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Cowlitz County EMS Council

Current214 dose entries42 drugs1 documentWAeffective 2026-01-1496% machine-parsed of 214

Drugs and doses42

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate9

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 20 mg/kg PO/PR not captured standing pages 8, 99
Other peds 20 mg/kg not captured not captured standing page 61
Other peds 20 mg/kg PR not captured standing page 99

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing pages 8, 100
Other adult 50 g PO not captured standing pages 57, 100
Other peds 1 g/kg PO not captured standing pages 8, 100
Other peds 1 g/kg PO not captured standing pages 57, 100

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 6 mg IV not captured standing pages 8, 101
Other peds 0.1 mg/kg IV not captured standing pages 8, 101
SVT adult 6 mg IV not captured standing pages 8, 35, 36, 101
SVT peds 0.1 mg/kg IV not captured standing pages 8, 35, 36, 101

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 3–5 mg NEB not captured standing pages 8, 15, 59, 60, 102
Asthma / bronchospasm adult 3–5 mg NEB not captured standing page 59
Asthma / bronchospasm peds 2.5–5 mg NEB not captured standing pages 8, 15, 59, 60, 102
Hyperkalemia adult 5 mg NEB not captured standing pages 8, 47, 102
Hyperkalemia adult 5 mg NEB not captured standing pages 47, 102
Hyperkalemia peds 5 mg NEB not captured standing pages 8, 47, 102
Other adult 5 mg not captured not captured standing page 15
Other adult 8 puff not captured not captured standing page 42
Other peds 2.5 mg NEB not captured standing page 60
Other peds 2.5 mg not captured not captured standing page 15

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV/IO not captured standing pages 8, 35, 36, 37, 103
Other adult 150 mg IV/IO not captured standing page 37
Other peds 2.5 mg/kg IV/IO not captured standing pages 8, 35, 36, 37, 103
Other peds 2.5 mg/kg IV/IO not captured standing page 37
VF / pulseless VT adult 300 mg IV/IO not captured standing pages 8, 32, 103
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing pages 8, 32, 103

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 162–324 mg PO not captured standing pages 8, 38, 104

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5–1 mg IV not captured standing pages 8, 34, 105
Bradycardia adult 0.5–1 mg IV/IO not captured standing pages 8, 34, 105
Bradycardia peds 0.01–0.02 mg/kg IV not captured standing pages 8, 34, 105
Bradycardia peds 0.01–0.02 mg/kg IV/IO not captured standing pages 8, 34, 105
Organophosphate poisoning adult 1–2 mg IV/IO not captured standing pages 8, 56, 105
Organophosphate poisoning peds 0.02 mg/kg IV/IO not captured standing pages 8, 56, 105
Other peds 0.01–0.02 mg/kg IV/IO not captured standing pages 8, 105

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1–2 g IV/IO not captured standing pages 8, 30, 107
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV/IO not captured standing pages 8, 30, 107
Hyperkalemia adult 500–1000 mg IV/IO not captured standing pages 8, 47, 107
Hyperkalemia peds 20 mg/kg IV/IO not captured standing pages 8, 47, 107

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 10 mL IV not captured standing pages 8, 47, 106
Hyperkalemia adult 10 mL IV/IO not captured standing pages 8, 47, 106
Hyperkalemia peds 0.5 mL/kg IV not captured standing pages 8, 47, 106
Hyperkalemia peds 0.5 mL/kg IV/IO not captured standing pages 8, 47, 106
Other adult 3 g IV not captured standing pages 8, 30, 106
Other adult 3 g IV/IO not captured standing pages 8, 30, 56, 57, 106
Other peds 0.5 mL/kg IV not captured standing pages 8, 30, 106
Other peds 0.5 mL/kg IV/IO not captured standing pages 8, 30, 56, 57, 106
D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl8

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 3 mg/kg IV/IO/IM/PO not captured standing page 108
Other adult 10 mg IV/IO/IM/PO not captured standing pages 8, 15, 59, 63, 108
Other peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 8, 15, 59, 63, 108

