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Class notes

BASIC EMS Drug Calculations Notes

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2024/2025 Written for academic year
Institution NREMT - Nationally Registered Emergency Medical Technician
Course NREMT - Nationally Registered Emergency Medical Technician
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Basic notes on pre-hospital drug calculations and administering drugs to patients

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Conversions
●​ lbs/2.2 = kg

Formulas
𝑔 𝑔𝑖𝑣𝑒𝑛
●​ 𝑔 ℎ𝑎𝑣𝑒
* 𝑚𝐿 = volume given


Considerations
●​ Blood pressure
●​ Weight
●​ Age
●​ Pain level
●​ Home medications/narcotic patches
●​ Red hair

Concentrations/Dosages
●​ Fentanyl
○​ Dosage: 0.5-2μg/kg
○​ Concentration: 100μg/2mL
●​ Ketamine
○​ Dosage: 0.3mg/kg
○​ Concentration: 200mg/20mL
●​ Dopamine
○​ Dosage: 10-20μg/kg
○​ Concentration: 800mg/500mL
●​ Norepinephrine
○​ Not weight based
○​ Dosage: 20-50μg
○​ Concentration: 8mg/250mL
■​ 8000μg/250mL

Pump Programming
𝑑𝑜𝑠𝑎𝑔𝑒 * 𝑘𝑔 * 𝑚𝑖𝑛
●​ Use 𝑐𝑜𝑛𝑐𝑒𝑛𝑡𝑟𝑎𝑡𝑖𝑜𝑛
●​ Want to get to mL/hr from mg/min or μg/min
𝑣𝑜𝑙𝑢𝑚𝑒(𝑚𝐿) * 𝑑𝑟𝑜𝑝 𝑓𝑎𝑐𝑡𝑜𝑟
●​ Flow rate: 𝑡𝑖𝑚𝑒 (𝑚𝑖𝑛)
= drops/min

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April 13, 2025
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2024/2025
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