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Drug Dosages (NYC REMAC)


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Morphine (APE)
0.1mg/kg IV/Saline Lock bolus (not to exceed 5mg), 0.1mg/kg (not to exceed 5mg) PRN (15mg MAX)
Morphine (Burns)
0.1mg/kg IV/Saline Lock bolus (not to exceed 5mg), For continued pain, repeat dose of 0.1mg/kg (not to exceed 5mg) may be repeated five minutes following the initial dose. (10mg MAX)
Morphine (Pain Management)
0.1 mg/kg IV/Saline Lock bolus (not to exceed 5 mg). For continued pain, repeat dose of 0.1 mg/kg (not to exceed 5 mg) may be administered (10 mg MAX)
Atropine
0.5 mg IV/Saline Lock bolus every 3 – 5 minutes (3mg MAX)
Atropine (adults ≥ 14yo and < 40kg)
0.02 mg/kg IV/Saline Lock bolus (minimum dose 0.1 mg)
Dextrose (Adult)
25 gm IV/Saline Lock bolus (50 ml of a 50% solution)
Dextrose (Pediatric)
0.5 gm/kg IV/Saline Lock bolus. Use 10% in patients less or equal to one (1) month of age. Use 25% in patients greater than one (1) month of age and less than 14 years of age.
Diazepam (Pre-Hospital Sedation)
5–10 mg IV/Saline Lock bolus. Repeat doses of 5–10 mg PRN (20mg MAX)
Diazepam (Siezures, Head Injuries)
5 mg IV/Saline Lock bolus, A single repeat dose of 5 mg PRN. (Rate of administration may not exceed 5 mg/min)
Diazepam (EDP)
5 – 10 mg IV/Saline Lock bolus
Diazepam (Pediatric Siezures)
0.1mg/kg IV/Saline Lock bolus, slowly, over 2 minutes. Repeat doses of 0.1 mg/kg PRN over 2 minutes.
Diazepam (Pediatric Siezures Rectal Dose)
0.5 mg/kg
Diphenhydramine
50 mg IV/Saline Lock bolus, or IM
Epinephrine (adults ≥ 14yo and < 40kg)
0.01 mg/kg/dose of a 1:1000 solution (0.3mg MAX)
Epinephrine (Cardiac Arrest)
1 mg (10 ml of a 1:10,000 s olution), IV/IO/Saline Lock bolus, every 3 – 5 minutes.
Epinephrine (Asthma, Anaphylaxis)
0.3 mg (0.3 ml of a 1:1,000 solution), IM.
Epinephrine (Neonate Resuscitation ET)
0.1 mg/kg (1 ml/kg of a 1:10,000 solution)
Epinephrine (Neonate Resuscitation IV, Pediatric Non-Traumatic Cardiac Arrest IV)
0.01 mg/kg (0.1 ml/kg of a 1:10,000 solution) IV/Saline Lock or IO, every 3 - 5 minutes.
Epinephrine (Pediatric Non-Traumatic Cardiac Arrest ET)
0.1 mg/kg (0.1 ml/kg of a 1:1,000 solution)
Epinephrine (Pediatric Asthma/Wheezing, Pediatric Anaphylaxis)
0.01 mg/kg (0.01 ml/kg of a 1:1,000 solution), IM. Maximum dose is 0.3 mg (0.3ml of a 1:1000 solution).
Epinephrine (Pediatric Asthma/Wheezing MCO 20 minutes after initial dose)
0.01 mg/kg (0.01 ml/kg of a 1:1,000 solution), IM.
Epinephrine (Pediatric Anaphylactic Reaction ET)
0.01 mg/kg (0.1 ml/kg of a 1:10,000 solution)
Naloxone
Titrate in increments of 0.4 mg up to response, up to 2 mg, IV/Saline Lock bolus. If IV/Saline Lock access has not been established, administer 0.8 mg, up to response, up to 2 mg IM or IN.
Naloxone (Hypoventilation from Morphine administration)
2 mg, IV/IN/Saline Lock bolus.
Naloxone (Pediatric Respiratory Arrest)
Titrate in increments of 0.8 mg, IM, up to response, up to 2 mg, in patients two (2) years of age or older. In patients less than two (2) years of age, titrate up to 1 mg.
Naloxone (Pediatric Non-Traumatic Cardiac Arrest)
2 mg IV/Saline Lock or IO bolus, or via the Endotracheal Tube, in patients two years of age or older. Use half the amount (1 mg) of this drug in patients less than two (2) years of age.
