County
Pettis County Ambulance District
Pettis County Ambulance District (Sedalia, MO) carries 43 drugs across 136 dose entries in its current published protocol, effective 2025-06-01.
Drugs and doses43
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 1 g | IV/IO | not captured | standing | page 10 |
| Fever | peds | 15 mg/kg | IV/IO | not captured | standing | page 10 |
| Mild to moderate pain | adult | 1 g | IV/IO | not captured | standing | page 262 |
| Mild to moderate pain | peds | 15 mg/kg | IV/IO | not captured | standing | page 262 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 6 mg | IV/IO | not captured | standing | page 104 |
| Narrow-complex tachycardia | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 104 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 91 |
| Asthma / bronchospasm | peds | 0.1 mg/kg | NEB | not captured | standing | page 91 |
| COPD | adult | 2.5 mg | NEB | not captured | standing | page 93 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 150 mg | IV/IO | not captured | standing | page 215 |
| Atrial fibrillation with RVR | adult | 150 mg | IV/IO | not captured | standing | page 215 |
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | standing | page 215 |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | standing | page 215 |
| Narrow-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 215 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 29 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 44 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 44 |
| Cardiac arrest | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 46 |
| Organophosphate poisoning | adult | 0.02 mg/kg | IV/IO | not captured | standing | page 218 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 500 mg | IV/IO | not captured | standing | page 220 |
| Crush injury | adult | 1 g | IV | not captured | standing | page 24 |
| Hyperkalemia | adult | 0.5–1 g | IV/IO | not captured | standing | page 220 |
Cefazolin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO/IM | not captured | standing | page 16 |
| Other | peds | 50 mg/kg | IV/IO/IM | not captured | standing | page 16 |
Ceftriaxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Sepsis | adult | 1 g | IV/IO | not captured | standing | page 97 |
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 10 mg | IV | not captured | standing | page 222 |
| Allergic reaction | peds | 0.5 mg/kg | IV | not captured | standing | page 222 |
| Asthma / bronchospasm | adult | 10 mg | IV | not captured | standing | page 222 |
| Asthma / bronchospasm | peds | 0.5 mg/kg | IV | not captured | standing | page 222 |
| COPD | adult | 10 mg | IV | not captured | standing | page 222 |
| Croup | peds | 0.5 mg/kg | IV | not captured | standing | page 222 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV/IO | not captured | standing | page 105 |
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV/IO | not captured | standing | page 105 |
| Narrow-complex tachycardia | adult | 0.25 mg/kg | IV/IO | not captured | standing | page 104 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 25–50 mg | IV/IO/IM | not captured | standing | page 224 |
| Anaphylaxis | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 224 |
| Other | adult | 25–50 mg | IV/IO/IM | not captured | standing | page 224 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 5–10 mcg/kg | IV/IO | not captured | standing | page 44 |
| Cardiac arrest | adult | 5–20 mcg/kg | IV/IO | not captured | standing | page 53 |
| CHF / pulmonary edema | adult | 10–20 mcg/kg | IV/IO | not captured | standing | page 31 |
| CHF / pulmonary edema | peds | 5–10 mcg/kg | IV/IO | not captured | standing | page 31 |
| Hypotension / shock | adult | 5–20 mcg/kg | IV/IO | not captured | standing | page 20 |
| Hypotension / shock | adult | 5–20 mcg/kg | IV/IO | not captured | standing | page 98 |
| Hypotension / shock | peds | 5–10 mcg/kg | IV/IO | not captured | standing | page 20 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 36 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 36 |
| Anaphylaxis | peds | 0.05 mL/kg | NEB | not captured | standing | page 37 |
| Bradycardia | adult | Push dose | IV/IO | not captured | standing | page 44 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 44 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 51 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 51 |
| Hypotension / shock | adult | Push dose | IV/IO | not captured | standing | page 99 |
| Respiratory distress | adult | 0.3–0.5 mg | IM | not captured | standing | page 227 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Burns | adult | 2 mcg/kg | IV/IO/IN | not captured | standing | page 230 |
| Burns | peds | 2 mcg/kg | IV/IO/IN | not captured | standing | page 230 |
| Mild to moderate pain | adult | 1–2 mcg/kg | IV/IO/IN | not captured | standing | page 230 |
| Mild to moderate pain | peds | 1–2 mcg/kg | IV/IO/IN | not captured | standing | page 230 |
| RSI induction | adult | 1–2 mcg/kg | IV/IO | not captured | standing | page 230 |
| RSI induction | peds | 1–2 mcg/kg | IV/IO | not captured | standing | page 230 |
Hypertonic Saline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Head injury / TBI | adult | 250 mL | IV/IO | not captured | standing | page 17 |
| Head injury / TBI | peds | 3 mL/kg | IV/IO | not captured | standing | page 17 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.5 mg/kg | IV/IO/IM | not captured | standing | page 84 |
| Procedural sedation | adult | 1.5–2 mg/kg | IV/IO | not captured | standing | page 232 |
| RSI induction | adult | 1.5–2 mg/kg | IV/IO | not captured | standing | page 21 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 30 mg | IV/IO | not captured | standing | page 84 |
| Mild to moderate pain | adult | 30 mg | IV/IO | not captured | standing | page 84 |
| Mild to moderate pain | adult | 60 mg | IM | not captured | standing | page 84 |
| Mild to moderate pain | adult | 60 mg | IM | not captured | standing | page 84 |
