Every Drug Dose for Adult’s

What is the dose of Epinephrine 1:10,000 for cardiac arrest with severe hypothermia (core temp <86°F)?

1 mg IVP/IO — one dose only, no repeats

What is the dose of Naloxone (Narcan) for cardiac arrest due to suspected opioid overdose?

2 mg IV/IO

What is the dose of Dextrose 10% (D10W) for cardiac arrest due to hypoglycemia (BGL <70)?

250 mL IV/IO

What is the dose of Calcium Chloride for cardiac arrest due to hyperkalemia/renal patient?

1 gram IV/IO

What is the dose of TXA (Tranexamic Acid) for cardiac arrest with suspected incompressible hemorrhage?

1 gram IV/IO over 10 minutes

What is the dose of Epinephrine 1:10,000 for cardiac arrest (Asystole/PEA/VT/VF)?

1 mg IV/IO, repeat every 3–5 minutes, max 3 doses

What is the dose of Sodium Bicarbonate for cardiac arrest (Asystole/PEA/VT/VF)?

50 mEq IV/IO

What is the dose of Amiodarone for cardiac arrest VT/VF, first antiarrhythmic dose?

300 mg IV/IO

What is the dose of Lidocaine 2% for cardiac arrest VT/VF, first antiarrhythmic dose (alternative to amiodarone)?

1 mg/kg IV/IO, max 100 mg

What is the dose of Amiodarone for cardiac arrest VT/VF, second antiarrhythmic dose?

150 mg IV/IO (if amiodarone given before)

What is the dose of Lidocaine for cardiac arrest VT/VF, maintenance infusion?

2 mg/min IV/IO, titrate to max 4 mg/min

What is the dose of Magnesium Sulfate for persistent VF/VT in cardiac arrest?

2 grams IV/IO over 1–2 minutes

What is the dose of Normal Saline for cardiac arrest fluid bolus?

1 Liter IV/IO

What is the dose of Norepinephrine for post-ROSC hypotension?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min

What is the dose of Midazolam for post-ROSC sedation (not comatose)?

0.1 mg/kg IV/IO, may repeat in 10 min, max 10 mg/dose

What is the dose of Fentanyl for post-ROSC pain/sedation (not comatose)?

1 mcg/kg IV/IO, may repeat in 10 min, max total 300 mcg

What is the dose of Amiodarone for post-ROSC VT/VF with no antiarrhythmic given yet?

150 mg IV/IO over 10 minutes (HR must be >60 bpm)

What is the dose of Normal Saline for bradycardia fluid bolus?

500 mL IV/IO, may repeat, max 2 liters

What is the dose of Calcium Chloride for bradycardia with suspected calcium channel blocker overdose?

1 gram IV/IO

What is the dose of Atropine for bradycardia unresolved after fluid bolus?

1 mg IV/IO, repeat every 3–5 min, max 3 mg (not if 2nd/3rd degree block)

What is the dose of Ketamine for bradycardia, sedation for pacing?

0.5 mg/kg IV/IO, may repeat once after 5 min, max 500 mg total

What is the dose of Midazolam for bradycardia, sedation for pacing (SBP >90)?

0.1 mg/kg IV/IO/IN, repeat in 10 min, max 5 mg

What is the dose of Fentanyl for bradycardia, sedation for pacing?

1 mcg/kg IV/IO/IN, repeat in 10 min, max total 300 mcg

What is the dose of Epinephrine infusion for bradycardia not resolved with pacing?

2 mcg/min IV/IO, titrate to max 4 mcg/min

What is the dose of Norepinephrine for bradycardia not resolved?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min

What is the dose of Aspirin for chest pain of suspected cardiac etiology?

81 mg x4 PO chewed OR one 325 mg PO chewed

What is the dose of Nitroglycerin for chest pain of suspected cardiac etiology?

0.4 mg SL, repeat every 3–5 min up to 3 doses if BP ≥90 (hold if BP <90 or inferior wall MI)

What is the dose of Normal Saline for chest pain, hypotensive with no CHF?

500 mL IV/IO, may repeat, max 2 liters

What is the dose of Fentanyl for chest pain, continued pain after nitroglycerin (SBP ≥90)?

1 mcg/kg IV/IO/IN if indicated

What is the dose of Normal Saline for LVAD patient fluid bolus?

250–500 mL IV/IO if indicated

What is the dose of Narcan (Naloxone) for LVAD patient with respiratory depression?

2 mg IV/IO/IN, max total 2 mg (consider 0.2 mg increments for chronic pain patients)

What is the dose of Fentanyl for LVAD patient pain management?

1 mcg/kg IV/IO/IM/IN, max 100 mcg/dose, repeat every 10 min, max total 300 mcg

What is the dose of DuoNeb (albuterol/ipratropium) for LVAD patient with wheezing?

one HHN dose (max)

What is the dose of Ondansetron for LVAD patient nausea?

