City
City of Austin Office of the Chief Medical Officer
City of Austin Office of the Chief Medical Officer (Austin, TX) carries 33 drugs across 148 dose entries in its current published protocol, effective 2024-12-01.
Drugs and doses33
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 650 mg | PO | not captured | standing | page 319 |
| Mild to moderate pain | peds | 650 mg | PO | not captured | standing | page 319 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 12 mg | IV/IO | not captured | standing | page 320 |
| SVT | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 320 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 MDI Puffs | NEB | not captured | standing | page 322 |
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 322 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 322 |
| Hyperkalemia | adult | 10 mg | NEB | not captured | standing | page 322 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 300 mg | IV/IO | not captured | standing | page 323 |
| Other | peds | 5 mg/kg | IV/IO | not captured | standing | page 323 |
| Post-ROSC care | adult | 150 mg | IV/IO | not captured | standing | page 323 |
| Post-ROSC care | peds | 5 mg/kg | IV/IO | not captured | standing | page 323 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 234 mg | PO | not captured | standing | page 325 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.8 mg | IV/IO | not captured | standing | pages 326, 327 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 326, 327 |
| Organophosphate poisoning | adult | 2 mg | IM | not captured | standing | pages 326, 327 |
| Organophosphate poisoning | adult | 2 mg | IV/IO/IM | not captured | standing | pages 326, 327 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV/IO/IM | not captured | standing | pages 326, 327 |
| Organophosphate poisoning | peds | 0.5 mg | IM | not captured | standing | pages 326, 327 |
Buprenorphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 8 mg | PO | not captured | standing | page 330 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | page 331 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | page 331 |
| Burns | adult | 1 g | IV/IO | not captured | standing | page 331 |
| Cardiac arrest | adult | 1 g | IV/IO | not captured | standing | page 331 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | page 331 |
| Other | peds | 10 mg/kg | IV/IO | not captured | standing | page 331 |
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 10 mg | IV/IO/IM | not captured | standing | page 333 |
| Anaphylaxis | peds | 0.6 mg/kg | IV/IO/IM | not captured | standing | page 333 |
| Anaphylaxis | peds | 0.6 mg/kg | PO | not captured | standing | page 333 |
| Respiratory distress | adult | 10 mg | IV/IO/IM | not captured | standing | page 333 |
| Respiratory distress | peds | 0.6 mg/kg | IV/IO/IM | not captured | standing | page 333 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 335 |
| Hypoglycemia | peds | 1 g/kg | IV/IO | not captured | standing | page 335 |
| Neonatal resuscitation | peds | 1 g/kg | IV/IO | not captured | standing | page 335 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 0.25 mg/kg | IV/IO | not captured | standing | page 336 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25 mg | PO | not captured | standing | page 338 |
| Allergic reaction | adult | 25 mg | IV/IO/IM | not captured | standing | page 338 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 338 |
| Nausea / vomiting | adult | 25 mg | IV/IO/IM | not captured | standing | page 338 |
| Nausea / vomiting | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 338 |
| Other | adult | 25 mg | IV/IO/IM | not captured | standing | page 338 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IV/IO/IM | not captured | standing | page 340 |
| Nausea / vomiting | adult | 0.5 mL | IV/IO/IM | not captured | standing | page 340 |
| Other | adult | 1.25 mg | IV/IO/IM | not captured | standing | page 340 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 341, 342 |
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 341, 342 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 341, 342 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 341, 342 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 342 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 341, 342 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 341, 342 |
| Hypotension / shock | adult | 20 mcg | IV/IO | not captured | standing | page 341 |
| Respiratory distress | peds | 0.5 mg | NEB | not captured | standing | pages 341, 342 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 25–100 mcg | IV/IO/IM/IN | not captured | standing | page 345 |
| Crush injury | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 345 |
| Mild to moderate pain | adult | 25–100 mcg | IV/IO/IM/IN | not captured | standing | page 345 |
| Mild to moderate pain | peds | 1.5–2 mcg/kg | IV/IO/IM/IN | not captured | standing | page 345 |
| Procedural sedation | adult | 25–100 mcg | IV/IO/IM/IN | not captured | standing | page 345 |
| Procedural sedation | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 345 |
| STEMI | adult | 25–100 mcg | IV/IO/IM/IN | not captured | standing | page 345 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 4 mg | IV/IO | not captured | standing | page 347 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 347 |
| Hypoglycemia | peds | 0.1 mg/kg | IM | not captured | standing | page 347 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 348 |
| Cyanide poisoning | peds | 70 mg/kg | IV | not captured | standing | page 348 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 400 mg | PO | not captured | standing | page 349 |
| Mild to moderate pain | adult | 400 mg | PO | not captured | standing | page 349 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 0.5 mg | NEB | not captured | standing | page 350 |
| Organophosphate poisoning | peds | 0.5 mg | NEB | not captured | standing | page 350 |
| Other | adult | 0.5 mg | NEB | not captured | standing | page 350 |
| Other | peds | 0.5 mg | NEB | not captured | standing | page 350 |
