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Charcoal, Activated (without sorbitol)
Generic Name
carcoal, activated (without sorbitol)
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Charcoal, Activated (without sorbitol)
Brand Name
Charcola, Actidose-aqua
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Charcoal, Activated (without sorbitol)
Class
Adsorbent
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Charcoal, Activated (without sorbitol)
Indications and Field Use
- * Sole prehospital therapy of oral ingestion of toxic substances.
- * Pre-lavage of oral ingestions of toxic substances.
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Charcoal, Activated (without sorbitol)
Adult Dosage
30-60 Gm (1-2 GM/kg) PO or OG/NG Tube, if not in pre-mix slurry, mix one part charcoal with four parts water.
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Charcoal, Activated (without sorbitol)
Bonus Points
Special Notes
- * Give it!
- * Charcoal mixture should not contain sorbitol; carefully read label of exchange supply.
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Dextrose 50%
Generic Name
Dextrose 50%
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Dextrose 50%
Class
- * Carbohydrate
- * Hyperglycemic
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Dextrose 50%
Indications and Field Use
- * Known hypoglycemia
- * Altered level of consciousness of unknown etiology
- * Seizures of unknown etiology
- * Hyperkalemia`
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Dextrose 50%
Adult Dosage
- * Hpyoglycemia, ALOC or seizures of unknownetiology: 25-100 ml of D50 ( 12.5-50 Gm, 1 to 2 amps) IV/IO
- * Hyperkalemia: 50 Gm of Dextrose IV total may be given over 1 hour. This is a part of a combination drug therapy. See CaCl and NaHCO3.
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Dextrose 50%
Bonus Points
Special Notes
- * Determine a blood glucose level before initiating administration of dextrose.
- * Inducing an unneccessary hyperosmolar state during certain illness/injury states (i.e. head injuries, cerebal edema, Intra-cranial bleeds, etc.) may worsen neurological outcome.
- * Additionally dextrose is very necrosing to the vascular system, will cause necrosis if infiltrated and should not be administered through small veins.
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Glucagon
Generic Name
glucagon
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Glucagon
Brand Name
Glucagon
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Glucagon
Class
- * pancreatic hormone
- * polypeptide
- * hyperglycemic agent
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Glucagon
Indications and Field Use
Symptomatic hypoglycemia when IV access is delayed
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Glucagon
Adult Dosage
(children and adults greater then 20 kg or 44lbs)
Hypoglycemia: 1 mg IM, May repeat in 7-10 mins
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Glucagon
Bonus Points
Special Nates
- * Blood sugar should be measured rapidly before deciding upon the administration of D50 or glucagon, especially in the non-diabetic Pt.
- * Documented hypoglycemia is a true medical emergency, IM glucagon should be administered rapidly if IV access delayed.
- * In known alcoholics, administer thiamine in addtion to glucagon to prevent inducing an encephalopathy in a thiamine-deficient Pt.
- * Pt with Type 1 diabetes do not have as great a response in blood glucose levels as Type 2 stable Pt.
- * For all Pt having hypoglycemic episode, supplementary comples carbohydrates should be eaten within 2 hour, especially in a child or adolescent.
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Naloxone HCl
Generic Name
naloxone HCl
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Naloxone HCl
Brand Name
Narcan
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Naloxone HCl
Class
Narotic (opioid) antagonist
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Naloxone HCl
Indications and Field Use
- * Antidote for: Opioid overdose
- * May differentiate opioid-induced coma from other causes
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Naloxone HCl
Adult Dosage
- IV, IM, injject SL, SC, ET: 2.0 mg initial, may repeat x2 every 2 mins if no response. Max dose of 6 mg.
- Intra-nasal: 2.0 mg each nostril using a Mucosal Atomizer Device for a total of 4 mg. May repeat every 2 mins as necessary. Titrate to effect.
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Naloxone HCl
Bonus Points
Special Notes
- * Opioid drugs include heroin, Dilaudid, morphine, meperidine, codeine, methadone, Lomotil, Darvocent, Talwin and others.
- * Large amounts of the drug may be needed for Darvon, Darvocet, and Methadone.
- * For adult intra-nasal administration, 1mg/1ml is the preferred solution.
- * 0.4mg/1ml may be used as an alternative.
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Ondansetron
Generic Name
ondansetron
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Ondansetron
Brand Name
Zofran
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Ondansetron
Class
Antiemetic agent
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Ondansetron
Indications and Field Use
Nausea and vomiting
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Ondansetron
Adult Dosage
- * 4-8 mg IV or IM, If given IV, slow over 2-5 mins
- * 8mg PO ODT or tablet
- * PO dose may be given by breaking up ODT Tablet or Giving IV solution PO
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Ondansetron
Bonus Points
Special Notes
- * Do not attempt to puch Zofran ODT Tablets through the foil backing.
- * Bottles: Store between 2*C and 30*C (36*F and 86*F). Protect from light. Dispense in tight, Light-resistant container as defined in the USP.
- * Unit Dose Packs: Store between 2*C and 30*C n(36* and 86*F). Protect from light. Store blisters in cartons.
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Oxytocin
Generic Name
oxytocin
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Oxytocin
Class
- * pituitary hormone
- * polypeptide
- * uterine stimulant
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Oxytocin
Indications and Field Use
Postpartum hemorrhage due to uterine atony
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Oxytocin
Adult Dosage
Postpartum hemorrhage: 10-20 USP units added to 1000cc NS or LR and run at a rate necessary to control uterine atony or 10 USP units my be given IM after delivery of placenta.
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Oxytocin
Bonus Points
Routes of Administration
- * IV infusion, IM
- * IV infusion on interfacility transfers requires infusion pump.
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Oxytocin
Bonus Points
Special Notes
- * Post partum hemorrhage is defined as blood loss in excess off 500ml at delivery and during the first 24 hours after delivery.
- * It should be remembered that all blood seen at delivery is the mother's, unless there is a spill or cord blood, or trauma to the placenta.
- * Do not use if solution is discolored or contains a precipitate.
- * In addition to oxytocin, fundal massage is also indicated to remove clot formation and stimulate uterine contraction.
- * IV fluids are necessary to correct hypovolemia; if post partum hemorrhage is due to other causes such as baginal or cerical lacerations or retained placental fragments, oxytocin and fundal massage will not be effective.
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Thiamine HCl (vitamin B1)
Generic Name
Thiamine HCl (vitamin B1)
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Thiamine HCl (vitamin B1)
Brand Name
Betalin
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Thiamine HCl (vitamin B1)
Class
Vitamin
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Thiamine HCl (vitamin B1)
Indications and Field Use
- * Alcoholism, delirium tremens
- * Coma of unknown origin, especially if alcohol or malnourishment my be involved.
- * Suspect Wernicke or Korsakoff Syndrome
- * Other thiamine deficiency syndromes
- * Sever congestive heart failure
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Thiamine HCl (vitamin B1)
Adult Dosage
100mg IV slow puch or DEEP IM
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Thiamine HCl (vitamin B1)
Bonus Points
Special Notes
- * In the known alcoholic Pt, dextrose should not be administered without thiamine.
- * Thiamine has been shown to be useful in severe congestive heart failure
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