Naloxone (Pediatric AMS)
Titrate in increments of 0.4 mg up to response, up to 2 mg, IV/Saline Lock or IO bolus. If IV/Saline Lock/IO access has not been established, administer 0.8 mg up to response, up to 2 mg, IM or IN.
Nitroglycerin
1/150 gr. or Spray 0.4 mg, sublingually, every 5 minutes.
Sodium Bicarbonate (adults ≥ 14yo and < 40kg)
1 mEq/kg/dose
Sodium Bicarbonate
44 - 88 mEq IV/IO/Saline Lock bolus. Repeat doses of 44 mEq, IV/IO/Saline Lock bolus, may be given every 10 minutes.
Sodium Bicarbonate (Pediatric)
1 mEq/kg, IV/Saline Lock or IO bolus.
Adenosine (SVT 1st Dose)
6 mg, IV/Saline Lock bolus, rapidly, followed by a Normal Saline (0.9% NS) flush.
Adenosine (SVT 2nd & 3rd Dose)
12 mg, IV/Saline Lock bolus, rapidly, followed by a Normal Saline (0.9% NS) flush.
Adenosine (Pediatric Decompensated Shock SVT 1st Dose)
0.1 mg/kg, IV/Saline Lock or IO bolus, rapidly, followed by 2 - 3 ml of Normal Saline (0.9% NS) flush. (Maximum initial dose is 6 mg.)
Adenosine (Pediatric Decompensated Shock SVT 2nd & 3rd Dose)
0.2 mg/k g, IV/Saline Lock or IO bolus, rapidly, followed by 2 - 3 ml Normal Saline (0.9% NS) flush. (Maximum subsequent doses are 12 mg.)
Albuterol (Asthma, COPD)
0.083% (one unit dose of 3 ml), by nebulizer, at a flow rate that will deliver the solution over 5 to 15 minutes. May be repeated until patient shows improvement.
Albuterol (Anaphylaxis - Bronchospasm -)
0.083% (one unit dose bottle of 3 ml), by nebulizer, at a flow rate that will deliver the solution over 5 – 15 minutes.
Albuterol (Pediatric Asthma/Wheezing)
0.083% (one unit dose of 3 ml), by nebulizer, at a flow rate that will deliver the solution over 5 – 15 minutes. May be repeated twice during transport (total of 3 doses).
Amiodarone (V-Fib, Pulseless V-Tach)
300mg, IV/IO/ Saline Lock bolus.
Amiodarone (V-Fib, Pulseless V-Tach MCO repeat dose)
150 mg, IV/IO/Saline Lock Bolus
Amiodarone (Tachydysrhythmias)
150 mg, diluted in 100 ml D5W over 10 minutes.
Amiodarone (Pediatric Non-Traumatic Cardiac Arrest)
5 mg/kg, IV/Saline Lock, or IO
Aspirin
2 tablets, total of 162mg
Dopamine
5 ug /kg/min, may be increased until the desired therapeutic effects are achieved or adverse effects appear. (Maximum dosage is 20 ug/kg/min, IV/Saline Lock drip.)
Furosemide
20 – 80 mg, IV/Saline Lock bolus. (Maximum combined total dosage is 80 mg.)
Magnesium Sulfate (Ventricular Tachydysrhthmias with or without a pulse)
2 gm, IV/IO/Saline Lock bolus, diluted in 10 ml of Normal Saline (0.9% NS), over 2 minutes.
Magnesium Sulfate (Asthma)
2 gm, IV/Saline lock, diluted in 50 - 100 ml Normal Saline (0.9% NS) over 10 - 20 minutes.
Magnesium Sulfate (Non-Traumatic Cardiac Arrest-Torsades de Pointes-)
25 - 50 mg/kg, IV/Saline Lock, or IO.
Methylprednisolone (Asthma, COPD)
125 mg, IV/Saline lock bolus, or IM.
Methylprednisolone (Allergic/Anaphylactic Reaction)
125 mg, IV/Saline Lock bolus, slowly, over 2 minutes
Ondansetron
0.1mg/kg (not to exceed 4mg), IV or Saline Lock bolus, slowly over 1 - 2 minutes. A repeat dose of 0.1 mg/kg (not to exceed 4mg) may be administered PRN. (Maximum total dose is 8mg.)
Diltiazem
0.25 mg/kg, IV/Saline Lock bolus, slowly, over 2 minutes
Glucagon
1 mg, IM
Vasopressin
40 units IV/IO/Saline Lock Bolus, single dose
Lorazepam (APE)
1 – 2 mg, IV/IN Saline Lock bolus.
