Drug Adult Pediatric
Acetaminophen
1000 mg po See Color Coded List
(Tylenol) 10 mg/kg po
NCCEP Protocol:
8-Fever
10-Pain Control-Adult
11-Pain Control-Pediatric
47-Pediatric Seizure
Indications/Contraindications:
Indicated for pain and fever control
Avoid in patients with severe liver
disease
Strongly consider including with
initial pain control measures if
patient is greater than 65 years
old.
Adenosine
6 mg IV push over 1-3 seconds. If 0.1 mg/kg IV (Max 6 mg) push
(Adenocard) no effect after 1-2 minutes, over 1-3 seconds. If no effect
Repeat with 12 mg IV push over 1- after 1-2 minutes,
NCCEP Protocol: 3 seconds. Repeat with 0.2 mg/kg IV (Max
32-Supraventricular Tachycardia Repeat once if necessary 12 mg) push over 1-3 seconds.
48-Pediatric Supraventricular (use stopcock and 20 ml Normal Repeat once if necessary
Tachycardia Saline flush with each dose) (use stopcock and Normal Saline
flush with each dose)
Indications/Contraindications:
Specifically for treatment or
diagnosis of Supraventricular
Tachycardia
Albuterol
2.5-5.0 mg (3cc) in nebulizer See Color Coded List
Beta-Agonist continuously x 3 doses, if no history 2.5mg (3cc) in nebulizer
of cardiac disease and Heart Rate continuously x 3 doses, if no
NCCEP Protocol: 10 mg)
2 14
Drug Adult Pediatric
Atropine and
One auto-injector then per medical See Color Coded List
Pralidoxime Auto- control One pediatric auto-injector then
Injector as per medical control
Nerve Agent Kit
NCCEP Protocol:
26 Overdose/Toxic Ingestion
58-WMD Nerve Agent
Indications/Contraindications:
Antidote for Nerve Agents or
Organophosphate Overdose
Calcium Chloride
One amp (10 ml) or 1 gm IV See Color Coded List
NCCEP Protocol: Avoid use if pt is taking digoxin 20 mg/kg IV or IO slowly
19-Bradycardia
29-Pulseless Electrical Activity
41-Pediatric Bradycardia
Indications/Contraindications:
Indicated for severe hyperkalemia
See Color Coded List
Dextrose 10%
0.5 – 1.0 gm/kg (5-10 ml/kg)
Glucose solutions
NCCEP Protocol:
7-Behavioral
Ø IV/IO
Repeat based on blood glucose
results
13-Universal Patient Protocol
17-Altered Mental Status
37-Vomiting and Diarrhea
39-Newly Born
40-Obstetrical Emergencies
41-Pediatric Bradycardia
42-Pediatric Head Trauma
43-Pediatric Hypotension
45-Pediatric Pulseless Arrest
47-Pediatric Seizure
56-Hypothermia
Indications/Contraindications:
Use in unconscious or
hypoglycemic states
3 14
Drug Adult Pediatric
Dextrose 50%
One amp or 25 gm IV bolus
Glucose Solutions
NCCEP Protocol:
7-Behavioral
Repeat based on blood glucose
results
Ø
13-Universal Patient Protocol
17-Altered Mental Status
29-Pulseless Electrical Activity
31-Seizure
33-Suspected Stroke
34-Syncope
37-Vomiting and Diarrhea
40-Obstetrical Emergencies
54-Adult Head Trauma
56-Hypothermia
Indications/Contraindications:
Use in unconscious or
hypoglycemic states
Diazepam See Color Coded List
4 mg IV initially then 2 mg IV every 0.1 - 0.3 mg/kg IV/IO
(Valium) 3 - 5 minutes up to 10 mg max
(Max dose 4 mg IV, IO)
unless med control dictates
Benzodiazepene Do not administer IM. The drug is
O.5 mg/kg rectally (Dia-Stat)
not absorbed. (Max dose 10 mg rectally)
NCCEP Protocol:
10 mg Rectally if unable to obtain Repeat as directed by medical
31-Seizure control.
