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Pend Oreille County Emergency Medical Services

May be outdated205 dose entries50 drugs1 documentWAeffective 2021-11-01100% machine-parsed of 205

The current listed document is more than 24 months old and may be outdated.

Drugs and doses50

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate9

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 650–1000 mg PO/PR not captured standing page 206
Fever peds 15 mg/kg PO/PR not captured standing page 206
Mild to moderate pain adult 650–1000 mg PO/PR not captured standing page 206
Mild to moderate pain peds 15 mg/kg PO/PR not captured standing page 206

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 25 g PO not captured standing page 268
Other adult 25 g PO not captured standing page 268

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 6 mg IV/IO not captured standing page 145
SVT peds 0.1 mg/kg IV/IO not captured standing page 145
Wide-complex tachycardia adult 6 mg IV/IO not captured standing page 148
Wide-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing page 148

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing page 216
Asthma / bronchospasm adult 2.5 mg NEB not captured standing page 216
Asthma / bronchospasm peds 2.5 mg NEB not captured standing page 216
Asthma / bronchospasm peds 2.5 mg NEB not captured standing page 216
Crush injury adult 5 mg NEB not captured standing page 237
Crush injury peds 5 mg NEB not captured standing page 237
Hyperkalemia adult 5 mg NEB not captured standing page 168
Hyperkalemia peds 5 mg NEB not captured standing page 168

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Wide-complex tachycardia adult 150 mg IV/IO not captured standing page 149
Wide-complex tachycardia peds 5 mg/kg IV/IO not captured standing page 149
VF / pulseless VT adult 300 mg IV/IO not captured standing page 147
VF / pulseless VT adult 300 mg IV/IO not captured standing page 147
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing page 147
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing page 147

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 137

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV/IO not captured standing page 143
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 143
Nerve agent exposure adult 2 mg IM not captured standing page 172
Nerve agent exposure peds 0.02–0.05 mg/kg IM not captured standing page 172
Organophosphate poisoning adult 2 mg IM not captured standing page 172
Organophosphate poisoning peds 0.02–0.05 mg/kg IM not captured standing page 172
RSI induction peds 0.02 mg/kg IV/IO not captured standing page 85

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 500–1000 mg IV/IO not captured standing page 275
Beta-blocker / calcium-channel-blocker overdose peds 10 mg/kg IV/IO not captured standing page 275
Burns adult 500–1000 mg IV/IO not captured standing page 275
Burns peds 10 mg/kg IV/IO not captured standing page 275
Crush injury adult 500–1000 mg IV/IO not captured standing page 275
Crush injury peds 10 mg/kg IV/IO not captured standing page 275
Hyperkalemia adult 500–1000 mg IV/IO not captured standing page 275
Hyperkalemia peds 10 mg/kg IV/IO not captured standing page 275
Other adult 500–1000 mg IV/IO not captured standing page 275
Other peds 10 mg/kg IV/IO not captured standing page 275

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 2000 mg IV/IO not captured standing page 276
Beta-blocker / calcium-channel-blocker overdose peds 2–8 mL IV/IO not captured standing page 276
Crush injury adult 2000 mg IV/IO not captured standing page 276
Crush injury peds 2–8 mL IV/IO not captured standing page 276
Hyperkalemia adult 2000 mg IV/IO not captured standing page 276
Hyperkalemia peds 2–8 mL IV/IO not captured standing page 276
Other adult 2000 mg IV/IO not captured standing page 276
Other peds 2–8 mL IV/IO not captured standing page 276
D–F Dexamethasone, Dextrose, Diazepam, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Fentanyl, Furosemide10

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 4–10 mg IV/IO/IM/PO not captured standing page 277
Allergic reaction peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 277
Anaphylaxis adult 4–10 mg IV/IO/IM/PO not captured standing page 277
Anaphylaxis peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 277
Asthma / bronchospasm adult 4–10 mg IV/IO/IM/PO not captured standing page 277
Asthma / bronchospasm adult 4–10 mg IV/IO/IM/PO not captured standing page 277
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 277
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 277
Croup adult 4–10 mg IV/IO/IM/PO not captured standing page 277
Croup peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 277

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 12.5–25 g IV/IO not captured standing page 278
Hyperkalemia peds 1 g/kg IV/IO not captured standing page 278
Hypoglycemia adult 12.5–25 g IV/IO not captured standing page 278
Hypoglycemia peds 1 g/kg IV/IO not captured standing page 278
Other adult 12.5–25 g IV/IO not captured standing page 278
Other peds 1 g/kg IV/IO not captured standing page 278

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5–10 mg IV/IO not captured standing page 279
Hypothermia adult 5–10 mg IV/IO not captured standing page 279
Nerve agent exposure adult 5–10 mg IV/IO not captured standing page 279
Organophosphate poisoning adult 5–10 mg IV/IO not captured standing page 279
Other adult 5–10 mg IV/IO not captured standing page 279
Seizure adult 5–10 mg IV/IO not captured standing page 279

