County
Michigan Department of Health and Human Services (MDHHS) / Berrien County
Michigan Department of Health and Human Services (MDHHS) / Berrien County (MI) carries 33 drugs across 131 dose entries in its current published protocol, effective 2024-02-12.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses33
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | pages 9, 10, 51, 52, 72, 289 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | pages 9, 10, 51, 52, 72, 289 |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | pages 25, 289 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | pages 25, 289 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | standing | pages 89, 90, 91, 104, 105, 290, 291 |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | standing | pages 89, 90, 91, 104, 105, 290, 291 |
| Narrow-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 95, 96, 108, 109, 290, 291 |
| Narrow-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 95, 96, 108, 109, 290, 291 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 325 mg | PO | not captured | standing | pages 99, 100 |
| Other | adult | 325 mg | PO | not captured | standing | pages 99, 100 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 92, 106, 107, 293 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 92, 106, 107, 293 |
| Nerve agent exposure | adult | 2 mg | IV/IM | not captured | standing | pages 293, 294, 359, 360 |
| Nerve agent exposure | peds | 0.05 mg/kg | IV/IM | not captured | standing | pages 293, 294, 359, 360 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV | not captured | standing | page 34 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 34 |
| Crush injury | adult | 1 g | IV | not captured | standing | page 26 |
| Crush injury | peds | 20 mg/kg | IV | not captured | standing | page 26 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 90, 104, 105 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | pages 90, 104, 105 |
Cefazolin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV/IO | not captured | standing | page 28 |
| Other | peds | 30 mg/kg | IV/IO | not captured | standing | page 28 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | page 28 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | page 28 |
| Trauma / hemorrhage | peds | 30 mg/kg | IV/IO | not captured | standing | page 28 |
| Trauma / hemorrhage | peds | 30 mg/kg | IV/IO | not captured | standing | page 28 |
Ceftriaxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV/IO | not captured | standing | pages 28, 301, 302 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | pages 28, 301, 302 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | pages 28, 301, 302 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | pages 28, 301, 302 |
| Trauma / hemorrhage | peds | 50 mg/kg | IV/IO | not captured | standing | pages 28, 301, 302 |
| Trauma / hemorrhage | peds | 50 mg/kg | IV/IO | not captured | standing | pages 28, 301, 302 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV | not captured | standing | pages 48, 70, 303, 304 |
| Hypoglycemia | peds | 0.5 g/kg | IV | not captured | standing | pages 48, 70, 303, 304 |
| Other | adult | 25 g | IV | not captured | standing | pages 48, 70, 303, 304 |
| Other | peds | 0.5 g/kg | IV | not captured | standing | pages 48, 70, 303, 304 |
| Seizure | adult | 25 g | IV | not captured | standing | pages 54, 77, 303, 304 |
| Seizure | peds | 0.5 g/kg | IV | not captured | standing | pages 54, 77, 303, 304 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | adult | 5–10 mg | IV/IO | not captured | standing | pages 159, 305 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 15–20 mg | IV/IO | not captured | standing | pages 95, 306 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | pages 10, 307 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 10, 307 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | pages 4, 34 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 8, 9 |
| Anaphylaxis | peds | 0.15 mg | IM | not captured | standing | pages 8, 9 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 92, 106, 107 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 89, 104, 105, 311 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 89, 104, 105, 311 |
| Hypotension / shock | adult | 10–20 mcg | IV/IO | not captured | standing | pages 6, 7, 10 |
| Hypotension / shock | peds | 1 mcg/kg | IV/IO | not captured | standing | pages 6, 7, 10 |
| Respiratory distress | adult | 0.3 mg | IM | not captured | standing | pages 52, 72, 73 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mcg/kg (max 100 mcg) | IV/IO/IN | not captured | standing | pages 100, 313 |
| Other | peds | 1 mcg/kg | IV/IO | not captured | standing | pages 159, 160, 314 |
| Mild to moderate pain | adult | 1 mcg/kg (max 100 mcg) | IV/IO/IN | not captured | standing | pages 313, 314 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IN | not captured | standing | pages 313, 314 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | pages 48, 54, 71, 78, 315, 316 |
| Hypoglycemia | adult | 3 mg | IN | not captured | standing | pages 48, 54, 71, 78, 315, 316 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | pages 48, 54, 71, 78, 315, 316 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 317, 318 |
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 317, 318 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | pages 317, 318 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | pages 317, 318 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | peds | According to MI MEDIC cards | PO | not captured | standing | pages 75, 76, 319, 320 |
| Mild to moderate pain | adult | 400 mg | PO | not captured | standing | pages 144, 145, 319, 320 |
