County

Nash County Emergency Medical Services

Name: Nash County Emergency Medical Services EMS protocol doses
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May be outdated118 dose entries39 drugs1 documentNCeffective 2022-01-01100% machine-parsed of 118

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Drugs and doses39

A–C Acetaminophen, Activated Charcoal, Adenosine, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate8

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	325–1000 mg	PO	not captured	standing	page 24
Fever	peds	15 mg/kg	PO	not captured	standing	page 24
Mild to moderate pain	adult	325–1000 mg	PO	not captured	standing	page 25
Mild to moderate pain	peds	15 mg/kg	PO	not captured	standing	page 25

Activated Charcoal

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 g/kg	PO	not captured	standing	page 152
Other	peds	1 g/kg	PO	not captured	standing	page 152

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	12 mg	IV/IO	not captured	standing	page 69
Narrow-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	page 69

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 69
Wide-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 71
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 75
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	page 75
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	page 131

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	324–650 mg	PO	not captured	standing	page 25

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 61
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 61
Nerve agent exposure	adult	2 mg	IM	not captured	standing	page 154
Nerve agent exposure	peds	0.5 mg	IM	not captured	standing	page 154

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV/IO	not captured	standing	page 152
Beta-blocker / calcium-channel-blocker overdose	peds	1 g	IV/IO	not captured	standing	page 152
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	page 91
Hyperkalemia	peds	1 g	IV/IO	not captured	standing	page 91

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	2 g	IV/IO	not captured	standing	page 152
Beta-blocker / calcium-channel-blocker overdose	peds	1 g	IV/IO	not captured	standing	page 152
Hyperkalemia	adult	2 g	IV/IO	not captured	standing	page 91
Hyperkalemia	peds	1 g	IV/IO	not captured	standing	page 91

D–F Dexamethasone, Dextrose, Diazepam, Diltiazem, Diphenhydramine, Dopamine, Enalapril, Epinephrine, Fentanyl9

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	10 mg	IV/IO/IM	not captured	standing	page 95
Adrenal crisis	peds	10 mg	IV/IO/IM	not captured	standing	page 95

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	12.5 g	IV/IO	not captured	standing	page 89
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	page 89

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IM/SQ	not captured	standing	page 164

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	0.25 mg/kg	IV/IO	not captured	standing	page 69

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	25–50 mg	PO	not captured	standing	page 87
Anaphylaxis	adult	25–50 mg	IV/IO/IM	not captured	standing	page 87
Anaphylaxis	peds	1 mg/kg	PO	not captured	standing	page 87
Anaphylaxis	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 87
Dystonic reaction	adult	50 mg	IV/IO/IM/PO	not captured	standing	page 38
Dystonic reaction	peds	1 mg/kg	IV/IO/IM/PO	not captured	standing	page 38

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	2–20 mcg/kg	IV/IO	not captured	standing	page 61
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 139
Hypotension / shock	peds	5–20 mcg/kg	IV/IO	not captured	standing	page 139

Enalapril

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	1.25 mg	IV/IO	not captured	standing	page 67

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	page 47
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 47
Bradycardia	adult	1–10 mcg	IV/IO	not captured	standing	page 61
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	page 61
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 59
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 59
Respiratory distress	peds	1 mg	NEB	not captured	standing	page 47

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	50–100 mcg	IV/IO/IM	not captured	standing	page 25
Severe pain	peds	1 mcg/kg	IV/IO/IM	not captured	standing	page 25
Post-intubation sedation	adult	50–75 mcg	IV/IO	not captured	standing	page 55
Post-intubation sedation	peds	1 mcg/kg	IV/IO	not captured	standing	page 55

G–L Glucagon, Haloperidol, Hydrocortisone, Hydromorphone, Ibuprofen, Ipratropium, Ketamine, Ketorolac, Lidocaine, Lorazepam10

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	2–4 mg	IV/IO/IM	not captured	standing	page 152
Beta-blocker / calcium-channel-blocker overdose	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 152
Hypoglycemia	peds	0.1 mg/kg	IM	not captured	standing	page 89

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IM/SQ	not captured	standing	page 164
Nausea / vomiting	adult	2 mg	IV/IM/SQ	not captured	standing	page 164

Hydrocortisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	100 mg	IV/IO/IM	not captured	standing	page 95
Adrenal crisis	peds	25 mg	IV/IO/IM	not captured	standing	page 95

Hydromorphone

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	0.5 mg	IV/IM/SQ	not captured	standing	page 164