Levetiracetam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Status epilepticus | adult | 1000 mg | IV/IO | not captured | standing | page 96 |
| Status epilepticus | peds | 50 mg/kg | IV/IO | not captured | standing | page 96 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 235 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | page 235 |
| Narrow-complex tachycardia | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 235 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2 mg | IV/IO/IN | not captured | standing | page 41 |
| Seizure | adult | 2 mg | IV/IO/IN | not captured | standing | page 96 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 1–2 g | IV/IO | not captured | standing | page 237 |
| Cardiac arrest | adult | 2 g | IV/IO | not captured | standing | page 52 |
| Cardiac arrest | peds | 25–50 mg/kg | IV/IO | not captured | standing | page 52 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV | not captured | standing | page 237 |
| Narrow-complex tachycardia | adult | 1–2 g | IV/IO | not captured | standing | page 237 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 125 mg | IV/IO | not captured | standing | page 37 |
| Anaphylaxis | peds | 1–2 mg/kg | IV/IO | not captured | standing | page 37 |
| Asthma / bronchospasm | adult | 125 mg | IV/IO | not captured | standing | page 91 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO | not captured | standing | page 91 |
| COPD | adult | 125 mg | IV/IO | not captured | standing | page 93 |
| Croup | peds | 2 mg/kg | IV/IO | not captured | standing | page 95 |
Metoprolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 5 mg | IV/IO | every 5 minutes | standing | page 105 |
| Atrial fibrillation with RVR | adult | 5 mg | IV/IO | every 5 minutes | standing | page 105 |
| Other | adult | 5 mg | IV/IO | every 5 minutes | standing | page 76 |
| Narrow-complex tachycardia | adult | 5 mg | IV/IO | every 5 minutes | standing | page 76 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IM/IN | not captured | standing | page 41 |
| Agitation | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 41 |
| Seizure | adult | 5 mg | IV/IO/IM/IN | not captured | standing | page 96 |
| Seizure | peds | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | page 96 |
| Narrow-complex tachycardia | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 107 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2 mg | IV/IO | not captured | standing | page 240 |
| Burns | adult | 2–20 mg | IV/IO | not captured | standing | page 240 |
| Mild to moderate pain | adult | 2–4 mg | IV/IO | not captured | standing | page 240 |
| Mild to moderate pain | adult | 2–4 mg | IV/IO | not captured | standing | page 240 |
| Mild to moderate pain | peds | 0.1–0.2 mg/kg | IV/IO | not captured | standing | page 240 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4 mg | IV/IO/IM/IN | not captured | standing | page 241 |
Nicardipine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IV/IO | not captured | standing | page 242 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 30 |
| CHF / pulmonary edema | adult | 0.4–1.2 mg | SL | not captured | standing | page 243 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | page 16 |
| Hypotension / shock | adult | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | page 98 |
| Hypotension / shock | peds | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | page 16 |
| Hypotension / shock | peds | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | page 98 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO/IM | not captured | standing | page 259 |
| Nausea / vomiting | adult | 4 mg | IV/IO/IM | not captured | standing | page 259 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 259 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 259 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 24 g | PO | not captured | standing | page 39 |
| Hypoglycemia | peds | 24 g | PO | not captured | standing | page 39 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10 unit | IM | not captured | standing | page 246 |
| Obstetric hemorrhage | adult | 10–40 unit | IV/IO | not captured | standing | page 246 |
Piperacillin-Tazobactam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Sepsis | adult | 4.5 g | IV/IO | not captured | standing | page 97 |
Promethazine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 12.5–25 mg | IV/IM | not captured | standing | page 245 |
| Nausea / vomiting | adult | 12.5–25 mg | IV/IM | not captured | standing | page 245 |
Propofol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | adult | 5–10 mcg/kg | IV/IO | not captured | standing | page 247 |
| Procedural sedation | peds | 5–10 mcg/kg | IV/IO | not captured | standing | page 247 |
| Seizure | adult | 5–10 mcg/kg | IV/IO | not captured | standing | page 247 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1 mg/kg | IV/IO | not captured | standing | page 140 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | page 60 |
| Crush injury | adult | 50 mEq | IV/IO | not captured | standing | page 24 |
| Crush injury | peds | 1 mEq/kg | IV/IO | not captured | standing | page 24 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 250 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | page 250 |
Succinylcholine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 139 |
| RSI induction | peds | 2–3 mg/kg | IV/IO | not captured | standing | page 139 |
Thiamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 100 mg | IV/IO | not captured | standing | page 39 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | page 19 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV | not captured | standing | page 19 |
Vecuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 139 |
Verapamil
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 2.5–10 mg | IV/IO | not captured | standing | page 258 |
| SVT | adult | 2.5–5 mg | IV/IO | not captured | standing | page 258 |