40-Obstetrical Emergencies an IV.
47-Pediatric Seizure
58-WMD Nerve Agent
Indications/Contraindications:
Drug of choice for adult seizure.
Pediatric seizure without IV
access.
Mild Sedation
Diltiazem
(Cardizem)
Calcium Channel
0.25 mg/kg SIVP over 2 minutes
Repeat at 0.35 mg/kg in 15
minutes if needed Ø
Blocker
Infusion: 125 mg/100 ml NS = 1
mg/ml, infuse at 5-15 mg/hr
NCCEP Protocol:
32-Supraventricular Tachycardia
Indications/Contraindications:
Calcium channel blocker used to
treat narrow complex SVT
4 14
Drug Adult Pediatric
Diphenhydramine
50 mg IV/IM/PO See Color Coded List
(Benadryl) 1 mg/kg IV/IO/IM
Do not give in infants 50 yrs) 0.01 mg/kg IM
16-Allergic Reaction EMT level: Use adult Epi-pen (Max dose 0.3 mg)
30-Respiratory Distress
46-Pediatric Respiratory Distress Nebulized Epinephrine EMT level: Epi –pen Jr, if 3 years
19-Bradycardia
29-Pulseless Electrical Activity
31-Seizure
33-Suspected Stroke
34-Syncope
37-Vomiting and Diarrhea
40-Obstetrical Emergencies
41-Pediatric Bradycardia
42-Pediatric Head Trauma
43-Pediatric Hypotension
47-Pediatric Seizure
54-Adult Head Trauma
56-Hypothermia
Indications/Contraindications:
Drug acting to release glucose into
blood stream by glycogen
breakdown
Use in patients with no IV access
6 14
Drug Adult Pediatric
Glucose Oral See Color Coded List
One tube or packet One Tube or packet
Glucose Solutions Repeat based on blood glucose Repeat based on blood glucose
results result
NCCEP Protocol:
Minimal Age = 3 years
7-Behavioral
13-Universal Patient Protocol
17-Altered Mental Status
Indications/Contraindications:
Use in conscious hypoglycemic
states
Haloperidol
(Haldol)
Phenothiazine
5 -10 mg IV/IM
May repeat as per Medical Control
Ø
Preperation
NCCEP Protocol:
7-Behavioral
Indications/Contraindications:
Medication to assist with sedation
of agitated patients
Lidocaine Cardiac Arrest See Color Coded List
1.5 mg/kg IV push 1 mg/kg IV, IO bolus.
NCCEP Protocol:
Repeat in 3-5 min. to 3 mg/kg max.
3-Airway Drug Assisted Intubation Repeat 1/2 initial bolus in 10
35-Ventricular Fibrillation Ventricular Dysrhythmias minutes
36-Ventricular Tachycardia 1.5 mg/kg IV over 2 min. No Drip Administration
45-Pediatric Pulseless Arrest Repeat in 10 min. half dosage to 3
54-Adult Head Trauma mg/kg max.
Indications/Contraindications: Maintenance Drip
Antiarrhythmic used for 2 gm/500 ml NS or D5W at 2-4
control of ventricular mg/min.
dysrrythmias
Anesthetic used during intubation Intraosseous Site Pain Control
to prevent elevated intracranial 20-40 mg I.O.
pressures during intubation
Pre-intubation
Half dose for patients > 70, in
1 mg/kg IV
shock, heart failure, and liver
failure
Administer a bolus and
maintenance drip for post
conversion of Ventricular
Fibrillation and Ventricular
Tachycardia rhythms.
7 14
Drug Adult Pediatric
Lorazepam
2-4 mg IV/IM See Color Coded List
(Ativan) May repeat q 5-10 minutes if 0.05-0.1 mg/kg IV/IM (max 2
Benzodiazepene seizures not controlled mg/dose)
May repeat q 5-10 minutes
NCCEP Protocol: (Maximum of 3 doses) if seizures
28-Pulmonary Edema not controlled
40-Obstetrical Emergencies
47-Pediatric Seizure
Indications/Contraindications:
First drug of choice for pediatric
seizure.
