County
Wilson County Emergency Management Agency
Wilson County Emergency Management Agency (TN) carries 31 drugs across 176 dose entries in its current published protocol, effective 2015-06-01.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses31
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 15 mg/kg | PO | not captured | standing | page 52 |
| Fever | peds | 15 mg/kg | PO | not captured | standing | page 52 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 0.1 mg/kg | IV | not captured | standing | page 34 |
| SVT | adult | 12 mg | IV | not captured | standing | page 34 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 34 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | adult | 2.5 mg | NEB | not captured | standing | page 60 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV | not captured | standing | page 32 |
| Wide-complex tachycardia | adult | 150 mg | IV | not captured | standing | page 39 |
| Wide-complex tachycardia | adult | 5 mg/kg | IV | not captured | standing | page 39 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV | not captured | standing | page 39 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 37 |
| VF / pulseless VT | adult | 5 mg/kg | IV | not captured | standing | page 37 |
| VF / pulseless VT | peds | 5 mg/kg | IV | not captured | standing | page 37 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 46 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.02 mg/kg | IV/IO | not captured | standing | page 27 |
| Bradycardia | adult | 0.5–1 mg | IV/IO | not captured | standing | page 26 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 27 |
| Organophosphate poisoning | adult | 0.05 mg/kg | IV/IO | not captured | standing | page 86 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | page 86 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 86 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 20 mg/kg | IV/IO | not captured | standing | page 22 |
| Cardiac arrest | adult | 500–1000 mg | IV/IO | not captured | standing | page 22 |
| Cardiac arrest | peds | 20 mg/kg | IV/IO | not captured | standing | page 22 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mL/kg | IV | not captured | standing | page 55 |
| Hypoglycemia | adult | 12.5 g | IV/IO | not captured | standing | page 55 |
| Hypoglycemia | adult | 2 mL/kg | IV | not captured | standing | page 55 |
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 55 |
| Hypoglycemia | adult | 4 mL/kg | IV | not captured | standing | page 55 |
| Hypoglycemia | peds | 2 mL/kg | IV | not captured | standing | page 55 |
| Hypoglycemia | peds | 4 mL/kg | IV | not captured | standing | page 55 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | adult | 0.2 mg/kg | IV | not captured | standing | page 146 |
| Procedural sedation | adult | 5 mg | IV | not captured | standing | page 146 |
| Procedural sedation | peds | 0.2 mg/kg | IV | not captured | standing | page 146 |
| Seizure | adult | 0.2 mg/kg | IV/IO | not captured | standing | page 65 |
| Seizure | adult | 0.5 mg/kg | PR | not captured | standing | page 65 |
| Seizure | adult | 2–5 mg | IV/IO | not captured | standing | page 65 |
| Seizure | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 65 |
| Seizure | peds | 0.5 mg/kg | PR | not captured | standing | page 65 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV | not captured | standing | page 23 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 1 mg/kg | IV/IM | not captured | standing | page 42 |
| Allergic reaction | adult | 25 mg | IV | not captured | standing | page 42 |
| Allergic reaction | adult | 50 mg | IM | not captured | standing | page 42 |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 42 |
| Anaphylaxis | adult | 1 mg/kg | IV/IO/IM | not captured | standing | page 43 |
| Anaphylaxis | adult | 25 mg | IV | not captured | standing | page 43 |
| Anaphylaxis | adult | 50 mg | IM | not captured | standing | page 43 |
| Anaphylaxis | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 43 |
| Other | adult | 50 mg | IV/IO/IM | not captured | standing | page 58 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 2–20 mcg/kg | IV | not captured | standing | page 26 |
| Cardiogenic shock | adult | 2–20 mcg/kg | IV | not captured | standing | page 107 |
| Hypotension / shock | adult | 2–20 mcg/kg | IV | not captured | standing | page 109 |
| Other | adult | 2–20 mcg/kg | IV | not captured | standing | page 31 |
| Sepsis | adult | 2–20 mcg/kg | IV | not captured | standing | page 110 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.01 mg/kg | IM | not captured | standing | page 43 |
| Anaphylaxis | adult | 0.01 mg/kg | IV | not captured | standing | page 43 |
| Anaphylaxis | adult | 0.3–0.5 mg | IV | not captured | standing | page 43 |
