Emergency Medicine Book

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Resuscitation Medication Routes

Aka: Resuscitation Medication Routes, Emergency Medication Delivery
  1. Type: Intravenous Administration (Preferred)
    1. Follow drugs with 5 ml flush
  2. Type: Intraosseous Administration
    1. Equivalent to IV dosing
    2. Preferable to ET dosing
  3. Type: Endotracheal route administered medications
    1. Medications (Mnemonic: LEAN)
      1. Lidocaine
      2. Epinephrine
      3. Atropine
      4. Naloxone
    2. Dosages
      1. Larger than conventional IV doses
        1. Standard IV dose should be minimum ET dose
    3. Administration
      1. Deliver beyond ET Tube into tracheobronchial tree
      2. Dilute medication to a volume of 3-5 ml NS
      3. Follow medication with Positive Pressure Ventilations

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