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Wake County EMS System

Under review121 dose entries37 drugs2 documentsNCeffective 2026-04-01100% machine-parsed of 121

An undated version is under review. The figures below are from the current listed document.

Drugs and doses37

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Buprenorphine, Calcium Chloride, Calcium Gluconate, Cefazolin9

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 12 mg IV/IO not captured standing pages 32, 75
Other peds 0.1 mg/kg IV/IO not captured standing pages 32, 75
Wide-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing page 77

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 5 mg NEB not captured standing pages 7, 13
Asthma / bronchospasm peds 5 mg NEB not captured standing pages 7, 13
Respiratory distress adult 5 mg NEB not captured standing pages 7, 13
Respiratory distress peds 5 mg NEB not captured standing pages 7, 13
Stridor adult 5 mg NEB not captured standing pages 7, 13
Stridor peds 5 mg NEB not captured standing pages 7, 13

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 300 mg IV/IO not captured standing pages 39, 79
Cardiac arrest peds 5 mg/kg IV/IO not captured standing pages 39, 79
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing pages 32, 33, 35, 77
Narrow-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 32, 33, 35, 77

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 325 mg PO not captured standing page 28

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing pages 24, 70
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 24, 70
Nerve agent exposure adult 2 mg IV/IO/IM not captured standing pages 108, 109
Other adult 1 mg IV not captured standing page 22

Buprenorphine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 16 mg SL not captured standing pages 110, 111

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 g IV/IO not captured standing pages 22, 131
Other adult 1 g IV/IO not captured standing page 61
Other peds 20 mg/kg IV/IO not captured standing pages 22, 131

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3 g IV/IO not captured standing page 106
Beta-blocker / calcium-channel-blocker overdose adult 3 g IV/IO not captured standing page 106
Hyperkalemia adult 3 g IV/IO not captured standing pages 61, 106

Cefazolin

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV not captured standing page 133
D–F Dexamethasone, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Famotidine, Fentanyl, Furosemide9

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Respiratory distress adult 10 mg IV/IO/IM/PO not captured standing pages 7, 13, 57, 83
Respiratory distress peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 7, 13, 57, 83

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 20 mg IV/IO not captured standing pages 32, 33

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 50 mg PO not captured standing pages 57, 83
Allergic reaction adult 50 mg IV/IO/IM not captured standing pages 57, 83
Allergic reaction adult 50 mg IV/IO/IM not captured standing pages 57, 83
Allergic reaction peds 1 mg/kg PO not captured standing pages 57, 83
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 57, 83
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 57, 83
Anaphylaxis adult 50 mg IV/IO/IM not captured standing pages 57, 83
Anaphylaxis peds 1 mg/kg IV/IO/IM not captured standing pages 57, 83

Dopamine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 5–20 mcg/kg IV/IO not captured standing pages 24, 71
Bradycardia peds 5–20 mcg/kg IV/IO not captured standing pages 24, 71
Hypotension / shock peds 5–20 mcg/kg IV/IO not captured standing pages 69, 71, 74, 87

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing pages 7, 57, 83
Anaphylaxis peds 0.15 mg IM not captured standing pages 7, 57, 83
Bradycardia adult 2–30 mcg IV/IO not captured standing pages 24, 70, 71
Cardiac arrest adult 1 mg IV/IO not captured standing pages 22, 39, 68, 79
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 22, 39, 68, 79
Hypotension / shock peds 0.05–5 mcg/kg IV/IO not captured standing pages 64, 87
Stridor adult 1 mg NEB not captured standing pages 7, 13
Stridor peds 1 mg NEB not captured standing pages 7, 13

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.2 mg/kg IV/IO not captured standing page 46
Other peds 0.2 mg/kg IV/IO not captured standing page 46
Procedural sedation adult 0.2 mg/kg IV/IO not captured standing page 15
Procedural sedation peds 0.2 mg/kg IV/IO not captured standing page 15

Famotidine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 20–40 mg IV/IO/PO not captured standing pages 57, 83
Allergic reaction peds 0.25 mg/kg IV/IO/PO not captured standing pages 57, 83
Anaphylaxis adult 20–40 mg IV/IO/PO not captured standing pages 57, 83
Anaphylaxis peds 0.25 mg/kg IV/IO/PO not captured standing pages 57, 83

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 50 mcg IV/IO/IM/IN not captured standing page 28
CHF / pulmonary edema peds 1 mcg/kg IV/IO/IM not captured standing page 72
Other adult 50–75 mcg IV/IO not captured standing page 15
Other peds 1 mcg/kg IV/IO not captured standing page 15
Procedural sedation adult 1 mcg/kg IV/IO/IM/IN not captured standing page 24
Procedural sedation adult 1 mcg/kg IV/IO/IM/IN not captured standing pages 32, 33, 35, 37, 75, 77
Procedural sedation peds 2 mcg/kg IV/IO/IM/IN not captured standing pages 32, 33, 35, 37, 75, 77

