TABLE 4

Medications to Be Used in the ED for the Care of Children

Analgesics (oral, intranasal, and parenteral) 
Anesthetics and/or topical (eg, eutectic mixture of local anesthetics; lidocaine 2.5% and prilocaine 2.5%; lidocaine, epinephrine, and tetracaine; and LMX 4 [4% lidocaine]) 
Anticonvulsants (eg, levetiracetam, valproate, carbamazepine, fosphenytoin, and phenobarbital) 
Antidotes (common antidotes should be accessible to the ED)a 
Antiemetics (eg, ondansetron and prochlorperazine) 
Antihypertensives (eg, labetalol, nicardipine, and sodium nitroprusside) 
Antimicrobials (parenteral and oral) 
Antipsychotics (eg, olanzapine and haloperidol) 
Antipyretics (eg, acetaminophen and ibuprofen) 
Benzodiazepines (eg, midazolam and lorazepam) 
Bronchodilators 
Corticosteroids (eg, dexamethasone, methylprednisolone, and hydrocortisone) 
Dextrose (D10W) 
Diphenhydramine 
Furosemide 
Glucagon 
Insulin 
Lidocaine 
Magnesium sulfate 
Mannitol 
Naloxone hydrochloride 
Neuromuscular blockers (eg, rocuronium and succinylcholine) 
Oral glucose 
Sucrose solutions for pain control in infants 
Sedation medications (eg, etomidate and ketamine) 
Vaccines 
3% hypertonic saline 
Analgesics (oral, intranasal, and parenteral) 
Anesthetics and/or topical (eg, eutectic mixture of local anesthetics; lidocaine 2.5% and prilocaine 2.5%; lidocaine, epinephrine, and tetracaine; and LMX 4 [4% lidocaine]) 
Anticonvulsants (eg, levetiracetam, valproate, carbamazepine, fosphenytoin, and phenobarbital) 
Antidotes (common antidotes should be accessible to the ED)a 
Antiemetics (eg, ondansetron and prochlorperazine) 
Antihypertensives (eg, labetalol, nicardipine, and sodium nitroprusside) 
Antimicrobials (parenteral and oral) 
Antipsychotics (eg, olanzapine and haloperidol) 
Antipyretics (eg, acetaminophen and ibuprofen) 
Benzodiazepines (eg, midazolam and lorazepam) 
Bronchodilators 
Corticosteroids (eg, dexamethasone, methylprednisolone, and hydrocortisone) 
Dextrose (D10W) 
Diphenhydramine 
Furosemide 
Glucagon 
Insulin 
Lidocaine 
Magnesium sulfate 
Mannitol 
Naloxone hydrochloride 
Neuromuscular blockers (eg, rocuronium and succinylcholine) 
Oral glucose 
Sucrose solutions for pain control in infants 
Sedation medications (eg, etomidate and ketamine) 
Vaccines 
3% hypertonic saline 

D10W, dextrose 10% in water.

a

For less frequently used antidotes, a procedure for obtaining them should be in place.

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