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Drug Generic (Trade) Class Indications Adult Dosage/Route Pediatric Dose

adenosine (Adenocard) antidysrhythmic stable PSVT, monomorphic VT, SVT initial dose: 6 mg rapid IV push give over 1-2

seconds (may repeat 2 more times) repeat

dose: 12 mg rapid IV push give over 1-2

seconds, repeat dose: 12 mg rapid IV push

give over 1-2 seconds,

initial dose: 0.1 mg/k

push (max 6mg) giv

seconds (may repea

times) repeat dose:

push (max 12mg) gi

seconds, repeat dos

IV push (max 12mg)

2 seconds

albuterol 0.5% (Proventil,

Ventolin)

beta 2 adrenergic,

bronchodilator

bronchospasm, asthma, reactive airway disease 2.5 mg/3cc saline via nebulizer 0.15 mg/kg/3cc salin

mg (2b protocol stat

patients 1 y

mg/3cc NS

amiodarone (Cordarone) antiarrhythmic cardiac arrest VF/ pulseless VT, VT with a pulse VF/VT arrest: 300 mg IV, may repeat 150 mg

IV after 3-5 minutes (max 2.2 grams in 24), VT

w/ pulse: 150mg slowly over 10 minutes

VF/VT arrest: 5 mg/

max single dose 300

amyl nitrite antidote cyanide poisoning administer vapors from crushed ampule for 30

seconds, then administer oxygen 30 seconds,

repeat continuously

administer vapors fr

ampule for 30 secon

administer oxygen 3

repeat continuously

aspirin (ASA) NSAID analgesic,

platelet inhibitor

chest pain suggestive of AMI 160 - 325 mg PO chewed not indicated

atropine anticholinergic,

parasympatholytic,antidote

symptomatic bradycardia, organophosphate or

carbamate insecticide poisoning, premedication foRSI in children

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lorazepam (Ativan) benzodiazepine,

anticonvulsant, sedative

status epi lepticus, anxiety, sedation 2-4 mg slow IV, IM, may repeat in 15 minutes

to max dose of 8 mg, for sedation 0.05 mg/kg

up to 4 mg IM

0.05-0.1 mg/kg IV u

IM, max dose 0.2 m

magnesium Sulfate electrolyte cardiac arrest, torsades des pointes, eclampsia,

hypomagnesemia

1 - 2 gm IV for Torsades, 2 - 4 grams

Eclampsia

25-50 mg/kg IV, one

10-20 minutes (max

meperidine (Demerol) analgesic analgesia 50 - 100 mg slow IV, IM, SQ 1mg/kg IV, IM, SQ

midazolam (Versed) sedative seizures, sedation 0.1 mg/kg IV up to 5 mg, 0.2 mg/kg IN up to

10 mg

seizure activity: 0.1

0.2 mg/kg IN, max d

morphine narcotic analgesic analgesia, pulmonary edema, chest pain 2-10 mg IV, IM, SQ (maximum dose is patient

specific based on ability to protect airway,

maintain respiratory drive and maintain blood

pressure)

0.1-0.2 mg/kg IV, IM

naloxone (Narcan) competetive opioid

antagonist

opiate overdose, coma 0.4-2 mg IN, IV, IM every 2-3 minutues 0.01 mg/kg IN, IV, IM

dose: 0.1 mg/kg, ma

mg/dose

nitroglycerin spray

nitroglycerin tablets

vasodialator angina, CHF, myocardial infarction, pulmonary

edema, hypertension

0.3-0.4 mg/spray, 0.3-0.4 mg/tablet not indicated

ondansetron (Zofran) antinauseant nausea/vomiting 4 mg slow IV, IM 0.1 mg/kg slow IVP,

oxygen elemental gas hypoxia, ischemic chest pain, respiratory distress,

suspected carbon monoxide poisoning, traumatic

injuries, shock

Low concentration - 1 - 4 LPM via cannula,

High Concentration - 10 - 15 LPM via

nonrereather mask

same as adult

oxytocin (Pitocin) hormone postpartum hemorrhage 10 units IM after placenta delivers not indicated

promethazine

(Phenergan)

antiemetic,

phenothiazine

nausea, vomiting, sedation 12.5-50 mg IV, deep IM every 4 hours

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Contraindications (applies to all - sensitivity to

drug) Side effects Notes/Onset/Duration

2 or 3 AV block, sinus node disease, i.e. sick-

sinus syndrome, polymorphic ventricular

tachycardia

CNS: headache, lightheadedness, dizziness,

tingling in arms, numbness, apprehension, and

blurred vision CV: brief asystole, facial flushing,

bradycardia palpitations, chest pressure,

hypotension Resp: dyspnea, hyperventilation,

shortness of breath, bronchospasm GI: nausea,

metallic taste, throat tighness, inform patient of

feeling they will feel when adenosine is

administered

onset immediate, half-life 10-12 seconds,

administer into the medication port closest to

the IV site followed by rapid flush of 20 mL

saline, theophyllines and caffiene may block

effects, dipyridamole and carbamazepine may

potentiate effects.

tachydysrythmias CNS: tremors, headache, nervousness, anxiety

CV: palpitations Resp: bronchospasm GI:

nausea/vomiting

onset immediate, half-life unknown, effect may

be decreased in patients on beta blockers.

none in prehospital cardiac arrest, cardiogenicshock, bradycardia, 2 or 3 AV block,

idioventricular rhythm, sinus node dysfunction,

CV: bradycardia, hypotension, vasodilation, AVblock, increases. QTc, hepatotoxicity

onset 1-3 minutes, duration/half-life up to 40days, do not administer with other QT

prolonging drugs such as procainamide

none prehospital CV: hypotension, headache, methemoglobinemia

GI: nausea

administer as soon as possible after exposure

allergy to ASA, patients with "factor" deficiencies,use caution with asthma, ulcers or other bleeding

disorders

CV: prolonged bleeding time Resp:bronchospasm, angioedema GI: nausea,

vomiting,

onset 35-40 minutes, duration and peak effectvary by patient

presence of acute MI, narrow angle glaucoma CNS: dilated pupils, headache CV: , tachycardia,

dry mouth, flushed hot dry skin,

tachydysrhythmias, usually does not work in the

presence of beta-blocker or calcium channel

blocker overdose

use as premedication for RSI in children

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acute narrow-angle glaucoma, use caution in ren

failure

CNS: dizziness, sedation, vertigo onset 1-5 minutes IV, 15-30 minutes IM,

duration 12-24 hours, note: overdose may be

reversed by flumazenil

none in cardiac arrest, renal disease, heart block CNS: CNS depression muscle hyporeflexia CV:

hypotension, asystole, cardiac arrest Resp:

repiratory paralysis

antidote is calcium chloride

patients receiving MAOI CNS: sedation, increased ICP CV: apnea,

hypotension, tachycardia Resp: nausea, vomiting

onset 1 minute, peak effect 5-7 minutes,

duration 2-4 hours

acute narrow angle glaucoma, shock, renal failureCNS: decreased level of consciousness CV:

hypotension, bradycardia Resp: respiratory

depression, apnea GI: nausea, vomiting, may be

reversed with flumazenil

onset 1-5 min, durration dose related usually