Benzodiazepine used to control
seizures and sedation
Magnesium Sulfate
2 g slow IV push Per Medical Control Order
NCCEP Protocol: dose may be repeated once 40 mg/kg slow IV over 30
40-Obstetrical Emergencies minutes (Max 2 gms)
dose may be repeated once
Indications/Contraindications:
Elemental electrolyte used to treat
eclampsia during the third
trimester of pregnancy.
A smooth muscle relaxor used in
refractory respiratory distress
resistent to beta-agonists
Methylprednisolone
125 mg IV See Color Coded List
(Solu-medrol) 2 mg/kg IV (Max 125 mg)
Steroid Preparation
NCCEP Protocol:
16-Allergic Reaction
30-Respiratory Distress
46-Pediatric Respiratory Distress
Indications/Contraindications:
Steroid used in respiratory distress
to reverse inflammatory and
allergic reactions
8 14
Drug Adult Pediatric
Midazolam
0.5-2 mg IV slowly over 2-3 See Color Coded List
(Versed) minutes. May slowly titrate dose 0.1-0.2 mg/kg IV or IO slowly
up to 5 mg total if needed. Usual over 2 – 3 minutes (Max 2 mg)
Benzodiazepine total dose: 2.5-5 mg
1-2 mg Nasally via Atomizer.
NCCEP Protocol:
Usual total dose: 2-5 mg
1-Airway Adult
IM dosage: 5 mg
3-Airway Drug Assisted Intubation
4-Airway Pediatric
28-Pulmonary Edema
32-Supraventricular Tachycardia
36-Ventricular Tachycardia
48-Pediatric Supraventricular
Tachycardia
58-WMD Nerve Agent
Indications/Contraindications:
Benzodiazepine used for sedation
First drug of choice for
cardioversion.
Quick acting Benzodiazepine
Preferred over Valium for IM use
Use with caution if BP 110 Systolic
syndromes, CHF and Mean Arterial Blood Pressure
Hypertension. should not be decreased more
EMT-I and EMT-P level only. than 30%
Hypertension
1 spray/tablet SL every 1-2 minutes
until BP 60 yrs.old dose 6.25 mg IV or
consider using ondansetron
Ø
(zofran)
NCCEP Protocol:
15-Abdominal Pain
21-Chest Pain and STEMI
37-Vomiting and Diarrhea
Indications/Contraindications:
Anti-Emetic used to control
Nausea and/or Vomiting
Ondansetron (Zofrin) is the
recommended Anti-emetic for
EMS use since it is associated
with significantly less side effects
and sedation.
IV Promethazine (Phenergan)
should be given IV only with great
caution. Extravasation of this
drug can result in significant local
tissue damage.
Sodium Bicarbonate
1 amp (50 mEq) IV initially, then See Color Coded List
1/2 amp IV every 10 minutes as 1 meq/kg IV, IO initally, then 1/2
NCCEP Protocol:
needed meq/kg IV every 10 minutes as
26-Overdose/Toxic Ingestion
29-Pulseless Electrical Activity In TCA (tricyclic), 1 amp (50 mEq) needed.
bolus, then 2 amps in 1 liter of NS TCA (trycyclic) overdose per
Indications/Contraindications: for infusion at 200 ml/hr. medical control.
A buffer used in acidosis to
increase the pH in Cardiac Arrest
or Tricyclic Overdose.
Succinylcholine
1.5 mg/kg IV. If inadequate See Color Coded List
Paralytic Agent relaxation after 3 minutes, may 1-2 mg/kg IV, IO
repeat dose. Consider atropine to
1-2 mg/kg IM (onset of action is
NCCEP Protocol: avoid bradycardia associated with
variable and may be substantially
3-Airway Drug Assisted Intubation repeat dosing.
delayed)
1.5 mg/kg IM (onset of action is
Consider atropine (appropriate
Indications/Contraindications: variable and may be substantially
per color coded list) for any
Paralytic Agent used as a delayed)
pediatric patient due to likelihood
component of Drug Assisted of bradycardia associated with
Intubation (Rapid Sequence succinylcholine administration)
Intubation)
Avoid in patients with burns >24
hours old, chronic neuromuscular
disease (e.g., muscular
dystrophy), ESRD, or other
situation in which hyperkalemia is
likely.