4 mg IV/IM/PO

What is the dose of Adenosine for LVAD patient SVT with HR >150?

12 mg RIVP, may repeat once (do NOT give amiodarone or diltiazem)

What is the dose of Amiodarone for narrow complex tachycardia/AFib with RVR, unstable with WPW?

150 mg IV over 10 minutes

What is the dose of Magnesium Sulfate for narrow complex tachycardia with Torsades de Pointes?

2 grams IV/IO

What is the dose of Adenosine for stable regular SVT?

12 mg IV/IO rapid push + 20 mL saline flush, may repeat 12 mg once (start at 6 mg if central line, transplant, carbamazepine, or dipyridamole)

What is the dose of Diltiazem for irregular rhythm (AFib/flutter) with rapid ventricular response, rate control?

20 mg slow IV/IO if SBP ≥90 (10 mg then repeat 10 mg in 5 min if age ≥60); may repeat dose in 15 min

What is the dose of Lidocaine 2% for narrow complex tachycardia, rhythm not converted after adenosine/diltiazem?

1 mg/kg, may repeat, max total 3 doses

What is the dose of Amiodarone for narrow complex tachycardia, rhythm not converted (alternative to lidocaine)?

150 mg IV/IO over 10 minutes

What is the dose of Ketamine for narrow complex tachycardia, sedation before cardioversion?

0.5 mg/kg IV/IO

What is the dose of Fentanyl for narrow complex tachycardia, sedation before cardioversion?

1 mcg/kg IV/IO/IN

What is the dose of Midazolam for narrow complex tachycardia, sedation before cardioversion (SBP >90)?

0.1 mg/kg IV/IO/IN, max 5 mg

What is the dose of Amiodarone for stable wide complex tachycardia, first dose?

150 mg IV/IO over 10 minutes (SBP >90)

What is the dose of Amiodarone for wide complex tachycardia, no rhythm change, second dose?

150 mg IV/IO over 10 minutes (SBP >90, HR >60)

What is the dose of Lidocaine 2% for wide complex tachycardia, no rhythm change after 2nd amiodarone dose?

1 mg/kg, may repeat, max total 3 doses

What is the dose of Ketamine for wide complex tachycardia, sedation before cardioversion?

0.5 mg/kg IV/IO

What is the dose of Fentanyl for wide complex tachycardia, sedation before cardioversion?

1 mcg/kg IV/IO/IN, max 300 mcg

What is the dose of Midazolam for wide complex tachycardia, sedation before cardioversion (SBP >90)?

0.1 mg/kg IV/IO/IN, max 5 mg

What is the dose of Amiodarone for wide complex tachycardia, after cardioversion?

150 mg IV/IO over 10 minutes (SBP >90, HR >60)

What is the dose of Normal Saline for abdominal pain, no serious signs/symptoms?

500 mL, repeat if lungs clear, titrate to SBP ≥90, max 2 liters

What is the dose of Ondansetron for abdominal pain with severe nausea/vomiting?

4 mg IV/IO/IM/ODT, may repeat once in 15 min

What is the dose of Norepinephrine for abdominal pain, no BP improvement after 2L bolus/cardiogenic shock signs?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min

What is the dose of Cardene (Nicardipine) for abdominal pain with SBP >190 bilaterally, suspicion of AAA?

2.5 mg/hr IV, may titrate up 2.5 mg/hr every 15 min to control BP

What is the dose of Ketamine for adult airway PAI, induction?

2 mg/kg IV/IO, max 500 mg

What is the dose of Midazolam for adult airway PAI, induction?

0.1 mg/kg IV/IM/IO, max 10 mg

What is the dose of Rocuronium for adult airway PAI, paralysis?

1 mg/kg IV/IO, max 200 mg

What is the dose of Vecuronium for adult airway PAI, paralysis?

0.1 mg/kg IV/IO, max 20 mg

What is the dose of Epinephrine 1:100,000 for adult airway PAI, pre-intubation hypotension (SBP <80)?

10 mcg IV/IO, repeat every 5–10 min as needed

What is the dose of Midazolam for adult airway PAI, post-intubation sedation (SBP >90)?

0.1 mg/kg IV/IO/IN, max 10 mg

What is the dose of Fentanyl for adult airway PAI, post-intubation sedation?

2 mcg/kg IV/IO/IN, repeat every 10 min PRN, up to 3 doses

What is the dose of Ketamine for adult airway PAI, post-intubation sedation (option 2)?

2 mg/kg IV/IO, max 500 mg

What is the dose of Vecuronium for adult airway PAI, re-paralyzation?

0.15 mg/kg IV/IO (0.01 mg/kg if vecuronium used previously)

What is the dose of Albuterol for wheezing/bronchoconstriction (Airway-Basic)?

