County
Clark County EMS System
Drugs and doses35
A–C Acetaminophen, Adenosine, Albuterol, Albuterol-Ipratropium, Amiodarone, Aspirin, Atropine, Calcium Chloride8
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1000 mg | IV/IO/PO | not captured | standing | page 47 |
| Mild to moderate pain | adult | 1 g | IV/IO | not captured | standing | pages 47, 101 |
| Mild to moderate pain | adult | 325 mg | PO | not captured | standing | pages 47, 101 |
| Mild to moderate pain | adult | 325 mg | PO | not captured | standing | pages 47, 101, 102 |
| Mild to moderate pain | peds | 15 mg/kg | IV/IO | not captured | standing | pages 47, 101 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 6 mg | IV/IO | not captured | standing | page 65 |
| Narrow-complex tachycardia | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 65 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 2.5 mg | NEB | not captured | standing | pages 17, 78, 161 |
| Allergic reaction | peds | 2.5 mg | NEB | not captured | standing | pages 17, 78, 161 |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | pages 37, 161 |
| Other | adult | 2.5 mg | NEB | not captured | standing | pages 51, 161 |
| Other | peds | 2.5 mg | NEB | not captured | standing | pages 107, 161 |
| Other | peds | 5–10 mg | NEB | not captured | standing | pages 107, 161 |
Albuterol-Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | adult | 3 mL | NEB | not captured | standing | pages 51, 169 |
| Respiratory distress | peds | 3 mL | NEB | not captured | standing | pages 51, 169 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 65, 67, 115, 117 |
| Narrow-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 65, 67, 115, 117 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 27, 89 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 27, 89 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 29, 160 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 23, 85 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 23, 85 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 85 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 45, 99 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 45, 99 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | pages 45, 99, 162 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | pages 45, 99, 162 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 37, 162 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 37, 162 |
D–F Dextrose, Diazepam, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl7
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | pages 19, 55, 80, 109, 111 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | pages 19, 55, 80, 109, 111 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Post-intubation sedation | peds | 0.5 mg/kg | PR | not captured | standing | page 119 |
| Procedural sedation | adult | 5 mg | IV/IO | not captured | standing | page 142 |
| Procedural sedation | adult | 5 mg | IV/IO | not captured | standing | page 143 |
| RSI induction | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 119 |
| Seizure | adult | 5 mg | IV/IO/IM/PR | not captured | standing | pages 55, 109 |
| Seizure | adult | 5 mg | IV/IO/IM | not captured | standing | page 55 |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM/PR | not captured | standing | pages 55, 109 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM/PO | not captured | standing | pages 17, 78, 163 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM/PO | not captured | standing | pages 17, 78, 163 |
| Dystonic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | pages 22, 83, 163 |
| Dystonic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 22, 83, 163 |
| Other | adult | 50 mg | IV/IO/IM | not captured | standing | pages 45, 163 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.5–5 mg | IV/IO | not captured | standing | pages 21, 164 |
| Agitation | adult | 5–10 mg | IM | not captured | standing | pages 21, 164 |
| Agitation | adult | 5 mg | IM | not captured | standing | pages 21, 164 |
| Nausea / vomiting | adult | 1.25 mg | IV/IO/IM | not captured | standing | pages 15, 47, 164 |
| Other | peds | 0.2 mg/kg | IV/IM | not captured | standing | pages 82, 164 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 0.5 mg | IM | not captured | standing | pages 17, 78, 164 |
| Allergic reaction | peds | 0.01 mg/kg | IM | not captured | standing | pages 17, 78, 164 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 27, 89, 165 |
| Cardiac arrest | adult | 2–2.5 mg | ET | not captured | standing | pages 27, 89, 165 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 27, 89, 165 |
| Hypotension / shock | adult | 10 mcg | IV/IO | not captured | standing | pages 57, 59, 111, 165 |
| Hypotension / shock | peds | 0.1 mcg/kg | IV/IO | not captured | standing | pages 57, 59, 111, 165 |
| Stridor | peds | 3–5 mg | NEB | not captured | standing | pages 105, 164 |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.15 mg/kg | IV/IO | not captured | standing | pages 65, 67, 115, 117 |
| Other | peds | 0.15 mg/kg | IV/IO | not captured | standing | pages 65, 67, 115, 117 |
| Procedural sedation | adult | 0.15 mg/kg | IV/IO | not captured | standing | pages 65, 67, 115, 117, 142 |
| Procedural sedation | peds | 0.15 mg/kg | IV/IO | not captured | standing | pages 65, 67, 115, 117, 142 |