13 14
Drug Adult Pediatric
Vecuronium
0.1 mg/kg IV. If inadequate See Color Coded List
Paralytic Agent relaxation after 5 minutes, may 0.25 mg/kg IV, IO
repeat dose.
Avoid in Broselow Pink
NCCEP Protocol:
3-Airway Drug Assisted Intubation
Indications/Contraindications:
Paralytic
Avoid in patients with chronic
neuromuscular disease (e.g.,
muscular dystrophy).
14 14
Interfacility Medications
Drug Dose
Antibiotics Adult:
Varies depending on med
Indications:
Follow existing orders or label instructions
Treat or prevent infections
Pediatric:
Pearls:
Varies depending on med
Report any adverse reaction, i.e. urticaria, nausea/
Follow existing orders or label instructions
vomiting to Medical Control
Heparin Drip
Indications: Adult:
Anticoagulation therapy Follow existing orders or label instructions
Pearls: Pediatric:
Observe for bleeding N/A
Magnesium Sulfate Drip
Indications: Adult:
Hypomagnesium, Torsades de pointes, Follow existing orders or label instructions
Preeclampsia, Eclampsia
Pediatric:
Pearls: N/A
Disappearance of knee jerk/patellar reflex
indicates toxic level
May cause respiratory depression, hypotension,
heart block
Nitroglycerin Drip
Adult:
Indications: Follow existing orders or label instructions
Chest Pain, CHF, Pulmonary Edema May increase infusion rate by 5-20 mcg/min. until:
-Systolic BP falls below 100 mmHg
Pearls: -Heart Rate increases 20 BPM
May cause hypotension, headache, flushing -Chest Pain is relieved
Frequent vital signs are indicated
Pediatric:
N/A
1
Interfacility Medications
Drug Dose
Platelet Glycoprotein IIb/IIIa Inhibitors
(i.e.; Aggrast, Integrelin, Reopro)
Adult:
Indications: Variable depending on med, follow existing orders
Inhibits platelet aggregation in acute coronary or label instructions.
syndrome including PCI (Percutaneous Corornary
Intervention)
Pearls:
Contraindicated: Hypersensitivity, recent surgery,
bleeding or bleeding disorders, recent CVA,
uncontrolled severe hypertension, hypotension
and renal dialysis dependency
SE: Bleeding, CVA, thrombocytopenia,
bradycardia and rash
Potassium Chloride
Indications: Adult:
Hypokalemia Follow existing orders or label instructions
Pearls: Pediatric:
Cardiac monitor indicated for rates above 10 mEq/ Follow existing orders or label instructions
hr
May cause arrhythmias, nausea, vomiting,
phlebitis at IV site
Thrombolytics (i.e. Urokinase,
Streptokinase, TPA)
Indications: Adult:
To dissolve thrombi Various depending on med
Follow existing orders or label instructions
Pearls:
IM injections, venipunture contraindicated during Pediatric:
therapy Various depending on med
Many possible side effects depending on med. Follow existing orders or label instructions
Most common include bleeding, fever, urticaria,
hypotension, arrhythmias
Whole Blood and Components
Indications: Adult:
Restore circulating volume, replace clotting All products should be infused within four hours,
factors, improve oxygen carrying capacity of blood whole blood may be as fast as patient can tolerate.
Fresh frozen plasma/platelets usually 10 ml/min.
