INTRODUCTION

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

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.

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

   Medication	Adult	Child
   Naloxone	0.4-4.0 mg	0.01 mg/kg up to 2.0 mg
   Atropine	1.0 mg	0.02 mg/kg diluted 3-5cc
   Epinephrine	2.0 mg	0.1 mg(0.1cc)/kg
   Lidocaine	2X IV dose	2X IV Dose
   Diazepam	2X IV dose	2X IV Dose

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