County
Mecklenburg EMS Agency
An undated version is under review. The figures below are from the current listed document.
Drugs and doses29
A–C Acetaminophen, Adenosine, Albuterol, Albuterol-Ipratropium, Aspirin, Atropine, Calcium Gluconate, Cefazolin8
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 650–975 mg | PO | not captured | standing | page 432 |
| Other | peds | 15 mg/kg | PO | not captured | standing | page 432 |
| Mild to moderate pain | adult | 650–975 mg | PO | not captured | standing | page 432 |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | page 432 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV | not captured | standing | page 433 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 433 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 5 mg | NEB | not captured | standing | page 434 |
| Asthma / bronchospasm | peds | 2.5–5 mg | NEB | not captured | standing | page 434 |
| Hyperkalemia | adult | 10 mg | NEB | not captured | standing | page 305 |
| Hyperkalemia | peds | 5 mg | NEB | not captured | standing | page 305 |
Albuterol-Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 6 mL | NEB | not captured | standing | page 435 |
| Asthma / bronchospasm | peds | 3–6 mL | NEB | not captured | standing | page 435 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 436 |
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 436 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.5–1 mg | IV | not captured | standing | page 437 |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | page 437 |
| Nerve agent exposure | adult | 2–6 mg | IV | not captured | standing | page 437 |
| Nerve agent exposure | peds | 0.02 mg/kg | IV | not captured | standing | page 437 |
| Organophosphate poisoning | adult | 2–6 mg | IV | not captured | standing | page 437 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV | not captured | standing | page 437 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 2 g | IV | not captured | standing | page 438 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 438 |
| Hyperkalemia | adult | 2 g | IV | not captured | standing | page 438 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 438 |
| Other | adult | 2 g | IV | not captured | standing | page 438 |
| Other | adult | 2 g | IV | not captured | standing | page 438 |
| Other | adult | 2 g | IV | not captured | standing | page 438 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 438 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 438 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 438 |
Cefazolin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2–3 g | IV | not captured | standing | pages 169, 236, 272, 332, 344, 355 |
D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Fentanyl7
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | IV/IM/PO | not captured | standing | pages 161, 178, 440 |
| Other | peds | 0.6 mg/kg | IV/IM/PO | not captured | standing | pages 161, 178, 440 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 100 mL | IV/IO | not captured | standing | pages 158, 225, 447 |
| Hypoglycemia | peds | 2 mL/kg | IV/IO | not captured | standing | pages 158, 225, 447 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 15 mg | IV | not captured | standing | pages 249, 441 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Dystonic reaction | adult | 25–50 mg | IV/IM | not captured | standing | pages 290, 442 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | pages 290, 442 |
| Other | adult | 25–50 mg | PO | not captured | standing | pages 161, 442 |
| Other | adult | 25–50 mg | IV/IO/IM | not captured | standing | pages 161, 442 |
| Other | peds | 1 mg/kg | PO | not captured | standing | pages 161, 442 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 161, 442 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 0.625–1.25 mg | IV/IM | not captured | standing | pages 158, 272, 302, 443 |
| Nausea / vomiting | peds | 0.01 mg/kg | IV/IM | not captured | standing | pages 158, 272, 302, 443 |
| Other | adult | 2.5–5 mg | IM | not captured | standing | pages 153, 290, 443 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3–0.5 mg | IM | not captured | standing | pages 161, 444 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 161, 444 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | pages 176, 444 |
| Asthma / bronchospasm | peds | 0.15 mg | IM | not captured | standing | pages 176, 444 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 211, 250, 444 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 203, 205, 206, 207, 444 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 203, 205, 206, 207, 444 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.5–1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 138, 147, 158, 164, 166, 167, 169, 172, 179, 184, 189, 194, 195, 217, 236, 241, 242, 246, 248, 249, 252, 300, 326, 332, 337, 342, 344, 345, 354, 355, 357, 445 |
| Mild to moderate pain | peds | 0.5–1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 138, 147, 158, 164, 166, 167, 169, 172, 179, 184, 189, 194, 195, 217, 236, 241, 242, 246, 248, 249, 252, 300, 326, 332, 337, 342, 344, 345, 354, 355, 357, 445 |
G–L Glucagon, Hydrocortisone, Ibuprofen, Labetalol, Lidocaine5
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 2 mg | IV | not captured | standing | page 277 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 2 mg | IV | not captured | standing | page 277 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.05 mg/kg | IV | not captured | standing | page 277 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.05 mg/kg | IV | not captured | standing | page 277 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | pages 158, 225, 446 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | pages 158, 225, 446 |
Hydrocortisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 100 mg | IV/IO/IM | not captured | standing | page 309 |
| Adrenal crisis | peds | 25 mg | IV/IO/IM | not captured | standing | page 309 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 400–800 mg | PO | not captured | standing | page 301 |
| Fever | peds | 10 mg/kg | PO | not captured | standing | page 301 |
| Mild to moderate pain | adult | 400–800 mg | PO | not captured | standing | pages 139, 448 |
| Mild to moderate pain | peds | 10 mg/kg | PO | not captured | standing | pages 139, 448 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 20 mg | IV | not captured | standing | pages 283, 449 |
| Eclampsia / pre-eclampsia | adult | 20 mg | IV | not captured | standing | pages 283, 449 |
| Other | adult | 20 mg | IV | not captured | standing | pages 306, 449 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 0.75–1.5 mg/kg | IV/IO | not captured | standing | pages 242, 450 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | pages 242, 450 |
| Other | adult | 0.75–1.5 mg/kg | IV | not captured | standing | pages 242, 450 |
| Other | adult | 20–40 mg | IO | not captured | standing | pages 400, 450 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | pages 400, 450 |
| Other | peds | 1 mg/kg | IV | not captured | standing | pages 242, 450 |
M–O Magnesium Sulfate, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oxytocin7
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 1–2 g | IV | not captured | standing | pages 176, 451 |
| Asthma / bronchospasm | peds | 25–50 mg/kg | IV | not captured | standing | pages 176, 451 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV | not captured | standing | pages 283, 451 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV | not captured | standing | pages 283, 451 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 203, 204, 451 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | pages 203, 204, 451 |
| Wide-complex tachycardia | adult | 2 g | IV/IO | not captured | standing | pages 203, 451 |
| Wide-complex tachycardia | peds | 50 mg/kg | IV/IO | not captured | standing | pages 203, 451 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | pages 203, 451 |
| VF / pulseless VT | peds | 50 mg/kg | IV/IO | not captured | standing | pages 203, 451 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 10 mg | IN | not captured | standing | page 290 |
| Agitation | adult | 2.5–5 mg | IV/IM | not captured | standing | page 290 |
| Agitation | peds | 0.1–0.2 mg/kg | IV/IM | not captured | standing | page 290 |
| Agitation | peds | 0.1–0.2 mg/kg | IN | not captured | standing | page 290 |
| Eclampsia / pre-eclampsia | adult | 10 mg | IM/IN | not captured | standing | page 283 |
| Procedural sedation | adult | 2–2.5 mg | IV/IO/IM/IN | not captured | standing | page 15 |
| Seizure | adult | 10 mg | IM/IN | not captured | standing | pages 221, 452 |
| Seizure | peds | 0.2 mg/kg | IM/IN | not captured | standing | pages 221, 452 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IN | not captured | standing | page 453 |
| Opioid overdose | adult | 0.4–2 mg | IV/IO | not captured | standing | page 453 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 241, 242, 454 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 177, 454 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 454 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiogenic shock | adult | 2–10 mcg | IV/IO | not captured | standing | pages 307, 456 |
| Hypotension / shock | adult | 2–10 mcg | IV/IO | not captured | standing | pages 142, 456 |
| Hypotension / shock | adult | 2–10 mcg | IV/IO | not captured | standing | pages 307, 456 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4–8 mg | IV/IM/PO | not captured | standing | pages 158, 457 |
| Nausea / vomiting | adult | 4–8 mg | IV/IM/PO | not captured | standing | pages 158, 457 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IM/PO | not captured | standing | pages 158, 457 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IM/PO | not captured | standing | pages 158, 457 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10 unit | IM | not captured | standing | pages 280, 459 |
S–Z Sodium Bicarbonate, Sodium Thiosulfate2
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | pages 205, 207, 253, 460 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 205, 207, 253, 460 |
| Other | adult | 50 mEq | IV/IO | not captured | standing | pages 203, 205, 206, 460 |
| Other | adult | 50 mEq | IV/IO | not captured | standing | pages 341, 342, 460 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 203, 205, 206, 460 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 341, 342, 460 |
| Tricyclic overdose | adult | 50–100 mEq | IV/IO | not captured | standing | pages 205, 277, 460 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 205, 277, 460 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 12.5 g | IV | not captured | standing | pages 148, 189, 193, 461 |
| Cyanide poisoning | peds | 250 mg/kg | IV | not captured | standing | pages 148, 189, 193, 461 |
Cite this
Mecklenburg EMS Agency, United States EMS Protocol Census. 116 dose entries, effective 2026-06-15.
https://protoquiz.com/census/agencies/mecklenburg-ems-agency/
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