NMDRUG2

LORAZEPAM (Ativan) dose adt

2-4 mg slow IV at 2 mg / M or IM; may repeat in 15-20 M to max of 8 mg. sedation: 0.05 mg/kg up to 4 mg IM.

MAGNESIUM SULFATE dose adt

Seizures of eclampsia: 2-4 gm IV over 5 M. Torsades de Pointes, Refractory VF/VT: 2-4 grams IV over 5 M. Known hypomagnesemia 2-4 grams IV over 5 M. For Bronchospasm: 2-4 gm IV in 100ml of NS over 20 M

MANNITOL 20% dose adt

0.50g - 2 g / kg IV infusion over 15-30 M; may repeat after 5 M if no effect.

MEPERIDINE (Demerol) dose adt

50-100 mg IM, SC or 25 - 50 mg slowly IV.

METOPROLOL (Lopressor) dose adt

5 mg over 1- 2 M slow IVP (Medical Control Option) May repeat every 5 M to a maximum of 15mg

MIDAZOLAM (Versed) dose adt

2-6 mg slow IV/IO/IM (may be repeated to total maximum: 0.1 mg/kg), 10mg IN,0.5 – 2 mg IV/IO/IM/IN max 0.1 mg/kg,0.05 mg/kg IV/IO max 5mg. Repeat in 5-10 at half original dose x 2. Max 10mg

MORPHINE SULFATE dose adt

0.1 mg/kg to a maximum of 10 mg IV/IM/SC

NALOXONE (Narcan) dose adt

0.4 - 2.0 mg IV, IM, SC, Nasal via atomizer); min. recommended = 2.0 mg repeat at 5 M intervals to 10 mg maximum dose. (Medical Control may request higher amounts). Infusion: 2 mg in 500 ml of D5W (4 mcg/ml), infuse at 0.4 mg / hr. (100 ml/H).

NITROGLYCERIN dose adt

Tablets: 0.4 mg SL; may repeat in 3-5 M to maximum of 3 doses. NTG spray: 0.4 mg under the tongue; for APE with HTN 1-2 sprays, may repeat in 3-5 M IV infusion with no prior NTG and SBP >160: 400 mcg bolus then infusion at 100 mcg/min; titrate infusion by 25 mcg/min q 3-5 min to dyspnea resolution IV infusion with prior NTG and SBP >160: 100 mcg/min infusion; titrate infusion by 25 mcg/min q 3-5 min to dyspnea resolution

NITROPASTE dose adt

For CHF/PE; HTN Paste: Apply 1 inch, cover with plastic wrap and secure with tape.

NOREPINEPHRINE (Levophed) dose adt

0.1-0.5 mcg/kg/min titrating to a BP of 90 systolic.

ONDANSETRON (Zofran) dose adt

4-8 mg IV or PO

OXYGEN dose adt

Cardiac arrest and Carbon Monoxide poisoning: 100%. Hypoxemia: 10-15 L/ min. vía non-rebreather. COPD: 0-2 L/ min. via nasal cannula or 28-35% venturi mask. Be prepared to provide ventilatory support if higher concentrations of oxygen needed.

PANCURONIUM (Pavulon) dose adt

0.04-0.1 mg/kg slow IV; repeat q 30-60 min prn

PRALIDOXIME CHLORIDE (2-PAM, Protopam) dose adt

Initial dose of 1-2 grams as an IV infusion with 100 ml saline over 15-30 M

PROCAINAMIDE (Pronestyl) dose adt

20-30 mg/min; maximum total dose is 17 mg/kg.

PROMETHAZINE (Phenergan) dose adt

12.5-25mg (undiluted) deep IM injection,IV: 6.25-25 mg slow IV (dilute in 9 mL of NaCl and give 25 mg or less over 10-15 min)

RACEMIC EPINEPHRINE dose adt

11.25 mg (0.5 ml) Dilute 0.5 ml solution for inhalation with 2.5 ml normal saline in nebulizer

ROCURONIUM (Zemuron) dose adt

0.6-1.2 mg/kg IV

SODIUM BICARBONATE 8.4% dose adt

1 mEq / kg IV; may repeat with 0.5 mEq / kg every 10 M.