Drug Indicationdosage Notes

ER IV Drug list

Drug IndicationDosage Notes

Adenosine PSVT Conversion6 mg IV push, may repeat

12 mg IV q 1-2 min x 1-2 doses

AmiodaroneVF/Pulseless VT300 mg IV/IO

Wide Complex Tach150 mg IV x 1 over 10 min

Then 1 mg/min x 6 hrs

Atropine ACLS Brady0.5 mg IV/IO q 3-5 min, to max 3 mg

ACLS Asystole 1 mg IV/IO q 3-5 min

Cardiogen shock/brady 0.5 mg IV/IO q 3-5 min

Organophosphate poison 2 mg IV/IO q 5 min

Calcium ChlorideHypocalcaemia.5- 1gm IV over 10 minuse central line ifpossible

CCB overdose 1-2 g IV over 10 min, repeat q 20 min x 5 doses prn

Calcium GluconateHypocalcaemia1.5 – 3 gm IV over 10 minmay use peripheral IV

CCB overdose3-6 g IV over 15-20 min

Dexamethasone Croup0.6 mg/kg PO x 1

DiazepamSeizure 5-10 mg IV q 5-10 min, max 30 mg

Diltiazem AF/Flutter/PSVT0.25 mg/kg IV, 5-15 mg/hr infusion

Digoxin CHF/AF/PSVT4-6mcg/kg IV, then ¼ loading dose q 8 h x 2

Dobutamine Cardiac decompensationStart 2 mcg/kg/min. Range 2-20 mcg/kg/min

EpinephrineACLS-VT/Vib/PEA1 mg (1:10,000)IV q 3-5 min

Brady/cardiac output maint. 2-10 mcg/min

Anaphylaxis0.3-0.5 mg (1:1000) IM, max 1 mg (Peds: 0.01 mg/kg)

Infusion: start 5 mcg/min

‘Push Dose’ 5 – 10 mcg IV q 3-5 min

Fentanyl Sedation/pain 25-50 mcg IV, infusion start 25mcg/hr titrate

RSI50-100mcg IV (1-1.5 mg/kg)

FlumazenilBenzodiazepine OD0.2-0.5 mg IV q min x 5 doses max,

Infusion 0.1-0.4 mg/hr

GlucagonHypoglycemia1 mg SC/IM/IV

Beta Blocker OD 3-5 mg IV, 1-5 mg/hr IV infusion

HaloperidolAcute psychosis5-10 mg IV/IM

Hydralazine HTN crisis 10-20 mg IV q 2-4 hr

HydrocortisoneStatus asthmaticus300-400 mg/day IV divided q 6

Septic Shock200-300 mg/day IV divided q 6

IsoproterenolShock/Hypotension0.5-30 mcg/min IV

Brady due to 2-10 mcg.min

CCB/BBlocker OD

KetamineRSI induction 2 mg/kg

Proc Sed1-2 mg/kg IV over 1 min

Dissociative dose –analgesia0.3 mg/kg

Peds Proc. Sedation0.5- 1.5 mg/kg IV over 1 min

Ketofol 1:1 Ketamine/Propofol. Proc Sedation: 0.3 – 0.5 mg/kg

LabetalolHTN emergstart 20 mg IV, max 300 mg total 2 mg/min IV

Lipid EmulsionLocal Anesth/TCA/BBlocker,1.5 ml/kg bolus, then 0.25 ml/kg/min for

1st Gen antipsychotic OD30-60 min. Repeat bolus for persistent asystole

LorazepamSeizure/Status 3-4 mg IV/IO. Repeat x 1 q 10 min

MannitolCerebral Edema0.25 – 1 gm/kg IV

Magnesium SulfateSymptom. HypoMg1-4 gm IV

Seizure/Preeclampsia1-2 gm/hf IV

Vent. Arrhyth/Torsades2 gm IV

Methylprednisolone Anaphylaxis 1-2 mg/kg PO daily
MetoprololAcute MI5 mg IV q 2 min x 3 doses

After 15 min give 50 mg PO q 6 h

MidazolamProc. Sedation1-2 mg IV q 2-3 min, max 5 mg

RSI0.3 mg/kg IV

Agitation, violent behavior5 -10 mg IM

Seizure 10 mg IM

Morphine Analgesic 2-5 mg IV prn

NaloxoneOpioid OD0.1 mg IV/IO, 0.4 mg IM

NitroglycerinAnginastart 5 mcg/min

Acute Pulm Edema50 mcg/min to max 200 mcg/min

NorepinephrineHypotension/Sepsisstart 8-12 mcg/min. Maint 2-4 mcg/min

PhenobarbitalSeizure10-20 mg/kg IV x1. May repeat 10 mg/kg

PhenylephrineShock50-100 mcg/min IV

Mild hypotension10 – 150 mcg IV q 10 min (onset 1 min, duration 15-20 min)

“Push Dose” mix 10 mg in 100 ml N/S = 100mcg/ml

PropofolProcedural Sedation0.5 – 1.5 mg/kg IV

RSI1.5 – 3 mg/kg

Infusion -post intubationstart 5 mcg/kg/min. x 5 min, then titrate (5-50mcg.kg/min)

RanitidineAnaphylaxis itch50 mg IV

Rocuronium Intubation 0.6 – 1.2 mg/kg IV

Succinylcholine RSI paralysis1-2 mg/kg IV(can pre medicate with atropine)

SotalolVT/VF75- 100 mg IV q 12 h

TNKaseSTEMI <60 kg = 30 mg IV 60-69=35 mg

70-79=40 mg 80-89=45 mg

>90 kg=50 mg

VasopressinVF/VT/Asystole/PEA40 units IV/IO

Verapamil PSVT conversion2.5-10 mg IV

Atr. Fib/Flutter2.5-10 mg IV

XylocaineStatus Seizure1 mg/kg IV bolus

VF/VT0.5-0.75 mg/kg IV q 5-10 min. Then 1-4 mg/min