Level I Treatments/Medications

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  1. Paramedic Protocol 2018-What is the definition of Level I Treatments?***
    NO BASE CONTACT NEEDED
  2. Paramedic Protocol 2018-Level I Treatments pg.2***
    • Start IV and Administer fluids***
    • Saline lock
    • ET airway
    • CPAP
    • 12 lead ECG
    • Cardiac Defib
    • Cardioversion
    • Pacing
    • Valsalva procedure
    • Forceps (Foreign Body)
    • Administer 14 drugs
    • IO
    • glucometer, capnography, and capnometry
  3. Paramedic Protocol 2018-What are the 14 Level I drugs? Pg.2***
    • 10% Glucose solution
    • Adenosine
    • Albuterol (Proventil) Beta-2 Bronchodilator
    • Amiodarone
    • Aspirin
    • Atropine Sulfate
    • (Atrovent) Ipratropium Bromide
    • Epinephrine 
    • Fentanyl
    • Lidocaine HCL (Xylocaine)
    • Morphine Sulfate
    • Naloxone (Narcan)
    • Nitroglycerin
    • Ondansetron (Zofran)
  4. Paramedic Protocol 2018-Adenosine Adult Dose ***
    6 mg IV/IO push, may repeat in 1-2 min. with 12 mg IV/IO push. May repeat 12 mg dose in 1-2 min. for a maximum dose of 30 mg. ***
  5. Paramedic Protocol 2018-Adenosine Pediatric Dose ***
    0.1 mg/kg IV/IO (Max dose 6 mg, may repeat x 2 in 3 min intervals with 0.2 mg/kg (Max dose 12 mg)
  6. Paramedic Protocol 2018-Amiodarone Adult Dose ***
    VF/VT (Pulseless) 300mg IV/IO Push (over 1-2 min) Followed in 5 minutes by 150mg.

    VT (with pulses) 150mg in 100ml NS over 10 minutes to max dose 450mg

    PVC's 150mg in 100ml NS over 10 minutes, repeat in 5 with 150mg in 100ml NS over 10 minutes to max dose of 450mg
  7. Paramedic Protocol 2018-Amiodarone Peds Dose ***
    Peds – 5 mg/kg to 15 mg/kg max
  8. Paramedic Protocol 2018-Aspirin Adult Dose***
    325 mg PO***
  9. Paramedic Protocol 2018-Atropine Adult Dose
    Bradycardia: 0.5mg IV/IO to max dose of 3mg.

