep IM

    • Pedi:
    • 2.0 - 5.0 mg/kg
  43. Solu-Medrol / Methylprednisolone

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Solu-Medrol / Methylprednisolone

    Corticosteroid / Anti-inflammatory

    • Severe anaphylaxis
    • Asthma
    • COPD
    • Hives

    • Adult:
    • 125 - 250 mg IV - single dose in prehospital setting

    • Pedi:
    • 30 mg/kg
  44. Decadron / Dexamethasone / Hexadrol

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Corticosteroid / Anti-inflammatory

    • Anaphylaxis (after Epi & Benadryl)
    • Asthma
    • COPD
    • Hives

    • Adult:
    • 4 - 10 mg IV - single dose prehospitally

    • Pedi:
    • 0.2 - 0.5 mg/kg
  45. Dextrose / D50W

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Carbohydrate

    • Hypoglycemia
    • Coma of unknown origin

    • Adult:
    • 25g slow IV

    • Pedi:
    • 0.5 - 1.0 g/kg slow IV - dilute 1:1 with sterile water to form a 25% solution
  46. Glucagon

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Hormone / Anti-Hypoglycemic Agent

    • Hypoglycemia
    • Beta Blocker Overdose
    • Calcium Channel Blocker Overdose

    • Adult:
    • 0.25 - 0.5 mg IV
    • OR: 1.0 mg IM
    • Beta Blocker OD: 3.0 - 10.0 mg bolus

    • Pedi:
    • 0.03 mg/kg IV
  47. Thiamine / Vitamin B1

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Vitamin (B1)

    • Delirium Tremens (DTs)
    • Coma of unknown origin

    • Adult:
    • 100 mg IV or IM

    • Pedi:
    • Rarely indicated
  48. Zofran / Ondansetron

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Antiemetic

    Nausea & Vomiting

    • Adult:
    • 4 - 8 mg IV

    • Pedi:
    • 0.15 mg/kg IV
  49. Phenergan / Promethazine

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Phenothiazine Antihistamine (H1 antagonist)

    • Nausea & Vomiting
    • Motion Sickness
    • Sedation
    • To potentiate the effects of analgesics

    • Adult:
    • 12.5 - 25 mg IV or IM

    • Pedi:
    • 0.5 mg/kg IV
  50. Reglan / Metoclopramide

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Phenothiazine antiemetic

    • Nausea & Vomiting
    • Reflux

    • Adult:
    • 10 mg slow IV push over 1 - 2 min
    • OR: diluted in 50 mL NS over 15 min

    • Pedi:
    • Rarely used
  51. Ativan / Lorazepam

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Benzodiazepine / Anticonvulsant

    • Major motor seizures
    • Status epilepticus
    • Premed to cardioversion
    • Acute anxiety states

    • Adult:
    • 0.5 - 2.0 mg IV
    • OR: 1.0 - 4.0 mg IM

    • Pedi:
    • 0.05 - 0.1 mg/kg (max 4.0 mg)
  52. Versed / Midazolam

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Benzodiazepine

    • Premed to cardioversion
    • Induction agent to RSI
    • Acute anxiety states

    • Adult:
    • 1.0 - 2.5 mg slow IV

    • Pedi:
    • 0.03 mg/kg IV
  53. Valium / Diazepam

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Benzodiazepine

    • Major motor seizures
    • Status epilipticus
    • Premed to cardioversion
    • Skeletal muscle relaxant (RSI)
    • Acute anxiety states

    • Adult:
    • Status epilipticus: 5 - 10 mg IV
    • Acute anxiety: 2 - 5 mg IV or IM
    • Cardioversion: 5 - 15 mg IV
    • * Do not exceed 1 mL/min when administering

    • Pedi:
    • 0.1 - 0.2 mg/kg
  54. Haldol / Haloperidol

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Antipsychotic / Neuroleptic

    Acute psychotic episodes

    • Adult:
    • 2 - 5 mg IM

    • Pedi:
    • Rarely used
  55. Amyl-Nitrate

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Nitrate / Cyanide Antidote

    Cyanide poisoning

    • Adult:
    • 1 - 2 inhalants should be crushed & inhaled
    • Repeat every minute or so until hospital

    • Pedi:
    • Same as adult, repeat as needed
  56. Flumazenil / Anexate / Romazicon

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Benzodiazepine Antagonist

    To reverse CNS depression assoc with benzo OD (valium, versed, Ativan, Xanax, etc.)

    • Adult:
    • 0.2 mg IV over 30 seconds
    • second dose: same after 30 sec if desired LOC isn't reached w/in 30 sec
    • Additional doses: 0.5 mg IV every minute as needed to max of 3 mg

    • Pedi:
    • 0.01 mg/kg over 30 seconds repeated as needed to max of 1.0 mg
  57. Hydroxocobalamin / Cyanokit

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    • Cyanide Antidote
    • Cyanide poisoning

    • Adult:
    • 5 g IV over 15 min
    • second dose if needed to total of 10 g.

    • Pedi:
    • Not studied
  58. Nitroprusside / Nipride / Sodium Nitroprusside

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Vasodilator

    HTN emergency

    • Adult:
    • 0.25 mcg/kg/min - can be increased to max of 3 mcg/kg/min

    • Pedi:
    • Not indicated prehospitally
  59. Aminophylline / Somophyllin

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Xanthine Bronchodilator

    • Bronchial asthma
    • Bronchospasms assoc with chronic bronchitis & emphysema (COPD)
    • CHF & pulmonary edema (rarely)

    • Adult:
    • 250 mg in 90 mL over 20 -30 min

    • Pedi:
    • 6 mg/kg over 20 - 30 min
    • Max of 12 mg/kg in 24 hours
  60. Oxytocin / Pitocin

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Hormone

    Postpartum vaginal bleeding

    • Adult:
    • 3 - 10 units IM
    • OR: 10 - 20 units in 500 mL NS and titrated to effect.
    • (D5W or Lactated Ringers may also be used)

    • Pedi:
    • Not indicated
  61. Lasix / Furosemide

    Class
    Emergency Use
    Adult Dose & Route
    Pedi Dose
    Loop Diuretic

    • CHF
    • Pulmonary edema
    • HTN crisis

    • Adult:
    • 20 - 40 mg IV (if not currently on Lasix)
    • 40 - 80 mg IV (if already on Lasix)

    • Pedi:
    • 0.5 - 2.0 mg/kg/dose

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