County

Pierce County Emergency Medical Services

Current320 dose entries62 drugs2 documentsTacoma, WAeffective 2025-02-0192% machine-parsed of 320

Pierce County Emergency Medical Services (Tacoma, WA) carries 62 drugs across 320 dose entries in its current published protocol, effective 2025-02-01.

Drugs and doses62

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	peds	15 mg/kg	PO	not captured	standing	page 56
Mild to moderate pain	adult	500–1000 mg	PO	not captured	standing	page 48
Mild to moderate pain	peds	15 mg/kg	PO	not captured	standing	page 48

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
SVT	adult	6 mg	IV	not captured	standing	page 104
SVT	peds	0.1 mg/kg	IV	not captured	standing	page 104

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	2.5 mg	not captured	not captured	standing	page 51
Allergic reaction	peds	2.5 mg	not captured	not captured	standing	page 51
Asthma / bronchospasm	adult	2.5 mg	not captured	not captured	standing	page 51
Asthma / bronchospasm	adult	2.5 mg	not captured	not captured	standing	page 51
Asthma / bronchospasm	peds	2.5 mg	not captured	not captured	standing	page 51
Asthma / bronchospasm	peds	2.5 mg	not captured	not captured	standing	page 51
COPD	adult	2.5 mg	not captured	not captured	standing	page 51
COPD	peds	2.5 mg	not captured	not captured	standing	page 51
Crush injury	adult	2.5 mg	not captured	not captured	standing	page 42
Crush injury	peds	2.5 mg	not captured	not captured	standing	page 42
Hyperkalemia	adult	2.5 mg	not captured	not captured	standing	page 58
Hyperkalemia	peds	2.5 mg	not captured	not captured	standing	page 58

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 107
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 107
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	page 107

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 45
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 45

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV	not captured	standing	page 109
Bradycardia	peds	0.02 mg/kg	IV	not captured	standing	page 109
Nerve agent exposure	adult	2 mg	IV	not captured	standing	page 110
Nerve agent exposure	peds	0.05 mg/kg	IV	not captured	standing	page 110
Organophosphate poisoning	adult	2 mg	IV	not captured	standing	page 110
Organophosphate poisoning	peds	0.05 mg/kg	IV	not captured	standing	page 110
Other	adult	0.5 mg	IV/IO/IM	not captured	standing	page 71

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	500–1000 mg	IV	not captured	standing	page 111
Beta-blocker / calcium-channel-blocker overdose	adult	500–1000 mg	IV	not captured	standing	page 111
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV	not captured	standing	page 111
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV	not captured	standing	page 111
Crush injury	adult	500–1000 mg	IV	not captured	standing	page 111
Crush injury	peds	20 mg/kg	IV	not captured	standing	page 111
Hyperkalemia	adult	500–1000 mg	IV	not captured	standing	page 111
Hyperkalemia	peds	20 mg/kg	IV	not captured	standing	page 111
Other	adult	1000 mg	IV	not captured	standing	page 111
Other	adult	500–1000 mg	IV	not captured	standing	page 111
Other	peds	20 mg/kg	IV	not captured	standing	page 111
Other	peds	20 mg/kg	IV	not captured	standing	page 111

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	15–30 mL	IV	not captured	standing	page 113
Beta-blocker / calcium-channel-blocker overdose	peds	60 mg/kg	IV	not captured	standing	page 113
Crush injury	adult	15–30 mL	IV	not captured	standing	page 113
Crush injury	peds	60 mg/kg	IV	not captured	standing	page 113
Hyperkalemia	adult	15–30 mL	IV	not captured	standing	page 113
Hyperkalemia	peds	60 mg/kg	IV	not captured	standing	page 113
Other	adult	15–30 mL	IV	not captured	standing	page 113
Other	peds	60 mg/kg	IV	not captured	standing	page 113

Cetirizine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	10 mg	PO	not captured	standing	page 114
Allergic reaction	adult	10 mg	PO	not captured	standing	page 114
Allergic reaction	peds	5 mg	PO	not captured	standing	page 114
Allergic reaction	peds	5 mg	PO	not captured	standing	page 114
Anaphylaxis	adult	5–10 mg	PO	not captured	standing	page 65
Anaphylaxis	peds	5 mg	PO	not captured	standing	page 65