    Organophosphate: 2mg every 5 minutes until symptoms clear.
  10. Paramedic Protocol 2018-Atropine Pediatric Dose
    Bradycardia: 0.02 mg/kg IV/IO, may repeat in 5 min for a max dose of 1 mg for children and a max dose of 2 mg for adolescents. Minimum dose to be given is 0.1 mg
  11. Paramedic Protocol 2018-Albuterol (Proventil) Adult Dose
    2.5 mg in 3 mL NS via nebulizer
  12. Paramedic Protocol 2018-Albuterol (Proventil) Pediatric Dose***
    2.5 mg in 3 mL NS via nebulizer ***
  13. Paramedic Protocol 2018-Atrovent Adult Dose (Ipratropium Bromide)
    • 500mcg premixed with 2.5mg Albuterol
    • Can give every 20 minutes.
    • Max dose of 3.
  14. Paramedic Protocol 2018-Atrovent Pediatric Dose (Ipratropium Bromide)
    • 500mcg premixed with 2.5mg Albuterol
    • Can give every 20 minutes.
    • Max dose of 3.
  15. Paramedic Protocol 2018-Dextrose 10% Adult and peds Dose
    5ml/kg for Adults & Peds
  16. Paramedic Protocol 2018-Epinephrine 1:1,000 Adult Dose
    0.3 mg IM
  17. Paramedic Protocol 2018-Epinephrine 1:1,000 Pediatric Dose
    0.01 mg/kg IM
  18. Paramedic Protocol 2018-Epinephrine 1: 10,000 Adult Dose
    0.5-1 mg IV/IO, may repeat every 3-5 min. for non-perfusing cardiac rhythms
  19. Paramedic Protocol 2018-Epinephrine 1: 10,000 Pediatric Dose
    0.01 mg/kg IV/IO, may repeat every 3-5 min. for non-perfusing cardiac rhythms.
  20. Paramedic Protocol 2018-Epinephrine Drip Adult Dose
    2-8 mcg per minute
  21. Paramedic Protocol 2018-Epinephrine Drip Pediatric Dose
    0.1-– 1 mcg/kg/min IV/IO with Base Hospital Order
  22. Paramedic Protocol 2018-Lidocaine Bolus Adult Dose***
    • 1-1.5 mg/kg IV/IO/, see comments for repeat dose.
    • Repeat: 0.5-0.75 MG/KG
  23. Paramedic Protocol 2018-Lidocaine Bolus Pediatric Dose
    1 mg/kg IV/IO
  24. Paramedic Protocol 2018-Lidocaine Bolus Routes & Comments Perfusing rhythms
    Perfusing rhythms: Use lower end of dosing range, repeat every 7-10 min. with 0.5 mg/kg, to a max dose of 3 mg/kg.
  25. Paramedic Protocol 2018-Lidocaine Drip Adult Dose
    1-4 mg/min.
  26. Paramedic Protocol 2018-Lidocaine Drip Pediatric Dose
    • Base Hospital Order
    • 20-50 mcg/kg/min
  27. Paramedic Protocol 2018-Naloxone (Narcan) Adult Dose
    0.4 mg to– 2 mg IV/MADD/IM
  28. Paramedic Protocol 2018-Naloxone (Narcan) Pediatric Dose Less than 5 yr old or less than 20kg:
    0.1mg/kg IV/IO/MADD
  29. Paramedic Protocol 2018-Naloxone (Narcan) Pediatric Dose Greater than 5 yr old or greater than 20 kg: ***
    2mg IV/IO/MADD ***
  30. Paramedic Protocol 2018-Nitroglycerin Adult Dose***
    0.4 mg (gr 1/150) SL, may repeat every 3-5 min. as long as systolic BP remains above 90. ***
  31. Paramedic Protocol 2018-Nitroglycerin Pediatric Dose
    Not used.
  32. Paramedic Protocol 2018-Nitroglycerin Routes & Comments
    • Do not administer if systolic BP <90 or HR <50.
    • Do not administer if it is suspected or known that the patient has taken sildenafil (Viagra) or vardenafil (Levitra) within the previous 24 hours.
    • Or tadalafil (Cialis) within the previous 48 hours.
  33. Paramedic Protocol 2018-Ondanestron (Zofran) Adult Dose
    • 4 mg PO tablet-Preferred Method
    • Slow IV over 1-2 min /IM/IO. May repeat x 2 every 10 minutes to a max dose of 12mg.
  34. Paramedic Protocol 2018-Ondansetron (Zofran) Pediatric Dose children 4 years or younger.
    Not used
  35. Paramedic Protocol 2018-Ondansetron (Zofran) Pediatric Dose Children over 4 years of age:
    • 4 mg PO tablet-Preferred Method
    • Slow IV over 1-2 min/IM/IO. Do not repeat dose.
    • What are the approved drugs for MADD?
    • Narcan
    • Versed
    • Fentanyl
  36. What are the contraindications of MS?
    • Hypotension
    • Head trauma
    • Acute asthma
    • known hypersensitivity to MS
  37. What are the precautions of MS administration?
    • Elderly patients
    • Children
    • Debilitated patients
    • Have narcan readily available

Card Set Information

Author:
engmedic19
ID:
336334
Filename:
Level I Treatments/Medications
Updated:
2017-11-28 17:54:37
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engmedic19
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Description:
2018 KCEMS Level I Treatments/Medications
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