National Registry Medication List
ALS/NREMT Medications List

Yes, it's true that there are MANY more National Registry Medications than this, but I am just covering the medications you are most likely to see on the National Registry Test.

This is a list of medications "You need to know" before taking the NREMT exam. If you do not know these dosages for adult and pediatric patients, you will fail the NREMT test. Be careful when you take the exam, because if you do not know what the contraindications are you will kill your patient and fail the exam!

Good luck!

You should really watch for these contraindications in your exam questions!

• Activated Charcoal
  1g/kg mixed with at least 6 to 8 oz. of water, then, PO or Vi an NG tube.
  
  
• Adenosine
  6mg followed by a rapid push of 20cc NS, for the first round. Next round is 12mg followed by a rapid push of 20cc NS May repeat twice.
  
  
• Albuterol
  2.5 mg in 3mL NS via nebulizer, repeat as needed.
  
  
• Amioderone
  30 units IV over 2-5 min.
  
  
• Aspirin 160 to 325mg PO (chewable)
  Active ulcer disease, recent surgeries
  
  
• Atropine
  Symptomatic Bradycardia 0.5 to 1mg IV/2 mg EMT. May repeat in 5 min up to 1mg.
  For Organophosphate poisoning 2 to 5mg IV/IM/IO/ 10 to 15 minutes.
  Peds dosage 0.05 mg/kg IV/IM/IO/ 10 to 15 minutes.
  
  
• Atrovent Also see (Ipratropium Bromide)
  500 mcg in 2.5 to 3 mL NS via Nebulizer or two sprays from a metered dose inhaler
  Ped: 125 to 250 mcg in 2.5 to 3 ml NS via Nebulizer, or 1 or two sprays of a metered dose inhaler
  Sometimes also given .5ml in 2.5 mL for adults. via nebulizer
  Peds: .25mL in 1.25mL via nebulizer
  500 mcg in 2.5 to 3 mL NS via Nebulizer or two sprays from a metered dose inhaler
  Ped: 125 to 250 mcg in 2.5 to 3 ml NS via Nebulizer, or 1 or two sprays of a metered dose inhaler
  Sometime also given .5ml in 2.5 mL for adults. via nebulizer
  Peds: .25mL in 1.25mL via nebulizer (under one year old)
  Hypersensitivity to soya lecithin or related food products such as soybean and peanut.
  
  
• Calcium Chloride
  25 to 50mg IM. Ped:0.5 mg/kg IM or 1mg/kg PR
  Ventricular Fibrillation, hypercalcemia, and possible digitalis toxicity
  
  
• Dextrose
  25g D-5w (50mL) IV, Ped:2mL/kg of 25%solution IV
  
  
• Diazepam
  5 to 10mg IV/IM. Ped 0.5 to 2mg IV/IM
  
  
• Digoxin
  0.25 to 0.5 mg slowly IV: Ped: 10 to 50 mcg/kg IV
  
  
• Diphenhydromine (Benadryl)
  25 to 50mg IV/IM
  
  
• Dopamine
  2 to 5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect. Ped: same as adult
  
  
• Epinephrine
  Arrest: 1mg of 1:10,000 IV 3 to 5 min (ET 2 to 2.5mg 1:1,000).
  Peds 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1mg/kg 1:1,000). All subsequent dosages 0.1 mg/kg IV/IO.
  
  Allergic Reactions: 0.3 to 0.5 of 1:1,000 SubQ/ 5 to 15 min as needed or 0.5 to 1mg of 1:10,000 IV if subQ dose is ineffective or severe reaction. Ped: 0.01 mg/kg of 1:1,000 subQ/ 10 to 15 or 0.01mg/kg of 1:10,000 IV if subQ dose is ineffective or severe.
  dysrhythmia, heart disease, many others
  
  
• Furosmide (Lasix)
  40 to 120 mg slow IV
  Ped: 1 mg/kg slow IV
  
  
• Glucagon
  Hypoglycemia: 1 mg IM/SC repeat/ 5 to 20 min. Ped: 0.1 mg/kg 1m/SC/IV for child <10kg: 1mg/kg 1 /m/SC/IV for child > 10kg
  Beta-blocker overdose 50 to 150 mg/kg IV over 1 min. Ped 50 to 150 mg/kg IV over 1 min
  
