ER Medic Drug Reference

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Author:
paramedic.cj
ID:
208277
Filename:
ER Medic Drug Reference
Updated:
2013-03-19 19:40:57
Tags:
Paramedic Drugs
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Description:
NMSC Medic Drug Reference
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  1. Activated Charcoal
    • *Action:
    • Attaches to toxin/substance in proximity of GI tract. 
    • *Indication:
    • Toxic Ingestion
    • *Contraindications:
    • Ingestion of acids, alkalis, ethanol, methanol, cyanide, ferrous sulfate or other iron salts, lithium; coma; GI obstruction.
    • *Side effects:
    • NVD, constipation, potentially fatal pnuemonitis if aspirated.
    • *Dosage:
    • A: 50-100 g PO
    • P:1 to 2 g/kg PO

    Preg class C.
  2. Adenosine

    Antiarrythmic
    • *Action:
    • Slows conduction of electrical impulses at the AV node. 
    • *Indications:
    • Stable reentry SVT's. Will not convert AFib, A Flutter, or VT. 
    • *Contraindications:
    • Sick sinus syndrome, 2nd or 3rd degree block, poison/drug induced tachycardias. 
    • *Dosage:
    • A: Initial dose 6 mg rapid IV/IO push followed by 20cc NS blous. Repeat a 12 mg, and once more at 12 mg if needed. 
    • P: > 50kg adult dosing
    • < 50kg Initial dose of 0.1 mg/kg IV/IO to max dose of 6 mg followed by 5 cc NS bolus.  May repeat at 0.2 mg/kg to max of 12 mg.

    • *Side Effects:
    • Sense of impending doom, flushing, chest pressure, throat tightness, numbness, Brief period of asystole.
  3. Albuterol

    Bronchodialtor, beta agonist
    • *Action:
    • Binds to and stimulates beta2 receptors for relaxation of bronchial smooth muscle. 
    • *Indications: Asthma, bronchitis with bronchospasm, and COPD. 
    • *Contraindications: Angioedema, sensitivity to albuterol or levalbuterol. Use with caution in lactating Pt's, cardiovascular disorders, and arrythmias.
    • *Dosage: 
    • A: 2.5 Mg in 3ml by neb every 20 min to max of 3. Continuous neb 10-15 mg/hr.
    • P: > 12 yrs, Continuous neb 0.5 mg/kg/hr
    •     < 12 yrs, 0.15 mg/kg/hr
    • *Side effects:
    • Hyperglycemia, hypokalemia, palpitations, sinus tach, anxiety, tremors, N/V, throat irritation, dry mouth, HTN, dyspepsia, insomnia, HA, epistaxis, paradoxical bronchospam.
  4. Amioderone

    Antiarrythmic Class III
    • *Action: Acts directly on myocardium to delay repolarization and increase duration of the action potential. 
    • *Indications: Ventricular arrythmias, second line agent for atrial arrythmias.
    • *Contraindications: Sick sinus syndrome, 2nd and 3rd degree HB, cardiogenic shock, episodes of bradycardia resulting in syncope, sensitivity to benzyl alcohol and iodine.
    • *Dosage: Adult Arrest- 300 mg IV/IO, repeated in 3-5 min at 150 mg. Must be diluted with NS. 
    • Peds Arrest-5mg/kg IV/IO (max dose of 300mg), may repeat 5mg/kg up to 15 mg/kg.
    • Wide complex tach- A: 150 mg in 100mL D5W over 10 min, may repeat, max dose of 2.2 g over 24hrs.
    • P: 5mg/kg slowly over 20-60 min, may repeat up to 15mg/kg (max dose 300mg)

    *Side Effects: Burning at IV site, hypotension, bradycardia.
  5. Aspirin

    Antiplatelet, Nonnarcotic analgesic, Antipyretic
    • *Action: Inhibits the production of thromboxane A2, reducing platelet aggregation.
    • *Indications: Fever, inflammation, angina, acute MI, chest pain/pressure that may be of cardiac origin. 
    • *Contraindications: GI bleed, active ulcer disease, hemorrhagic stroke, bleeding disorders, children with chicken pox or flu like symptoms, known sensitivity.
    • * Dosage: Adult MI 160-325 mg PO, 300 mg rectal suppository. Ped MI 3 to 5 mg/kg/day to 10 mg/kg/day given as a single dose.
    • Adult Pain/Fever 325 to 650 mg PO every 4-6 hrs. Peds Pain/Fever 60 to 90 mg/kg/day in divided doses every 4-6 hours.

    *Side effects: Anaphylaxis, angioedema, bronchospasm, bleeding, stomach irritation, N/V.
  6. Atropine

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