Procedure Manual
Medication Administration
Endotracheal Medication Administration
Indications
In life-threatening emergencies when drug therapy is vital to patient survival and an IV line cannot be established. Dosage for medications administered via this route must be 2-2.5 times the IVP dose.
Equipment:
- Medication to be administered:
- Narcan
- Atropine
- Epinephrine (use 10 × IV dose if less than 8 years old)
- Lidocaine
- Endotracheal tube with proper placement confirmed by capnography
- BVM or automatic ventilator
Technique:
- Dilute agent in 10 ml normal saline if > 8 years and up to 5 ml if < 8 years old
- If performing CPR, stop compressions momentarily
- Detach BVM inject and medication directly into the endotracheal tube
- Immediately re-attach BVM to tube and ventilate with 5 breaths
- Resume CPR if patient in cardiac arrest
Intranasal Mucosal Atomization Device
Intranasal Mucosal Atomization Device Procedure
Rectal Administration of Diazepam Gel (Diastat®)
Indications
- Inability to establish peripheral IV access
- Patient in status seizure activity with Diastat available for home administration
Technique
- Select appropriate dose of medication based on patient’s prescription
Diazepam Gel Rectal Administration Procedure