  
• Insulin
  5 to 10 units IV/IM/SC. Ped 2 to 4 units IV/IM/SC
  
  
• Ipratropium (Atrovent)
  500 mcg in 2.5 to 3 mL NS via Nebulizer or two sprays from a metered dose inhaler
  Ped: 125 to 250 mcg in 2.5 to 3 ml NS via Nebulizer, or 1 or two sprays of a metered dose inhaler
  Sometime also given .5ml in 2.5 mL for adults. via nebulizer
  Peds: .25mL in 1.25mL via nebulizer
  Sometimes also given .5ml in 2.5 mL for adults. via nebulizer
  Peds: .25mL in 1.25mL via nebulizer (under one year old)
  
  Hypersensitivity to soya lecithin or related food products such as soybean and peanut.
  
  
• Lidocaine
  Cardia Arrest 1 to 1.5 mg/kg IV repeated every 3 to 5 min up to 3mg/kg, follow 3mg/kg with a drip of 2 to 4 mg/min. Ped: 1 mg/kg IV, repeat/ 3 to 5 min up to 3mg/kg, follow conversion with a drip of 20 to 50 mcg/kg/min.
  
  Ventricular tachycardia (W/ pulse): 1 to 1.5 mg/kg slow IV. My repeat at one half dose every 5 to 10 min until conversion up to 3mg/kg. Follow conversion with an infusion of 2 to 4 mg/min. Ped: 1mg/kg, followed by a drip at 20 to 50 mg/kg/min.
  
  
• Magnesium Sulphate
  Ventricular Fibrillation or tachycardia: 1 to 2 g IV over 2 min.
  Torsade De Pointes: 1 to 2 g IV followed by infusion of 0.5 to 1 g/hr/IV
  AMI: 1 to 2 g IV over 5 to 30 min.
  Eclampsia: 2 to 4 g IV/IM.
  
  
  
• Midazolam (Versed)
  1 to 2.5 mg slow IV: 0.07 to 0.08 mg/kg IM (usually 5mg).
  Ped: 0.05 to 0.2mg/kg IV: 0.1 to 0.15 mg/kg IM: 3 mg intransnasal
  Hypersensitivity to Benzondiazepines
  
  
• Morphine
  Pain: 2.5 to 15 mg IV; 5 to 20mg IM/subQ.
  Ped: 0.05 to 0.1 mg/kg IV; 0.1 to 0.2 mg/kg/IM/SubQ
  AMI or PE: 1 to 2 mg/ 6 to 10 min to response
  Respiratory Depression
  
  
• Naloxone
  0.4 to 2mg IV/IM (2 to 2.5 times the doe ET), repeated/2 to 3 min as needed up to 10mg.
  Ped: 0.01 mg IV/IM 2 to 2.5 times the dose ET) repeated/2 to 3 min as needed up to 10mg.
  
  
• Nitroglycerin
  1 tablet (0.4 mg) SL. May be repeated/3 to 5 min up to 3 tablets, or 1/2 inch of topical ointment, or 0.4mg (one spray) SL up to 3 sprays/25 min.
  Sexually enhancing medication Viagra, Levitra Etc, Hypotension
  
  
• Oxytocin
  3 to 10 units IM after delivery of placenta. 10 to 20 units in 1,000 mL of D-5w or NS IV titrated to effect.
  
  
• Procainamide
  20 to 30 mg/min IV drip up to 17 mg/kg to effect, then 1 to 4mg/min.
  Ped: 15 mg/kg/IV/IO over 30 to 60 min.
  
  
• Sodium Bicarbonate
  1 mEq/kg IV, then 0.5 mEq/kg/10min.
  Ped: same as adult (may be given IO).
  
  
• Thiamine
  50 to 100 mg IV/IM.
  Ped: 10 to 25 mg IV/IM
  
  
• Vasopressin
  Arrest: 40 Units IV.
  Esophageal varices: 0.2 to 0.4 units/min IV drip.
  
  
• Verapamil
  2.5 to 5 mg IV bolus over 2 to 3 min, then 5 to 10 mg after 15 to 30 min to max of 30 mg in 30 min.
  Ped: newborn--0.1 to 0.2 mg/kg (not to exceed 2 mg), age 1 to 15- 0.1 to 0.3 mg/kg (not to exceed 5 mg)
  Hypotension