| Anaphylaxis | peds | 0.01 mg/kg | IV | not captured | standing | page 43 |
| Asthma / bronchospasm | adult | 0.01 mg/kg | IM | not captured | standing | page 62 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | page 62 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 62 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 27 |
| Cardiac arrest | adult | 0.01 mg/kg | IV/IO | not captured | standing | page 22 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 22 |
| Cardiac arrest | adult | 2 mg | ET | not captured | standing | page 22 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 22 |
| Croup | adult | 1 mg | NEB | not captured | standing | page 50 |
| Croup | peds | 1 mg | NEB | not captured | standing | page 50 |
| Other | adult | 0.3 mg | IM | not captured | standing | page 57 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 1 mcg/kg | IV | not captured | standing | page 47 |
| Burns | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 94 |
| Burns | adult | 1 mcg/kg | IV/IO/IM | not captured | standing | page 94 |
| Burns | adult | 1 mcg/kg | IV/IO/IM | not captured | standing | page 94 |
| Burns | adult | 1.5 mcg/kg | IN | not captured | standing | page 94 |
| Burns | adult | 1.5 mcg/kg | IN | not captured | standing | page 94 |
| Burns | adult | 2 mcg/kg | IV/IO/IM/IN | not captured | standing | page 94 |
| Burns | peds | 1 mcg/kg | IV/IO/IM | not captured | standing | page 94 |
| Burns | peds | 1 mcg/kg | IV/IO/IM | not captured | standing | page 94 |
| Burns | peds | 1.5 mcg/kg | IN | not captured | standing | page 94 |
| Burns | peds | 1.5 mcg/kg | IN | not captured | standing | page 94 |
| Other | adult | 0.5 mcg/kg | IV/IO/IM/IN | not captured | standing | page 66 |
| Severe pain | adult | 1 mcg/kg | IV/IO/IM | not captured | standing | page 91 |
| Severe pain | adult | 1.5 mcg/kg | IN | not captured | standing | page 91 |
| Severe pain | adult | 2 mcg/kg | IV/IO/IM/IN | not captured | standing | page 91 |
| Severe pain | peds | 1 mcg/kg | IV/IO/IM | not captured | standing | page 91 |
| Severe pain | peds | 1.5 mcg/kg | IN | not captured | standing | page 91 |
| Trauma / hemorrhage | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 91 |
| Trauma / hemorrhage | adult | 1 mcg/kg | IV/IO/IM | not captured | standing | page 91 |
| Trauma / hemorrhage | adult | 1.5 mcg/kg | IN | not captured | standing | page 91 |
| Trauma / hemorrhage | peds | 1 mcg/kg | IV/IO/IM | not captured | standing | page 91 |
| Trauma / hemorrhage | peds | 1.5 mcg/kg | IN | not captured | standing | page 91 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IM/IN | not captured | standing | page 43 |
| Hypoglycemia | adult | 0.5–1 mg | IM | not captured | standing | page 55 |
| Hypoglycemia | adult | 1 mg | IM/IN | not captured | standing | page 55 |
| Hypoglycemia | peds | 0.5–1 mg | IM | not captured | standing | page 55 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | NEB | not captured | standing | page 43 |
| Respiratory distress | adult | 0.5 mg | NEB | not captured | standing | page 60 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mg/kg | IV | not captured | standing | page 97 |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 97 |
| Other | adult | 1 mg/kg | IV | not captured | standing | page 31 |
| Other | adult | 1.5 mg/kg | IM/IN | not captured | standing | page 97 |
| Other | adult | 1.5 mg/kg | IN | not captured | standing | page 97 |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 97 |
| Other | peds | 1.5 mg/kg | IN | not captured | standing | page 97 |
| Severe pain | adult | 0.5 mg/kg | IV/IO | not captured | standing | page 94 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 30 mg | IV/IM | not captured | standing | page 153 |
| Mild to moderate pain | adult | 60 mg | IM | not captured | standing | page 153 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.5 mg/kg | IV | not captured | standing | page 151 |
| Other | adult | 1–1.5 mg/kg | IV | not captured | standing | page 32 |
| Other | adult | 1 mg/kg | IV | not captured | standing | page 32 |
| Other | adult | 20–40 mg | IV | not captured | standing | page 151 |
| Other | peds | 0.5 mg/kg | IV | not captured | standing | page 151 |
| Other | peds | 1 mg/kg | IV | not captured | standing | page 32 |
| Wide-complex tachycardia | adult | 1–1.5 mg/kg | IV | not captured | standing | page 32 |
| Wide-complex tachycardia | adult | 1 mg/kg | IV | not captured | standing | page 32 |
| Wide-complex tachycardia | peds | 1 mg/kg | IV | not captured | standing | page 32 |
| VF / pulseless VT | adult | 1–1.5 mg/kg | IV | not captured | standing | page 37 |
| VF / pulseless VT | adult | 1 mg/kg | IV | not captured | standing | page 37 |
