Paramedic drug cards

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1jeffdad
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1467
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Paramedic drug cards
Updated:
2009-11-25 00:02:47
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Paramedic Drug Cards
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Paramedic Drug Cards
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  1. Diphenhydramine
    trade name
    Benadryl
  2. Benadryl
    class
    Antihistamine
  3. Benadryl
    Description
    Histamine receptor blocker
  4. Benadryl
    Indications
    • Moderate to severe allergic reaction
    • Anaphylaxis
    • Acute extrapryamidal reactions
  5. Benadryl
    Contraindications
    • Taking MAOI's
    • Hypersensitivy
    • Narrow angle glaucoma
    • Newborn and nursing mothers
  6. Benadryl
    Adverse Reactions
    • Drowsiness
    • Hypotension
    • Palpations
    • Disturbed coordination
    • Brady/Tachy cardia
    • Dry mouth
  7. Benadryl
    Onset
    Max effects 1-3 hr
  8. Benadral
    Duration
    6-12 hr
  9. Benadryl
    Dosage-Adult
    10-50 mg IM, Slow IV q 6-8 hr
  10. Benadryl
    Dosage: Peds
    > 10 kg: 1.25 mg/kg/dose q 6 hr
  11. Benadryl
    Special Considerations
    • Pregnancy safety: Cat C
    • Use cation w CNS depression or lower resp disease such as asthma
  12. Morphine Sulfate
    Trade name
    Astramorph
  13. Morphine
    Class
    Opioid analgesic
  14. Morphine
    Description
    Analgesic
  15. Morphine
    Indications
    • Chest pain with MI
    • Pulmonary edema
    • Moderate to severe, acute pain
    • Chronic pain
  16. Morphine
    Contraindications
    • Hypotension
    • Hypovolemia
    • Hypotension
  17. Morphine
    Adverse Reactions
    • Hypotension
    • Tachycardia
    • Syncope
    • Resp depression
  18. Morphine
    Onset
    1-2 min
  19. Morphine
    Duration
    2-7 hr
  20. Morphine
    Dosage
    2-4 mg slow IV (up to 10 min)
  21. Morphine
    Special Considerations
    Pregnancy safety: Cat B
  22. Sodium Bicarb
    Class
    • Buffer
    • Alkalinizing agent
    • Electrolyte
  23. Sodium Bicarb
    Description
    • Reacts with H+ to form H2O and CO2.
    • Acts as a buffer to metabolic acidosis
  24. Sodium Bicarb
    Indications
    • Diabetic Ketoacidosis
    • Long arrest
    • Tricyclic antidepressant OD
  25. Sodium Bicarb
    Contraindications
    • Pulmonary edema
    • Metabolic alkalosis
    • Respiratory alkalosis
  26. Sodium Bicarb
    Adverse Reactions
    • Metabolic alkalosis
    • Hypoxia
    • Seizures
    • Electrolyte imbalance
  27. Sodium Bicarb
    Onset
    2-10 min
  28. Sodium Bicarb
    Duration
    30-60 min
  29. Sodium Bicarb
    Dosage
    Adult: 1 mEq/kg IV; repeat w/ 0.5 mEq/kg q 10 min
  30. Sodium Bicarb
    Special Considerations
    • Pregnancy Safety:Cat C
    • Maintain adequate ventilation
  31. Adenosine
    Trade name
    Adenocard
  32. Adenosine
    Class
    Antidysrhythmic
  33. Adenosine
    Description
    Decreases heart rate activity
  34. Adenosine
    Indications
    1st drug for narrow complex PSVT in adults and peds
  35. Adenosine
    Contraindications
    • 2nd or 3rd degree heart block
    • Hypersensitivity
    • A flutter
    • Afib
  36. Adenosine
    Adverse Reactions
    • Hypotension
    • Chest pain
    • Diaphoresis
    • Palpitations
  37. Adenosine
    Onset
    Immediate
  38. Adenosine
    Duration
    10 sec
  39. Adenosine
    Dosage
    Initial 6 mg rapid IV bolus followed by 20 ml saline flush
  40. Adenosine
    Special Considerations
    • Pregnancy Safety: Cat C
    • Brief period of asystole following conversion then to NSR is common
  41. Furosemide
    Trade Name
    Lasix
  42. Lasix
    Class
    Loop Diuretic
  43. Lasix
    Description
    Inhibits reabsorption of Na+ & chloride
  44. Lasix
    Indications
    Pulmonary edema w CHF, hepatic and renal disease
  45. Lasix
    Contraindications
    • Anuria
    • Hypovolemia
    • Dehydration
    • Hypersensitivity
  46. Lasix
    Adverse Reactions
    • Hypotension
    • ECG changes
    • Dry mouth
    • Hypochloremia
  47. Lasix
    Onset
    15-20 min IV
  48. Lasix
    Duration
    2 hr
  49. Lasix
    Dosage
    CHF: 20-40 mg slow IV (0.5-1 mg/kg)
  50. Lasix
    Dosage: Hyperkalemia
    40-80 mg IV
  51. Lasix
    Special Considerations
    • Pregnancy Safety: Cat C
    • Known to cause fetal abnormalities
  52. Epinephrine 1:10,000
    Class
    Sympathomimetic
  53. Epi 1:10,000
    Description
    Naturally occurring catecholamine
  54. Epi 1:10,000
    Indications
    • Cardiac arrest
    • asystole
    • Vfib
    • pulseless Vtach
    • PEA
    • Severe anaphylaxis
  55. Epi 1:10,000
    Adverse reactions
    • Palpitations
    • Anxiety
    • Dizziness
    • Nausea/Vomiting
    • Headache
    • Tremulousness
  56. Epi 1:10,000
    Onset
    < 2 min
  57. Epi 1:10,000
    Duration
    5-10 min
  58. Epi 1:10,000
    Dosage: Arrest
    1 mg IV q 3-5 min
  59. Epi 1:10,000
    Dosage: Peds
    0.01 mg/kg
  60. Epi 1:10,000
    Special Considerations
    Can be deactivated by sodium bicarb( IV line must be flushed between epi and alkaline solutions)
  61. Vasopressin
    Trade Name
    Pitressin
  62. Vasopressin
    Class
    Vasoconstrictor
  63. Vasopressin
    Description
    Posses pressor and ADH properties
  64. Vasopressin
    Indications
    Use to increase PVR during CPR, as an alternative to EPI
  65. Vasopressin
    Contraindicators
    Don't use in patient with Chronic nephritis, Ischemic heart disease, PVCs advanced arteriosclerosis
  66. Vasopressin
    Adverse Reaction
    • Blanching of skin
    • Abdominal cramps
    • Hypertension
    • Bradycardia
    • Minor dysrhythmias
  67. Vasopressin
    Dodage
    • Adult: 40 U IVP
    • Single use onlu
  68. Vasopressin
    Special Considerations:
    • Use with caution:
    • Epilepsy
    • Migraines
    • Asthma
    • Heart Failure
    • Angina

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