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	0.6 mg/kg	IV/PO	not captured	standing	page 117
Allergic reaction	adult	0.6 mg/kg	IV/PO	not captured	standing	page 117
Allergic reaction	peds	0.6 mg/kg	IV/PO	not captured	standing	page 117
Allergic reaction	peds	0.6 mg/kg	IV/PO	not captured	standing	page 117
Anaphylaxis	adult	0.6 mg/kg	IV/PO	not captured	standing	page 117
Anaphylaxis	peds	0.6 mg/kg	IV/PO	not captured	standing	page 117
Asthma / bronchospasm	adult	0.6 mg/kg	IV/PO	not captured	standing	page 51
Asthma / bronchospasm	peds	0.6 mg/kg	IV/PO	not captured	standing	page 51
COPD	adult	0.6 mg/kg	IV/PO	not captured	standing	page 51
Croup	peds	0.6 mg/kg	PO	not captured	standing	page 52

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	50 mL	IV/IO	not captured	standing	page 118
Crush injury	peds	1 mL/kg	IV/IO	not captured	standing	page 118
Hypoglycemia	adult	50 mL	IV/IO	not captured	standing	page 55
Other	adult	50 mL	IV/IO	not captured	standing	page 118
Other	peds	1 mL/kg	IV/IO	not captured	standing	page 118

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2–10 mg	IV/IO/IM	not captured	standing	page 119
Alcohol withdrawal	adult	5–10 mg	IV/IM	not captured	standing	page 68
Hyperactive delirium	adult	5–10 mg	IV/IM	not captured	standing	page 70
Other	adult	2–10 mg	IV/IO/IM	not captured	standing	page 119
Procedural sedation	adult	2–10 mg	IV/IO/IM	not captured	standing	page 119
RSI induction	adult	2–10 mg	IV/IO/IM	not captured	standing	page 119
Seizure	adult	0.2 mg/kg	IV/IO	not captured	standing	page 37
Seizure	peds	0.2 mg/kg	IV/IO	not captured	standing	page 37

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	15–20 mg	IV	not captured	standing	page 121
Atrial fibrillation with RVR	adult	15–20 mg	IV	not captured	standing	page 121
SVT	adult	15–20 mg	IV	not captured	standing	page 121

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	25–50 mg	IM	not captured	standing	page 65
Allergic reaction	adult	25–50 mg	IV	not captured	standing	page 65
Allergic reaction	adult	50 mg	PO	not captured	standing	page 65
Allergic reaction	peds	1 mg/kg	IM	not captured	standing	page 65
Allergic reaction	peds	1 mg/kg	IV	not captured	standing	page 65
Allergic reaction	peds	1 mg/kg	PO	not captured	standing	page 65
Anaphylaxis	adult	25–50 mg	IM	not captured	standing	page 66
Anaphylaxis	adult	25–50 mg	IV/IO	not captured	standing	page 66
Anaphylaxis	adult	50 mg	PO	not captured	standing	page 66
Anaphylaxis	peds	1 mg/kg	IM	not captured	standing	page 66
Anaphylaxis	peds	1 mg/kg	IV/IO	not captured	standing	page 66
Anaphylaxis	peds	1 mg/kg	PO	not captured	standing	page 66
Dystonic reaction	adult	25–50 mg	IM	not captured	standing	page 57
Dystonic reaction	adult	25–50 mg	IV/IO	not captured	standing	page 57
Dystonic reaction	peds	1 mg/kg	IM	not captured	standing	page 57
Dystonic reaction	peds	1 mg/kg	IV/IO	not captured	standing	page 57

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 59
Bradycardia	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 59
Cardiogenic shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 59
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 59
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 59
Sepsis	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 59

Droperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	1.25–2.5 mg	IM	not captured	standing	page 125
Hyperactive delirium	adult	1.25–2.5 mg	IV	not captured	standing	page 125
Nausea / vomiting	adult	1.25–2.5 mg	IM	not captured	standing	page 125
Nausea / vomiting	adult	1.25–2.5 mg	IV	not captured	standing	page 125
Other	adult	1.25–2.5 mg	IM	not captured	standing	page 125
Other	adult	1.25–2.5 mg	IV	not captured	standing	page 125

