Medication doses

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created 6 months ago by dano297
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Acetaminophen (Tylenol®)

Adult dose: 650mg PO
Pediatric dose: 10-15mg/kg PO


Activated Charcoal (Actidose®, Charcoaide®)

Adult dose: 1-2g/kg (usually 30-100g)
Pediatric dose: 1-2g/kg (usually 15-30g)


Adenosine (Adenocard®)

Adult dose: 6mg rapid IV/IO; if no effect after 1-2mins, then 12mg rapid IV/IO
Pediatric dose: 0.1mg/kg rapid IV/IO; if no effect after 1-2mins, then 0.2mg/kg rapid IV/IO


Albuterol (Proventil®, Ventolin®)

Adult dose: 2.5mg diluted with 3mL normal saline SVN over 5-15min
Pediatric dose: <20kg: 1.25mg diluted with 3mL normal saline SVN over 5-15min


Aminophylline (Amoline®, Somophyllin®, Aminophyllin®)

Adult dose: 5mg/kg loading dose in 50-100mL diluent over 10-20min slow IV infusion
followed by 0.5-0.7mg/kg/hr not to exceed 20mg/min
Pediatric dose: not recommended in pediatrics


Amiodarone (Cordarone®)

Adult dose: stable VT: mix 150mg/100mL D5W and infuse over 10min, May repeat
this twice ***LIVE DOSE***
VF/pulseless VT: 300mg rapid IV/IO, If remains in VF/VT second dose of 150mg
rapid IV/IO ***DEAD DOSE***
maintenance infusion: mix 450mg/250mL D5W, administer 1mg/min for 6hrs, then
0.5mg/min for the next 18hrs ***Max dose ➞ 2.2g/24hr***
Pediatric dose: stable VT: 5mg/kg over 20min, may repeat twice ***LIVE DOSE***
VF/pulseless VT: 5mg/kg rapid IV/IO ***DEAD DOSE***


Amyl Nitrite

Adult dose: 1-2 ampules crushed and inhaled for 30seconds per minute
Pediatric dose: 1 ampule crushed and inhaled for 30seconds per minute


Aspirin (Bayer®, Bufferin®)

Adult dose: 160-325mg PO. Usually administered pre-hospital as four 81mg chewable tablets (324mg)
Pediatric dose: do not give, safety not established


Atropine Sulfate

Adult dose: Bradycardia: 0.5mg fast IV/IO can repeat every 3-5mins (max dose 3mg)
Organophosphate: 2-4mg IV/IO (no max dose)
Pediatric dose: 0.02mg/kg IV/IO minimum dose of 0.1mg with a max does of 0.5mg
Max dose of 0.04mg/kg


Bumetanide (Bumex®)

Adult dose: 0.5mg – 1.0mg slow IV/IO or IM
Pediatric dose: not recommended


Calcium Chloride

Adult dose: 500mg-1000mg slow IV/IO
Pediatric dose: 20mg/kg slow IV/IO


Dexamethasone (Decadron®, Hexadrol®)

Adult dose: 10mg-100mg IV/IO (1mg/kg)
Pediatric dose: 0.25-1.0mg/kg IV/IO/IM


Dextrose 50% (D50)

Adult dose: 12.5-25g slow IV push, may repeat once
Pediatric dose: dilute to a 25% concentration and administer 2mL/kg
Infant Dose: dilute to a 12.5% concentration and administer 4mL/kg


Diazepam (Valium®)

Adult dose: 5-10mg IV/IO, may repeat every 10-15mins
Pediatric dose: 0.2mg/kg IV/IO or 0.5mg/kg recta


Digoxin (Lanoxin®)

Adult dose: 1st dose: 4-6mcg/kg slow IV/IO
2nd & 3rd dose: 2-3mcg/kg slow IV/IO


Diltiazem (Cardizem®)

Adult dose: Initial dose: 0.25mg/kg IV/IO over 2min, may be repeated at 0.35mg/kg after 15mins.
Maintenance infusion: 5mg-15mg/hr
Pediatric dose: not recommended for pediatrics


Diphenhydramine (Benadryl®)

Adult dose: 25-50mg IV/IO/IM
Pediatric dose: 1mg/kg IV/IO/IM


Dobutamine (Dobutrex®)

Adult dose: mix 250mg in 250mL D5W and run 2-20mcg/kg/min, titrated to inotropic effect
Pediatric dose: not recommended


Dopamine Hydrochloride (Intropin®)

