Medications - Dosages

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Author:
JeremyChrist
ID:
89807
Filename:
Medications - Dosages
Updated:
2011-06-08 12:19:08
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Medications
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Description:
Medications
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  1. Albuterol Sulfate - Proventil
    Adult:

    • - Broncho-constriction/wheezing/hyperkalemia
    • 2.5mg in 3mL NSS
    • Administered nebulized with 5-8LPM of 02

    Pediatric:

    • - Broncho-constriction/wheezing/hyperkalemia
    • 2.5mg in 3mL NSS
    • Administered nebulized with 5-8LPM of 02
  2. Atropine - Atropine
    Adult:

    • - All cardiac indications
    • 0.5 to 1.0mg IVP q 3-5 min up to max 3mg or 0.04 mg/kg rapidly
    • Alternatively it can be given via ETT at 2.0 to 2.5x IV dosage

    • - Organophosphate poisoning
    • 1-2mg q 5min

    Pediatric:

    • - All cardiac indications
    • Max 0.04mg/kg - min dose 0.1mg
    • 0.02 mg/kg IVP
    • Alternatively can be given ETT at 2.0 to 2.5X IV dose

    • - Organophosphate poisoning
    • 0.05mg/kg IV q. 10-20 min
  3. Bumetanide - Bumex
    Adult:

    • - Diuretic
    • 0.5 - 2.0mg IV Push given over 2 minutes q 2-3 hours
    • Note - 1mg of Bumex = 40mg of Lasix
    • Max dose 10mg per day

    Pediatric:

    - Not recommended for pediatric patients
  4. Diazepam - Valium
    Adult:

    • - Seizures
    • 5mg IV push SLOWLY
    • - Cocaine overdose/Acute agitation
    • 5-10mg IVpush SLOWLY

    Pediatric:

    • - Seizures
    • 0.1mg/kg IV push
    • 0.5mg/kg PR
  5. Diphenhydramine - Benadryl
    Adult:

    • - Allergic reaction/Dystonic response
    • 25-50mg IV push or deep IM

    Pediatric:

    • - All indications
    • 1mg/kg IV push or IM
  6. Dexamethasone Sodium Phosphate - Decadron
    Adult:

    • - All indications
    • 10mg IV push or IM

    Pediatric:

    • - Croup
    • 0.6mg/kg IM or IV
  7. Epinephrine - Adrenalin
    Adult:

    • - Anaphylaxis
    • 0.3 - 0.5mg SC (1:1000 Concentration)
    • - Asthma
    • 0.3 - 0.5mg SC (1:1000 Concentration)
    • - Cardiac Arrest
    • 1mg IV push (1:10,000 Concentration) q 3-5 min
    • 2.0X to 2.5X IV dose for ETT administration (mix 2.0-2.5mg in 10ml of NSS)
    • - Bradycardia
    • 1-10mcg/min IV Drip; 1mg to 500mL

    Pediatric:

    • - Cardiac Arrest
    • 0.01mg/kg IV Push (1:10,000 concentration) q. 3-5min
    • - Anaphylaxis
    • 0.01 mg/kg IV Push (1:10,000 concentration)
    • 0.01 mg/kg SC (1:1,000 concentration)
    • - Bradycardia
    • 0.01 mg/kg IV push x1 dose only (1:10,000 concentration)
    • Max dose of 1mg
  8. Furosemide - Lasix
    Adult:

    • - Acute pulmonary edema (BP > 120 systolic)
    • 20mg IVP - standing orders
    • 1.0mg/kg IV push slowly

    Pediatric:

    • - Pulmonary edema/Hypertension
    • 1mg/kg IV push q 6-12 hrs
  9. Ipratropium Bromide - Atrovent
    Adult/Pediatric:

    • 0.5mg in 2.5ml NSS - 0.02% solution
    • Nebulized with 6-8 liters of 02
  10. Levalbuterol - Xopenex
    Adult:

    • - Broncho-constriction/wheezing
    • 1.25mg in 3ml NSS for more severe wheezing (acute setting)
    • Administered nebulized with 5-8 LPM of 02
    • - Other doses
    • 0.63mg in 3ml NSS for moderate wheezing (home therapy)

    Pediatric:

    • 1.25mg in 3ml NSS for more severe wheezing (acute setting)
    • 0.31mg in 3ml NSS for pediatric patients (home therapy)
  11. Lorazepam - Ativan
    Adult:

    • - Seizure/sedation/relieve anxiety
    • IV injection - 1.0mg to 2.0mg
    • IM injection - 2.0mg up to 4.0mg

    Pediatric:

    • - Seizures
    • 0.05 - 0.1mg/kg IV push
  12. Magnesium Sulfate - Magnesium Sulfate
    Adult:

    • - Alive Dose - Torsades de Pointes - VTach
    • 1-2g IV drip over 5-15 minutes (BP dependant)
    • - Dead Dose - Recurrent or refractory v-fib / pulseless VTach / Torsades
    • 1-2g IVP
    • -Asthma
    • 2g IV drip given over 20 minutes
    • -Pre-eclampsia/eclampsia
    • 2-4g IV given over 3-5 minutes

    Pediatric:

    None available
  13. Methylprednisolone - Solu-Medrol
    Adult:

    • - Anaphylaxis, Asthma
    • 125mg IV Push

    Pediatric:

    • - Anaphylaxis, Asthma
    • 2mg/kg dose IV Push
  14. Midazolam Hydrochloride - Versed
    Adult:

    • - Pre-intubation/Sedation
    • 0.1mg/kg IV Push
    • Typical dose 5mg-10mg IV Push
    • - Seizures when no IV access is avail
    • 2-5mg IM
    • -Induction Agent
    • 0.2mg/kg IV push - 7-10mg avg. adult

    Pediatric:

    • - Seizures without IV access
    • 0.1mg/kg IM
  15. Morphine Sulfate - Morphine
    Adult:

    • - Pain (MI, sickle cell and other)
    • 2-5mg IV Push q. 5 minutes until desired effects
    • - Pain (Burns)
    • 5-10mg IV Push q. 5 minutes until desired effects
    • Often high dose morphine is required for pain relief

    Pediatric:

    • - Pain (all indications)
    • 0.1mg/kg IV Push
  16. Naloxone - Narcan
    Adult:

    • - Opiate overdose
    • 0.4 - 2.0mg IM/IV/SC/Inter-Nasal

    Pediatric:

    • - Opiate reversal (0-5 years old or <20kg)
    • 0.1 mg/kg IV/SC/ETT q. 3 minutes until response
  17. Nitroglycerin - Nitrostat, Nitrospan, Nitrodisc, Nitrodur, Tridil
    Adult:

    • - All indications:
    • 0.4mg (2% solution) SL spray administer on mucus membranes of mouth (under toungue)
    • 0.4mg (1/150grains) SL tablet q. 3-5 minutes
    • 1-2 inches as on ointment/paste - apply to skin without hair - avoid self exposure
    • 10-20mcg/min IV drip mixed 50-100 mg in 250mL
    • Increase by 5-10mcg/min q. 5-10 minutes until desired response

    Pediatric:

    • No prehospital administration recommended
  18. Terbutaline - Brethine
    Adult:

    • - Asthma/Bronchospasm/Premature labor
    • 0.25mg SQ to start, wait 15 min repeat if necessary

    Pediatric:

    Not recommended for pediatrics in pre-hospital setting.

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