Pearls:
Discontinue infusion immediately if any of the Pediatric:
following occur: fever with or without chills, chest All products should be infused within four hours,
pain, pain at infusion site, lower back pain, whole blood may be as fast as patient can tolerate.
hypotension, nausea, flushing, dyspnea, bleeding, Fresh frozen plasma/platelets usually 10 ml/min.
blood in urine, shock, absent or decreased urine
output. Notify both sending and receiving facilities
2
Pediatric Color Coded
Drug List
Weight 3-5 Kg (Avg 4.0 Kg)
White (0-3 months)
Acetaminophen 40 mg Epinephrine 1:10,000 0.04 mg
Vital Signs
Length < 59.5 cm
Adenosine 1st Dose- 0.5 mg Epinephrine 1:1000 ET 0.4 mg
Heart Rate 120-150 Repeat Dose- 1.0 mg Epinephrine 1:1000 IM 0.06 mg
Respirations 24-48 Afrin Nasal Spray HOLD Fentanyl 8.0 mcg
Albuterol 2.5mg Glucagon 0.2-0.6 mg
BP Systolic 70 (+/-25) Amiodarone HOLD Ibuprofen 2.5 ml
Atropine 0.10 mg Ipratropium 500 mcg
Calcium Chloride 80 mg Levalbuterol 0.31 mg
Equipment Charcoal N/A Lidocaine 4 mg
Dextrose 10% 20-30 ml Lorazepam 0.2 mg
ET Tube 2.5 - 3.5 Diazepam (IV) 0.8 mg Methylprednisolone 8.0 mg
Blade Size 0-1 (Rectal) 2.0 mg Midazolam 0.3-0.9 mg
Dilaudid HOLD Morphine Sulfate 0.6 mg
Diphenhydramine 6.5 mg Naloxone 0.6 mg
Defibrillation Dopamine (800 mg in 500 cc) Ondansetron 0.6 mg
Defibrillation 8 Joules 2 mcg/kg/min 0.3 ml/hr Prednisone 4.0 mg
Cardioversion 4 Joules 5 mcg/kg/min 0.9 ml/hr Sodium Bicarbonate 4 mEq
10 mcg/kg/min 1.7 ml/hr
Normal Saline 40-80 ml 20 mcg/kg/min 3.3 ml/hr
Weight 6-7 Kg (Avg 6.5 Kg)
Length 59.5-66.5 cm
Acetaminophen 2.5 ml Epinephrine 1:10,000 0.065 mg
Pink (3-6 Months)
Vital Signs Adenosine 1st Dose- 0.7 mg Epinephrine 1:1000 ET 0.6 mg
Heart Rate 120-125 Repeat Dose- 1.4 mg Epinephrine 1:1000 IM 0.06 mg
Respirations 24-48 Afrin Nasal Spray HOLD Fentanyl 13.0 mcg
Albuterol 2.5 mg Glucagon 0.2-0.6 mg
BP Systolic 85 (+/-25) Atropine 0.13 mg Ibuprofen 2.5 ml
Amiodarone HOLD Ipratropium 500 mcg
Calcium Chloride 120 mg Levalbuterol 0.31 mg
Equipment Charcoal HOLD Lidocaine 6 mg
Dextrose 10% 30-35 ml Lorazepam 0.33 mg
ET Tube 3.5 Diazepam (IV) 1.3 mg Methylprednisolone 13.0 mg
Blade Size 1 (Rectal) 3.2 mg Midazolam 0.3-0.9 mg
Dilaudid HOLD Morphine Sulfate 0.6 mg
Diphenhydramine 6.5 mg Naloxone 0.6 mg
Defibrillation Dopamine (800 mg in 500 cc) Ondansetron 0.6 mg
Defibrillation 13 Joules 2 mcg/kg/min 0.5 ml/hr Prednisone 6.5 mg
5 mcg/kg/min 1.3 ml/hr Sodium Bicarbonate 6 mEq
