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Northwest Region Emergency Medical Services & Trauma Care Council

May be outdated197 dose entries53 drugs1 documentWAeffective 2020-03-02100% machine-parsed of 197

The current listed document is more than 24 months old and may be outdated.

Drugs and doses53

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Bumetanide, Calcium Chloride, Clopidogrel Bisulfate10

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 1000 mg IV/PO/PR not captured standing page 68
Fever peds 15 mg/kg IV/PO/PR not captured standing page 68
Mild to moderate pain adult 15 mg/kg IV/PO not captured standing pages 38, 151
Mild to moderate pain peds 15 mg/kg IV/PO not captured standing pages 38, 151
Sepsis adult 1000 mg IV not captured standing page 17
Sepsis peds 15 mg/kg IV not captured standing page 17

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing page 152
Other adult 50 g PO not captured standing page 152
Other peds 1 g/kg PO not captured standing page 152
Other peds 1 g/kg PO not captured standing page 152

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 6 mg IV/IO not captured standing pages 21, 22, 56
SVT peds 0.1 mg/kg IV/IO not captured standing pages 21, 22, 56
Narrow-complex tachycardia adult 6 mg IV/IO not captured standing pages 21, 56
Narrow-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing pages 21, 56

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing pages 29, 63
Asthma / bronchospasm adult 2.5 mg NEB not captured standing page 63
Asthma / bronchospasm peds 2.5 mg NEB not captured standing pages 29, 63
Asthma / bronchospasm peds 2.5–10 mg NEB not captured standing page 63
Crush injury adult 5 mg NEB not captured standing pages 49, 66
Crush injury peds 5 mg NEB not captured standing pages 49, 66
Hyperkalemia adult 10 mg NEB not captured standing page 25

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 300 mg IV/IO not captured standing pages 23, 58
Other peds 5 mg/kg IV/IO not captured standing pages 23, 58
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing pages 21, 56
Wide-complex tachycardia adult 150 mg IV/IO not captured standing pages 22, 57
Wide-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 22, 57
VF / pulseless VT adult 300 mg IV/IO not captured standing pages 23, 58
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing pages 23, 58

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 325 mg PO not captured standing page 26
ACS / chest pain adult 325 mg PO not captured standing page 26

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5–1 mg IV not captured standing pages 20, 55
Bradycardia peds 0.02 mg/kg IV not captured standing pages 20, 55
Organophosphate poisoning adult 2 mg IV/IO not captured standing pages 55, 66
Organophosphate poisoning peds 0.08 mg/kg IV/IO not captured standing pages 55, 66
Other adult 2–5 drop IV not captured standing page 16
RSI induction peds 0.02 mg/kg IV/IO not captured standing page 53

Bumetanide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 0.5–2 mg IV/IO not captured standing page 156

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 10–20 mg/kg IV/IO not captured standing page 156
Beta-blocker / calcium-channel-blocker overdose peds 10 mg/kg IV/IO not captured standing page 156
Crush injury adult 10–20 mg/kg IV/IO not captured standing pages 49, 156
Crush injury peds 10 mg/kg IV/IO not captured standing pages 49, 156
Hyperkalemia adult 10–20 mg/kg IV/IO not captured standing page 156
Hyperkalemia adult 1000 mg IV not captured standing page 25
Hyperkalemia peds 10 mg/kg IV/IO not captured standing page 156

Clopidogrel Bisulfate

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 300 mg PO not captured standing page 157
D–F Dexamethasone, Dextrose, Diazepam, Diltiazem, Diphenhydramine, Epinephrine, Etomidate, Famotidine, Fentanyl, Furosemide10

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 61
Anaphylaxis peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 61
Asthma / bronchospasm adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 29
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 29
Croup adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 63
Croup peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 63

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 12.5–25 g IV/IO not captured standing pages 34, 158
Hypoglycemia peds 0.5 g/kg IV/IO not captured standing pages 34, 158

