nyc paramedic medications (non-med. control) and defibrillation doses

amiodarone dose for pediatric patient in v-tach or pulseless v-tach

5 mg/kg IV (max 300 mg)

dextrose dose for AMS pediatric patients with BGL reading under 60

0.5 g/kg IV (max 25 g)

glucagon dose for AMS pediatric and adult patients with BGL reading under 60

1 mg IM/IN if IV access is unavailable

albuterol and ipratropium dose for adult and pediatric patients with wheezing from anaphylaxis

1 unit albuterol (3 ml) mixed with 1 unit ipratropium (2.5 ml) nebulized over 5-15 min, repeat as needed (max 3 doses)

dexamethasone dose for adult and pediatric patients with anaphylaxis/severe allergic reaction

0.6 mg/kg IV/IM/PO (max 12 mg) slowly over two minutes

epi dose in adult cardiac arrest that is repeated every 3-5 min until ROSC

1 mg IV (10 ml of a 1:10,000 concentration)

amiodarone dose for adult cardiac arrest pt in v-fib or pulseless v-tach

300 mg IV

lidocaine dose for adult cardiac arrest pt in v-fib or pulseless v-tach

100 mg IV

epi dose for pediatric pt in cardiac arrest that is repeated every 3-5 min until ROSC

0.01 mg/kg IV (max 1 mg) (0.1 ml/kg of a 1:10,000 concentration)

first pediatric defib dose for v-fib or pulseless v-tach

2 joules/kg

second pediatric defib dose for v-fib or pulseless v-tach

4 joules/kg

third and beyond pediatric defib dose for v-fib or pulseless v-tach

10 joules/kg

lidocaine dose for pediatric pt in v-fib or pulseless v-tach

1 mg/kg IV (max 100 mg)

dextrose for pediatric cardiac arrest pt with BGL under 60

0.5 mg/kg (max 25 mg)

crystalloid fluid dose for pediatric pt in cardiac arrest

20 ml/kg IV (max 2 L)

epi dose for pediatric pt with bradycardia (HR under 60 BPM and signs of shock/AMS)

0.01 mg/kg IV (max 1 mg) (0.1 ml/kg of a 1:10,000 concentration); repeat as needed every 3-5 min

atropine dose for bradycardic pediatric pt with increased vagal tone or primary AV block

0.02 mg/kg IV (minimum 0.1 mg; max 0.5 mg)

nitro dose for adult pt with suspect acute cardiogenic pulmonary edema AND with SBP over 120

0.4 mg SL/IV; repeat every 5 min as needed

dextrose dose for AMS adult patients with BGL reading under 60

up to 25 g

epi dose for patients having anaphylaxis/severe allergic reaction under 9 years AND weight under 30 kg

0.15 mg I'm via syringe OR pediatric auto-injector

epi dose for patients having anaphylaxis/severe allergic reaction equal to/over 9 years OR weight over 30 kg

0.3 mg IM via syringe or adult auto-injector

epi dose for adult and pediatric patient with anaphylaxis/severe allergic reaction

0.01 mg/kg IM (max 0.5 mg) of a 1:1,000 concentration; repeat as needed every 3-5 min (max 3 doses, including those given by previous providers)

crystalloid fluid dose for adult and pediatric patients with anaphylaxis/severe allergic reaction

20 ml/kg (max 2 L)

methylprednisolone dose for adult and pediatric patients with anaphylaxis/severe allergic reaction

1 mg/kg IV/IM (max 60 mg) slowly over two minutes

diphenhydramine dose for adult and pediatric patients with anaphylaxis/severe allergic reaction

1 mg/kg IV/IM (max 50 mg)

IM/IN midazolam dose for adult pts with hyperactive delirium AND who violently struggle AND risk injury

0.2 mg/kg IM/IN (max 10 mg)

IV midazolam dose for adult pts with hyperactive delirium AND who violently struggle AND risk injury

