PCP: Analgesia

Requires additional training and endorsement

• Intransal: 0.75 mg/kg
  • May repeat 0.5 mg/kg after 20 minutes
• Contact CliniCall for additional dosing instructions
• See Procedure Pxx for intranasal drug administration guidelines

ACP: Analgesia

• Intravenous/Intraosseous: 0.3 mg/kg slow push
  • May repeat 0.15 mg/kg after 5 minutes
  • Maximum total dose 0.6 mg/kg in 45 minutes
• Intramuscular: 0.5 mg/kg
  • May repeat 0.3 mg/kg after 45 minutes

ACP: Procedural Sedation

• Intravenous/Intraosseous: 0.1-0.5 mg/kg slow push every 60 seconds to effect
  • Consider starting at 0.5 mg/kg; use subsequent doses of 0.25 mg/kg or less as needed
  • Titrate to effect

ACP: Anesthesia Induction

• Intravenous/Intraosseous: 2 mg/kg if shock index < 1
• Intravenous/Intraosseous: 1 mg/kg if shock index ≥ 1

ACP: Maintenance of Anesthesia

• ½ of required induction dose every 10-15 minutes as required

ACP: Excited Delirium

• Intramuscular: 4-5 mg/kg bolus
  • Maximum volume of administration:
    • Deltoid: 2 mL
    • Lateral thigh: 4-5 mL
    • Gluteal: 5 mL

Avoid in infants (< 6 months of age)

PCP: Not authorized

ACP: Analgesia

• Intravenous/Intraosseous: 0.3 mg/kg slow push
  • Maximum single dose 20 mg
  • Repeat every 2-3 minutes to total maximum of 0.6 mg/kg
• Intramuscular: 0.5 mg/kg
  • May repeat 0.3 mg/kg after 45 minutes
• Intranasal: 1.5 mg/kg
  • May repeat 1 mg/kg at 20 minutes
  • Maximum dose of 50 mg
  • See Procedure Pxx for intransal drug administration guidelines

ACP: Procedural Sedation

• See adult dosing guidelines

ACP: Excited Delirium

• CliniCall consult required for any patient under 12 years of age
• See adult dosing guidelines