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	0.3–0.5 mg	IM	not captured	standing	page 65
Allergic reaction	peds	0.01 mg/kg	IM	not captured	standing	page 65
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	page 66
Anaphylaxis	adult	0.5 mg	IV/IO	not captured	standing	page 66
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 66
Asthma / bronchospasm	adult	0.3 mg	IM	not captured	standing	page 51
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	page 51
Bradycardia	adult	0.5–2 mL	IV/IO	not captured	standing	page 59
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	page 59
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 127
Cardiac arrest	adult	2–2.5 mg	ET	not captured	standing	page 127
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 127
Croup	peds	2–3 mL	not captured	not captured	standing	page 52
Hypotension / shock	adult	0.5–2 mL	IV/IO	not captured	standing	page 59
Other	adult	0.3 mg	IM	not captured	standing	page 52
Other	peds	0.01 mg/kg	IM	not captured	standing	page 52

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.1 mg/kg	IV/IO	not captured	standing	page 129
Other	adult	0.1 mg/kg	IV/IO	not captured	standing	page 129
Other	adult	0.1 mg/kg	IV/IO	not captured	standing	page 129
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	page 129
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	page 129
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	page 129
Procedural sedation	adult	0.1 mg/kg	IV/IO	not captured	standing	page 129
Procedural sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 129
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	page 129
RSI induction	peds	0.3 mg/kg	IV/IO	not captured	standing	page 129

Famotidine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	20 mg	IV	not captured	standing	page 130
Allergic reaction	peds	0.25 mg/kg	IV	not captured	standing	page 130

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	25–100 mcg	IV/IO/IM/IN	not captured	standing	page 48
Severe pain	peds	1–2 mcg/kg	IV/IO/IM/IN	not captured	standing	page 48
RSI induction	adult	1 mcg/kg	IV/IO	not captured	standing	page 87
RSI induction	peds	1 mcg/kg	IV/IO	not captured	standing	page 87

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	1–3 mg	IV	not captured	standing	page 67
Beta-blocker / calcium-channel-blocker overdose	adult	3–10 mg	IV	not captured	standing	page 57
Hypoglycemia	adult	1 mg	IM	not captured	standing	page 56
Hypoglycemia	adult	3 mg	IN	not captured	standing	page 56
Hypoglycemia	peds	0.5 mg	IM	not captured	standing	page 56

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2–5 mg	IM	not captured	standing	page 134
Other	peds	0.025 mg/kg	IM	not captured	standing	page 134

Hydromorphone

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	0.01 mg/kg	IM	not captured	standing	page 135
Severe pain	adult	0.01 mg/kg	IV/IO	not captured	standing	page 135
Severe pain	peds	0.01 mg/kg	IM	not captured	standing	page 135
Severe pain	peds	0.01 mg/kg	IV/IO	not captured	standing	page 135

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	page 115
Cyanide poisoning	peds	70 mg/kg	IV	not captured	standing	page 115

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	400–800 mg	PO	not captured	standing	page 48
Fever	peds	10 mg/kg	PO	not captured	standing	page 48
Mild to moderate pain	adult	400–800 mg	PO	not captured	standing	page 48
Mild to moderate pain	peds	10 mg/kg	PO	not captured	standing	page 48

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	not captured	not captured	standing	page 51
Asthma / bronchospasm	peds	0.25 mg	not captured	not captured	standing	page 51

Isopropyl Alcohol

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	Deep inhalations of the alcohol medical pad 1–2 cm away from the nose	NEB	not captured	standing	page 58

