Paramedic Medications

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  1. Albuterol Sulfate/ 2.5mg in 3ml solution
    • MOA:
    • Beta 2 agonist brochodilator; positive chronotrope
    • Indications: bronchospasm; suspected symptomatic hyperkalemia with wide QRS complex
    • Contraindications: severe tachycardia relative contraindication
    • Dosage: 2.5mg by nebulizer, 6-8lpm O2; may be repeated twice for a total of three doses for adult and pediatric patients.
  2. Amiodarone(Cordarone)
    • Class I, II, III, IV antiarryhthmic; prolongation of the action potential and the refractory periods.
    • Indications: Cardiac arrest with shock refractory VF/VT, stable wide complex tachycardia, following successful conversion of VT/VF
    • Contraindications: 2nd or 3rd degree heart block; cardiogenic shock
    • Dosage: Adult- pulseless arrest: 300mg IV bolus, repeat once 150mg IV bolus in 3-5 min.
    • post arrest: 150mg IV bolus over 10 min in 50ml bag with macro set
    • wide complex tachycardia: 150mg IV bolus over 10 min in 50ml bag with macro set
  3. Epinephrine(Adrenalin)
    • Catecholamine alpha, beta1, beta2, andrenergic receptor agonist
    • Indications:Pulseless arrest, anaphylaxis, asthma, bradycardia with poor perfusion
    • Dosage: Adult
    • Pulseless arrest: 1mg(10ml of a 1:10000 solution) IV/IO bolus, repeat every 3-5 min.
    • Bradycardia/Hypotension(contact base): Infusion of 1mg in 250ml NS IV/IO infused @ 2mcg/min until desired BP of >90 mmHg systolic achieved
    • Asthma: 0.3mg(0.3ml of a 1:1000 solution) IM; may repeat dose X 1
    • Allergic reaction: 0.3mg(0.3ml of a 1:1000 solution) IM; may repeat dose X 1
    • Severe allergic reaction refractory to IM epi.(contact base):Infusion of 1mg in 250ml NS IV/IO infused @ 2mcg/min until desired BP of >90 mmHg systolic achieved
    • Alternative to racemic epinephrine: 5ml of 1:1000 solution via nebulizer x 1

    • Pediatric:
    • pulseless arrest: IV/IO 0.01mg/kg(0.1ml/kg of 1:10000 solution), doses repeated every 3-5 min. of the same
    • bradycardia(contact base): IV/IO 0.01mg/kg(0.1ml/kg of 1:10000 solution)
    • asthma: 0.01mg/kg(0.01ml of 1:1000 solution
    • Mod. to Severe allergic reactions: IM 0.01mg/kg(0.01ml/kg of 1:1000)
    • Anaphylaxis(refractory to IM epi)contact base: IV/IO 0.01mg/kg(0.01ml of a 1:10000 solution)
    • Alternative to racemic epinephrine: 5ml of 1:1000 epinephrine via nebulizer x 1
  4. Atropine Sulfate
    Antimuscarinic, anticholinergic

    • Indications: symptomatic bradycardia(with hypotension), 2nd and 3rd degree heart block, organophosphate poisoning
    • Dosage: Adult
    • Hemodynamically unstable bradycardia: 0.5mg IV/IO bolus; repeat every 3-5 min. to a maximum dose of 3mg( Stop at ventricular rate which provides adequate mentation and BP)
    • Pediatric: 0.02mg/kg IV/IO bolus. Min. dose is 0.1mg, maximum single dose 0.5mg
    • Stable bradycardia and Poisoning/ Overdose Contact Base
  5. Morphine Sulfate
    Opiod Analgesic

    • Indications:
    • Treatment of hemodynamically stable patients with mod. to severe pain due to trauma medical conditions abdominal pain, back pain, treatment of shivering after TIH
    • Contraindications: Hypotension, hemodynamically unstable or shock; respiratory depression
    • Dosage: Adult: IV/IO/IM 4mg; repeat doses of 2mg, up to 10mg;>10mg requires base contact
  6. Sodium Bicarbonate
    Alkalotic Solution, neutralizes acids in the body

    • Indications: Tricyclic overdose with arrhythmias, widened QRS complex, hypotension and seizures; suspected hyperkalemic pulseless arrest(renal failure patients)
    • Contraindications: Metabolic and respiratory alkalosis, hypocalcemia, hypokalemia
    • Dosage: Adults and children(>10kg)- 1mEq/kg slow IV push; repeat if needed in 10 minutes
Card Set:
Paramedic Medications
2013-02-02 03:02:47

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