Northern Alberta Institute of Technology - Paramedic Program Formulary

GENERIC TRADE® PREPARATION ADULT DOSE PED. DOSE

acetylsalicylic acid Aspirin 80/325 mg tablet 160-325 mg PO chewed
acetylsalicylic acid
activated charcoal Charcodote 50 gm/250 ml 1-2 g/kg PO/NGT 1gm/kg PO/NGT
activated charcoal Charcoaid 250 ml bottle MAX. 100 gm Dilute 3 times
adenosine Adenocard 3 mg/ml 6 mg bolus rapid IV 0.1 mg/kg 1st dose
adenosine 2 ml ampule (6mg) 12 mg after 1-2 min. 0.2 mg/kg 2nd dose
amiodarone Cordarone 50 mg/ml Arrest 300 mg/20 ml D5W IV Arrest: 5 mg/kg IV
amiodarone Rpt at 150 mg Other: 5 mg/kg IV
amiodarone Other 150 mg/20 ml D5W over 10 mins over 20-60 min
amiodarone May repeat q 10 mins
atropine sulfate Atropine 0.1 mg/ml 0.5-1 mg IV/ET 0.02 mg/kg IV/IO/ET
atropine sulfate 10 ml pre-load (1 mg) 3 mg (0.04 mg/kg) MAX. 0.1mg min 1mg max
calcium chloride 10% or 20% Solution 8-16 mg/kg 20 mg/kg
calcium chloride 1-2 grams/10 ml
dextrose 50% Dextrose 50% 500 mg/ml 12.5-25 gm IV 0.5-1 gm/kg
dextrose 50% 50 ml preload (25 gm) Dilute 1:1 D25W
diazepam Valium 5 mg/ml 2.5-5.0 mg IV repeat prn 0.2 mg/kg IV/IO
diazepam 2 ml ampule (10 mg) Max. 20 mg 0.5 mg/kg rectal
diltiazem Cardizem 25 mg/ml 0.25 mg/kg over 1-2 min.
diltiazem Rpt in 15 min - 0.35 mg/kg
dimenhydrinate Gravol 50 mg/ml 25-50 mg IV/IM 1.0 mg/kg IV/IM
dimenhydrinate 1 ml ampule < 5 y/o 25 mg MAX
diphenhydramine HCl Benadryl 50 mg/ml 25-50 mg IV/IM 1-2 mg/kg IV/IM
diphenhydramine HCl 1 ml ampule (50 mg) 50 mg MAX.
dobutamine Dobutrex 250 mg/ml 2-20 mcg/kg/min. 2-20 mcg/kg/min.
dobutamine 10 ml ampule titrate to effect
dopamine HCl Intropin 40 mg/ml 2-20 mcg/kg/min. 2-20 mcg/kg/min.
dopamine HCl 5 ml ampule (200 mg) titrate to effect
epinephrine HCl Adrenalin 1:1000 1 mg/ml ampule 0.3-0.5 mg SQ/IM 0.01 mg/kg SQ/IM
epinephrine HCl 30 mg/30 ml bottle 0.3 mg MAX.
epinephrine HCl Epinephrine 1:10,000 0.1 mg/ml Arrest 1 mg IV/ET 0.01 mg/kg IV/IO
epinephrine HCl preload 10 ml preload (1 mg) Sev. Anaph(hypotsn) 0.1-0.3 mg IV 0.1 mg/kg ET
epinephrine HCl Infusion 2-10 mcg/min
epinephrine HCl titrate to effect