Adult dose: 2-20mcg/kg/min low dose: 2-4mcg/kg/min (renal and mesenteric artery dilation)
mid dose: 5-10mcg/kg/min (beta1 adrenergic response)
high dose: 10-20 mcg/kg/min (total alpha effects)
Pediatric dose: 2-20mcg/kg/min (same as adult)


Epinephrine (Adrenalin®)

Adult dose: Asthma/Anaphylaxis: 0.3mg-0.5mg 1:1000 IM or 0.1mg IV (1:10,000 severe)
PEA, VF/VT, Asystole: 1 mg (1:10,000) IV/IO every 3-5 minutes
Bradycardia: 2-10mcg/min (mix 1mg/250mL)
Pediatric dose: Asthma/Anaphylaxis: 0.01mg/kg (1:1,000)
Cardiac arrest: 0.01mg/kg (1:10,000)


Epinephrine Racemic (Micronefrin®)

Adult dose: 0.5mg diluted with 3mL normal saline SVN over 5-15 min
Pediatric dose: dilute 0.25mL of epinephrine into 2.5mL saline via SVN


Etomidate (Amidate®)

Adult dose: 0.2-0.6mg/kg IV/IO (typical dose 20mg)
Pediatric dose: 0.2-0.4mg/kg IV/IO (>10years old) with max dose of 20mg


Fentanyl (Duragesic®, Sublimaze®)

Adult dose: 1-2mcg/kg slow IV/IO, IM or IN. Max single dose 100mcg
Pediatric dose: 1-2mcg/kg slow IV/IO, IM or IN. Max single dose 100mcg


Flumazenil (Romazicon®)

Adult dose: first dose: 0.2mg slow IV/IO
second dose: 0.3mg slow IV/IO
subsequent doses: 0.5mg slow IV/IO
Pediatric dose: not recommended


Furosemide (Lasix®)

Adult dose: 40mg-80mg IV/IO slow over 2 minutes
mild: 40mg IV/IO
moderate: 60mg IV/IO
severe: 80mg IV/IO
Pediatric dose: 1mg/kg IV/IO


Glucagon (GlucaGen®)

Adult dose: hypoglycemia: 0.5mg-1mg IM; repeat in 7-10minutes if needed
beta blocker overdose: 3-10mg slow IV/IO or IM; repeat in 20minutes if needed
Pediatric dose: hypoglycemia: 0.1mg/kg IM; repeat in 20minutes if needed
beta blocker overdose: 0.15mg/kg slow IV/IO or IM; repeat in 20minutes if needed


Haloperidol (Haldol®)

Adult dose: 2-5mg IM every 30-60 minutes until sedation is achieved
Pediatric dose: not recommended


Heparin Sodium

Adult dose: large variation in dosages, generally orders are between100 - 5000U
Commonly 60U/kg IV/IO followed by 12U/kg/hr IV/IO
Pediatric dose: not recommended


Ipratropium Bromide (Atrovent®)

Adult dose: 500mcg SVN
Pediatric dose: 500mcg SVN (same as adult dose)


Ketamine Hydrochloride (Ketalar®)

Adult dose: Excited Delirium: 4mg/kg IM
Sedation/Pain Management: 0.5mg/kg IN or 0.2mg/kg IV/IO, max single dose 25mg
repeat every 10-15 minutes to a max dose of 2mg/kg
Pediatric dose: Sedation/Pain Management: 0.5mg/kg IN or 0.2mg/kg IV/IO, max single dose
25mg repeat every 10-15 minutes to a max dose of 2mg/kg


Ketorolac Tromethamine (Toradol®)

Adult dose: 15mg IM
Pediatric dose: 1mg/kg IM/IV max single dose 15mg


Lidocaine (Xylocaine®)

Adult dose: VF/VT without a pulse: 1.0-1.5mg/kg IV/IO repeat at 0.5-0.75mg/kg
Ventricular ectopy with a pulse: 1.0-1.5mg IV/IO repeat every 5-10 minutes
***Max dose: 3.0mg/kg***
***If either rhythm converts, hang a maintenance drip at 1-4 mg/min***
Pediatric dose: 1mg/kg IV/IO


Lorazepam (Ativan®)

Adult dose: IV/IO: 2-4mg (must be diluted with equal volume of normal saline)
IM: 2-4mg (does not have to be diluted)
Pediatric dose: IV/IO/IM: 0.05-0.2mg/kg slow administration