| RSI induction | adult | 0.3 mg/kg | IV/IO | not captured | standing | pages 69, 119 |
| RSI induction | peds | 0.3 mg/kg | IV/IO | not captured | standing | pages 69, 119 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 47, 101 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 47, 101 |
| Post-intubation sedation | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Post-intubation sedation | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Procedural sedation | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 142 |
| Procedural sedation | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 143 |
| RSI induction | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| RSI induction | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
G–L Glucagon, Hydromorphone, Hydroxocobalamin, Ipratropium, Ketamine, Levalbuterol, Lidocaine7
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO/IM | not captured | standing | pages 45, 99 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.5 mg | IV/IO/IM | not captured | standing | pages 45, 99 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | pages 19, 55, 80, 109, 111 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | pages 19, 55, 80, 109, 111 |
Hydromorphone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.01 mg/kg | IV/IO/IM | not captured | standing | page 47 |
| Procedural sedation | adult | 1 mg | IV/IO/IM | not captured | standing | page 142 |
| Procedural sedation | adult | 1 mg | IV/IO/IM | not captured | standing | page 143 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 45, 61, 62, 113, 114, 168 |
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 61, 62, 168 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 1 mg | NEB | not captured | standing | pages 107, 169 |
| Respiratory distress | adult | 0.5 mg | NEB | not captured | standing | pages 51, 107, 169 |
| Respiratory distress | peds | 0.5 mg | NEB | not captured | standing | pages 51, 107, 169 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 3–4 mg/kg | IM | not captured | standing | pages 21, 82 |
| Agitation | peds | 4 mg/kg | IM | not captured | standing | pages 21, 82 |
| Other | adult | 2 mg/kg | IV | not captured | standing | page 69 |
| Other | peds | 2 mg/kg | IV | not captured | standing | page 119 |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | pages 47, 101 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | pages 47, 101 |
| RSI induction | adult | 2 mg/kg | IV/IO | not captured | standing | pages 69, 119 |
| RSI induction | adult | 4 mg/kg | IM | not captured | standing | pages 69, 119 |
| RSI induction | peds | 2 mg/kg | IV/IO | not captured | standing | pages 69, 119 |
| RSI induction | peds | 4 mg/kg | IM | not captured | standing | pages 69, 119 |
Levalbuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 1.25 mg | NEB | not captured | standing | page 17 |
| Allergic reaction | peds | 1.25 mg | NEB | not captured | standing | page 17 |
| Hyperkalemia | adult | 1.25 mg | NEB | not captured | standing | page 37 |
| Hyperkalemia | peds | 1.25 mg | NEB | not captured | standing | page 37 |
| Other | peds | 1.25 mg | NEB | not captured | standing | page 107 |
| Other | peds | 2.5–5 mg | NEB | not captured | standing | page 107 |
| Respiratory distress | adult | 1.25 mg | NEB | not captured | standing | pages 51, 107 |
| Respiratory distress | peds | 1.25 mg | NEB | not captured | standing | pages 51, 107 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mg/kg | IV/IO | not captured | standing | pages 27, 89, 170 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | pages 27, 89, 170 |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | pages 27, 89, 170 |
| Other | adult | 40 mg | IO | not captured | standing | pages 158, 170 |
| Other | adult | 40 mg | IO | not captured | standing | pages 158, 170 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | pages 158, 170 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | pages 158, 170 |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | pages 27, 89, 170 |
M–O Magnesium Sulfate, Metoclopramide, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron, Oral Glucose, Oxymetazoline9
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 41, 171 |
| Eclampsia / pre-eclampsia | adult | 8 g | IM | not captured | standing | pages 41, 171 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 67, 171 |
| Other | adult | 5 g | IV/IO | not captured | standing | pages 41, 171 |
| Respiratory distress | adult | 2 g | IV/IO | not captured | standing | pages 51, 107, 171 |
| Respiratory distress | peds | 50 mg/kg | IV/IO | not captured | standing | pages 51, 107, 171 |
| Seizure | adult | 5 g | IV/IO | not captured | standing | pages 41, 171 |
| Narrow-complex tachycardia | adult | 2 g | IV/IO | not captured | standing | pages 65, 67, 115, 117, 171 |
| Narrow-complex tachycardia | peds | 25 mg/kg | IV/IO | not captured | standing | pages 65, 67, 115, 117, 171 |
Metoclopramide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 10 mg | IV/IM | not captured | standing | pages 15, 29, 47, 76, 101, 172 |
| Nausea / vomiting | peds | 5 mg | IV/IM | not captured | standing | pages 15, 29, 47, 76, 101, 172 |
| Other | adult | 10 mg | IV/IM | not captured | standing | pages 15, 172 |