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 Northern Alberta Institute of Technology - Paramedic Program Formulary
GENERIC TRADE® PREPARATION ADULT DOSE PED. DOSE
fentanyl citrate Sublimaze 50 mcg/ml PAIN - 1 mcg/kg prn 1-2 mcg/kg
fentanyl citrate 2, 5 or 10 ml ampules RSI - 3-5 mcg/kg prn 1-3 mcg/kg prn RSI
furosemide Lasix 10 mg/ml 20-40 mg slow IV (max 20mg/min) 1 mg/kg slow IV
furosemide 4 ml ampule (40 mg) or 0.5 - 1.0 mg/kg
glucose Insta-Glucose 30 gm tube 1-2 tubes PO 1-2 tubes PO
glucose Monogel
haloperidol Haldol 5 mg/ml 2-5 mg IM
haloperidol 1 ml ampule (5 mg) 10 mg MAX.
hydrocortisone Solu-cortef 100/250/500 mg 100-500 mg over 5-10 min IV 5 mg/kg over 10 min IV
hydrocortisone reconstitute with H2O Respiratory Distress
ipratropium bromide Atrovent 250 mcg/ml 250-500 mcg NEB 125-250 mcg NEB
ipratropium bromide 1 ml nebule Repeat x 2 Repeat x 2
ketorolac Toradol 60 mg preloaded syringe 30 mg IV
ketorolac 60 mg IM
labetalol Trandate 5 mg/ml 10 mg IV over 1-2 mins rpt q 10 min 0.25 mg/kg IV
labetalol 100 mg in 20 ml max. 150 mg
lidocaine HCl Lidocaine 20 mg/ml 1-1.5 mg/kg IV 1 mg/kg IV/IO
lidocaine HCl 5 ml preload (100 mg) 3 mg/kg MAX.
lorazepam Ativan 1 mg tablet 1-4 mg IM or diluted slow IV 0.05-0.1 mg/kg IV prn
lorazepam 1 mg ampules 0.05 - 0.1 mg/kg prn MAX. 4 mg MAX. 2 mg
magnesium sulfate Magnesium Sulfate 100 mg/ml CARD ARREST 1-2 g in 10 ml NS IVP 25 mg/kg IV
magnesium sulfate 10 ml preload (1gm) RESP 1-2 g in 25-50 ml over 10 min MAX 2 g
mannitol Osmitrol 50/100 g in 500 ml 1.5 - 2.0 g/kg 1g /kg IV (PATCH)
mannitol 10/20% solution infused over 30-60 min
meperidine Demerol 100 mg/ml 25-100 mg IV/IM 1-2 mg/kg IV/IM
meperidine 1 ml ampule (100 mg) Dilute 1 mg/1ml
methylprednisolone Solu-medrol 62.5 mg/ml 125 - 250 mg IV SLOW 1.0 mg/kg/dose
methylprednisolone 2 ml vials (125 mg) over 15 min. over 15 min
metoclopramide Reglan 10mg/1ml 5 - 10 mg IV / IM 0.1 mg/kg IV/IM/PO
metoclopramide Maxeran 1 ml vial Watch for EPS side effects in kids less than 10
metoprolol Lopressor 5 mg over 2-5 minutes rpt q5 min to
metoprolol max 15 mg
midazolam Versed 1 mg/ml 0.05-0.1 mg/kg IV/IM 0.1-0.2 mg/kg IV/IM
midazolam 5 ml vial (5 mg) max. single dose 5 mg MAX 4 mg