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg/kg	IV	not captured	standing	page 69
Agitation	adult	4 mg/kg	IM	not captured	standing	page 69
Severe pain	adult	0.2 mg/kg	IV/IO/IM/IN	not captured	standing	page 48
Severe pain	peds	0.2 mg/kg	IV/IO/IM/IN	not captured	standing	page 48
Post-intubation sedation	adult	0.5 mg/kg	IV/IO	not captured	standing	page 87
Post-intubation sedation	peds	0.5 mg/kg	IV/IO	not captured	standing	page 87
RSI induction	adult	1 mg/kg	IV/IO	not captured	standing	page 89
RSI induction	adult	1.5 mg/kg	IV/IO	not captured	standing	page 87
RSI induction	peds	2 mg/kg	IV/IO	not captured	standing	page 87
RSI induction	peds	2 mg/kg	IV/IO	not captured	standing	page 89

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	15–30 mg	IV	not captured	standing	page 141
Severe pain	adult	30–60 mg	IM	not captured	standing	page 141
Severe pain	peds	0.5 mg/kg	IM	not captured	standing	page 141
Severe pain	peds	0.5 mg/kg	IV	not captured	standing	page 141

Levetiracetam

Indication	Population	Dose	Route	Repeat	Standing	Source
Seizure	adult	60 mg/kg	IV	not captured	standing	page 37
Seizure	peds	60 mg/kg	IV	not captured	standing	page 37

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	Moderate amount	TOP	not captured	standing	page 188
Other	peds	Moderate amount	TOP	not captured	standing	page 188
Mild to moderate pain	adult	20–50 mg	IO	not captured	standing	page 29
RSI induction	adult	Moderate amount	TOP	not captured	standing	page 188
RSI induction	peds	Moderate amount	TOP	not captured	standing	page 188
Wide-complex tachycardia	adult	1 mg/kg	IV/IO	not captured	standing	page 144
Wide-complex tachycardia	peds	1 mg/kg	IV/IO	not captured	standing	page 144
VF / pulseless VT	adult	1–1.5 mg/kg	IV/IO	not captured	standing	page 144
VF / pulseless VT	adult	2–3 mg/kg	ET	not captured	standing	page 144
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	page 144
VF / pulseless VT	peds	2–3 mg/kg	ET	not captured	standing	page 144

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	0.5–2 mg	IV/IO/IM/PR	not captured	standing	page 146
Procedural sedation	peds	0.05 mg/kg	IV/IO/IM/PR	not captured	standing	page 146
Status epilepticus	adult	0.1 mg/kg	IV/IO	not captured	standing	page 146
Status epilepticus	peds	0.1 mg/kg	IV/IO	not captured	standing	page 146

Low Titer O Whole Blood

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 unit	IV/IO	not captured	standing	page 36
Trauma / hemorrhage	peds	20 mL/kg	IV/IO	not captured	standing	page 36

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV/IO	not captured	standing	page 51
Asthma / bronchospasm	peds	50 mg/kg	IV/IO	not captured	standing	page 51
Eclampsia / pre-eclampsia	adult	10 g	IM	not captured	standing	page 75
Eclampsia / pre-eclampsia	adult	4 g	IV	not captured	standing	page 75
VF / pulseless VT	adult	1–2 g	IV/IO	not captured	standing	page 149
VF / pulseless VT	adult	1–2 g	IV/IO	not captured	standing	page 149
VF / pulseless VT	peds	50 mg/kg	IV/IO	not captured	standing	page 149
VF / pulseless VT	peds	50 mg/kg	IV/IO	not captured	standing	page 149

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	125 mg	IV	not captured	standing	page 65
Allergic reaction	adult	125 mg	IV	not captured	standing	page 152
Allergic reaction	peds	2 mg/kg	IV	not captured	standing	page 65
Allergic reaction	peds	2 mg/kg	IV	not captured	standing	page 152
Anaphylaxis	adult	125 mg	IV/IO	not captured	standing	page 66
Anaphylaxis	peds	2 mg/kg	IV/IO	not captured	standing	page 66
Asthma / bronchospasm	adult	125 mg	IV	not captured	standing	page 51
Asthma / bronchospasm	peds	2 mg/kg	IV	not captured	standing	page 51
COPD	adult	125 mg	IV	not captured	standing	page 51

