Paramedic Drug Dosage Study Cards

Mosby’s Drug cards are a great way to memorise the various medications that a Paramedic will encounter on the job. However, the below is FREE drug study alternative that are intended to aid Paramedic Students in memorizing the dosages for the various Paramedic medications that are required for paramedics to do their job. Simply mouse over or tap the below card and the reverse side will include the dosage for that medication. Each card also includes a link to a drug information page for each card.

If there is a drug that is not included here, or if there is information that is either wrong or not valid then please simply fill out the form below and include the information you would like to see here and the page will be updated with a flip card and corresponding drug information page. If this tool was useful, then please like and share it across whatever platform you enjoy using.

Acetaminophen

Trade Name: Tylenol

Acetaminophen

Adult Dose: 1 g q 6 hours; max 4 g in 24 hours
Pediatric Dose: 15 mg/kg q 6 hours

Drug Info

Adenosine

Trade Name: Adenocard

Adenosine

DOSAGE:
ADULT: 6 mg rapid IV bolus over 1-2s; after 1-2 minutes, 12-mg dose over 1-2 seconds.
PEDIATRIC: Initial dose: 0.1mg/kg; max 1st does = 6mg; Rapid IV bolus w/5cc flush

Drug Facts

Amiodarone

Trade Name: Cordarone, Pacerone

Amiodarone

DOSAGE:
ADULT:

  • V-Fib / V-Tach without pulses: 300 mg IV (max is 2.2g IV/24 hrs)
  • Ventricular arrhythmias with a pulse: 150 mg over 10 minute. rpt every 10 min.
  • Maintenance Infusion: 540mg IV over 18 hours (0.5mg/min)

PEDIATRIC:

  • Pulseless arrest: 5mg/kg rapid IV bolus,
  • Perfusing tachycardia: 5mg/kg IV over 20-60 min.

Drug Info

Aspirin (ASA)

Trade Name: ASA, Bufferin, Ecotrin, Empirin, etc.

Aspirin (ASA)

DOSAGE:
ADULT: 324 mg PO (4 x 81 mg chewable preferred) as soon as possible after onset of chest pain.
PEDIATRIC: Not recommended for use in the field with children.

Drug Facts

Albuterol

Trade Name: Proventil, Ventolin

Albuterol

DOSAGE For patients in emergency setting:
ADULT: Nebulizer: 2.5mg in 3cc normal saline or 5mg in 6cc normal saline via HHN over 5 – 15 min.
Repeat 10-20 min. prn, maximum 10mg/hr (4 treatments) MDI- 1-2 inhalations (90mcg each)
many repeat every 15 minutes prn.
PEDIATRIC: 0.15 mg/kg in 2.5-3.0 ml NS via HHN. Repeat prn.

Drug Facts

Atropine

Trade Name: Atropine, Atropa

Atropine

DOSAGE:
ADULT:

  • Symptomatic Bradycardias: 0.5 – 1.0mg IV push; may be repeated q 3-5 minutes to a maximum of 0.04mg/kg; (2.5 – 3mg adults) results in full vagal blockage. Doses of less than 0.5mg may cause further slowing of the heart rate.
  • Asystole & PEA: 1.0mg IV; may be repeated q 3-5 minutes for total of 3mg. ETT-2.0mg
  • Organophosphate Poisoning: 1mg rapid IV, 2nd 1mg slow IV; larger doses may be required. Dosage exceeding 4mg by physician order only.

PEDIATRIC: 0.05mg/kg IV, IM, IO every 10-15 min.

Drug Facts




Diphenhydramine

Trade Name: Benadryl

Diphenhydramine

DOSE: 25-50mg IV or 50mg IM max is 400mg per day

Drug Facts

Calcium Chloride

Trade Name: Calcium Chloride

Calcium Chloride

DOSE: 4mg/kg IV slow

Drug Facts

Furosemide

Trade Name: Lasix

Furosemide

DOSE:

Adult: 0.5-1.0mg/kg IV over 1-2 minutes (start at 1.0mg/kg for hyperkalemia)  If no response after 15-20 minutes double the dose up to 2mg/kg and IV over 1-2min

Pediatric: 1.0mg/kg IV/IM  Max dose 20mg IV

Drug Facts

Dopamine

Trade Name: Dopamine

Dopamine

DOSE: 1 to 5 mcg/kg/min by continuous IV infusion.
Titrate to desired response.

Drug Facts

Epinephrine 1:10,000

Trade Name: Epinephrine 1:10,000

Epinephrine 1:10,000

DOSAGES:

Pulseless Arrest- Adult: IV/IO dose 1 mg(10 mL, 1:10,000) IV/IO push or ET Tube (2-2.5 mg diluted in 10 mL NS) Repeated every 3-5 min during resuscitation (Follow each IV dose with 20-mL saline flush); elevate arm for 20-30 sec after each dose; higher doses (up to 0.2 mg/kg) may be used for specific indications( ex: beta-blocker or calcium channel blocker overdose; poison/ drug induced shock)
Pediatric: IV/IO dose: 0.01 mg/kg every 3-5 min during arrest; max-dose 1 mg
All ET doses: 0.1 mg/kg of 1:1000 every 5 min of arrest until IV/IO access then begin with first IV/IO dose

Drug Facts

Nitroglycerin

Trade Name: Nitrostat

Nitroglycerin

DOSE: 

  • Tablet – 0.3-0.4 mg sl may repeat for a total of 3 doses at 5 min intervals
  • Metered Spray – 1-2 sprays (0.4 mg/dose) for 0.5-1 sec at 5 min intervals
  • Infusion – Begin at rate of 10 mcg/min increase by 10 mcg/min every 3-5 min cieling dose of 200 mcg/min

