Adenosine (Adenocard):

Stable PSVT:

6mg/12mg/12mg Rapid IVP

Amiodarone (Cordarone):

Pulseless VT/VF:

300mg/150mg IVP

 

Stable VT:

150mg/100cc D5W over 10min

Atropine Sulfate:

Bradycardia:

0.5 mg IVP q 3-5min max dose 3mg

 

Asystole/PEA <60:

1mg IVP

 

Organophosphate:

2-4mg or higher may be required

Calcium Chloride (20%):

Hypo Ca/Hyper K:

500mg to 1000mg (5-10mL of 20% solution)

Afib/Aflutter/PSVT:

0.25mg/kg over 2min, 0.35mg/kg over 2min

Dobutamine (Dobutrex):

Hypotension: (BP 70-100 w/o signs of shock)

2-20mcg/kg/min

Dopamine:

Hypotension: (BP 70-100 with signs of shock)

2-20mcg/kg/min

Epinephrine (Adrenaline HCL):

Cardiac Arrest:

1mg (1:10,000) q 3-5min no max

 

1mg (1mL/1:1,000) in 500cc D5W titrated to effect (2-10 mcg/min)

 

(1:10,000) Higher doses up to 0.2mg/kg may be required

Flumazenil:

Benzodiaz. OD:

0.2mg IV over 15sec/ 0.3mg IV over 30 sec./ 0.5mg IV over 30 sec, max 3mg

Furosemide (Lasix):

Pulm. Edema or HTN Emergencies:

0.5-1.0mg/kg over 1-2min, 2mg/kg over 1-2min

Glucagon (Gluca-Gen):

Hypoglycemia:

 

Beta-Blocker or Ca-Blocker OD:

1.0mg IM

 

3.0mg initally, repeat 3.0mg/hr as necessary

Isoproterenol (Isuprel):

Bradycardia:

 

Beta-Blocker OD:

 

Torsades (TdP):

2-10mcg/min IV

 

Titrate to adequate heart rate

 

Titrate to increase heart rate until VT is supressed

Lidocaine HCl (Xylocaine):

Pulseless VT/VF:

 

Stable VT or Ventricular Ectopy:

1.0-1.5mg/kg IV/IO, 0.5-0.75mg/kg, max 3mg/kg

 

0.5-0.75mg/kg IV/IO, may double dose to 1.0-1.5mg/kg, repeat up to 3mg/kg

Magnesium Sulfate:

Cardiac Arrest, to include (TdP):

 

Torsades (TdP) with a pulse or life-threatening arrhythmias due to Digitalis toxicity:

 

Eclampsia:

1-2g IV/IO in 10cc D5W over 5-20 min

 

1-2g IV/IO in 100cc D5W over 5-60 min

 

 

2-4g

Morphine Sulfate:

 

2-4mg IV over 1-5min q 3-5 min/may increase to 2-8mg IV q 5-15min

Naloxone HCl (Narcan):

0.4-2.0mg IV/IO titrated to respiratory improvement

Nitroglycerin (Nitro-Bid):

Chest Pain, HTN Crisis:

CHF 0.3-0.4mg SL q 5min or 1 spray(0.4mg) q 5min, max 3 tabs or 3 sprays in 15 min

Sodium Nitroprusside (Nipride):

HTN Crisis: Note: Drug is light-sensitive, and IV bag and tubing must be covered in opaque material.

50-100mg in 250cc D5W, begin at 0.1 mcg/kg/min IV, titrate to effect

Norepinephrine (Levophed):

Cardiogen. Shock:

4mg Norepinephrine in 250cc D5W, administer 0.5-1.0mcg/min IV titrate to effect with BP <70

Procainamide (Pronestyl):

Refractory VT/VF:

AFib/PSVT or Stable VT:

20mg/min IV, max dose 17mg/kg

Sodium Bicarbonate:

Hyperkalemia, Metab. Acidosis, TCA/Cocaine OD,

1mEq/kg IV bolus

Vasopressin (Pitressin):

Cardiac Arrest:

40U IV/IO one time dose to replace first or second epinephrine

Verapamil:

 

2.5-5.0mg IV bolus over 2min/5.0-10.0mg every 15-30 min, max 20mg

Etomidate (Amidate):

Sedative

0.2-0.6mg/kg IVP

Fentanyl:

Sedative

2-10mcg/kg IVP

Ketamine:

Sedative

Sedative

0.07-0.3 mg/kg IVP

Sedative

2.0-2.5mg/kg IVP

Thiopental:

Sedative

3.0-5.0mg/kg IVP

Succinylcholine (Anectine):

NMBA

1-2mg/kg IV, 2-4 mg/kg IM

Vecuronium (Norcuron):

NMBA

Rocuronium (Zemuron):

NMBA

0.6-1.2mg/kg IV