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 10 g IV not captured standing pages 14, 109
Hypoglycemia peds 4 mL/kg IV not captured standing page 109
Hypoglycemia peds 5 mL/kg IV not captured standing pages 14, 109
Other adult 10 g IV/IO not captured standing pages 8, 14, 109
Other adult 10 g IV/IO not captured standing page 8
Other adult 10 g IV not captured standing page 8
Other adult 100 mL IV/IO not captured standing page 109
Other adult 50 mL IV not captured standing page 109

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.25 mg/kg IV not captured standing pages 8, 35, 110
Other adult 0.25 mg/kg IV not captured standing pages 8, 35, 110

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IM not captured standing pages 8, 15, 111
Other adult 1 mg/kg IV/IM not captured standing pages 8, 111
Other adult 12.5–50 mg IV/IM not captured standing page 56
Other adult 1 mg/kg IV/IM/PO not captured standing page 15
Other peds 1 mg/kg IV/IM not captured standing pages 8, 15, 111
Other peds 1 mg/kg IV/IM not captured standing pages 8, 111
Other peds 1 mg/kg IV/IM/PO not captured standing page 15
Other peds 1 mg/kg not captured not captured standing page 57

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5–5 mg IV/IM not captured standing page 8
Agitation peds 0.1 mg/kg IV/IM not captured standing page 8
Nausea / vomiting adult 1.25–2.5 mg IV not captured standing page 8

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing pages 9, 15, 112
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 9, 15, 112
Cardiac arrest adult 1 mg IV/IO not captured standing pages 9, 30, 31, 32, 112
Cardiac arrest adult 1 mg IV not captured standing pages 9, 30, 31, 32, 112
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 9, 30, 31, 32, 112
Cardiac arrest peds 0.01 mg/kg IV not captured standing pages 9, 30, 31, 32, 112
Croup adult 0.25–0.5 mL NEB not captured standing pages 9, 60, 112
Croup adult 0.25–0.5 mL NEB not captured standing page 9
Other peds 0.5 mL NEB not captured standing page 60

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.3 mg/kg IV not captured standing pages 9, 71, 113
RSI induction peds 0.3 mg/kg IV not captured standing pages 9, 71, 113

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 25–50 mcg IV/IO/IM not captured standing pages 9, 38, 114
ACS / chest pain peds 1–2 mcg/kg IV/IO/IM not captured standing pages 9, 38, 114
Other adult 1 mcg/kg IV/IO/IN not captured standing pages 54, 55
Other adult 25–50 mcg IV not captured standing page 38
Other peds 1 mcg/kg IV/IO/IN not captured standing pages 54, 55
Mild to moderate pain adult 25–50 mcg IV/IO/IM not captured standing pages 9, 114
Mild to moderate pain peds 1–2 mcg/kg IV/IO/IM not captured standing pages 9, 114
Post-intubation sedation adult 50–100 mcg IV/IO not captured standing pages 72, 73
G–L Glucagon, Haloperidol, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Lidocaine7

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 1 mg IM/SQ not captured standing pages 9, 14, 115
Hypoglycemia adult 1 mg IM not captured standing page 14
Hypoglycemia adult 3 mg IN not captured standing page 115
Hypoglycemia peds 0.5 mg IM/SQ not captured standing pages 9, 14, 115

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 10 mg IM not captured standing pages 21, 94
Other adult 2 mg IV/IM not captured standing page 9
Other adult 2–5 mg IV/IM not captured standing pages 9, 20, 21, 116
Other peds 0.1 mg/kg IV/IM not captured standing pages 9, 20, 21, 116
Other peds 0.1 mg/kg IV/IM not captured standing page 9

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV/IO not captured standing pages 9, 26, 27, 117
Cyanide poisoning peds 70 mg/kg IV/IO not captured standing pages 9, 26, 27, 117
Other adult 5 g not captured not captured standing pages 26, 27
Other peds 70 mg/kg not captured not captured standing pages 26, 27

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.5 mg NEB not captured standing page 59
Other adult 0.5 mg NEB not captured standing pages 8, 59, 118
Other peds 0.25 mg NEB not captured standing pages 8, 59, 118

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg not captured not captured standing page 71
Other adult 2 mg/kg IV/IO not captured standing pages 71, 119
Other peds 0.4 mg/kg IV/IO not captured standing pages 54, 82, 119
Other peds 2 mg/kg IV/IO not captured standing pages 71, 119