| Mild to moderate pain | peds | According to MI MEDIC cards | PO | not captured | standing | pages 144, 145, 319, 320 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 500 mcg | NEB | not captured | standing | pages 9, 10, 52, 321 |
| Asthma / bronchospasm | peds | 500 mcg | NEB | not captured | standing | pages 9, 10, 52, 321 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 4 mg/kg | IM | not captured | standing | pages 57, 322 |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO | not captured | standing | pages 145, 322, 323 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 145, 146, 322, 323 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO | not captured | standing | pages 145, 322, 323 |
| Mild to moderate pain | peds | 0.5 mg/kg | IN | not captured | standing | pages 145, 146, 322, 323 |
| Procedural sedation | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 159, 160 |
| Procedural sedation | peds | 1.5 mg/kg | IV/IO | not captured | standing | pages 159, 160 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV/IM | not captured | standing | pages 144, 324 |
| Mild to moderate pain | peds | 1 mg/kg | IV/IM | not captured | standing | pages 144, 324 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mg/kg | IV/IO | not captured | standing | pages 89, 90, 91, 104, 105, 325, 326 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | pages 89, 90, 91, 104, 105, 325, 326 |
| Mild to moderate pain | adult | 20 mg | IO | not captured | standing | pages 175, 325, 326 |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | pages 175, 325, 326 |
| Narrow-complex tachycardia | adult | 1 mg/kg | IV/IO | not captured | standing | pages 95, 96, 108, 109, 325, 326 |
| Narrow-complex tachycardia | peds | 1 mg/kg | IV/IO | not captured | standing | pages 95, 96, 108, 109, 325, 326 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | pages 53, 327, 328 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 66, 67, 327, 328 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 54, 66, 67, 327, 328 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | pages 90, 96, 327, 328 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | pages 327, 328 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 125 mg | IV/IO/IM | not captured | standing | pages 12, 329 |
| Adrenal crisis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 12, 329 |
| Allergic reaction | adult | 125 mg | IV/IO/IM | not captured | standing | pages 11, 329, 330 |
| Allergic reaction | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 11, 329, 330 |
| Asthma / bronchospasm | adult | 125 mg | IV/IO/IM | not captured | standing | page 329 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 329 |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | page 329 |
| Other | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 329 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 10 mg | IM/IN | not captured | standing | pages 57, 58, 331 |
| Other | adult | 0.1 mg/kg | IM/IN | not captured | standing | pages 155, 332 |
| Other | peds | 0.1 mg/kg | IM/IN | not captured | standing | pages 155, 332 |
| Procedural sedation | adult | 1–5 mg | IV/IO/IN | not captured | standing | pages 159, 160, 332 |
| Procedural sedation | peds | 0.05 mg/kg | IV/IO/IN | not captured | standing | pages 159, 160, 332 |
| Seizure | adult | 10 mg | IM | not captured | standing | pages 54, 55, 331, 332 |
| Seizure | adult | 5 mg | IV/IO | not captured | standing | pages 54, 55, 331, 332 |
| Seizure | peds | 0.1 mg/kg | IM | not captured | standing | pages 54, 55, 331, 332 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IV/IM/IN | not captured | standing | pages 14, 15 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | pages 14, 15 |
| Opioid overdose | peds | 0.5 mL | IN | not captured | standing | page 14 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 99, 100, 336 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 97, 336 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | ODT | not captured | standing | pages 3, 4 |
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | pages 3, 4 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | pages 3, 4 |
| Nausea / vomiting | peds | 4 mg | ODT | not captured | standing | pages 3, 4 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 600 mg | IV/IM | not captured | standing | page 339 |
| Other | peds | 600 mg | IV/IM | not captured | standing | page 339 |
Prednisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 50 mg | PO | not captured | standing | pages 12, 342 |
| Adrenal crisis | peds | 50 mg | PO | not captured | standing | pages 12, 342 |
| Allergic reaction | adult | 50 mg | PO | not captured | standing | pages 10, 11, 342, 343 |
| Allergic reaction | peds | 50 mg | PO | not captured | standing | pages 10, 11, 342, 343 |
| Other | adult | 50 mg | PO | not captured | standing | pages 52, 53, 342, 343 |
| Other | peds | 50 mg | PO | not captured | standing | pages 52, 53, 342, 343 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Stridor | peds | 0.5 mL | NEB | not captured | standing | pages 74, 346 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 100 mEq | IV | not captured | standing | page 26 |
| Crush injury | peds | 1 mEq/kg | IV | not captured | standing | page 26 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 90, 105 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 90, 105 |
| Tricyclic overdose | adult | 50 mEq | IV | not captured | standing | page 34 |
| Tricyclic overdose | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
Tetracaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1–2 drop | not captured | not captured | standing | pages 35, 347 |
| Mild to moderate pain | peds | 1–2 drop | not captured | not captured | standing | pages 35, 347 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 44, 348 |
Verapamil
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 5 mg | IV | not captured | standing | pages 95, 349 |