0.2 mg/kg IV (max 5 mg)

aspirin dose for adult patient with ACS/chest pain/suspect MI

324 mg PO

nitro dose for adult pt with ACS/chest pain/suspect MI

0.4 mg SL every 5 min if SBP is over 120

initial joules dose for synchronized cardioversion of an adult pt with unstable a-fib or a-flutter

200 joules

subsequent joules dose for synchronized cardioversion of an adult pt with unstable a-fib or a-flutter

300 and then 360 joules

atropine dose for adult pt with unstable brady-dysrhythmia (ventricular rate under 50 and shock)

1 mg IV

initial synchronized cardioversion joules dose for adult pt in unstable SVT

100 joules

subsequent synchronized cardioversion joules dosing for adult pt in unstable SVT

200, then 300, then 360

adenosine dose for adult pt in stable SVT

6 mg IV rapid push, followed by flush and observe monitor for 1-2 minutes for evidence of cardioversion

subsequent adenosine dose for adult pt in persistent stable SVT

12 mg rapidly, followed by flush and repeat after 1-2 minutes if no evidence of cardioversion

initial synchronized cardioversion joules dose for adult in unstable v-tach with a pulse

100 joules

subsequent synchronized cardioversion joules dose for adult in unstable v-tach with a pulse

200, then 300, and then 360

amiodarone dose for persistent unstable or stable v-tach with a pulse

150 mg IV (diluted in 100 ml D5W) over ten minutes

lidocaine dose for persistent unstable or stable v-tach with a pulse

1 mg/kg IV (max 100 mg) over two minutes

crystalloid fluid dose for pediatric patients with a dysrhythmia

20 ml/kg IV (max 2 L)

magnesium sulfate dose for pts with eclampsia

4 g IV (diluted in 50-100 ml NS) over ten minutes

epi dose for neonate in cardiac arrest with HR under 60 OR if assisted ventilations are required

0.01 mg/kg IV (0.1 mg/kg of a 1:10,000 solution) every 3-5 min as needed

dextrose 10% dose for neonate in cardiac arrest with BGL under 40

0.5 g/kg IV via syringe

crystalloid fluid dose for neonate in cardiac arrest

10 ml/kg IV

l-epi dose for pediatric pt with stridor at rest from croup or epiglottitis

3 mg (3 ml of a 1:1,000 concentration) nebulized

2.25% racemic epi dose for pediatric pt with stridor at rest from croup or epiglottitis

0.5 ml mixed with 3 ml NS nebulaized

dexamethasone dose for pediatric pt age two or older with stridor at rest, respiratory distress, or persistent barky cough

0.6 mg/kg IV/IM/PO (max 12 mg)

methylprednisolone dose for pediatric pt age two or older with stridor at rest, respiratory distress, or persistent barky cough

1 mg/kg (IV/IM (max 60 mg)

IN naloxone dose for adult patient with suspect opioid overdose and inadequate respiratory rate

1 mg IN in each nostril (cumulative dose 2 mg); repeat if no symptom improvement after 5 minutes (cumulative final dose 4 mg)

IN naloxone dose for pediatric patient with suspect opioid overdose and inadequate respiratory rate

0.5 mg IN in each nostril (cumulative dose 1 mg); repeat after five minutes if no symptom improvement (final cumulative dose 2 mg)

IV/IN/IM naloxone dose for adult patient

titrate in 0.5 mg increments IV/IM/IN (max 4 mg) as needed to response

IV/IN/IM naloxone dose for pediatric patient under 2 years old

titrate in 0.5 mg for max cumulative dose of 1 mg

IV/IN/IM naloxone dose for pediatric patient 2 years or olde

titrate in 0.5 mg for max cumulative dose of 2 mg

sodium bicarbonate dose for suspected salicylate overdose or any suspected overdose with QTc over 500 ms or QRS over 100 ms

1 mEq/kg IV (max 44 mEq)

midazolam dose for adult or pediatric patient experiencing generalized seizures that are ongoing/recurring AND if patient is actively seizing

0.2 mg/kg IV/IN/IM (max 5 mg); repeat as needed after 5 minutes (max cumulative dose 10 mg)

lorazepam dose for adult or pediatric patient experiencing generalized seizures that are ongoing/recurring AND if patient is actively seizing

