# Pediatric Medication Volume Dose by Weight Official OCEMS reference: I-20. Collection: Medications. Source topic: General ALS Standing Orders. Population: Pediatric. Scope: ALS. Source index update: April 1, 2026. Source checked: 2026-09-16. Independent OC Medic source briefing. The complete official document remains authoritative for exact requirements, exceptions, and clinical or administrative language. ## Document profile - Document type: Medication reference - Where it fits: Pediatric Medication Volume Dose by Weight is an official medication reference used to verify drug selection, dose preparation, limits, and the authority attached to a specific patient or indication. - Document note: Use the complete official document for mandatory wording, exceptions, definitions, and requirements that cannot be reduced safely to directory metadata. ## Use this source safely - Confirm the patient population, indication, concentration, route, repeat-dose limit, and maximum dose in the current source. - A drug's appearance in an inventory or dose chart does not by itself establish treatment authority; use the applicable standing order or base direction. - Check current OCEMS notices and agency direction before field use. - When the source and a summary differ, follow the current official document and medical or operational direction. ## Related OC Medic guides - [Pediatric respiratory distress](https://www.ocmedic.com/guides/pediatric-respiratory-distress/): Distinguish wheeze, croup-like cough, anaphylaxis, and poor perfusion. - [Adenosine](https://www.ocmedic.com/guides/adenosine/): Regular narrow-complex tachycardia: adult treatment and pediatric base-order guidance. - [Albuterol](https://www.ocmedic.com/guides/albuterol/): Nebulized treatment for bronchospasm, with adult and pediatric protocol distinctions. - [Amiodarone](https://www.ocmedic.com/guides/amiodarone/): Separate cardiac-arrest dosing from treatment of unstable wide-complex tachycardia with a pulse. - [Aspirin](https://www.ocmedic.com/guides/aspirin/): Adult suspected cardiac ischemia and the limits of pediatric and fire-service use. - [Atropine](https://www.ocmedic.com/guides/atropine/): Symptomatic bradycardia and organophosphate poisoning require different doses and pediatric rules. - [Dextrose 10% (D10)](https://www.ocmedic.com/guides/dextrose/): Treat hypoglycemia with a titrated adult dose or measured pediatric volume. - [Diphenhydramine (Benadryl)](https://www.ocmedic.com/guides/diphenhydramine/): Allergic and dystonic reactions: weight-based pediatric dosing and adjunctive use in anaphylaxis. - [Epinephrine](https://www.ocmedic.com/guides/epinephrine/): Anaphylaxis, cardiac arrest, and push-dose shock treatment: concentrations and age-specific rules. - [Fentanyl](https://www.ocmedic.com/guides/fentanyl/): Adult and pediatric analgesia, route-specific doses, and the young-child base-contact requirement. - [Glucagon](https://www.ocmedic.com/guides/glucagon/): IM hypoglycemia treatment when IV access cannot be established. - [Hydroxocobalamin (Cyanokit)](https://www.ocmedic.com/guides/hydroxocobalamin/): Adult and pediatric cyanide-antidote treatment with base authorization and a dedicated infusion line. - [Ketamine](https://www.ocmedic.com/guides/ketamine/): OCEMS analgesia for eligible patients age 15 and older; pediatric exclusion is explicit. - [Ketorolac (Toradol)](https://www.ocmedic.com/guides/ketorolac/): Non-opioid analgesia with strict age, renal, bleeding, and pregnancy exclusions. - [Lidocaine](https://www.ocmedic.com/guides/lidocaine/): Separate antiarrhythmic dosing from preservative-free IO-infusion analgesia. - [Midazolam (Versed)](https://www.ocmedic.com/guides/midazolam/): Seizure control and indication-specific sedation, with distinct adult and pediatric limits. - [Morphine sulfate](https://www.ocmedic.com/guides/morphine/): Adult formulation-dependent doses and pediatric weight-based analgesia. - [Naloxone (Narcan)](https://www.ocmedic.com/guides/naloxone/): Restore ventilation in suspected opioid toxicity; distinguish ALS routes from the BLS nasal-product pathway. - [Nitroglycerin](https://www.ocmedic.com/guides/nitroglycerin/): Sublingual adult cardiac/pulmonary-edema treatment and separately authorized transport infusions. - [Normal saline (0.9% sodium chloride)](https://www.ocmedic.com/guides/normal-saline/): Fluid resuscitation, pediatric bolus limits, and nebulized saline are different uses. - [Ondansetron (Zofran)](https://www.ocmedic.com/guides/ondansetron/): Adult oral/IV treatment and the pediatric age-4-and-older ODT pathway. - [Sodium bicarbonate](https://www.ocmedic.com/guides/sodium-bicarbonate/): Indication-specific adult treatment and pediatric dosing-chart guidance. ## Related official references - [I-15 - Adult / Adolescent Standing Order Drug Guide](https://www.ocmedic.com/reference/i-15-adult-adolescent-standing-order-drug-guide/) - [SO-ALS - ALS General Standing Orders - OCEMS Accredited Paramedic](https://www.ocmedic.com/reference/so-als-als-general-standing-orders-ocems-accredited-paramedic/) - [I-10 - Abbreviations and Definitions](https://www.ocmedic.com/reference/i-10-abbreviations-and-definitions/) - [SO-AEMT - Advanced EMT Standing Orders](https://www.ocmedic.com/reference/so-aemt-advanced-emt-standing-orders/) - [SO-REL - Evaluation without EMS Treatment or Transport (Release in Field)](https://www.ocmedic.com/reference/so-rel-evaluation-without-ems-treatment-or-transport-release-in-field/) - [SO-AMA - Signing Against Medical Advice (AMA) in the Field](https://www.ocmedic.com/reference/so-ama-signing-against-medical-advice-ama-in-the-field/) ## Official source - [Open the official document](https://www.ochealthinfo.com/sites/healthcare/files/2026-04/I-20%20Peds%20Drug%20Guide%2004-2026.pdf) - [View the official source index](https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems-standing) - [OCEMS notices and system updates](https://www.ochealthinfo.com/providers-partners/emergency-medical-services)