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 0.25 mg/kg IV/IO not captured standing page 280

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 12.5–50 mg IV/IO/IM not captured standing page 281
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing page 281
Anaphylaxis adult 12.5–50 mg IV/IO/IM not captured standing page 281
Anaphylaxis peds 1 mg/kg IV/IO/IM not captured standing page 281
Dystonic reaction adult 12.5–50 mg IV/IO/IM not captured standing page 281
Dystonic reaction peds 1 mg/kg IV/IO/IM not captured standing page 281
Nausea / vomiting adult 12.5–50 mg IV/IO/IM not captured standing page 281
Nausea / vomiting peds 1 mg/kg IV/IO/IM not captured standing page 281
Other adult 12.5–50 mg IV/IO/IM not captured standing page 281
Other peds 1 mg/kg IV/IO/IM not captured standing page 281
Procedural sedation adult 12.5–50 mg IV/IO/IM not captured standing page 281
Procedural sedation peds 1 mg/kg IV/IO/IM not captured standing page 281

Dopamine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 2–20 mcg/kg IV/IO not captured standing page 143
Hypotension / shock adult 5–20 mcg/kg IV/IO not captured standing page 282
Hypotension / shock peds 1–20 mcg/kg IV/IO not captured standing page 282

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.01 mg/kg IV/IO not captured standing page 159
Anaphylaxis adult 0.3 mg IM not captured standing page 155
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 155
Anaphylaxis peds 0.01 mg/kg IV/IO not captured standing page 159
Asthma / bronchospasm adult 0.01 mg/kg SQ not captured standing page 285
Bradycardia adult 2–10 mcg IV/IO not captured standing page 144
Bradycardia peds 0.01 mg/kg IV/IO not captured standing page 144
Cardiac arrest adult 1 mg IV/IO not captured standing page 141
Cardiac arrest adult 2 mg ET not captured standing page 104
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 141

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1–0.3 mg/kg IV/IO not captured standing page 286
RSI induction adult 0.3 mg/kg IV/IO not captured standing page 85
RSI induction peds 0.1–0.3 mg/kg IV/IO not captured standing page 85

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 1–2 mcg/kg IV/IO/IM not captured standing page 287
Mild to moderate pain adult 25–50 mcg IN not captured standing page 114
Mild to moderate pain peds 0.5–1 mcg/kg IV/IO/IM not captured standing page 287

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 0.5–1 mg/kg IV/IO not captured standing page 288
CHF / pulmonary edema peds 2 mg/kg IV/IO not captured standing page 288
G–L Glucagon, Heparin, Hydromorphone, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Labetalol, Lidocaine, Lorazepam10

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3–5 mg IV/IO not captured standing page 289
Beta-blocker / calcium-channel-blocker overdose adult 3–5 mg IV/IO not captured standing page 289
Hypoglycemia adult 1 mg IM/SQ not captured standing page 289
Hypoglycemia peds 0.05 mg/kg IM/SQ not captured standing page 289

Heparin

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 60 unit/kg IV not captured standing page 290

Hydromorphone

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 0.5 mg IV/IO not captured standing page 291
Severe pain adult 1–2 mg IM not captured standing page 291
Severe pain peds 0.015 mg/kg IV/IO not captured standing page 291
Severe pain peds 0.015 mg/kg IM not captured standing page 291

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 5 g IV not captured standing page 170
Cyanide poisoning adult 5 g IV not captured standing page 292
Cyanide poisoning adult 5 g IV not captured standing page 170

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 500 mcg NEB not captured standing page 215
Asthma / bronchospasm peds 0.25 mg NEB not captured standing page 215
Organophosphate poisoning adult 500 mcg NEB not captured standing page 294
Organophosphate poisoning peds 0.25 mg NEB not captured standing page 294

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5–10 mg/kg IM not captured standing page 163
RSI induction adult 1–2 mg/kg IV not captured standing page 85
RSI induction adult 4–5 mg/kg IM not captured standing page 85
RSI induction peds 1.5 mg/kg IV not captured standing page 85
RSI induction peds 4–5 mg/kg IM not captured standing page 85

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 15–30 mg IV/IO not captured standing page 296
Severe pain adult 30–60 mg IM not captured standing page 296

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5–10 mg IV not captured standing page 297

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1 mg/kg IV/IO not captured standing page 85
RSI induction peds 1 mg/kg IV/IO not captured standing page 85

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 0.5–2 mg IV/IO/IM/IN not captured standing page 325
Agitation peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 325
Post-intubation sedation adult 1–2 mg IV/IO not captured standing page 85
Seizure adult 1–2 mg IV/IO/IM/IN not captured standing page 299
Seizure peds 0.05–0.1 mg/kg IV/IO/IM/IN not captured standing page 299
M–O Magnesium Sulfate, Methylprednisolone, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Octreotide, Ondansetron, Oxymetazoline, Oxytocin12