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 15 mg IV not captured standing pages 9, 54, 55, 120
Other adult 30 mg IM not captured standing pages 9, 54, 55, 120
Other peds 0.5 mg/kg IV not captured standing pages 9, 54, 55, 120
Other peds 1 mg/kg IM not captured standing pages 9, 54, 55, 120

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1.5 mg/kg IV/IO not captured standing pages 9, 32, 37, 121
Other adult 1.5 mg/kg IV/IO not captured standing page 32
Other adult 1.5 mg/kg IV/IO not captured standing page 121
Other adult 40 mg IO not captured standing pages 9, 87, 88, 121
Other peds 1 mg/kg IV/IO not captured standing pages 9, 32, 37, 121
Other peds 1 mg/kg IO not captured standing pages 9, 87, 88, 121
M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Olanzapine, Ondansetron9

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing pages 9, 59, 60, 122
Asthma / bronchospasm peds 25–50 mg/kg IV not captured standing pages 9, 59, 60, 122
Eclampsia / pre-eclampsia adult 2–4 g IV not captured standing pages 9, 52, 122
Other adult 2 g IV not captured standing page 32
Other adult 2–4 g IV not captured standing page 9
Other peds 25–50 mg/kg IV not captured standing page 9
Tricyclic overdose adult 2 g IV not captured standing pages 9, 57, 122
Tricyclic overdose peds 25 mg/kg IV not captured standing pages 9, 57, 122
VF / pulseless VT adult 2 g IV not captured standing pages 9, 32, 35, 37, 122
VF / pulseless VT peds 25–50 mg/kg IV not captured standing pages 9, 32, 35, 37, 122

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 125 mg IV not captured standing pages 9, 15, 123
Anaphylaxis peds 2 mg/kg IV not captured standing pages 9, 15, 123
Asthma / bronchospasm adult 125 mg IV not captured standing pages 9, 15, 59, 123
Asthma / bronchospasm peds 2 mg/kg IV not captured standing pages 9, 15, 59, 123
Other adult 125 mg IV not captured standing pages 9, 123
Other adult 125 mg IV not captured standing pages 9, 15, 59, 63, 123
Other peds 2 mg/kg IV not captured standing pages 9, 123
Other peds 2 mg/kg IV not captured standing pages 9, 15, 59, 63, 123

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation peds 0.3 mg/kg IV/IM/IN not captured standing pages 21, 94
Other adult 2.5 mg IV/IM not captured standing page 34
Other adult 2.5–10 mg IV/IO/IM/IN not captured standing page 9
Other adult 2.5–10 mg IV/IM not captured standing page 56
Other adult 2.5–5 mg IV/IM not captured standing page 37
Other adult 2.5–5 mg IV/IM not captured standing pages 20, 94
Other adult 2.5 mg IV/IM not captured standing page 56
Other adult 2.5 mg IV/IO/IM not captured standing page 124
Other adult 5 mg IV/IO/IM not captured standing page 124
Other peds 0.1 mg/kg IV not captured standing page 124
Other peds 0.1–0.2 mg/kg IV/IO/IM/IN not captured standing page 9
Other peds 0.1 mg/kg (max 2.5 mg) IV/IM/IN not captured standing page 124
Other peds 0.2 mg/kg IV/IM not captured standing page 37
Other peds 0.2 mg/kg IV/IO/IM not captured standing page 124
Procedural sedation adult 2.5–5 mg IV/IM not captured standing pages 9, 34, 124
Seizure adult 10 mg IM not captured standing pages 9, 61, 124
Seizure adult 2.5–5 mg IV/IO not captured standing pages 9, 61, 124
Seizure peds 0.1 mg/kg IV/IO not captured standing pages 9, 61, 124
Seizure peds 0.1–0.2 mg/kg IV/IM/IN not captured standing page 57
Seizure peds 0.3 mg/kg IM not captured standing pages 9, 61, 124

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2–5 mg IV/IO/IM not captured standing page 38
Other adult 2–5 mg IV/IO/IM not captured standing pages 54, 55
Other peds 0.1–0.2 mg/kg IV/IO/IM not captured standing pages 54, 55
Mild to moderate pain adult 2–10 mg IV/IO/IM not captured standing pages 10, 34, 54, 55, 125
Mild to moderate pain peds 0.1–0.2 mg/kg IV/IO/IM not captured standing pages 10, 34, 54, 55, 125

