Drug Box 1-3

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Drug Box 1-3
2011-09-13 14:07:23
Drug Box

Brug Box 1-3
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  1. Albuterol Sulfate

    Generic Name
    albuterol sulfate
  2. Albuterol Sulfate

    Brand Name
    Proventil, Ventolin
  3. Albuterol Sulfate

    sympathomimetic, bronchodilator
  4. Albuterol Sulfate

    Indications and Field Use
    Treatment of Bronchospasm
  5. Albuterol Sulfate

    Adult Dosage
    Give 2.5mg of premixed solution for inhalation (0.083%) via SVN, or in-line with a wentilatory device. Repeat doses per medical control
  6. Albuterol Sulfate

    Bonus Points
    Routes of Administration
    • * Inhaler, Pt own
    • * In line with Endo-tracheal Tube/Naso-Tracheal Tube
  7. Albuterol Sulfate

    Bonus Points
    Special Notes
    Must be sulfite-free
  8. Dexamethasone Sodium Phosphate

    Generic Name
    dexamethasone sodium phosphate
  9. Dexamethasone Sodium Phosphate

    Brand Name
  10. Dexamethasone Sodium Phosphate

    synthetic adrenocorticoid/glucocorticoid with a predominance of glucocorticoid action, anti-inflammatory
  11. Dexamethasone Sodium Phosphate

    Indication and Field Use
    • * Reactive airway desease: Acute exacerbation of bronchial asthma
    • *Anaphylaxis
    • *Cerebral edema (non-traumatic)
  12. Dexamethasone Sodium Phosphate

    Adult Dosage
    • * Reactive Airway Dicease, Anaphylaxis- 8-24mg IV/IO or Deep IM
    • * Cerebral Edema- 1-5mg/kg IV/IO or Deep IM
  13. Dexamethasone Sodium Phosphate

    Bonus Points
    Incompatibilities/Drug Interactions
    Dexamethasone is not compatible with benadryl or versed in IV tubing.
  14. Diphenhydramine HCl

    Generic Name
    diphenhydramine HCl
  15. Diphenhydramine HCl

    Brand Name
  16. Diphenhydramine HCl

    antihistamine, anticholinergic
  17. Diphenhydramine HCl

    Indications and Field Use
    • * Anaphylaxis (2nd line)
    • * Phenothiazine reactions (extrapyramidal symptoms)
    • * Antiemetic
  18. Diphenhydramine HCl

    Adult Dosage
    • * Anaphylaxis/Severe Allergic Reastions: 25-50mg slow IV push or Deep IM
    • * Acute Dystonic Reaction: 10-50mg IV or Deep IM, dose individualized according to the needs and Pt response
  19. Diphenhydramine HCl

    Bonus Points
    Special Notes
    • * Not used in newborn or premature infants, used in pregnancy only if clearly needed.
    • * In anaphylaxis, used as a 2nd line treatment after epinephrine and steroids.
  20. Furosemide

    Generic Name
  21. Furosemide

    Brand Name
  22. Furosemide

    loop diuretic
  23. Furosemide

    Indications and Field Use
    Pulmonary edema; congestive heart failure
  24. Furosemide

    Adult Dosage
    • * On oral furosemde therapy: Consider intial dose of 2 times daily oral dose, if no effect in 20 mins may double initial dose.
    • * Not on oral furosemide therapy: 0.5-1mg/kg to a max of 2mg/kg (usually 20-40mg) IV/IO slowly.
  25. Furosemide

    Bonus Points
    Special Notes
    • * Ototoxicity and resulting deafness can occur.
    • * Since furosemide is a sulfonamide derivative, it may induce allerfic reastions in PT with sensitivity to sulfonamides (sulfa drugs)
  26. Ipratropium Bromide

    Generic Name
    ipratropium bromide
  27. Ipratropium Bromide

    Brand Name
  28. Ipratropium Bromide

    anticholinergic, bronchodilator
  29. Ipratropium Bromide

    Indications and Field Use
    Treatment of bronchospasm associated with COPD (emphysema and chronic bronchitis). To be used either alone or in combination with Albuterol
  30. Ipratropium Bromide

    Adult Dosage
    • * give 500mcg in 2.5ml normail saline (1 unit dose vial) via SVN or in-line with a ventilatory device. Repeat according to medical control preference.
    • * May mix one unit dose vial of inpratropium with one unit vial of albuterol.
  31. Ipratropium Bromide

    Bonus Points
    Special Notes
    • * Anticholinergics produce preferential dilatation of the larger central airways, in contrast to beta agonists, which affect the peripheral airways.
    • * May be more effective used in combination with beta agonists.
    • * Should be kept out of light in foil pouch and avoid execessive humidity.
  32. Methylprednisolone Sodium Succinate

    Generic Name
    methylprednisolone sodium succinate
  33. Methylprednisolone Sodium Succinate

    Brand Name
  34. Methylprednisolone Sodium Succinate

    Corticosteroid, glucocortcoid, steroid, anti-inflammatory
  35. Methylprednisolone Sodium Succinate

    Indications and Field Use
    • * Reactive airway desease: Acute exacerbation of emphysema, chronic bronchitis, asthma
    • * Anaphylaxis
    • * Burns potentially involving the airway
  36. Methylprednisolone Sodium Succinate

    Adult Dosage
    Reactive Airway Dicease, Anaphylaxis, Burns Potentially Involving the Airway: Usual dose 125mg slow IV bolus (much larger doses can be used)
  37. Methylprednisolone Sodium Succinate

    Bonus Points
    Adult Dosage Continued
    **Acute Spinal Cord Trauma: Should be within 6 hours of insult and Pt meets criteria, initial bolus dose of 30mg/kg IV administered over 15 mins; bolus followed by a 45 min rest peiod, then a 23-hr continuous infusion of 5.4 mg/kg/hr.
  38. Methylprednisolone Sodium Succinate

    Bonus Points
    Special Notes
    • * Use for spinalcord trauma is limited to prehospital providers that have completed a special training curriculum in accordance with their medical control authorities. Proper administration of methylprednisolone for spinal cord trauma is imperative.
    • * Infusions: An infusion pump is required for continuous infusions of corticosteroids during interfacility transports; a minimim of microdrip tubing is required for field use if administering loading dose therapy for spinal cord trauma.
    • ** Indicates special training requirement.
  39. Phenylephrine Nasal Spray 0.5%

    Generic Name
    phenylephrince nasal spray 0.5%
  40. Phenylephrine Nasal Spray 0.5%

    Brand Name
    Neo-synephrine Nasal Spray 0.5%
  41. Phenylephrine Nasal Spray 0.5%

    topical vasoconstrictor
  42. Phenylephrine Nasal Spray 0.5%

    Indications and Field Use
    Facilitation of nasotracheal intubation
  43. Phenylephrine Nasal Spray 0.5%

    Adult Dosage
    2-4 sprays in each nostril before attempting tube insertion
  44. Phenylephrine Nasal Spray 0.5%

    Bonus Points
    Special Notes
    • * Single Pt use only
    • * Air or strong light causes potency loss; do not use solution if brown in color or precipitate is in bottle.