Cardioversion 6 Joules 10 mcg/kg/min 2.5 ml/hr
Normal Saline 65-130 ml 20 mcg/kg/min 5.0 ml/hr
Weight 8-9 Kg (Avg 8.5 Kg)
Acetaminophen 3.1 ml Epinephrine 1:10,000 0.085 mg
Length 66.5-74 cm
Vital Signs
Heart Rate 120
Adenosine 1st Dose-
Repeat Dose- 1.8 mg
0.9 mg Epinephrine 1:1000 ET
Epinephrine 1:1000 IM
0.8 mg
0.08 mg
Red (7-10 Months)
Respirations 24-32 Afrin Nasal Spray HOLD Fentanyl 17.0 mcg
Albuterol 2.5 mg Glucagon 0.3-0.8 mg
BP Systolic 92 (+/-30) Atropine 0.17 mg Ibuprofen 3.1 ml
Amiodarone 45 mg Ipratropium 500 mcg
Calcium Chloride 170 mg Levalbuterol 0.31 mg
Equipment Charcoal HOLD Lidocaine 8 mg
Dextrose 10% 45-50 ml Lorazepam 0.43 mg
ET Tube 3.5-4.0 Diazepam (IV) 1.7 mg Methylprednisolone 17.0 mg
Blade Size 1 (Rectal) 4.25 mg Midazolam 0.4-1.2 mg
Dilaudid HOLD Morphine Sulfate 0.8 mg
Diphenhydramine 7.5 mg Naloxone 0.8 mg
Defibrillation Dopamine (800 mg in 500 cc) Ondansetron 0.8 mg
Defibrillation 17 Joules 2 mcg/kg/min 0.7 ml/hr Prednisone 8.5 mg
5 mcg/kg/min 1.6 ml/hr Sodium Bicarbonate 8 mEq
Cardioversion 8 Joules 10 mcg/kg/min 3.2 ml/hr
Normal Saline 85-170 ml 20 mcg/kg/min 6.5 ml/hr
Drug List B (Page 1 of 3) 2009
Pediatric Color Coded
Drug List
Weight 10-11 Kg (Avg 10.5 Kg)
Purple (11-18 Months)
Acetaminophen 3.75 ml Epinephrine 1:10,000 0.1 mg
Length 74-84.5 cm
Vital Signs Adenosine 1st Dose- 1.1 mg Epinephrine 1:1000 IM 0.1 mg
Heart Rate 115-120 Repeat Dose- 2.2 mg Fentanyl 21.0 mcg
Respirations 22-30 Afrin Nasal Spray HOLD Glucagon 0.3-1.0 mg
Albuterol 2.5 mg Ibuprofen 3.75 ml
BP Systolic 96 (+/-30) Atropine 0.2 mg Ipratropium 500 mcg
Amiodarone 55 mg Levalbuterol 0.63 mg
Calcium Chloride 210 mg Lidocaine 10 mg
Equipment Charcoal HOLD Lorazepam 0.53 mg
Dextrose 10% 40-60 ml Methylprednisolone 21.0 mg
ET Tube 4.0 Diazepam (IV) 1.0 mg Midazolam 0.5-1.5 mg
Blade Size 1 (Rectal) 5.0 mg Morphine Sulfate 1.0 mg
Dilaudid HOLD Naloxone 1.0 mg
Diphenhydramine 10 mg Ondansetron 1.0 mg
Defibrillation Dopamine Prednisone 10.5 mg
Defibrillation 20 Joules (800 mg in 500 ml Normal Saline) Sodium Bicarbonate 10 mEq
2 mcg/kg/min 0.8 ml/hr
Cardioversion 10 Joules 5 mcg/kg/min 2.0 ml/hr
Normal Saline 105-210ml 10 mcg/kg/min 4.0 ml/hr
20 mcg/kg/min 8.0 ml/hr
Weight 12-14 Kg (Avg 13 Kg)
Yellow (19-35 Months)
Length 84.5-97.5 cm
Acetaminophen 5 ml Epinephrine 1:10,000 0.13 mg
Vital Signs Adenosine 1st Dose- 1.4 mg Epinephrine 1:1000 IM 0.13 mg
Heart Rate 110-115 Repeat Dose- 2.8 mg Fentanyl 26.0 mcg