| VF / pulseless VT | peds | 1 mg/kg | IV | not captured | standing | page 37 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV | not captured | standing | page 62 |
| Asthma / bronchospasm | adult | 25–50 mg/kg | IV/IO | not captured | standing | page 62 |
| Asthma / bronchospasm | peds | 25–50 mg/kg | IV/IO | not captured | standing | page 62 |
| COPD | adult | 2 g | IV | not captured | standing | page 63 |
| Eclampsia / pre-eclampsia | adult | 2 g | IV | not captured | standing | page 130 |
| VF / pulseless VT | adult | 1–2 g | IV | not captured | standing | page 36 |
| VF / pulseless VT | adult | 25–50 mg/kg | IV/IO | not captured | standing | page 36 |
| VF / pulseless VT | peds | 25–50 mg/kg | IV/IO | not captured | standing | page 36 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 2 mg/kg | IV/IO/IM | not captured | standing | page 137 |
| Anaphylaxis | adult | 125 mg | IV/IO/IM | not captured | standing | page 43 |
| Asthma / bronchospasm | adult | 125 mg | IV | not captured | standing | page 62 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 155 |
| Hyperactive delirium | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 155 |
| Other | adult | 0.1 mg/kg | not captured | not captured | standing | page 31 |
| Other | adult | 2–5 mg | IV | not captured | standing | page 31 |
| Other | peds | 0.1 mg/kg | not captured | not captured | standing | page 31 |
| Procedural sedation | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 146 |
| Procedural sedation | adult | 2–5 mg | IV/IN | not captured | standing | page 146 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 146 |
| RSI induction | adult | 1 mg | IV | not captured | standing | page 147 |
| Seizure | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 65 |
| Seizure | adult | 2–5 mg | IV/IO/IN | not captured | standing | page 65 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 65 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2 mg | IV | not captured | standing | page 47 |
| CHF / pulmonary edema | adult | 2–4 mg | IV | not captured | standing | page 49 |
| Other | adult | 0.2 mg/kg | not captured | not captured | standing | page 66 |
| Other | adult | 2 mg | IV | not captured | standing | page 66 |
| Other | peds | 0.2 mg/kg | not captured | not captured | standing | page 66 |
| Mild to moderate pain | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 104 |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO | not captured | standing | page 104 |
| Mild to moderate pain | adult | 4 mg | IV/IO/IM | not captured | standing | page 104 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 104 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 104 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.1 mg/kg | IV | not captured | standing | page 13 |
| Other | adult | 0.5 mg | IV | not captured | standing | page 13 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 13 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 46 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 49 |
| Other | adult | 1 inch | not captured | not captured | standing | page 54 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 0.1 mg/kg | IV/IM | not captured | standing | page 59 |
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | page 59 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 59 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 55 |
Promethazine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 0.5 mg/kg | IV/IO | not captured | standing | page 59 |
| Nausea / vomiting | adult | 12.5 mg | IV | not captured | standing | page 59 |
| Nausea / vomiting | peds | 0.5 mg/kg | IV/IO | not captured | standing | page 59 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 0.5 mEq/kg | IV | not captured | standing | page 13 |
| Cardiac arrest | adult | 1–1.5 mEq/kg | IV | not captured | standing | page 13 |
| Cardiac arrest | peds | 0.5 mEq/kg | IV | not captured | standing | page 13 |
| Crush injury | adult | 1 mEq/kg | IV/IO | not captured | standing | page 113 |
| Crush injury | adult | 50 mEq | IV/IO | not captured | standing | page 113 |
| Crush injury | peds | 1 mEq/kg | IV/IO | not captured | standing | page 113 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 13 |
| Tricyclic overdose | adult | 0.5 mEq/kg | IV | not captured | standing | page 84 |
| Tricyclic overdose | adult | 1 mEq/kg | IV | not captured | standing | page 84 |
| Tricyclic overdose | peds | 0.5 mEq/kg | IV | not captured | standing | page 84 |
Thiamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 100 mg | IV | not captured | standing | page 45 |
Vasopressin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 40 unit | IV/IO | not captured | standing | page 5 |