Acetaminophen (adult dose)
1,000 mg IV over 15 min
(1,000 mg / 100 ml)
Adenosine (adult dose)
6mg rapid IV/IO followed by 20ml NS rapid IV/IO
If no conversion, 12 mg rapid IV/IO followed by 20 ml NS rapid IV/IO, MR x 1
(6mg/2mL)
Albuterol/Levalbuterol (adult dose)
For respiratory distress (non-cardiac, anaphylaxis, and burns), 6mL via nebulizer, MR
For suspected hyperkalemia and specific crush injuries, continuous albuterol/levalbuterol 6mL via nebulizer
A - 2.5mg/3mL
L - 1.25mg/3mL
L - 0.31mg/3mL
Amiodarone (adult dose)
For stable VT, 150mg in 100mL of NS over 10 min IV/IO, MR x 1 in 10 min.
For persistent VF/pulseless VT after 3 defibrillation attempts, 300mg IV/IO, MR 150mg q3-5 min (max 450mg)
For reported/witness AICD firing >/= 2, 150mg in 100mL of NS over 10 min IV/IO, MR x 1 in 10 min
(150mg/3mL)
Aspirin (adult dose)
324 mg chewable PO
(80mg tabs)
Atropine (adult dose)
For unstable bradycardia, 1mg IV/IO MR q3-5 min to max 3mg
For symptomatic organophosphate poisoning, 2mg IV/IO. For continued s/sx of SLUDGE/BBB, double prior Atropine dose IV/IO q3-5min
(1mg/10mL)
(8mg/20mL)
Diphenhydramine (adult dose)
50mg IV/IM
(50mg/1mL)
Epinephrine (1:1,000) (adult dose)
0.5mg IM, MR x2 q5 min
(1mg/1mL)
Epinephrine (1:10,000) (adult dose)
For cardiac arrest, 1mg IV/IO q3-5 min
For VF and pulseless VT, 1mg IV/IO q 3-5min, begin after second defibrillation
For cardiac arrest with hypothermia, 1mg IV/IO x 1
(1mg/10mL)
Epinephrine (1:100,000) (adult dose)
Push-dose Epi 1 ml IV/IO, MR q3 min, titrate to SBP >= 90mmHg
(0.01mg/ml)
Fentanyl (adult dose)
IV: up to 100mcg IV, MR up to 50 mcg IV q5 min x 2, max total dose 200 mcg IV
IN: up to 50mcg IN q15 min x2. 3rd dose up to 50 mcg IN
(100mcg/2mL)
Ipratropium Bromide (Atrovent)
(adult dose)
2.5mL 0.02% via nebulizer added to first dose of albuterol/levalbuterol
(0.5mg/2.5mL)
Ketamine (adult dose)
IV: 0.3 mg/kg in 100mL of NS over 10 min IV. Max for any IV dose is 30 mg MR x1 in 15 min if pain remains moderate or severe
IN: 0.5 mg/kg. Max for any IN dose is 50 mg (50mg/mL concentration). MR x1 in 15 min if pain remains moderate or severe.
(500mg/10mL)
Lidocaine (adult dose)
For stable VT, persistent VF/pulseless VT after 3 defibrillation attempts, and reported/witnessed AIC firing >= 2, 1.5mg/kg IV/IO, MR at 0.5 mg/kg IV/IO q5 min to max 3mg/kg
For IO procedure in conscious adult patients, slowly infuse Lidocaine 40mg IO prior to fluid/medication administration
(100mg/5mL)
Midazolam (adult dose) (Seizure)
Pts >= 40kg: 10 mg IM
Pts < 40kg: 0.2mg/kg IM
If vascular access present, 0.2mg/kg IV/IO to max dose of 5mg, MR x 1 in 10 min, max 10mg total, d/c if seizure stops
Midazolam (Eclampsia)
IN/IM/IV/IO to a max dose of 5mg (d/c if seizure stops), MR x 1 in 10 min, max 10 mg total
(5mg/1mL)
Midazolam (adult dose) (sedation pre-cardioversion/pre-pacing)
1-5mg IV/IO
Midazolam (unable to tolerate CPAP)
0.5-1mg IM/IN/IV
Midazolam (intubated with agitation)
2-5mg IM/IN/IV/IO, MR x 1 in 5-10 min
Midazolam (behavioral)
5mg IM/IN/IV, MR x 1 in 5-10 min
Morphine (adult dose)
IV: up to 0.1mg/kg IV. MR in 5 min at half initial IV dose. MR in additional 5 min at half initial IV dose
IM: Up to 0.1mg/kg IM. MR in 15 min at half initial IM dose. MR in additional 15 min at half initial IM dose.
(10mg/1mL)
Naloxone (adult dose)
2mg IN/IM/IV MR -or- 4 mg via nasal spray preloaded single-dose devise
If pt refuses transport , give additional 2mg IM -or- 4 mg via nasal spray preloaded sing-dose device. Administer full dose in one nostril, MR
(2mg/2mL) (4mg preloaded IN)
Ondansetron (Zofran) (adult dose)
4 mg IV/IM/ODT, MR x1 in 10 min
(inj - 4mg/2mL) (tab 4mg)