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 Northern Alberta Institute of Technology - Paramedic Program Formulary
GENERIC TRADE® PREPARATION ADULT DOSE PED. DOSE
morphine sulfate Morphine 10 mg/ml 2.5 to 5 mg IV prn 0.1 mg/kg
morphine sulfate 1 ml ampule (10 mg)
naloxone HCl Narcan 0.4 mg/ml 0.4-2 mg IV/IM/ET 0.01 mg/kg IV/IO/ET/IM
naloxone HCl 10 ml vial (4 mg) Max 10 mg
nitroglycerine Nitroglycerine Dilute 25 mg in 250 ml Start at 10 mcg/min and increase by
nitroglycerine D5W or NS 5 mcg/min q5-10 min - titrate to effect
nitroglycerine Nitrolingual Spray 0.4 mg/dose 0.4 mg SL
nitroglycerine 200 doses/bottle Q 3-5 min. X4
nitrous oxide Entonox 50/50 Self administer Self administer
nitrous oxide N2O/O2
norepinephrine Levophed 1 mg/ml 0.5 - 30 mcg/minute 0.1-2.0 mcg/kg/min
norepinephrine 4 ml ampule (4 mg) titrate to effect
pancreatic polypeptide Glucagon 1 mg/ml 1 mg IV/IM/SQ 0.5-1 mg IM/SQ
pancreatic polypeptide 2 vials (1 mg & dilutents) 1 - 5 mg for BetaBlocker OD 1 mg MAX.
pancuronium Pavulon 2 mg/ml INITIAL 0.1 mg/kg IV 0.1 mg/kg IV
pancuronium 5 ml ampule MAINT 0.01 mg/kg prn Q 30-60 min.
phenytoin Dilantin 50 mg/ml 10-20 mg/kg loading 10-20 mg/kg IV
phenytoin
pitocin / syntocinon Oxytocin 10 IU/ml 20 IU/1000 cc NS IV
pitocin / syntocinon 1 ml ampule (10 IU) or 3-10 IU IM
procainamide Pronestyl 100 mg/ml 20-30 mg/min.
procainamide 10 ml ampule (1 gram) 1-4 mg/min. infusion
propranolol Inderal 1 mg/ml 1-3 mg over 2-5 min. DILUTE
propranolol 0.1 mg/kg max
rocuronium Zemuron 0.6 - 1.2 mg/kg 1 mg/kg for RSI
rocuronium MAINT 0.2 mg/kg prn
salbutamol Ventolin 1mg/ml 2.5-5 mg nebulized 0.15 mg/kg
salbutamol 2.5 ml nebules (2.5 mg) MAX. 5 mg
sodium bicarbonate Sodium Bicarbonate 1 mEq/kg IV 1 mEq/kg rpt q 10 min @ 0.5 mEq/kg 1 mEq/kg IV
sodium bicarbonate 50 ml preload (50 mEq) Diluted 1:1
succinylcholine Anectine 200 mg vials 1.5 mg/kg rapid IVP 1.5 mg/kg rapid IVP
succinylcholine
vasopressin Pitressin 40 IU IVP
one time only
vecuronium Norcuron 10 mg/ml 0.08 - 0.1 mg/kg 0.1 mg/kg IV
vecuronium maintenance 0.05mg/kg prn
verapamil Isoptin 2.5 mg/ml 2.5-5 mg slow IV 0.1-0.3 mg/kg Slow IV
verapamil 2 ml ampule (5mg) 0.3 mg/kg MAX.
Disclaimer: This guide is for use as a teaching tool for the NAIT Paramedic Program. Practitioners
and students on practicum must follow local protocols.

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 Northern Alberta Institute of Technology - Paramedic Program Formulary
NOTES
Antiplatelet

Within 30 minutes of ingest

AS PER ACLS

Anticholinergic

electrolyte

D50W

Benzodiazepine

Calcium channel blocker

Antiemetic
SHOULD DILUTE
Antihistamine

Potent inotrope

Dose dependant effects

beta 1/2 and alpha 1/2

agonist

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 Northern Alberta Institute of Technology - Paramedic Program Formulary
NOTES
RSI 1-2 mcg/kg with hypotension
(max single dose - 250 mcg)
Loop diuretic

Oral Glucose

Neuroleptic / Antipsychotic

Glucocorticoid

Antimuscarinic

NSAID
Renal Impair/>65 - half dose
Beta Blocker (B1, B2, A1)

Adult Infusion - 2-4 mg/min

Sodium channel blocker
Benzodiazepine

relaxes smooth muscle

electroyte
Osmotic diuretic

Narcotic analgesic

Glucocorticoid

ects in kids less than 10

Beta 1 blocker

Benzodiazepine

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 Northern Alberta Institute of Technology - Paramedic Program Formulary
NOTES
Narcotic analgesic

Narcotic antagonist

Antianginal

Antianginal

Analgesic

Sympathomimetic

IV -Dilute with NS

Intermediate acting paralytic

non depolarizing
Anticonvulsant
Not to exceed 50 mg/min

Adult Infusion - 1-4 mg/min

Sodium channel blocker
Beta 1, 2 - blocker

Intermediate acting paralytic

non depolarizing
Beta 2 agonist
Bronchodilator

Short acting paralytic

depolarizing
Vasoconstriction

Intermediate acting paralytic

non depolarizing
Calcium channel blocker

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