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2–5 mg IV/IO/IM/IN not captured standing pages 16, 26, 159
Agitation adult 2–5 mg IV/IO/IM not captured standing pages 39, 159
Agitation peds 0.1 mg/kg IV/IO/IM not captured standing pages 39, 159
Organophosphate poisoning peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 37, 159
Mild to moderate pain adult 2–5 mg IV/IO/IM/IN not captured standing pages 38, 159
Procedural sedation adult 2–5 mg IV/IO/IM/IN not captured standing pages 38, 159
Seizure adult 5 mg IV/IO/IM not captured standing page 159
Seizure peds 0.1 mg/kg IV/IO/IM not captured standing page 159

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 10–25 mg IV/IO not captured standing pages 21, 160
Atrial fibrillation with RVR adult 10–25 mg IV/IO not captured standing pages 21, 160

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg PO not captured standing page 33
Allergic reaction adult 25–50 mg IV/IM/PO not captured standing page 33
Allergic reaction peds 1 mg/kg IV/IM/PO not captured standing page 33
Allergic reaction peds 25–50 mg PO not captured standing page 33
Nausea / vomiting adult 25–50 mg PO not captured standing pages 32, 36
Nausea / vomiting peds 25–50 mg PO not captured standing pages 32, 36

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing pages 33, 61
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 33, 61
Asthma / bronchospasm adult 0.1–0.3 mg IM not captured standing page 29
Asthma / bronchospasm adult 0.3 mL NEB not captured standing page 29
Bradycardia adult 2–10 mcg IV/IO not captured standing pages 20, 55
Bradycardia peds 0.01 mg/kg IV/IO not captured standing pages 20, 55
Cardiac arrest adult 1 mg IV/IO not captured standing pages 23, 24, 58, 59
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 23, 24, 58, 59
Hypotension / shock peds 0.1–1.5 mcg/kg IV/IO not captured standing pages 17, 19, 31, 69

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.1–0.3 mg/kg IV not captured standing pages 53, 162
RSI induction peds 0.1–0.3 mg/kg IV not captured standing pages 53, 162

Famotidine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 20 mg IV/IO not captured standing pages 33, 163
Allergic reaction peds 0.25 mg/kg IV/IO not captured standing pages 33, 163
Anaphylaxis adult 20 mg IV/IO not captured standing pages 33, 61, 163
Anaphylaxis peds 0.25 mg/kg IV/IO not captured standing pages 33, 61, 163

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 25 mcg IV not captured standing page 26
Other adult 25 mcg NEB not captured standing page 16
Mild to moderate pain adult 1 mcg/kg IV/IO/IM/IN not captured standing pages 38, 67, 163
Mild to moderate pain peds 1 mcg/kg IV/IO/IM/IN not captured standing pages 38, 67, 163

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 40–80 mg IV not captured standing pages 30, 164
CHF / pulmonary edema peds 2 mg/kg IV not captured standing pages 30, 164
Hyperkalemia adult 40 mg IV not captured standing page 25
G–L Glucagon, Heparin Sodium, Hydromorphone, Ipratropium, Ketamine, Ketorolac, Labetalol, Lidocaine, Lorazepam9

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3–5 mg IV/IM/IN not captured standing pages 37, 164
Beta-blocker / calcium-channel-blocker overdose adult 3–5 mg IV/IM/IN not captured standing pages 37, 164
Hypoglycemia adult 1 mg IM/IN not captured standing pages 34, 70, 164
Hypoglycemia peds 0.1 mg/kg IM/IN not captured standing pages 34, 70, 164

Heparin Sodium

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 60 unit/kg (max 4000 unit) IV not captured standing page 165

Hydromorphone

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 0.5 mg IV not captured standing page 166
Mild to moderate pain adult 1–2 mg IM not captured standing page 166
Mild to moderate pain peds 0.015 mg/kg IV/IM not captured standing page 166

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.5 mg NEB not captured standing page 167
Asthma / bronchospasm peds 0.25 mg NEB not captured standing page 167

