SNHD Paramedic Protocol Study Guide
Adenosine
Protocols:
Action:
Dose: (Adult & Peds) for (SVT-Unstable/Stable)
Contraindications: - -Protocols:
+ Tachycardia (Stable/Unstable)
Action:
+ Slows conduction through AV node; and can interrupt re-entry pathways
Adult:
+ 6mg or 12mg RIVP
+ (Stable SVT: 6mg, 12mg)
+ (Unstable SVT: 12mg)
Peds:
+ 0.1-0.2 mg/kg RIVP never to exceed 12mg
+ (Stable SVT: 0.1mg/kg not to exceed 6mg; 0.2mg/kg not to exceed 12mg)
+ (Unstable SVT: 0.2mg/kg not to exceed 12mg)
Contraindications:
+ 2nd or 3rd-degree AV Block or SSS; A-Flutter; A-Fib
, SNHD Paramedic Protocol Study Guide
Albuterol
Protocols:
Dose: (Adult & Peds) - -Protocols:
+ Allergic Reaction, Hyperkalemia, Respiratory Distress
Adult:
+ 2.5mg/3mL via SVN; as needed/continuous/until improvement
Peds:
+ Exact Same
Amiodarone
Protocols:
Action:
Dose:
Contraindications: - -Protocols:
+ Cardiac Arrest, Tachycardia (Stable/Unstable)
Action:
+ Antiarrhythmic
Adult:
+ (Cardiac Arrest) 300mg initial; 150mg after 5th shock
+ (Stable/Unstable - Wide Tachycardia) 150mg in 50cc NS over 10 minutes
Adenosine
Protocols:
Action:
Dose: (Adult & Peds) for (SVT-Unstable/Stable)
Contraindications: - -Protocols:
+ Tachycardia (Stable/Unstable)
Action:
+ Slows conduction through AV node; and can interrupt re-entry pathways
Adult:
+ 6mg or 12mg RIVP
+ (Stable SVT: 6mg, 12mg)
+ (Unstable SVT: 12mg)
Peds:
+ 0.1-0.2 mg/kg RIVP never to exceed 12mg
+ (Stable SVT: 0.1mg/kg not to exceed 6mg; 0.2mg/kg not to exceed 12mg)
+ (Unstable SVT: 0.2mg/kg not to exceed 12mg)
Contraindications:
+ 2nd or 3rd-degree AV Block or SSS; A-Flutter; A-Fib
, SNHD Paramedic Protocol Study Guide
Albuterol
Protocols:
Dose: (Adult & Peds) - -Protocols:
+ Allergic Reaction, Hyperkalemia, Respiratory Distress
Adult:
+ 2.5mg/3mL via SVN; as needed/continuous/until improvement
Peds:
+ Exact Same
Amiodarone
Protocols:
Action:
Dose:
Contraindications: - -Protocols:
+ Cardiac Arrest, Tachycardia (Stable/Unstable)
Action:
+ Antiarrhythmic
Adult:
+ (Cardiac Arrest) 300mg initial; 150mg after 5th shock
+ (Stable/Unstable - Wide Tachycardia) 150mg in 50cc NS over 10 minutes