Respirations 20-28 Afrin Nasal Spray 1 spray Glucagon 0.4-1 mg
Albuterol 2.5 mg Ibuprofen 5 ml
BP Systolic 100(+/-30) Atropine 0.26 mg Ipratropium 500 mcg
Amiodarone 65 mg Levalbuterol 0.63 mg
Calcium Chloride 260 mg Lidocaine 13 mg
Equipment Charcoal 15 gms Lorazepam 0.65 mg
Dextrose 10% 60-80 ml Methylprednisolone 26.0 mg
ET Tube 4.5 Diazepam (IV) 2.6 mg Midazolam 0.6-1.8 mg
Blade Size 2 (Rectal) 6.5 mg Morphine Sulfate 1.3 mg
Dilaudid HOLD Naloxone 1.3 mg
Diphenhydramine 12.5 mg Ondansetron 1.3 mg
Defibrillation Dopamine Prednisone 13.0 mg
Defibrillation 26 Joules (800 mg in 500 ml Normal Saline) Sodium Bicarbonate 13 mEq
2 mcg/kg/min 0.8 ml/hr
Cardioversion 13 Joules 5 mcg/kg/min 2.5 ml/hr
Normal Saline 130-260ml 10 mcg/kg/min 5.0 ml/hr
20 mcg/kg/min 10 ml/hr
Weight 15-18 Kg (Avg 16.5 Kg)
Length 97.5-110 cm
Acetaminophen 6.25 ml Epinephrine 1:10,000 0.16 mg
Vital Signs Adenosine 1st Dose- 1.8 mg Epinephrine 1:1000 IM 0.16 mg
Heart Rate 100-15 Repeat Dose- 3.6 mg Fentanyl 33.0 mcg
White (3-4 yrs)
Respirations 20-26 Afrin Nasal Spray 1 spray Glucagon 0.5-1.0 mg
Albuterol 2.5 mg Ibuprofen 5.5 ml
BP Systolic 100(+/-20) Atropine 0.33 mg Ipratropium 500 mcg
Amiodarone 85 mg Levalbuterol 0.63 mg
Calcium Chloride 330 mg Lidocaine 15 mg
Equipment Charcoal 15-30 gms Lorazepam 0.83 mg
Dextrose 10% 70-90 ml Methylprednisolone 33.0 mg
ET Tube 5.0 Diazepam (IV) 3.3 mg Midazolam 0.8-2.4 mg
Blade Size 2 (Rectal) 8.25 mg Morphine Sulfate 1.5 mg
Dilaudid HOLD Naloxone 1.5 mg
Diphenhydramine 15 mg Ondansetron 1.5 mg
Defibrillation Dopamine Prednisone 16.5 mg
Defibrillation 35 Joules (800 mg in 500 ml Normal Saline) Sodium Bicarbonate 15 mEq
2 mcg/kg/min 1.2 ml/hr
Cardioversion 16 Joules 5 mcg/kg/min 3.0 ml/hr
Normal Saline 165-330ml 10 mcg/kg/min 6.0 ml/hr
20 mcg/kg/min 12 ml/hr
Drug List B (Page 2 of 3) 2009
Pediatric Color Coded
Drug List
Weight 19-22 Kg (Avg 20.75 Kg)
Length 110-122 cm
Acetaminophen 7.5 ml Epinephrine 1:10,000 0.2 mg
Vital Signs Adenosine 1st Dose- 2.2 mg Epinephrine 1:1000 IM 0.2 mg
Heart Rate 100 Repeat Dose- 4.4 mg Fentanyl 40.0 mcg
Blue (5-6 yrs)
Respirations 20-24 Afrin Nasal Spray 1 spray Glucagon 1.0 mg
Albuterol 2.5 mg Ibuprofen 7.5 ml
BP Systolic 100(+/-15) Atropine 0.4 mg Ipratropium 500 mcg
Amiodarone 100 mg Levalbuterol 0.63 mg
Calcium Chloride 400 mg Lidocaine 20 mg
Equipment Charcoal 20-40 gms Lorazepam 1.0 mg
Dextrose 10% 100 ml Methylprednisolone 42.0 mg
ET Tube 5.5 Diazepam (IV) 4.0 mg Midazolam 1.0-3.0 mg