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 5–10 mg/kg IM not captured standing pages 167, 168
Hyperactive delirium peds 5–10 mg/kg IM not captured standing pages 167, 168
Mild to moderate pain adult 0.25 mg/kg IV/IO not captured standing pages 67, 167, 168
Mild to moderate pain peds 0.1 mg/kg IV/IO not captured standing pages 67, 167, 168
Procedural sedation adult 0.5–2 mg/kg IV/IO not captured standing pages 167, 168
Procedural sedation peds 0.5–2 mg/kg IV/IO not captured standing pages 167, 168
RSI induction adult 1–2 mg/kg IV not captured standing pages 167, 168
RSI induction peds 4–5 mg IM not captured standing pages 167, 168

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 15 mg IV not captured standing page 169
Other adult 30 mg IM not captured standing page 169
Other peds 0.5 mg/kg IV not captured standing page 169
Other peds 1 mg/kg IM not captured standing page 169

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 10–20 mg IV not captured standing pages 26, 170
Other adult 10–20 mg IV not captured standing page 170

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5–1 mg/kg IV/IO not captured standing page 171
Wide-complex tachycardia adult 1–1.5 mg/kg IV/IO not captured standing pages 22, 171
Wide-complex tachycardia peds 1–1.5 mg/kg IV/IO not captured standing pages 22, 171
VF / pulseless VT adult 1–1.5 mg/kg IV/IO not captured standing pages 23, 58, 171
VF / pulseless VT peds 1–1.5 mg/kg IV/IO not captured standing pages 23, 58, 171

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.5–4 mg IV/IM/IN not captured standing page 26
Agitation peds 0.5–4 mg IV/IO/IM/IN not captured standing pages 39, 66, 172
Other adult 0.5–4 mg IV/IM/IN not captured standing page 16
Procedural sedation adult 0.5–2 mg IV/IO/IM/IN not captured standing pages 38, 67, 172
Procedural sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 38, 67, 172
Seizure peds 1–2 mg IV/IO/IM/IN not captured standing pages 70, 172
M–O Magnesium Sulfate, Methylprednisolone, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oxymetazoline, Oxytocin11

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing pages 29, 63, 173
Asthma / bronchospasm peds 25–50 mg/kg IV not captured standing pages 29, 63, 173
Eclampsia / pre-eclampsia adult 4 g IV not captured standing pages 42, 173
Wide-complex tachycardia adult 2 g IV not captured standing pages 22, 173
VF / pulseless VT adult 2 g IV not captured standing pages 23, 58, 173
VF / pulseless VT adult 2 g IV not captured standing pages 23, 173
VF / pulseless VT peds 50 mg/kg IV not captured standing pages 23, 58, 173

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 125 mg IV/IO/IM not captured standing pages 33, 61, 174
Anaphylaxis peds 2 mg/kg IV/IO/IM not captured standing pages 33, 61, 174
Asthma / bronchospasm adult 125 mg IV/IO/IM not captured standing pages 29, 63, 174
Asthma / bronchospasm peds 2 mg/kg IV/IO/IM not captured standing pages 29, 63, 174

Metoprolol

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2.5–5 mg IV not captured standing pages 26, 175
Atrial fibrillation with RVR adult 2.5–5 mg IV not captured standing pages 21, 175
Atrial fibrillation with RVR adult 2.5–5 mg IV not captured standing pages 21, 175

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2.5–5 mg IV/IM/IN not captured standing pages 26, 176
Agitation adult 2.5–5 mg IV/IO/IM/IN not captured standing pages 39, 66, 176
Agitation peds 2.5–10 mg IV/IO/IM/IN not captured standing pages 39, 66, 176
Other adult 2.5–5 mg IV/IM/IN not captured standing pages 16, 176
Procedural sedation adult 2.5–5 mg IV/IO/IM/IN not captured standing pages 38, 67, 176
Procedural sedation peds 2.5–5 mg IV/IO/IM/IN not captured standing pages 38, 67, 176
RSI induction adult 0.1 mg/kg IV/IO not captured standing pages 93, 94, 176
RSI induction peds 0.1 mg/kg IV/IO not captured standing pages 93, 94, 176
Seizure adult 2.5–5 mg IV/IO/IM/IN not captured standing pages 40, 70, 176
Seizure peds 5–10 mg IV/IO/IM/IN not captured standing pages 40, 70, 176