Drug Facts




Dextrose

Trade Names: D₅₀W, D₁₂W, D₅W

Dextrose

Adult: 12.5-25 g slow IV; may be repeated once
Pediatric: 0.5-1 g/kg IV/IO (max recommended concentration: 25%)
2-4 mL/kg 25%
5-10 mL/kg 10%
10-20 mL/kg 5% (if volume tolerated)

Drug Facts

Glucagon

Trade Name: Glucagen, Glucagon

Glucagon

Hypoglycemia:

  • Adult – 0.5-1 mg IM may repeat in 7-10 min
  • Pediatric – for >20 kg, 0.5-1mg IM

Calcium Channel Blocker or Beta-Blocker Toxicity:

  • Adult – 3-10 mg slow IV over 3-5 min, followed by infusion at 3-5 mg/hr

Drug Facts

Lidocaine

Trade Name: Lidoderm, Xylocaine, Anecream, Reticare

Lidocaine

Cardiac Arrest from VF and VT:

  • Adult: 1-1.15 mg/kg IV/IO bolus or ET tube (at 2-2.5 times the IV dose); for refractory VF, may give additional 0.5-0.75 mg/kg IV push; repeat in 5-10 min; max 3 doses or 3 mg/kg
  • Pediatric: 1 mg/kg IV/IO loading dose; ET dose: 2-3 mg/kg

Perfusing dysrhythmias (Stable VT; Wide complex tachycardia of uncertain type; significant ectopy):

  • Adult: Doses may range from 0.5-0.75 mg/kg (up to 1-1.15 mg/kg) repeat 0.5-0.75 mg/kg every 5-10 min; max total dose 3 mg/kg
  • Pediatric: 1 mg/kg IV/IO; ET dose is 2-3 mg/kg

Maintenance infusion after resuscitation from cardiac arrest from VT/VF:

  • Adult: 1-4 mg/min (30-50 mcg/kg/min); reduce maintenance dose in presence of impaired liver function or LV dysfunction
  • Pediatric: 20-50 mcg/kg/min IV/IO; repeat bolus dose if infusion initiated >15 min after initial bolus therapy

Rapid Sequence Intubation: 1-2 mg/kg IV/IO (max 100 mg)

Drug Facts

Magnesium Sulfate

Trade Name: Epsom Salt, Sulfamag

Magnesium Sulfate

Seizure activity associated with pregnancy: 1-4 g IV; max dose 30-40 g/day

Pulseless arrest (for hypomagnesemia or torsades de pointes), Status asthmaticus:

  • Adult: 1-2 g (2-4 mL of a 50% solution) diluted in 10 mL of D5W IV/IO push
  • Pediatric: 25-50 mg/kg IV/IO max 2g over 10-20 min

Torsades de Pointes with pulse or AMI with hypomagnesemia

  • Adult: Loading dose of 1-2 g in 50-100 mL of D5W over 5-60 min IV; follow with 0.5-1 g/hr IV
  • Pediatric: Same as pulseless

Drug Facts

Vasopressin

Trade Name: Pitressin, Pressyn

Vasopressin

Adult:

  • VF/ cardiac arrest: 40 units IV/IO push; may replace 1st or 2nd dose of epinephrine
  • Vasodilatory shock: continuous infusion of 0.02-0.04 units/min

Pediatric:

  • Cardiac Arrest: 0.4-1 unit/kg IV/IO bolus (Max 40 units)
  • Hypotension: Continuous infusion 0.0002-0.002 unit/kg/min

Drug Facts

Fentanyl

Trade Name: Alfentanil, Sufentanil, Sublimaze

Fentanyl

Adult: 0.05-0.1 mg IV over 1-2 min every 1-2 hr as needed
Pediatric: 1-2 mcg/kg Rarely used in prehospital setting
Rapid sequence intubation: 2-5 mcg/kg IV/IO

Drug Facts




Morphine Sulfate

Trade Name: Astromorph, PF

Morphine Sulfate

Adult: 2-10 mg IV; may give additional doses of 2-8 mg IV @ 5-15
Pediatric: 0.1-0.2 mg/kg IV (Max Dose: 15 mg)

Drug Facts

Naloxone

Trade Name: Narcan

Naloxone

Adult: 0.4 mg IV titrated until ventilation is adequate; use higher doses (up to 2 mg) for complete narcotic reversal
0.4-0.8 mg subQ/IM
Pediatric: 0.1 mg/kg IV/IO/ET every 2 min as needed IV/IO infusion: 0.002-0.16 mg/kg/hr

Drug Facts

Ondanestron

Trade Name: Zofran

Ondanestron

Adult: 4-8 mg IV/IO/PO
Pediatric: 0.5 mg/kg IV

Drug Facts

Atrovent

Trade Name: Atrovent

Atrovent

Adult: 500 mcg in small volume nebulizer
Pediatric: 350-500 mcg/dose

Drug Facts

Methylprednisolone

Trade Name: Medrol, Solu-Medrol, A-Methapred, and Depo-Medrol

Methylprednisolone

Adult: 125-250 mg IV/IM
Pediatric: 30 mg/kg

Drug Facts

Diazepam

Trade Name: Valium

Diazepam

Adult seizures: 5-10 mg IV
Adult Acute Anxiety: 2-5 mg IM
Adult Prior to Cardioversion: 5-15 mg IV

Drug Facts




Midazolam

Trade Name: Versed

Midazolam

Adult Sedation: Typically 1-2.5 mg Slow IV 0.07-0.08 mg/kg IM
Adult Anticonvulsant: >2.5 mg IV 10 mg IM

Drug Facts

Lorazepam

Trade Name: Ativan

Lorazepam

Adult: 2.5 mg in 3 mL NS
Pediatric: 0.15 mg/kg in 1 mL NS

Drug Facts