Blade Size 2 (Rectal) 10.0 mg Morphine Sulfate 2.0 mg
Dilaudid 0.31 mg Naloxone 2.0 mg
Diphenhydramine 20.0 mg Ondansetron 2.0 mg
Defibrillation Dopamine Prednisone 20.0 mg
Defibrillation 40 Joules (800 mg in 500 ml Normal Saline) Sodium Bicarbonate 20 mEq
2 mcg/kg/min 1.6 ml/hr
Cardioversion 20 Joules 5 mcg/kg/min 3.9 ml/hr
Normal Saline 200-300ml 10 mcg/kg/min 7.8 ml/hr
20 mcg/kg/min 16 ml/hr
Weight 24-30 Kg (Avg 27 Kg)
Length 122-137 cm
Acetaminophen 10 ml Epinephrine 1:10,000 0.27 mg
Vital Signs Adenosine 1st Dose- 3.0 mg Epinephrine 1:1000 IM 0.3 mg
Orange (7-9 yrs)
Heart Rate 90 Repeat Dose- 6.0 mg Fentanyl 54.0 mcg
Respirations 18-22 Afrin Nasal Spray 1 spray Glucagon 1.0 mg
Albuterol 2.5 mg Ibuprofen 10 ml
BP Systolic 105(+/-15) Atropine 0.5 mg Ipratropium 500 mcg
Amiodarone 135 mg Levalbuterol 0.63 mg
Calcium Chloride 540 mg Lidocaine 25 mg
Equipment Charcoal 25-50 gms Lorazepam 1.35 mg
Dextrose 10% 100-150ml Methylprednisolone 54.0 mg
ET Tube 6.0 Diazepam (IV) 4.0 mg Midazolam 1.3-3.9 mg
Blade Size 2-3 (Rectal) 10.0 mg Morphine Sulfate 2.8 mg
Dilaudid 0.4 mg Naloxone 2.0 mg
Diphenhydramine 25 mg Ondansetron 2.8 mg
Defibrillation Dopamine Prednisone 27.0 mg
Defibrillation 54 Joules (800 mg in 500 ml Normal Saline) Sodium Bicarbonate 25 mEq
2 mcg/kg/min 2 ml/hr
Cardioversion 27 Joules 5 mcg/kg/min 5 ml/hr
Normal Saline 270-540ml 10 mcg/kg/min 10 ml/hr
20 mcg/kg/min 20 ml/hr
Weight 32-40 Kg (Avg 36 Kg)
Length 137-150 cm
Acetaminophen 15 ml Epinephrine 1:10,000 0.36 mg
Vital Signs
Heart Rate 85-90
Adenosine 1st Dose- 4.0 mg
Repeat Dose- 8.0 mg
Epinephrine 1:1000 IM
Fentanyl
0.3 mg
62.0 mcg
Green (10-12 yrs)
Respirations 16-22 Afrin Nasal Spray 2 spray Glucagon 1.0 mg
Albuterol 2.5 mg Ibuprofen 15 ml
BP Systolic 115(+/-20) Atropine 0.72 mg Ipratropium 500 mcg
Amiodarone 180 mg Levalbuterol 0.63 mg
Calcium Chloride 720 mg Lidocaine 36 mg
Equipment Charcoal 25-50 gms Lorazepam 1.8 mg
Dextrose 10% 150-200ml Methylprednisolone 72.0 mg
ET Tube 6.5 Diazepam (IV) 4.0 mg Midazolam 1.8-5.4 mg
Blade Size 3 (Rectal) 10.0 mg Morphine Sulfate 3.6 mg
Dilaudid 0.54 mg Naloxone 2.0 mg
Diphenhydramine 35 mg Ondansetron 3.6 mg
Defibrillation Dopamine Prednisone 36.0 mg
Defibrillation 70 Joules (800 mg in 500 ml Normal Saline) Sodium Bicarbonate 36 mEq
2 mcg/kg/min 2.7 ml/hr
Cardioversion 40 Joules 5 mcg/kg/min 7.0 ml/hr
Normal Saline 400-800ml 10 mcg/kg/min 14.0 ml/hr
20 mcg/kg/min 28.0 ml/hr
Drug List B (Page 3 of 3) 2009