front 1 Adenosine | back 1 Conversion of PSVT to sinus rhythm. ADULT: 6 mg rapid IVP: if no response after 1 - 2 minutes second dose of 12 mg rapid IVP. Max dose of 18 mgs. PEDS: 0.1mg/kg: if no response after 1 - 2 minutes second dose of 0.2 mg/kg rapid IVP. Max dose of 12 mgs. |
front 2 Amiodarone (Cordarone) | back 2
Pulseless Vtach
Vtach with a pulse |
front 3 Aspirin (ASA) | back 3 Chest Pain suggestive of ACS 162 mg - 324 mg PO (chewed not swallowed) |
front 4 Atropine sulfate | back 4
Bradydysrhythmias |
front 5 Calcium chloride/Calcium Gluconate | back 5
ADULT: 500 - 1000 mg of 10% solution slowly IV over 5 minutes; may repeat in 10 minutes. Max dose 1 gram PEDS: 20mg/kg dose of 10% solution slow IV/IO; may repeat in 10 minutes. Max dose 1 gram |
front 6 Diltiazem (Cardizem) | back 6
ADULT: Initial Bolus 0.25mg/kg (average dose 20 mg) IV over two minutes. If response is inadequate may re-bolus after 15 minutes at 0.35 mg/kg over two minutes. PEDS: not recommended |
front 7 Dopamine (Intropin) | back 7
ADULTS: 2 - 20 mcg/kg/min PEDS: 2 - 20 mcg/kg/min *rates determined by physician OLMC |
front 8 Epinephrine | back 8
ADULT: Cardiac: 1 mg IV push (1:10,000) every 3-5 minutes. Anaphylaxis: 0.3 - 0.5 mg (3-5mL 1:10,000) IV. Respiratory & Allergic Reactions: 0.3 - 0.5 mg (0.3 - 0.5mL 1:1000) IM |
front 9 Fentanyl citrate (Sublimaze) | back 9
ADULT: 1mcg/kg to max 150 mcg slow IVP PEDS: Not tested for <2 yo follow your protocols. |
front 10 Furosemide (Lasix) | back 10
ADULTS: 0.5 - 1.0 mg/kg slow IVP PEDS: 1 mg/kg/dose IV, IO. *Medical Control Option |
front 11 Lidocaine (Xylocaine) | back 11 Suppression of ventricular dysthythmias (Vtach, VFib, PVC runs). Prophylaxis against recurrence after conversion from Vtach/Vfib. ADULTS: Cardiac arrest Vtach/Vfib: 1 - 1.5 mg/kg IV push; repeat dose 0.75 mg/kg to max dose of 3mg/kg. After conversion to NSR begin maintenance infusion at 2-4mg/min. VTach w/pulse: 1 - 1.5 mg/kg IV push; then 0.5 -0.75 mg/kg q 3 -5 minutes to max dose of 3 mg/kg, begin maintenance infusion at 2 - 4 mg/min ASAP. |
front 12 Magnesium sulfate | back 12
ADULT: Bronchospasm: 2 - 4 grams IV in 100 mL of NS over 5 minutes. Seizure activity with associated pregnancy: 1 - 4 grams IV over 10 minutes Torsades or refractory VF/VT: 1 - 2 grams IV over 1 - 2 minutes. PEDS: Asthma/Bronchitis severe: 25 - 50 mg/kg over 10 minutes IV (usually mixed in 50 -100 mL of NS. |
front 13 Metoprolol (Lopressor/Toprol XL) | back 13
ADULT: 5 mg over 1 - 2 minutes slow IVP, may repeat every 3 - 5 minutes to a max of 15 mg. *Medical Control Option PEDS: Not recommended |
front 14 Morphine sulfate | back 14
ADULTS: 0.1 mg/kg to max dose of 10 mg IV/IM/SC PEDS: 0.1 - 0.2 mg/kg/dose IV/IO/IM/SC every 5 minutes titrated to max dose of 5 mg |
front 15 Nitroglycerin (Nitrolingual/NitroQuick/Nitro-Dur) | back 15
ADULTS: Tablets - 0.4 mg SL; may repeat in 3 - 5 minutes to max of 3 doses. NTG Spray - 0.4 mg on or under the tongue; 1 -2 sprays, may repeat in 3 - 5 minutes. PEDS: Not recommended |
front 16 Norepinephrine | back 16
ADULTS: 0.1 - 0.5 mcg/kg/min titrating to a BP of 90 systolic. PEDS 0.1 - 0.2 mcg/kg/min titrating to achieve desired change in BP and systemic perfusion. |
front 17 Oxygen | back 17 Confirmed or expected hypoxemia. Ischemic chest pain. Respiratory insufficiency. Prophylactically during air transport. Confirmed or suspected carbon monoxide poisoning. All other causes of decreased tissue oxygenation. Decreased level of consciousness. ADULT: Cardiac arrest & Carbon Monoxide poisoning: 100% Hypoxemia: 10 - 15 L/min via NRB COPD: 0 - 2 L/min via NC PEDS: same as adult EXCEPT for preemies ** Be prepared to provide ventilatory support if higher concentrations are needed with COPD patients |
front 18 Sodium Bicarbonate | back 18
ADULTS: 1 mEq/kg IV; may repeat with 0.5 mEq/kg every 10 minutes. PEDS: same as adults. |