0.1 mg/kg IV/IM/IN (max 2 mg); repeat as needed after 5 minutes (max cumulative dose 4 mg)

diazepam dose for adult or pediatric patient experiencing generalized seizures that are ongoing/recurring AND if patient is actively seizing

0.2 mg/kg IV (max 5 mg) slowly over 1 minutes; repeat as needed after 5 minutes (max cumulative dose 10 mg)

crystalloid fluid dose for adult patients in septic shock/severe sepsis (who are still in shock after initial 20 ml/kg bolus)

20 ml/kg IV (cumulative fluid bolus 40 ml/kg)

norepi dose for adult patients in septic shock/severe sepsis/general shock

2 mcg/min continuous IV infusion (max 20 mcg/min); titrate as needed every 3-5 minutes

epi dose for adult patients in septic shock/severe sepsis/general shock

10 mcg IV over 1 minute, repeat as needed every 3-5 minutes

ondansetron dose for adult and pediatric patients equal to or over 6 months with severe nausea and/or vomiting

0.1 mg/kg PO/IV/IM (max 8 mg)

acetaminophen dosage for general pain

15 mg/kg PO/IV (max 1000 mg) (IV must be administered over 15 min)

ketorolac dose for adult pt for general pain

15 mg IV/IM

morphine dose for general pain management in patients with SBP over 110

initial IV/IM dose of 0.1 mg/kg (max 5 mg); repeat as needed up to additional 0.1 mg/kg (max cumulative dose 10 mg)

fentanyl dose for general pain management

initial IV/IM/IN dose of 1 mcg/kg (max 100 mcg); repeat as needed up to additional 1 mcg/kg (max cumulative dose 200 mcg)

etomidate dose for adult patient requiring procedural sedation (e.g. synchronized cardioversion, pacing)

0.15 mg/kg IV (max 20 mg)

ketamine dose for adult patient requiring procedural sedation (e.g. synchronized cardioversion, pacing)

1 mg/kg IV (max 100 mg)

midazolam dose for adult patient requiring procedural sedation (e.g. synchronized cardioversion, pacing)

0.1 mg/kg IV (max 5 mg)

diazepam dose for adult patient requiring procedural sedation (e.g. synchronized cardioversion, pacing)

0.1 mg/kg IV (max 10 mg)

lorazepam dose for adult patient requiring procedural sedation (e.g. synchronized cardioversion, pacing)

0.02 mg/kg IV (max 4 mg)

etomidate dose for adult patient for sedation prior to advanced airway management

0.3 mg/kg IV (max 40 mg)

ketamine dose for adult patient for sedation prior to advanced airway management

2 mg/kg IV (max 200 mg)

fentanyl dose for adult patient requiring sedation with an airway already in place

1 mcg/kg IV (max 100 mcg)

ketamine dose for adult patient requiring sedation with an airway already in place

1 mg/kg IV (max 100 mg)

midazolam dose for adult patient requiring sedation with an airway already in place

0.2 mg/kg IV (max 5 mg)

diazepam dose for adult patient requiring sedation with an airway already in place

0.2 mg/kg IV (max 10 mg)

lorazepam dose for adult patient requiring sedation with an airway already in place

0.1 mg/kg IV (max 4 mg)

joules dosage for adult patient in traumatic cardiac arrest

maximum joule setting available

initial joules dosage for pediatric patient in traumatic cardiac arrest

2 joules/kg

second joules dosage for pediatric patient in traumatic cardiac arrest

4 joules/kg

third and subsequent joules dosage for pediatric patient in traumatic cardiac arrest

10 joules/kg

crystalloid fluid dose for patients with partial and full thickness burns (2nd degree or higher) over 20% TBSA

20 ml/kg IV (max 1 L)

proparacaine dose for chemical eye injuries

0.5% 1-2 gtts topically in affected eye; repeat as needed

tetracaine dose for chemical eye injuries

0.5% 1-2 gtts topically in affected eye; repeat as needed