Lorazepam (Siezures, Head Injuries)
2 mg, IV/IN or IM. A single repeat dose of 2 mg, may be given after 5 minutes PRN
Lorazepam (EDP)
2 – 4 mg, IV/Saline Lock bolus or 4 mg IM or IN.
Lorazepam (Pediatric Siezures)
0.05 mg/kg, IV/IN/Saline Lock or IO bolus, slowly, over 2 minutes. Repeat doses of 0.05 mg/kg, IV/IN/Saline Lock or IO bolus, slowly, over 2 minutes, PRN.
Furosemide (adults ≥ 14yo and < 40kg)
1 mg/kg/dose
Amiodarone (adults ≥ 14yo and < 40kg)
5 mg/kg
Midazolam (Prehospital Sedation)
1 – 2 mg, IV/IN/Saline Lock bolus. Repeat doses of 1 mg, IV/IN/Saline Lock bolus, PRN (5mg MAX)
Midazolam (APE)
1 – 2 mg, IV/IN Saline Lock bolus.
Midazolam (Siezures, Head Injuries)
10 mg, IM or IN
Lorazepam (Siezures MCO)
Repeat 2 mg, IV/IN or IM
Diazepam (Siezures MCO)
Repeat 5 mg IV (Rate of administration may not exceed 5 mg/min.)
Midazolam (Siezures MCO)
Repeat 10 mg, IN or IM.
Midazolam (EDP)
1 – 2 mg, IV/Saline Lock bolus or if IV access is unavailable, administer 10 mg IM or IN.
Midazolam (Pediatric Siezures)
0.2 mg/kg, IM or IN. (5 mg MAX)
Midazolam (Pediatric Siezures MCO)
If IV/Saline Lock or IO access has not been established, repeat 0.2 mg/kg, IM or IN. (5 mg MAX)
What is the prefered route of the administration of Midazolam in pediatric patients?
Intranasal administration
Fentanyl
1 mcg/kg, IV/IN/Saline Lock bolus. (100 mcg MAX)
Ipratropium (Asthma, COPD)
0.02% (1 unit dose of 2.5 ml ), by nebulizer, in conjunction with the first three doses of Albuterol Sulfate.
Ipratropium (Pediatric Asthma/ Wheezing)
0.02% (one unit dose of 2.5 ml 6 years of age or older, one half unit dose of 2.5 ml in under 6 years of age), by nebulizer, in conjunction with each Albuterol Sulfate dose.
Dexamethasone (Asthma/COPD)
12 mg, IV/Saline Lock bolus, or IM.
Dexamethasone (Anaphylaxis)
12 mg, IV/Saline Lock bolus, slowly over 2 minutes.
Calcium Chloride
1 gm, SLOWLY, IV/Saline Lock bolus . Follow with a Normal Saline (0.9% NS) flush.
Etomidate (Prehospital Sedation: ET)
0.3 mg/kg, IV/Saline Lock bolus, over 30 - 60 seconds. (Maximum total dose is 40 mg.)
Diazepam (For continued sedation after ET w/ etomidate administration)
5 mg IV/Saline Lock bolus
Lorazepam (For continued sedation after ET w/ etomidate administration)
Lorazepam 2 mg, IV/Saline Lock or IM
Etomidate (Prehospital Sedation: Synchronized Cardioversion OR Transcutaneous Pacing)
0.15mg/kg, IV/Saline Lock bolus. (10mg MAX)
Hydroxocobalmin: Infant/Toddler Dose (2 Bottle Kit)
1/4 bottle
Hydroxocobalmin: Preschool Dose (2 Bottle Kit)
1/2 Bottle
Hydroxocobalmin: Grade School Dose (2 Bottle Kit)
1 Bottle
Hydroxocobalmin: Adult Dose (2 Bottle Kit)
2 Bottles
Hydroxocobalmin: Infant/Toddler Dose (1 Bottle Kit)
1/4 Bottle
Hydroxocobalmin: Preschool Dose (1 Bottle Kit)
1/4 Bottle
Hydroxocobalamin: Grade School Dose (1 Bottle Kit)
1/2 Bottle
Hydroxocobalmin: Adult Dose (1 Bottle Kit)
1 Bottle
Hydroxocobalamin 2 Bottle Kit
2.5gm/100mL/bottle
Hydroxocobalamin 1 Bottle Kit
5.0gm/200mL/bottle
Sodium Thiosulfate Administration (ages 0-13) Pediatric
250mg/kg (3cc/kg prepared solution) administered over 10 minutes, IV
Sodium Thiosulfate Administration (≥14 years)
12.5g (150mL of a prepared solution) administered over 10 minutes IV