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	0.2 mg/kg	IN	not captured	standing	page 153
Agitation	peds	0.2 mg/kg	IN	not captured	standing	page 153
Hyperactive delirium	adult	10 mg	IV/IM/IN	not captured	standing	page 70
Post-intubation sedation	adult	2 mg	IV/IO	not captured	standing	page 154
Post-intubation sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 154
Procedural sedation	adult	2 mg	IV/IO	not captured	standing	page 153
Procedural sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 153
Seizure	adult	0.1 mg/kg	IV	not captured	standing	page 37
Seizure	adult	0.2 mg/kg	IM/IN	not captured	standing	page 37
Seizure	peds	0.1 mg/kg	IV	not captured	standing	page 37
Seizure	peds	0.2 mg/kg	IM/IN	not captured	standing	page 37

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–4 mg	IV	not captured	standing	page 48
Mild to moderate pain	adult	0.1 mg/kg	IV/IO/IM	not captured	standing	page 155
Mild to moderate pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 155
Severe pain	adult	0.1 mg/kg	IV/IO/IM	not captured	standing	page 48
Severe pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 48

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	page 53
Neonatal resuscitation	peds	0.1 mg/kg	IV/IO/IM/IN/SQ/ET	not captured	standing	page 57
Opioid overdose	adult	0.4–4 mg	IV/IO/IM/IN/ET	not captured	standing	page 53
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	page 53
Other	adult	0.4–4 mg	IV/IO/IM/IN/ET	not captured	standing	page 53
Other	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	page 53
Respiratory distress	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	page 53

Nerve Agent Antidote Kit

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	1 auto-injector	IM	not captured	standing	page 65
Organophosphate poisoning	adult	1 auto-injector	IM	not captured	standing	page 65

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 45
CHF / pulmonary edema	adult	0.4–0.8 mg	SL	not captured	standing	page 50

Nitrous Oxide

Indication	Population	Dose	Route	Repeat	Standing	Source
Burns	adult	50% oxygen/50% nitrous oxide mix	NEB	not captured	standing	page 161
Severe pain	adult	50% oxygen/50% nitrous oxide mix	NEB	not captured	standing	page 161
Trauma / hemorrhage	adult	50% oxygen/50% nitrous oxide mix	NEB	not captured	standing	page 161

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiogenic shock	adult	0.1 mcg/kg	IV	not captured	standing	page 162
Cardiogenic shock	peds	0.1 mcg/kg	IV	not captured	standing	page 162
Hypotension / shock	adult	0.1 mcg/kg	IV	not captured	standing	page 51
Hypotension / shock	peds	0.1 mcg/kg	IV	not captured	standing	page 51
Sepsis	adult	0.1 mcg/kg	IV	not captured	standing	page 162
Sepsis	peds	0.1 mcg/kg	IV	not captured	standing	page 162

Olanzapine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	10 mg	IM	not captured	standing	page 164
Agitation	peds	2.5–5 mg	IM	not captured	standing	page 164

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV	not captured	standing	page 58
Nausea / vomiting	adult	4 mg	IM	not captured	standing	page 165
Nausea / vomiting	adult	8 mg	PO	not captured	standing	page 165
Nausea / vomiting	peds	0.15 mg/kg	IV	not captured	standing	page 58
Nausea / vomiting	peds	4 mg	PO	not captured	standing	page 165

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 tube	PO	not captured	standing	page 55
Hypoglycemia	peds	1 tube	PO	not captured	standing	page 55

Oxymetazoline

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2–3 spray	IN	not captured	standing	page 38
Other	peds	2–3 spray	IN	not captured	standing	page 38
RSI induction	adult	2–3 spray	IN	not captured	standing	page 28
RSI induction	peds	2–3 spray	IN	not captured	standing	page 28

Oxytocin

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	10 unit	IM	not captured	standing	page 75
Obstetric hemorrhage	adult	20 unit	IV	not captured	standing	page 75

Pancuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.05 mg/kg	IV/IO	not captured	standing	page 169
Other	peds	0.05 mg/kg	IV/IO	not captured	standing	page 169

Phenobarbital

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	65 mg	IV	not captured	standing	page 170
Seizure	adult	260 mg	IV	not captured	standing	page 170
Seizure	peds	20 mg/kg	IV	not captured	standing	page 170

