Drug Box 1-4

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jjsdad1
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100261
Filename:
Drug Box 1-4
Updated:
2011-09-07 11:09:02
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Drug Box
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Drug Box 1-4
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  1. Diazepam

    Generic Name
    diazepam
  2. Diazapam

    Brand Name
    Valium
  3. Diazapam

    Class
    benzodiazepine
  4. Diazapam

    Indications and Field Use
    • * Grand mal seizures, especially status epilepticus.
    • * Transient analgesia/amnesia for medical procedures (e.g, fracture reduction, cardioversion, pacing.)
    • * Delirium
    • *Treat the cause first
  5. Diazapam

    Adult Dosage
    2 mg increments slow IV/IO push. Administer no faster than 2 mg/minute.
  6. Diazapam

    Bonus Points
    Incompatibilities/Drug Interactions
    Do not mix or dilute diazepam with other solutions or drugs in syringe, tubing or IV container.
  7. Diazapam

    Bonus Points
    Special Notes
    • * Valium must be injected slowly and small veins such as those on the dorsum of the hand or wrist should be avoided.
    • * Risk of venous thrombosis, phlebitis, local irritation, swelling and vascular spasm is increased.
    • * Extreme care must be taken to avoid intra-arterial injection or extravasation.
    • * Diazepam may cause prolonged CNS depression in the neonate (30 days of age or less).
  8. Etomidate

    Generic Name
    etomidate
  9. Etomidate

    Brand Name
    Etomidate
  10. Etomidate

    Class
    sedative/hypnotic agent
  11. Etomidate

    Indications and Field Use
    Induction of anesthesia for rapid sequence intubation (RSI)
  12. Etomidate

    Adult Dosage
    0.3 mg/kg IV/IO over 30-60 seconds
  13. Etomidate

    Bonus Points
    Onset of Action
    1 minute
  14. Etomidate

    Bonus Points
    Duration of Action
    3-5 minutes
  15. Lorazepam

    Generic Name
    lorazepam
  16. Lorazepam

    Brand Name
    Ativan
  17. Lorazepam

    Class
    • * Antianzienty
    • * Benzodiazepine
    • * short or intermediate acting
  18. Lorazepam

    Indications and field Use
    • * Status epilepticus
    • * Seizure
    • * Agitation
  19. Lorazepam

    Adult Dosage
    * Status epilepticus: 2mg to 4mg IV/IO given slowly (over 2-5 mins). May repeat dose in 10-15 mins if needed (mazimum 8mg). May give IM if no IV access.
  20. Lorazepam

    Bonus Points
    Incompatibilities/Drug Interactions
    Concomitant use of CNS sedatives such as phenothiazines, narcotic analgesics, barbiturates, antidepressants, and alcohol should be assessed prior to administration of IV Lorazepam.
  21. Lorazepam

    Bonus Points
    Special Notes
    • * Care must be used when administering Lorazepam IV to elderly Pt, seiously ill Pt, and those with limited pulmonary reserve as Apnea and/or cardiac arrest my occur.
    • * Pt over the age 50 yrs may have a more profound and prolong sedation with IV Lorazepam
    • * All Pt should be monitored for respiratory depression and hypotensive effects.
    • * Stability above room temperature has not been astablished.
  22. Midazolam Hydrochloride

    Generic Name
    Midazolam Hydrochloride
  23. Midazolam Hydrochloride

    Brand Name
    Versed
  24. Midazolam Hydrochloride

    Class
    Central nervous system depressant, benzodiazepine
  25. Midazolam Hydrochloride

    Indications and Field Use
    • * Anti-convulsant
    • * Sedation
    • * Management of acute agitation/ treat cause first
    • * Induction for intubation
  26. Midazolam Hydrochloride