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5–2 mg IV/IO/IM/IN not captured standing pages 14, 126
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 14, 126
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 14

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 38, 127
CHF / pulmonary edema adult 0.4 mg SL not captured standing pages 59, 127

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 4 mcg IV not captured standing pages 10, 62, 63, 129
Hypotension / shock peds 0.1 mcg/kg IV not captured standing pages 10, 62, 63, 129
Other adult 4 mcg IV not captured standing pages 10, 15, 62, 63, 129
Other peds 0.1 mcg/kg IV not captured standing pages 10, 15, 62, 63, 129

Olanzapine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mg IM not captured standing page 21

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4–8 mg IV/PO not captured standing pages 10, 55, 69, 130
Nausea / vomiting adult 8 mg IV/IM/PO not captured standing page 69
Nausea / vomiting peds 0.1 mg/kg IV/PO not captured standing pages 10, 69, 130
Nausea / vomiting peds 0.1 mg/kg IV/PO not captured standing pages 10, 55, 130
Nausea / vomiting peds 0.1 mg/kg IV not captured standing page 69
Nausea / vomiting peds 2 mg PO not captured standing page 130
Nausea / vomiting peds 4 mg PO not captured standing page 130
Nausea / vomiting peds 6–8 mg PO not captured standing page 130
P–R Racemic Epinephrine, Rocuronium2

Racemic Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Croup peds 0.25–0.5 mL NEB not captured standing pages 10, 60, 131
Other peds 0.5 mL not captured not captured standing page 60

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg/kg IV not captured standing page 72
Other adult 1 mg/kg IV/IO not captured standing page 132
Other adult 1 mg/kg IV not captured standing page 73
Other peds 1 mg/kg IV/IO not captured standing page 132
RSI induction adult 1 mg/kg IV not captured standing pages 10, 71, 72, 73, 132
RSI induction peds 1 mg/kg IV not captured standing pages 10, 71, 72, 73, 132
S–Z Sodium Bicarbonate, Sodium Thiosulfate, Succinylcholine, Tranexamic Acid, Vecuronium, Verapamil, Ziprasidone7

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mEq/kg IV/IO not captured standing pages 10, 30, 31, 32, 47, 57, 133
Other adult 1 mEq/kg IV not captured standing page 30
Other adult 1 mEq/kg IV/IO not captured standing page 32
Other adult 50 mEq IV not captured standing page 31
Other peds 1 mEq/kg IV/IO not captured standing pages 10, 30, 31, 32, 47, 57, 133
Other peds 1 mEq/kg IV not captured standing page 31
Other peds 1 mEq/kg IV/IO not captured standing page 32

Sodium Thiosulfate

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 50 mL IV not captured standing page 10
Cyanide poisoning adult 50 mL IV/IO not captured standing pages 26, 27, 134
Cyanide poisoning peds 1.65 mL/kg IV/IO not captured standing pages 26, 27, 134
Cyanide poisoning peds 1.65 mL/kg IV not captured standing page 10

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1.5 mg/kg IV/IO not captured standing pages 71, 72, 135
RSI induction adult 1.5 mg/kg IV not captured standing page 10
RSI induction adult 1.5 mg/kg IV not captured standing page 71
RSI induction peds 1.5 mg/kg IV/IO not captured standing pages 71, 72, 135

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV not captured standing pages 10, 63

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.1 mg/kg IV not captured standing pages 10, 73, 136
RSI induction adult 0.1 mg/kg IV/IO not captured standing page 136
RSI induction peds 0.1 mg/kg IV not captured standing pages 10, 73, 136
RSI induction peds 0.1 mg/kg IV/IO not captured standing page 136

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 5 mg IV not captured standing pages 10, 35, 137
Atrial fibrillation with RVR adult 5 mg IV not captured standing pages 10, 35, 137

Ziprasidone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 10–20 mg IM not captured standing pages 10, 20, 94, 138
Other adult 10 mg IM not captured standing pages 20, 94
Other adult 10–20 mg IM not captured standing page 10
Cite this

Cowlitz County EMS Council, United States EMS Protocol Census. 214 dose entries, effective 2026-01-14.

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