Protocol: Endotracheal Medications

Original Effective Date: 01/01/2001 | Revised Date: 01/01/2002


ALS PROTOCOL

INTRODUCTION

Medications may be administered via endotracheal tube when IV access is not available or delayed. IV route is preferred.


PROCEDURE:
  1. Medications to be given via endotracheal tube should be given using the following procedure:
    1. Stop / disconnect artificial ventilation (BVM or Ventilator)
    2. Stop CPR compressions (if being performed)
    3. Inject the appropriate medications into the ETT
    4. Quickly re-attach appropriate device and ventilate patient.
    5. Quickly resume CPR if appropriate.

SPECIAL CONSIDERATIONS/NOTES/PRECAUTIONS

  1. Medications that may be given via ETT and their appropriate doses are:

    MedicationAdultChild
    Naloxone0.4-4.0 mg0.01 mg/kg up to 2.0 mg
    Atropine1.0 mg0.02 mg/kg diluted 3-5cc
    Epinephrine2.0 mg0.1 mg(0.1cc)/kg
    Lidocaine2X IV dose2X IV Dose
    Diazepam2X IV dose2X IV Dose

  2. Add Normal Saline for dilution of medication:
    1. Adults: Total 10cc's
    2. Pediatic: Total 5cc's

back to home page