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2 mg IV not captured standing page 26
Mild to moderate pain adult 0.1 mg/kg IV/IM not captured standing page 177
Mild to moderate pain peds 0.1 mg/kg IV/IM not captured standing page 177

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–4 mg IV/IO/IM/IN not captured standing pages 37, 65, 177
Opioid overdose peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 37, 65, 177

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 26, 30, 178
CHF / pulmonary edema adult 0.4 mg SL not captured standing pages 30, 178

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 2–20 mcg IV/IO not captured standing pages 19, 31, 180
Sepsis adult 2–20 mcg IV/IO not captured standing pages 17, 180

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4–8 mg IV/IM/PO/SL not captured standing pages 32, 36, 50, 67, 181
Nausea / vomiting peds 0.15 mg/kg IV/IM/PO/SL not captured standing pages 32, 36, 50, 67, 181

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2–3 puff IN not captured standing page 182
RSI induction adult 2–3 puff IN not captured standing pages 92, 182

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing page 43
Obstetric hemorrhage adult 20 unit IV not captured standing page 43
P–R Prednisone, Procainamide, Promethazine, Propofol, Rocuronium5

Prednisone

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 60 mg PO not captured standing pages 29, 183
Asthma / bronchospasm peds 1–2 mg/kg PO not captured standing pages 29, 183

Procainamide

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mg/kg IV not captured standing page 21
Other adult 20 mg/kg IV not captured standing page 22
Other adult 4 mg/kg IV not captured standing pages 56, 57

Promethazine

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 6.25–12.5 mg IV/IM not captured standing pages 32, 36, 184
Nausea / vomiting peds 6.25–12.5 mg IV/IM not captured standing pages 32, 36, 184

Propofol

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 20–50 mg IV not captured standing page 185

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.6–1.2 mg/kg IV not captured standing pages 53, 57, 186
RSI induction peds 0.6–1.2 mg/kg IV not captured standing pages 53, 57, 186
S–Z Sodium Bicarbonate, Succinylcholine, Tenecteplase, Thiamine, Ticagrelor, Tranexamic Acid, Vecuronium, Verapamil8

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Asystole / PEA adult 1 mEq/kg IV/IO not captured standing page 24
Asystole / PEA peds 1 mEq/kg IV/IO not captured standing page 24
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing pages 24, 25, 49
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing pages 24, 25, 49
Other adult 1 mEq/kg IV/IO not captured standing page 24
Other peds 1 mEq/kg IV/IO not captured standing page 24
VF / pulseless VT adult 1 mEq/kg IV/IO not captured standing page 23
VF / pulseless VT peds 1 mEq/kg IV/IO not captured standing page 23

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1.5 mg/kg IV not captured standing pages 93, 187
RSI induction peds 2 mg/kg IV not captured standing pages 93, 187

Tenecteplase

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 30 mg IV not captured standing page 187

Thiamine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 100 mg IV/IM not captured standing page 188
Other adult 100 mg IV/IM not captured standing page 188
Other adult 100 mg IV/IM not captured standing page 188
Other adult 100 mg IV/IM not captured standing page 34
Seizure adult 100 mg IV/IM not captured standing page 188

Ticagrelor

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 180 mg PO not captured standing page 188

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV not captured standing page 189
Trauma / hemorrhage peds 15 mg/kg IV not captured standing page 189

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.1 mg/kg IV/IO not captured standing pages 94, 191
RSI induction peds 0.1 mg/kg IV/IO not captured standing pages 94, 191

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 5 mg IV/IO not captured standing pages 21, 191
Cite this

Northwest Region Emergency Medical Services & Trauma Care Council, United States EMS Protocol Census. 197 dose entries, effective 2020-03-02.

https://protoquiz.com/census/agencies/northwest-region-emergency-medical-services-trauma-care-council/

Outdated or wrong? Fix or remove itAll Washington agenciesMethodologyData licenseStudy these protocols in the app

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.