2.5 mg nebulized, one dose

What is the dose of Ipratropium for wheezing (Airway-Basic)?

0.5 mg nebulized, +/- with albuterol

What is the dose of Naloxone (Narcan) for airway patent, respiratory depression, IN route?

1 to 2 mg IN

What is the dose of Naloxone (Narcan) for airway patent, respiratory depression, IV/IO/IM/IN route?

0.4 to 2 mg, repeat once if needed, max 2 mg/dose

What is the dose of Diphenhydramine for mild allergic reaction, PO?

50 mg PO

What is the dose of Diphenhydramine for mild allergic reaction, IV/IM/IO (if not already given)?

50 mg IV/IM/IO

What is the dose of Albuterol for moderate allergic reaction with respiratory findings?

2.5 mg nebulized, repeat, max 6 doses

What is the dose of Ipratropium for moderate allergic reaction with respiratory findings?

0.5 mg nebulized, +/- with albuterol, max 6 doses

What is the dose of Epinephrine 1:1000 for moderate allergic reaction (avoid if age >50)?

0.3 mg IM

What is the dose of Methylprednisolone for moderate allergic reaction?

125 mg slow IV/IO

What is the dose of Epinephrine 1:1000 for severe allergic reaction/anaphylaxis?

0.3 mg IM (0.15 mg if age >50, HR >130, or heart disease hx); repeat in 5 min if no improvement

What is the dose of Albuterol for severe allergic reaction?

2.5 mg nebulized, repeat, max 6 doses

What is the dose of Ipratropium for severe allergic reaction?

0.5 mg nebulized, max 6 doses

What is the dose of Diphenhydramine for severe allergic reaction, IV/IM/IO?

50 mg IV/IM/IO

What is the dose of Normal Saline for severe allergic reaction, fluid bolus?

500 mL IV/IO, repeat, max 2 liters

What is the dose of Methylprednisolone for severe allergic reaction?

125 mg slow IV/IO

What is the dose of Sodium Bicarbonate for combative patient with excited delirium, early use if cardiac arrest occurs?

50 mEq early

What is the dose of Midazolam for mild combative patient, no improvement?

0.1 mg/kg IV/IO/IN/IM, max 5 mg

What is the dose of Lorazepam for mild combative patient, no improvement?

1 to 2 mg IV/IO/IM

What is the dose of Ketamine for severe combative patient/excited delirium syndrome?

2 mg/kg slow IV/IO OR 4 mg/kg IM, max 500 mg (max 5 mL/injection site, thigh only); may repeat once after 5 min, max total 500 mg

What is the dose of Normal Saline or Lactated Ringers for severe combative patient, fluid bolus?

500 mL IV

What is the dose of Dextrose 10% (D10W) for diabetic emergency, BGL <70 with altered LOC?

125 mL IV/IO (WO), recheck BGL, repeat if indicated

What is the dose of Normal Saline for diabetic emergency, BGL ≥400, no renal history?

500 mL IV/IO, repeat if lungs clear, then infuse at 150 mL/hr

What is the dose of Normal Saline for diabetic emergency, hypotensive?

20 mL/kg IV/IO

What is the dose of Ibuprofen for fever ≥100.4°F?

400 to 800 mg PO

What is the dose of Acetaminophen for fever ≥100.4°F?

1000 mg PO

What is the dose of Normal Saline for fever/sepsis, fluid bolus?

1 Liter IV/IO if indicated, may repeat if lungs clear

What is the dose of Norepinephrine for fever/sepsis, hypotension with no improvement after fluid?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min

What is the dose of Labetalol for hypertension, SBP ≥200 symptomatic with no other cause?

10 mg IVP, may repeat once after 10 min

What is the dose of Cardene (Nicardipine) for hypertension, SBP ≥200 symptomatic?

2.5 mg/hr IV, titrate up 2.5 mg/hr every 15 min, max 15 mg/hr

What is the dose of Normal Saline for hyperthermia (heat exhaustion/stroke), fluid bolus?

500 mL IV/IO, repeat to maintain SBP >90, max 2 liters

What is the dose of Lactated Ringers for hypotension/shock, trauma-related?

500 mL IV/IO to SBP ≥90 (do not bolus if normotensive), max 2 liters

What is the dose of Norepinephrine for hypotension/shock, trauma, peri-arrest after 2L fluid?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min

What is the dose of Normal Saline or crystalloid for hypotension/shock, non-trauma, fluid bolus?

500 mL IV/IO, repeat, max 2 liters, to SBP ≥90

What is the dose of Norepinephrine for hypotension/shock, non-trauma cardiogenic shock?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min

What is the dose of Norepinephrine for hypotension/shock, non-trauma non-cardiogenic shock, after 2L fluid?

0.1 mcg/kg/min IV/IO, titrate to max 0.5 mcg/kg/min