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 40 mg IV/IO not captured standing page 52
G–L Glucagon, Haloperidol, Hydrocortisone, Hydroxocobalamin, Ipratropium, Lidocaine, Lorazepam7

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 2 mg IV/IO/IM not captured standing pages 22, 106
Beta-blocker / calcium-channel-blocker overdose peds 0.1 mg/kg IV/IO/IM not captured standing pages 22, 106
Hypoglycemia adult 1–2 mg IM not captured standing pages 59, 85
Hypoglycemia peds 0.1 mg/kg IM not captured standing pages 59, 85

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 mg IV/IM/SQ not captured standing page 125

Hydrocortisone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 100 mg IV/IO/IM not captured standing pages 65, 88
Adrenal crisis peds 2 mg/kg IV/IO/IM not captured standing pages 65, 88

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 70 mg/kg IV/IO not captured standing page 97
Cyanide poisoning peds 70 mg/kg IV/IO not captured standing page 97

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Respiratory distress adult 0.5 mg NEB not captured standing pages 7, 13
Respiratory distress peds 0.5 mg NEB not captured standing pages 7, 13

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 100 mg IV/IO not captured standing page 79
Other peds 1 mg/kg IV/IO not captured standing page 79
Wide-complex tachycardia adult 100 mg IV/IO not captured standing pages 35, 37

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg IV/IM/SQ not captured standing page 125
M–O Magnesium Sulfate, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oxytocin8

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 2 g IV/IO not captured standing pages 39, 79
Cardiac arrest peds 40 mg/kg IV/IO not captured standing pages 39, 79
Respiratory distress adult 2 g IV/IO not captured standing pages 7, 13
Respiratory distress peds 40 mg/kg IV/IO not captured standing pages 7, 13
VF / pulseless VT adult 2 g IV/IO not captured standing pages 37, 79
VF / pulseless VT peds 40 mg/kg IV/IO not captured standing pages 37, 79

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1–2 mg IV not captured standing pages 8, 31
Other adult 2–2.5 mg IV/IO/IM/IN not captured standing page 95
Other adult 2.5 mg IV/IO not captured standing page 15
Other peds 0.1–0.2 mg/kg IV/IO not captured standing page 15
Other peds 0.1–0.2 mg/kg IV/IO/IM/IN not captured standing page 95
Procedural sedation adult 2.5 mg IV/IO/IM/IN not captured standing pages 24, 70
Procedural sedation adult 2.5 mg IV/IO/IM/IN not captured standing pages 32, 33, 35, 37, 75, 77
Procedural sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 32, 33, 35, 37, 75, 77
Procedural sedation peds 0.1–0.2 mg/kg IV/IO/IM/IN not captured standing pages 24, 70
Seizure adult 10 mg IM not captured standing page 93
Seizure peds 2.5 mg IM not captured standing page 93

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 0.1 mg/kg IV/IO/IM not captured standing page 72

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 2 mg IV/IO not captured standing page 22
Opioid overdose adult 2 mg IV/IO/IM/IN not captured standing pages 23, 27, 68, 73, 105
Opioid overdose peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 23, 27, 68, 73, 105

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 28
ACS / chest pain adult 1–2 inch TOP not captured standing page 28
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 30
CHF / pulmonary edema adult 1–2 inch TOP not captured standing page 30

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 2–30 mcg IV not captured standing page 30
Hypotension / shock adult 2–30 mcg IV/IO not captured standing pages 64, 87
Hypotension / shock adult 2–30 mcg IV/IO not captured standing page 41
Hypotension / shock peds 0.1–2 mcg/kg IV/IO not captured standing pages 64, 87
Hypotension / shock peds 0.1–2 mcg/kg IV/IO not captured standing page 41

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IO/IM/PO/ODT not captured standing page 144
Nausea / vomiting peds 0.2 mg/kg IV/IO/IM/PO/ODT not captured standing page 144
Other adult 4 mg SL not captured standing pages 110, 111

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing pages 89, 90, 93
P–R Pralidoxime, Promethazine2

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 600 mg IV/IO/IM not captured standing page 108
Nerve agent exposure peds 15–25 mg/kg IV/IO/IM not captured standing page 108

Promethazine

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 25 mg IV/IM not captured standing page 125
S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 mEq IV/IO not captured standing pages 22, 61, 131
Other peds 1 mEq/kg IV/IO not captured standing pages 22, 61, 131
Tricyclic overdose adult 50 mEq IV/IO not captured standing page 106
Tricyclic overdose peds 1 mEq/kg IV/IO not captured standing page 106

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 136
Cite this

Wake County EMS System, United States EMS Protocol Census. 121 dose entries, effective 2026-04-01.

https://protoquiz.com/census/agencies/wake-county-ems-system/

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.