| Other | adult | 10 mg | IV/IM | not captured | standing | pages 29, 172 |
| Other | adult | 10 mg | IV/IM | not captured | standing | pages 47, 172 |
| Other | peds | 5 mg | IV/IO/IM | not captured | standing | pages 76, 172 |
| Other | peds | 5 mg | IV/IO/IM | not captured | standing | pages 101, 172 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.5–10 mg | IM | not captured | standing | page 21 |
| Agitation | adult | 2.5–5 mg | IV/IO/IM/IN | not captured | standing | page 21 |
| Other | adult | 0.05 mg/kg | IV/IO/IM/IN | not captured | standing | pages 55, 109 |
| Other | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Other | peds | 0.05 mg/kg | IV/IO/IM/IN | not captured | standing | pages 55, 109 |
| Other | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Post-intubation sedation | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Post-intubation sedation | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Post-intubation sedation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Post-intubation sedation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Procedural sedation | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 143 |
| RSI induction | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| RSI induction | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 69, 119 |
| Seizure | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 55, 109 |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 55, 109 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 142 |
| Mild to moderate pain | adult | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 47, 101 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 47, 101 |
| Procedural sedation | adult | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 142 |
| Procedural sedation | adult | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 143 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4 mg | IV/IO/IM | not captured | standing | pages 45, 99, 173 |
| Opioid overdose | adult | 0.4 mg | IV/IO/IM/IN | not captured | standing | pages 20, 45, 173 |
| Opioid overdose | adult | 2–4 mg | IN | not captured | standing | pages 45, 99, 173 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 45, 99, 173 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 81, 99, 173 |
| Opioid overdose | peds | 2–4 mg | IN | not captured | standing | pages 45, 99, 173 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 29, 174 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 49, 174 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO/IM/ODT | not captured | standing | pages 15, 17, 29, 47, 76, 101, 174 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IO/IM/ODT | not captured | standing | pages 15, 17, 29, 47, 76, 101, 174 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | pages 19, 80, 111 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | pages 19, 80, 111 |
Oxymetazoline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–2 spray | IN | not captured | standing | pages 69, 145, 174 |
| Other | adult | 2 spray | IN | not captured | standing | pages 33, 93, 174 |
| Other | adult | 2 spray | IN | not captured | standing | pages 33, 93, 174 |
| Other | peds | 2 spray | IN | not captured | standing | pages 33, 93, 174 |
| Other | peds | 2 spray | IN | not captured | standing | pages 33, 93, 174 |
| RSI induction | adult | 2 spray | IN | not captured | standing | pages 145, 174 |
| RSI induction | peds | 2 spray | IN | not captured | standing | pages 145, 174 |
P–R Phenylephrine, Prochlorperazine2
Phenylephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 100–200 mcg | IV/IO | not captured | standing | pages 59, 175 |
| Other | adult | 1–2 spray | IN | not captured | standing | pages 69, 145, 175 |
| Other | adult | 2 spray | IN | not captured | standing | pages 33, 93, 175 |
| Other | adult | 2 spray | IN | not captured | standing | pages 33, 93, 175 |
| Other | peds | 2 spray | IN | not captured | standing | pages 33, 93, 175 |
| Other | peds | 2 spray | IN | not captured | standing | pages 33, 93, 175 |
| RSI induction | adult | 2–3 drop | IN | not captured | standing | pages 145, 175 |
| RSI induction | peds | 1–2 spray | IN | not captured | standing | pages 145, 175 |
| Sepsis | adult | 100 mcg | IV/IO | not captured | standing | pages 57, 175 |
| Sepsis | adult | 100–200 mcg | IV/IO | not captured | standing | pages 57, 175 |
Prochlorperazine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 10 mg | IV/IO/IM | not captured | standing | pages 15, 29, 47, 175, 176 |
S–Z Sodium Bicarbonate, Tranexamic Acid2
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | pages 37, 99, 176 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 37, 99, 176 |
| Other | adult | 50 mEq | IV/IO | not captured | standing | pages 37, 176 |
| Tricyclic overdose | adult | 50 mEq | IV/IO | not captured | standing | pages 45, 99, 176 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 45, 99, 176 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 39, 176 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 148, 176 |
Cite this
Clark County EMS System, United States EMS Protocol Census. 181 dose entries, effective 2026-07-01.
https://protoquiz.com/census/agencies/clark-county-ems-system/
The census is free and not for sale. Only public agencies are named.