Endotracheal Medication Administration
Endotracheal medication administration is indicated in instances when IV access is delayed or unavailable. Medications that can be administered via the ET tube include Lidocaine, Epinephrine, Atropine, and Narcan (L.E.A.N.).
ALS 1. Medications to be administered via the ET tube should be administered at a dose two times the usual IV dosage unless otherwise specified. Medications will be mixed with Normal Saline to achieve a 10ml solution for placing into the ET tube.
2. If CPR is in progress, stop chest compressions and inject the medication into the ET tube.
3. Use the BVM to deliver several quick ventilations to aerosolize the medication.
4. Resume CPR if indicated.
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