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Kenosha Fire Department Dosing and bolus
Kenosha Fire Department Protocol
28
Other
Undergraduate 1
05/31/2013

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Cards

Term
Drug and dosing for adult c/o nausea and vomiting
Definition
Ondansetron- Zofran
4mg IV/IM
Pushed over 1 min
Term
Adult dose of Fentanyl
Definition
25-100mcg IV/IM/IN push over 2 min
repeat every 2-5 min
Max 200 mcg
Term
Peds dos of Fentanyl
Definition
0.5-1mc/kg IV/IM/IN push over 2 min
repeat every 2-5 min
Max 100 mcg
Term
Adult dose of Midazolam
Definition
Versed
1-2 mg IV/IM/IN
Max 10 mg
Term
Adult - Calcium Chloride
Definition
Given for coded dialysis patients
1gm in 10 ml IV/IO push

Beta Blocker/Calcium Channel blocker OD
1gm/10ml over 5-10 min
Term
Adult - Sodium Bicarbonate
Definition
Given in a code for dialysis patients
50mEq IV/IO push
Term
Adult- atropine
Definition
1 mg

Max dose 0.04mg/kg

Symptomatic Bradycardic PT
0.5 mg
Repeat every 3 min
Term
Adult Glucagon
Definition
Beta blocker or calcium channel blocker OD
1-2 mg IV
Term
Adult Asprin
Definition
For chest pn
324 mg
Term
Adult Nitroglycerine
Definition
Chest pn
0.4mg SL
Repeat every 5 min
Max 3 doses
Term
Amiodarone
Definition
Recurrent runs of V-Tach with pulse or after sucessful cardioversion
150mg IV in 100 mL of D5W over 10 min

Pulseless
1ST DOSE is 300mg IV/IO push
2ND DOSE is 150mg IV/IO push
Term
Adult- Adenosine
Definition
Stable SVT patients
12mg rapid IV push
Repeat 2
Term
Adult- Cardizem
Definition
A-fib
20mg IV over 2 min
Term
Adult Defibrillation dose
Definition
150J
Term
DuoNEB
Definition
Coded Renal Failure/Dialysis patients
3mg/0.5mg
Term
Synchronized cardioversion-3 doses
Definition
100j, 150j, 200j
Term
Adult- Severe respiratory distress from Asthma/COPD after use of DuoNeb
Definition
Epinephrine 0.3 mg IM
Consider SoluMedrol 125mg IV
Term
Adult- CHF/Pulm Edema exacerbation
Definition
Nitro 0.4-0.8mg SL repeat 3-5 min
Term
Severe resp distress from pneumonia
Definition
Consider CPAP
If dehydrated-500ml NS bolus
DuoNeb if wheezing
Term
Mild Allergic Reaction
Definition
Benadryl 50mg IV/IM
SoluMedrol 125 mg IV/IM
Term
Moderate Allergic Reaction
Definition
Monitor
IV
EPI 1:1000 0.3 mg IM
DuoNeb
Term
Anaphylaxis
Definition
Benadryl 50mg IV/IM
SoluMedrol 125 mg IV/IM
Epi 1:1000 0.3 mg IM or 1:10,000 0.1mg IV slowly
Term
Adult-Naloxone
Definition
0.4-2mg IV/IM/IN
Term
Burn with 20% BSA or greater
Definition
Dry sterile dressing
Term
Burn with 20% BSA or less
Definition
Saline soaked sterile dressing
Term
Treatment for burn occurring in the last 15 min
Definition
Cool with water or saline
Term
Labetalol(Normodyne)
Definition
BP above 220 with signs of end organ damage

20mg IV

Check bp after 5 min

repeat dose after 15 min
Term
PEDS Naloxone
Definition
0.05 to 0.1mg/kg
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