    Adult Dosage
    • * Pt 14-60 yrs of age: 1 to 5 mg IV, titrate to effect, administer slowly in small increments of no more than 2.5mg over at least 2 mins. 2 to 5 mg IM.
    • * Pt over 60 yrs of age: 1 to 3.5 mg IV, titrate to effect, administer slowly in small increments of no more then 1.5 mg over at least 2 mins. 1 to 3 mg IM.
    • * Total dose: Should not exceed 20mg.
    • * For emergency intubation: 0.1 mg/kg up to 0.3 mg/kg with dosage limit of 20 mg.
    • * Seizures: 0.2 mg/kg IM for status seizures if no IV access
  27. Midazolam Hydrochloride

    Bonus Points
    Incompatibilities/Drug Interactions
    • * Midazolam may potentiate other CNS depressants, including opiate agonists analgesics, barbiturates or other sedatives, anesthetics, or alcohol.
    • * Erythromycin may double the half-life of midazolam
  28. Midazolam Hydrochloride

    Bonus Points
    Special Notes
    Flumazenil is the accepted antagonist of medazolam
  29. Morphine Sulfate

    Generic Name
    morphine sulfate
  30. Morphine Sulfate

    Brand Name
    Morphine Sulfate
  31. Morphine Sulfate

    Class
    narcotic agonist
  32. Morphine Sulfate

    Indications and Field Use
    • * Analgesia, especially in Pt with burns, myocardial infarction, or renal colic.
    • * Pulmonary edema ( cardiogenic)
  33. Morphine Sulfate

    Adult Dosage
    Administer 2-4 mg increments slow IV/IO PUSH until pain relieved up to 20 mg, is Systolic is >90. IM 5-10 mg if no IV access if systolic is >90.
  34. Morphine Sulfate

    Bonus Points
    Incompatibilitites/Drug Ineractions
    CNS side effects (including respiratory depression) can be reversed by naloxone.
  35. Morphine Sulfate

    Bonus Points
    Special notes
    • * Schedule II narcotic.
    • * Watch for histamine effects (wheals, urticaria) proximal to IV site, contact medical control.
    • * Correct hypotension before administration.
    • * Maximum respiratory depresion 7-10 mins after administartion, can be reversed with naloxone, caution in Pt with emphysema.
    • * IV infusions of morphine sulfate may be transported, however an infusion pump is required.
  36. Nitous Oxide 50%

    Generic Name
    Nitous Oxide 50%
  37. Nitous Oxide 50%

    Brand Name
    Nitronox
  38. Nitous Oxide 50%

    Class
    analgesic, inhalation
  39. Nitous Oxide 50%

    Indications and Field Use
    Moderate to severe pain from musculoskeletal trauma, burns, AMI
  40. Nitous Oxide 50%

    Adult Dosage
    Self-administer and self-regulated by the Pt, who must hold the mask to face to create an airtight seal until the pain is significantly relieved or the Pt drops the mask.
  41. Nitous Oxide 50%

    Bonus Points
    Dosage Forms/Packaging
    Nitrous oxide machine that delivers a fixed ratio of Nirous oxide and oxyen (50:50) utilizing a mixing valve with separate tanks of N20 and 02 with a fail safe device (02 tank empty, no nitrous flows) and a self-administration mask
  42. Succinylcholine

    Generic Name
    succinycholine
  43. Succinylcholine

    Brand Name
    Succinylcholine
  44. Succinylcholine

    Class
    ultra-short-acting depolarizing-type skeltal muscle relaxant
  45. Succinylcholine

    Indications and Field Use
    Endotracheal intubation requiring paralysis (RSI) by a qualified EMT-P
  46. Succinylcholine

    Adult Dosage
    1.5 mg/kg IV push, may repeat in 2-3 mins to achieve paralysis
  47. Succinylcholine

    Bonus Points
    Incompatibilities/Drug Interaction
    Beta-blockers, procainamide, lithium, and quinidine prolong the effects
  48. Succinylcholine

    Bonus Points
    Duration of Action
    Muscle paralysis lasting 4-6 mins
  49. Succinylcholine

    Bonus Points
    Special Notes
    Succinylcholine should not be given to Pt for the period from 24 hrs to 21 days after significant burns or crush injury due to elevated potassium levels and potential for cardiac dysrhythmias

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