| Respiratory distress | adult | 0.5 mg | NEB | not captured | standing | page 350 |
| Respiratory distress | peds | 0.5 mg | NEB | not captured | standing | page 350 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 200 mg | IM | not captured | standing | page 352 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 353 |
| Mild to moderate pain | peds | 0.4 mg/kg | IM | not captured | standing | page 353 |
| Procedural sedation | adult | 100 mg | IV/IO | not captured | standing | pages 352, 353 |
| Procedural sedation | peds | 1 mg/kg | IV/IO | not captured | standing | pages 352, 353 |
| RSI induction | adult | 200 mg | IV/IO | not captured | standing | pages 352, 353 |
| RSI induction | peds | 2 mg/kg | IV/IO | not captured | standing | pages 352, 353 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 100 mg | IV/IO | not captured | standing | page 355 |
| Other | adult | 40 mg | IO | not captured | standing | page 355 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | page 355 |
| Mild to moderate pain | adult | 100 mg | TOP | not captured | standing | page 355 |
| Mild to moderate pain | peds | 100 mg | TOP | not captured | standing | page 355 |
| VF / pulseless VT | adult | 100 mg | IV/IO | not captured | standing | page 355 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | page 355 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | page 357 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 357 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | page 357 |
| Respiratory distress | adult | 2 g | IV/IO | not captured | standing | page 357 |
| Respiratory distress | peds | 50 mg/kg | IV/IO | not captured | standing | page 357 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | page 357 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | page 357 |
| VF / pulseless VT | peds | 50 mg/kg | IV/IO | not captured | standing | page 357 |
| VF / pulseless VT | peds | 50 mg/kg | IV/IO | not captured | standing | page 357 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 1.25–5 mg | IV/IO | not captured | standing | page 359 |
| ACS / chest pain | adult | 5–10 mg | IM/IN | not captured | standing | page 359 |
| Agitation | adult | 2.5–5 mg | IV/IO | not captured | standing | page 359 |
| Agitation | adult | 5–10 mg | IM/IN | not captured | standing | page 359 |
| Other | adult | 2.5–5 mg | IV/IO | not captured | standing | page 359 |
| Other | adult | 5 mg | IV/IO | not captured | standing | page 359 |
| Other | adult | 5–10 mg | IM/IN | not captured | standing | page 359 |
| Other | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 359 |
| Procedural sedation | adult | 2–2.5 mg | IV/IO/IM/IN | not captured | standing | page 15 |
| RSI induction | adult | 5–10 mg | IV/IO | not captured | standing | page 359 |
| Seizure | adult | 10 mg | IM/IN | not captured | standing | page 359 |
| Seizure | adult | 5 mg | IV/IO | not captured | standing | page 359 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IM | not captured | standing | page 361 |
| Opioid overdose | adult | 0.4–2 mg | IV/IO | not captured | standing | page 361 |
| Opioid overdose | peds | 0.1 mg/kg | IN | not captured | standing | page 361 |
| Opioid overdose | peds | 0.1 mg/kg | IM | not captured | standing | page 361 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 361 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL/TOP | not captured | standing | page 363 |
| CHF / pulmonary edema | adult | 1.2 mg | SL | not captured | standing | page 363 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 2–12 mcg | IV/IO | not captured | standing | page 364 |
| Other | adult | 2–12 mcg | IV/IO | not captured | standing | page 364 |
| Other | adult | 2–20 mcg | IV | not captured | standing | page 341 |
| Post-ROSC care | adult | 2–12 mcg | IV/IO | not captured | standing | page 364 |
| Sepsis | adult | 2–12 mcg | IV/IO | not captured | standing | page 364 |
Olanzapine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5–10 mg | SL | not captured | standing | page 366 |
| Other | adult | 10 mg | SL | not captured | standing | page 366 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | PO | not captured | standing | page 367 |
| Nausea / vomiting | adult | 4 mg | IV/IO/IM | not captured | standing | page 367 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 367 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | page 367 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 369 |
| Hypoglycemia | peds | 7.5 g | PO | not captured | standing | page 369 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | page 371 |
| Nerve agent exposure | adult | 600 mg | IV/IO | not captured | standing | page 371 |
| Nerve agent exposure | peds | 15 mg/kg | IM | not captured | standing | page 371 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 50 mg | IV/IO | not captured | standing | page 372 |
| Post-intubation sedation | adult | 50 mg | IV/IO | not captured | standing | page 372 |
| Post-ROSC care | adult | 50 mg | IV/IO | not captured | standing | page 372 |
| RSI induction | adult | 100 mg | IV/IO | not captured | standing | pages 372, 353 |
| RSI induction | peds | 2 mg/kg | IV/IO | not captured | standing | pages 372, 353 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 100 mEq | IV/IO | not captured | standing | page 373 |
| Crush injury | adult | 100 mEq | IV/IO | not captured | standing | page 373 |
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | page 373 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 373 |
| Tricyclic overdose | adult | 50 mEq | IV/IO | not captured | standing | page 373 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 373 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 1 g | IN/TOP | not captured | standing | page 375 |
| Trauma / hemorrhage | adult | 1 g | NEB | not captured | standing | page 375 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | page 375 |
| Trauma / hemorrhage | peds | 15 mg/kg | IN/TOP | not captured | standing | page 375 |
| Trauma / hemorrhage | peds | 15 mg/kg | NEB | not captured | standing | page 375 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV/IO | not captured | standing | page 375 |