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	400–600 mg	PO	not captured	standing	page 24
Fever	peds	10 mg/kg	PO	not captured	standing	page 24
Mild to moderate pain	adult	400–600 mg	PO	not captured	standing	page 25
Mild to moderate pain	peds	10 mg/kg	PO	not captured	standing	page 25

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	0.5 mg	NEB	not captured	standing	page 47
Respiratory distress	peds	0.5 mg	NEB	not captured	standing	page 47

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Post-intubation sedation	adult	1.5–2 mg/kg	IV/IO	not captured	standing	page 55

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	15 mg	IV/IO	not captured	standing	page 25
Severe pain	adult	30 mg	IM	not captured	standing	page 25
Sepsis	adult	15 mg	IV/IO/IM	not captured	standing	page 33

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	1 mg/kg	IV/IO	not captured	standing	page 71
VF / pulseless VT	adult	1 mg/kg	IV/IO	not captured	standing	page 75

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	0.5 mg	IV/IM/SQ	not captured	standing	page 164
Nausea / vomiting	adult	0.5 mg	IV/IM/SQ	not captured	standing	page 164

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Odansetron, Ondansetron9

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	2 g	IV/IO	not captured	standing	page 47
Respiratory distress	peds	40 mg/kg	IV/IO	not captured	standing	page 47
Wide-complex tachycardia	adult	2 g	IV/IO	not captured	standing	page 73
Wide-complex tachycardia	peds	2 g	IV/IO	not captured	standing	page 73

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	125 mg	IV/IO	not captured	standing	page 87
Anaphylaxis	peds	2 mg/kg	IV/IO	not captured	standing	page 87
Respiratory distress	adult	125 mg	IV/IO/IM	not captured	standing	page 47
Respiratory distress	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 47

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2.5 mg	IV/IO/IN	not captured	standing	page 40
Agitation	peds	0.1–0.2 mg/kg	IV/IO/IN	not captured	standing	page 40
Hyperactive delirium	adult	5 mg	IM	not captured	standing	page 41
Hyperactive delirium	peds	0.1–0.2 mg/kg	IM	not captured	standing	page 41
Procedural sedation	adult	2–2.5 mg	IV/IO/IM/IN	not captured	standing	page 15
Procedural sedation	adult	2.5 mg	IV/IO	not captured	standing	page 69
Procedural sedation	peds	0.1–0.2 mg/kg	IV/IO	not captured	standing	page 69
Seizure	adult	10 mg	IM	not captured	standing	page 29
Seizure	adult	2.5 mg	IV/IO	not captured	standing	page 29
Seizure	peds	0.2 mg/kg	IV/IO	not captured	standing	page 29
Seizure	peds	0.2 mg/kg	IM	not captured	standing	page 29

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	4 mg	IV/IO/IM	not captured	standing	page 25
Severe pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 25
Post-intubation sedation	adult	4 mg	IV/IO	not captured	standing	page 55
Post-intubation sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 55

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4–2 mg	IM/IN	not captured	standing	page 63
Opioid overdose	adult	0.4–2 mg	IV/IO/IM/IN/ET	not captured	standing	page 63
Opioid overdose	peds	0.1 mg/kg	IM/IN	not captured	standing	page 63
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	page 63

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 65
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 67

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	peds	0.1–1 mcg/kg	IV/IO	not captured	standing	page 139
Sepsis	adult	1–10 mcg	IV/IO	not captured	standing	page 33
Sepsis	peds	0.1–1 mcg/kg	IV/IO	not captured	standing	page 33

Odansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IO/IM/ODT	not captured	standing	page 13
Nausea / vomiting	peds	0.2 mg/kg	IV/IO/IM/ODT	not captured	standing	page 13

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IM	not captured	standing	page 164

P–R Pralidoxime, Promethazine2

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	600 mg	IV/IO/IM	not captured	standing	page 154
Nerve agent exposure	peds	15–25 mg/kg	IV/IO/IM	not captured	standing	page 154

Promethazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	12.5 mg	IV/IO/IM	not captured	standing	page 13
Nausea / vomiting	adult	25 mg	IV/IM	not captured	standing	page 164

S–Z Sodium Bicarbonate1

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	50 mEq	IV/IO	not captured	standing	page 91
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	page 91
Tricyclic overdose	adult	50 mEq	IV/IO	not captured	standing	page 152
Tricyclic overdose	peds	1 mEq/kg	IV/IO	not captured	standing	page 152

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Nash County Emergency Medical Services, United States EMS Protocol Census. 118 dose entries, effective 2022-01-01.

https://protoquiz.com/census/agencies/nash-county-emergency-medical-services/

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