Magnesium Sulfate

Adult dose: Eclampsia: 1-4g IV/IO over 3 minutes
Torsades: 1-2g IV/IO over 5-20 minutes
Respiratory: 1-2g IV/IO over 5-20 minutes
Pediatric dose: not recommended


Mannitol (Osmitrol®)

Adult dose: 0.5-1.0g/kg IV in a 20% solution over 5-10minutes
Pediatric dose: 0.5-1.0g/kg IV infusion over 30-60minutes to a max dose of 1g/kg


Metoprolol (Lopressor®)

Adult dose: 5mg slow IV/IO (over 5minutes); repeat after 5 minutes at 5mg to a max dose of
15mg total
Pediatric dose: not recommended


Methylprednisolone (Solu-Medrol®)

Adult dose: 125mg IV/IO
Pediatric dose: 1mg/kg IV/IO


Midazolam Hcl (Versed®)

Adult dose: 1-5mg slow IV/IO/IM/IN over 2-3 minutes titrated to effect. May be repeated in
small increments to a total max dose of 0.1mg/kg
5-10mg IM (loading dose for any seizing patient without IV access)
Pediatric dose: 0.1mg/kg IV/IO/IM/IN


Morphine Sulfate (MS Contin®, Roxanol®)

Adult dose: 2-4mg IV every 5-15minutes (titrate to effect)
0.1mg/kg standard dosing
Pediatric dose: 0.1mg/kg IV not to exceed max dose of 5mg


Naloxone (Narcan®)

Adult dose: 0.4mg-2.0mg IV/IO/IM/IN, intranasal may repeat every 5min to max of 10mg
Pediatric dose: 0.1mg/kg slow IV/IO/IM/IN


Nitroglycerin (Nitrobid®, Nitrostat®)

Adult dose: 0.4mg SL, may repeat 2 more times every 3-5minutes
Pediatric dose: not recommended


Nitrous Oxide/Oxygen 50/50 (Nitronox®)

Dose: self-administered, have patient inhale deeply several times


Norepinephrine (Levophed®)

Adult dose: mix 4mg in 250mL D5W and run infusion at 0.1-0.5mcg/min and titrate up to desired effect (average adult dose of 12mcg/min)
Pediatric dose: not recommended


Ondansetron (Zofran®)

Adult dose: 4mg ODT/IV/IO/IM over 2 mins
Pediatric dose: 0.1mg/kg IV/IO/IM over 2 mins (<40 kg)



Dose: nasal cannula: up to 6lpm 24% -44%
non-rebreather mask: 8lpm – 15lpm 85%-100%
BVM: 15lpm 100%


Oxytocin (Pitocin®)

Adult dose: IM: 10 units following placental delivery
IV: mix 10-40 units in 1000mL normal saline and infuse


Pancuronium (Pavulon®)

Adult dose: 0.1mg/kg slow IV, repeat every 45-60min as needed


Phenytoin (Dilantin®)

Adult dose: seizures: 10-20mg/kg slow IV/IO, max single dose 1g
dysrhythmias: 50-100mg diluted over 5-15minutes


Pralidoxime (2-PAM®, Protopam®)

Adult dose: 1-2g IV infusion over 30-60mins after Atropine administration
Pediatric dose: 20-40mg/kg IV infusion over 15-30mins after Atropine administration


Prednisone (Deltasone®, Orapred®, Pediapred®)

Adult dose: 50mg PO
Pediatric dose: 0.5mg/kg PO


Propofol (Diprivan®)

Adult dose: Induction dose: 1.5-3mg/kg IV/IO
Maintenance infusion: 5 - 50mcg/kg/min
Pediatric dose: Induction dose: 2.5-3.5mg/kg IV/IO
Maintenance infusion: 5 - 50mcg/kg/min


Sodium Bicarbonate

Adult dose: 1 mEq/kg IV/IO and may follow with 0.5mEq/kg IV/IO


Succinylcholine (Anectine®)

Adult dose: 1.0-1.5mg/kg rapid IV/IO, repeat every 20-30mins as needed
Pediatric dose: 1.0-1.5mg/kg IV/IO, repeat every 20-30mins as needed


Thiamine (Betaxin®)

Adult dose: 100mg slow IV/IO/IM


Verapamil (Isoptin®, Calan®)

Adult dose: 2.5-5.0mg IV/IO over 2mins, repeat 5-10mg every 15-30mins for a max dose of 20mg
Pediatric dose: 0.01-0.02mg/kg IV/IO over 2mins, repeat in 30mins if ineffective