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing page 300
Other adult 2 g IV/IO not captured standing page 300
Other peds 25–50 mg/kg IV/IO not captured standing page 300
VF / pulseless VT adult 1–2 g IV/IO not captured standing page 300
VF / pulseless VT peds 25–50 mg/kg IV/IO not captured standing page 300

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 125 mg IV/IO not captured standing page 301
Allergic reaction peds 2 mg/kg IV/IO not captured standing page 301
Anaphylaxis adult 125 mg IV/IO not captured standing page 159
Anaphylaxis peds 2 mg/kg IV/IO not captured standing page 159
Asthma / bronchospasm adult 125 mg IV/IO not captured standing page 301
Asthma / bronchospasm peds 2 mg/kg IV/IO not captured standing page 301

Metoprolol

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 2.5–5 mg IV/IO not captured standing page 302

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5–10 mg IV/IO/IM/IN not captured standing page 304
Agitation peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 304
Post-intubation sedation adult 2.5–10 mg IV/IO/IM not captured standing page 85
Post-intubation sedation peds 0.1 mg/kg IV/IO/IM not captured standing page 85
RSI induction adult 2.5–10 mg IV/IO not captured standing page 145
RSI induction peds 0.1 mg/kg IV/IO not captured standing page 145

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2–6 mg IV/IO not captured standing page 138
CHF / pulmonary edema adult 2–6 mg IV/IO not captured standing page 305
Severe pain adult 2–6 mg IV/IO not captured standing page 305
Severe pain peds 0.1 mg/kg IV/IO not captured standing page 305

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4 mg IV/IO/IM/IN not captured standing page 306
Opioid overdose peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 306
Other adult 0.4 mg IV/IO/IM/IN not captured standing page 160
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 160

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 136
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 152

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 8–12 mcg IV/IO not captured standing page 170
Hypotension / shock adult 8–12 mcg IV/IO not captured standing page 170
Hypotension / shock peds 0.05–0.1 mcg/kg IV/IO not captured standing page 170
Hypotension / shock peds 0.05–0.1 mcg/kg IV/IO not captured standing page 170

Octreotide

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 25–50 mcg IV not captured standing page 311

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg PO/SL not captured standing page 154
Nausea / vomiting adult 4 mg IV/IM not captured standing page 154
Nausea / vomiting adult 4 mg PO/SL not captured standing page 154
Nausea / vomiting adult 4 mg IV/IM not captured standing page 154
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured standing page 154
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured standing page 154
Nausea / vomiting peds 4 mg PO/SL not captured standing page 154
Nausea / vomiting peds 4 mg PO/SL not captured standing page 154

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2–3 spray IN not captured standing page 155
RSI induction adult 2–3 spray IN not captured standing page 155

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing page 179
P–R Pralidoxime, Promethazine, Rocuronium3

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 600–1800 mg IV/IM not captured standing page 314
Nerve agent exposure peds 25–50 mg/kg IV/IM not captured standing page 314

Promethazine

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 6.25–12.5 mg IV/IM not captured standing page 316
Nausea / vomiting adult 6.25–12.5 mg IV/IM not captured standing page 316

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.6–1.2 mg/kg IV not captured standing page 317
Other peds 0.6 mg/kg IV not captured standing page 317
RSI induction adult 0.6–1.2 mg/kg IV not captured standing page 317
RSI induction peds 0.6 mg/kg IV not captured standing page 317
S–Z Sodium Bicarbonate, Succinylcholine, Tenecteplase, Thiamine, Tranexamic Acid, Vecuronium6

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1 mEq/kg IV/IO not captured standing page 318
Cardiac arrest peds 1 mEq/kg IV/IO not captured standing page 318
Crush injury adult 1 mEq/kg IV/IO not captured standing page 318
Crush injury peds 1 mEq/kg IV/IO not captured standing page 318
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing page 318
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing page 318
Tricyclic overdose adult 1 mEq/kg IV/IO not captured standing page 318
Tricyclic overdose peds 1 mEq/kg IV/IO not captured standing page 318

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
RSI paralysis adult 1.5 mg/kg IV/IO not captured standing page 319
RSI paralysis peds 1.5 mg/kg IV/IO not captured standing page 319

Tenecteplase

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 30–50 mg IV not captured standing page 320

Thiamine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 100 mg IV/IM not captured standing page 160

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV not captured standing page 322
Trauma / hemorrhage peds 15 mg/kg IV not captured standing page 322

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1 mg/kg IV/IO not captured standing page 323
Other peds 0.1 mg/kg IV/IO not captured standing page 323
Cite this

Pend Oreille County Emergency Medical Services, United States EMS Protocol Census. 205 dose entries, effective 2021-11-01.

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

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