Town of Jupiter Fire Rescue Department Pharmacology Quick Reference Guide

Detailed medication and dosage quick reference guide for the Town of Jupiter Fire Rescue Department, covering indications, routes, and concentrations.

Adenosine (Initial dose for SVT)

$6\,mg$ IV rapid push

Adenosine (Second dose for SVT)

$12\,mg$ IV rapid push

Albuterol (Mild bronchoconstriction)

$2.5\,mg$ nebulized

Albuterol (Hyperkalemia; Moderate-to-severe bronchoconstriction)

$7.5\,mg$ nebulized

Amiodarone (Ventricular tachycardia with a pulse)

$150\,mg/100\,mL$ D5W IV

Amiodarone (Initial dose for pulseless VT/VF)

$300\,mg$ IV

Amiodarone (Second dose for pulseless VT/VF)

$150\,mg$ IV

Aspirin (Acute coronary syndrome)

$324\,mg$ PO

Atropine (Ketamine-induced hypersalivation)

$0.5\,mg$ IV

Atropine (Symptomatic bradycardia)

$1\,mg$ IV

Atropine (SLUDGEM toxicity)

$2\,mg$ IV

Atrovent (Ipratropium)

$0.5\,mg$ nebulized for bronchoconstriction

Benadryl (Diphenhydramine) for Mild allergic reaction

$25\,mg$ IV/IM

Benadryl (Diphenhydramine) for Moderate allergic or Dystonic reaction

$50\,mg$ IV/IM

Calcium Gluconate (Hyperkalemia; Calcium replacement)

$1\,g$ IV

Calcium Gluconate (Hydrofluoric acid inhalation)

Nebulized $3\,mL$ Calcium Gluconate + $6\,mL$ NS

Cardizem (Diltiazem) Initial Dose

$0.25\,mg/kg$ IV for Atrial fibrillation/flutter with RVR

Cardizem (Diltiazem) Second Dose

$0.35\,mg/kg$ IV

Cyanokit

$5\,g$ IV for suspected cyanide poisoning

D10

$250\,mL$ IV ($25\,g$) for Hypoglycemia

Epinephrine 1:1,000 (Anaphylaxis)

$0.3\,mg$ IM

Epinephrine 1:1,000 (Upper airway edema; Stridor)

$3\,mg$ ($3\,mL$) nebulized

Epinephrine 1:10,000 (Cardiac arrest)

$1\,mg$ IV/IO

Epinephrine 1:100,000 (Vasopressor infusion)

$1\,mL$ ($10\,mcg$) per minute; maximum $30\,mL$

Epinephrine Drip Dosage Range

$$2\text{--}10\,mcg/min$$

Esmolol

$40\,mg$ IV for tachyarrhythmias

Fentanyl

$50\,mcg$ or $100\,mcg$ IV/IN for pain management

Furosemide (Lasix)

$1\,mg/kg$ IV for pulmonary edema or CHF

Gentamicin

$80\,mg$ IM antibiotic therapy

Glucagon

$1\,mg$ IM/IV for hypoglycemia or Beta-blocker overdose

Ketamine (Refractory seizures; Agitated delirium IM)

$2\,mg/kg$ or $4\,mg/kg$ IM

Ketamine (Refractory seizures; CPR-induced consciousness IV)

$1\,mg/kg$ or $2\,mg/kg$ IV/IO

Ketamine (DSI induction)

$200\,mg$ in $50\,mL$ NS

Ketamine (RSI induction)

$1\,mg/kg$ or $2\,mg/kg$ IV

Ketamine (Post-intubation sedation)

$200\,mg$ IV

Ketamine (Pain management infusion)

$50\,mg$ in $100\,mL$ D5W

Ketamine (Procedural sedation)

$1\,mg$ or $2\,mg$ in $100\,mL$ D5W

Labetalol

$10\,mg$ IV for preeclampsia

Magnesium Sulfate (Moderate-to-severe bronchoconstriction / Torsades de Pointes)

$2\,g/100\,mL$ IV

Magnesium Sulfate (Preeclampsia with symptoms)

$4\,g/100\,mL$ D5W IV ($SBP > 140$ or $DBP > 110$)

Magnesium Sulfate (Preeclampsia without vascular access)

$6\,g/100\,mL$ D5W IV/IO or $10\,g$ IM

Naloxone (Narcan)

$0.4\,mg$ to $2\,mg$ IV/IM/IN; or $4\,mg$ IN for opioid overdose

Nitroglycerin

$0.4\,mg$ SL for ACS or pulmonary edema

Ondansetron (Zofran)

$4\,mg$ IV/ODT for nausea/vomiting

Oral Glucose

$15\,g$ PO for hypoglycemia

Packed Red Blood Cells / Liquid Plasma

$1\,unit$ PRN for hemorrhagic shock

Rocuronium Bromide

$1\,mg/kg$ IV for RSI paralysis

Rocephin (Ceftriaxone)

$2\,g$ IV/IM antibiotic therapy

Sodium Bicarbonate (Hyperkalemia, TCA overdose, or Digitalis toxicity)

$50\,mEq$ IV

Sodium Bicarbonate (Excited delirium with suspected rhabdomyolysis)

$1\,mEq/kg$ IV

Solu-Medrol (Methylprednisolone)

$125\,mg$ IV for allergic reactions or bronchospasm

Tranexamic Acid (TXA) for ACE inhibitor overdose

$1\,g/100\,mL$ NS

Tranexamic Acid (TXA) for Hemorrhage protocol

$2\,g/100\,mL$ NS

Tylenol (Acetaminophen)

$1,000\,mg$ IV for pain or fever

Versed (Midazolam) for Anxiety

$2\,mg$ IV

Versed (Midazolam) for Ketamine emergence reaction

$2.5\,mg$ IV

Versed (Midazolam) for Breakthrough sedation

$2.5\,mg$ to $5\,mg$ IV

Versed (Midazolam) for Seizures, Alcohol withdrawal, or Stimulant overdose

$5\,mg$ IV/IM/IN

Push-Dose Epinephrine

$1\,mL$ Epinephrine in $100\,mL$ NS administered at $10\,mcg/min$