Plasma

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 unit	IV/IO	not captured	standing	page 61
Trauma / hemorrhage	peds	20 mL/kg	IV/IO	not captured	standing	page 61

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	600 mg	IM	not captured	standing	page 65
Organophosphate poisoning	adult	600 mg	IM	not captured	standing	page 65

Procainamide

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	20 mg	IV/IO	not captured	standing	page 176
Atrial fibrillation with RVR	peds	15 mg/kg	IV/IO	not captured	standing	page 176
Wide-complex tachycardia	adult	20 mg	IV/IO	not captured	standing	page 176
Wide-complex tachycardia	adult	20 mg	IV/IO	not captured	standing	page 176
Wide-complex tachycardia	peds	15 mg/kg	IV/IO	not captured	standing	page 176
Wide-complex tachycardia	peds	15 mg/kg	IV/IO	not captured	standing	page 176

Prochlorperazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	2.5–5 mg	IV	not captured	standing	page 177
Nausea / vomiting	adult	2.5–5 mg	IV	not captured	standing	page 177
Nausea / vomiting	adult	5–10 mg	IM	not captured	standing	page 177
Nausea / vomiting	adult	5–10 mg	IM	not captured	standing	page 177
Nausea / vomiting	peds	0.1 mg/kg	IM	not captured	standing	page 177
Nausea / vomiting	peds	0.1 mg/kg	IV	not captured	standing	page 177
Nausea / vomiting	peds	0.1 mg/kg	IM	not captured	standing	page 177
Nausea / vomiting	peds	0.1 mg/kg	IV	not captured	standing	page 177

Promethazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	12.5–25 mg	IV/IM/PR	not captured	standing	page 178
Nausea / vomiting	adult	12.5–25 mg	IV/IM/PR	not captured	standing	page 178
Nausea / vomiting	peds	0.25–0.5 mg/kg	IV/IM/PR	not captured	standing	page 178
Nausea / vomiting	peds	0.25–0.5 mg/kg	IV/IM/PR	not captured	standing	page 178

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	1.5 mg/kg	IV/IO	not captured	standing	page 87
RSI induction	peds	1 mg/kg	IV/IO	not captured	standing	page 87

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	100 mEq	IV	not captured	standing	page 43
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	page 57
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 180
Other	peds	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	peds	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	peds	1 mEq/kg	IV/IO	not captured	standing	page 57
Other	peds	1 mEq/kg	IV/IO	not captured	standing	page 180
Tricyclic overdose	adult	1 mEq/kg	IV/IO	not captured	standing	page 57
Tricyclic overdose	peds	1 mEq/kg	IV/IO	not captured	standing	page 57

Succinylcholine

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	page 87
RSI induction	peds	2 mg/kg	IV/IO	not captured	standing	page 87

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	1–2 g	IV/IO	not captured	standing	page 183
Allergic reaction	peds	15 mg/kg	IV/IO	not captured	standing	page 183
Trauma / hemorrhage	adult	1–2 g	IV/IO	not captured	standing	page 36
Trauma / hemorrhage	peds	15 mg/kg	IV/IO	not captured	standing	page 36

Vasopressin

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	0.03 unit	IV/IO	not captured	standing	page 185
Sepsis	adult	0.03 unit	IV/IO	not captured	standing	page 185

Vecuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.1 mg/kg	IV/IO	not captured	standing	page 186
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	page 186

Verapamil

Indication	Population	Dose	Route	Repeat	Standing	Source
SVT	adult	2.5–5 mg	IV/IO	not captured	standing	page 187
SVT	peds	0.1–0.3 mg/kg	IV/IO	not captured	standing	page 187

Ziprasidone

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	10–20 mg	IM	not captured	standing	page 189
Hyperactive delirium	peds	10 mg	IM	not captured	standing	page 189
Other	adult	10–20 mg	IM	not captured	standing	page 189
Other	peds	10 mg	IM	not captured	standing	page 189

Cite this

Pierce County Emergency Medical Services, United States EMS Protocol Census. 320 dose entries, effective 2025-02-01.

https://protoquiz.com/census/agencies/pierce-county-emergency-medical-services/

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