Treatment

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Author:
bryantfire
ID:
229561
Filename:
Treatment
Updated:
2014-01-21 13:43:15
Tags:
Drugs UAV Paramedic
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Description:
Drug drill, Treatment
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  1. Lorazepam
         Administration
    • 2mg slow IV/IO over 2 mins diluted in
    •      equal amt of NS. Titrate to desired
    •      effect. May rpt every 10 mins to max
    •      dose of 4mg
    • 2mg IM. May rpt after 10 mins to max
    •      dose of 4mg.
  2. Lorazepam
         Pediatric
    N/A
  3. Succinylcholine
         Administration
    1-1.5mg/kg, IV/IO/IM
  4. Succinylcholine
         Pediatric
    1-2mg/kg, IV/IO/IM
  5. Midazolam
         Administration
    • 1-2mg slow IV/IO over 2-3 mins or MADD
    •        Titrate to suppress seizure activity or
    •        until sedation occurs. May rpt in 1mg
    •        increments to a max of 8mg
  6. Midazolam
         Pediatric
    • Under 12:       
    •      0.05mg/kg slow IV/IO over 2-3 mins     
    •      Titrate to suppress seizure activity or
    •      until sedation occurs. Rpt in 0.05mg
    •      increments to a max dose of 0.2mg/kg     Over 12 yrs:       
    •      Same as adult
  7. Morphine Sulfate
         Administration
    • 5-10mg IV/IO @ 2mg/min
    • Titrate to relief of pain
    • May repeat to max dose of 20mg
    • 5-15mg IM. May rpt to max dose of 20mg
  8. Morphine Sulfate
         Pediatric
    • 0.1-0.2mg/kg IV/IO @ 1-2mg/min      
    • Titrate to relief of pain.      
    • May rpt to max dose of 10mg
  9. Sodium Bicarbonate
         Administration
    • Cardiac Arrest:
    •        1mEq/kg slow IV/IO may rpt 0.5mEq/kg
    •         in 10-15 mins.
    • Crush Syndrome:
    •        1mEq/kg added to first 1000ml NS
  10. Sodium Bicarbonate
         Pediatric
    • Cardiac:      
    •      1mEq/kg slow IV/IO at 10ml/min 
    •      May rpt 0.5mEq/kg every 10-15 mins    
    • Crush Syndrome:      
    •      Same as adult
  11. Albuterol
         Administration
    • Respiratory:
    •        5mg in 6cc NS by hand held nebulizer
    •         mask over 5-15 mins. May rpt PRN
    • Crush Syndrome:
    •        5mg in 6cc NS continuous mask
    •         nebulizer
  12. Albuterol
         Pediatric
    • 0-1 yr:
    •        2.5mg in 3cc NS by hand held nebulizer
    •        mask over 5-15 mins. May rpt PRN.
    • Over 1 yr:
    •        Same as adult
    • Crush Syndrome:
    •        Same as adult
  13. Nitroglycerin
         Administration
    • 0.4mg (1 spray) every 5 mins SL
    •        (BP>90)
  14. Nitroglycerin
         Pediatric
    Not recommended
  15. Oxygen
         Administration
    • Nasal Cannula      2-6lpm          23-44%
    • Simple Mask       8-15lpm          40-60%
    • NRB Mask           6-15lpm          60-95%
    • BVM w/res        10-15lpm          60-95%
  16. Dextrose
         Administration
    50ml (25g) IV/IO may rpt one time
  17. Dextrose
         Pediatric
    • 0-2yrs:
    •      2ml/kg D25W slow IV/IO at 10ml/min  
    •      May rpt one time
  18. Aspirin
         Administration
    160-325 mg PO chewed and swallowed
  19. Aspirin
         Pediatric
    Not recommended
  20. Epi
       Administration
    Cardiac: 1mg (1:10,000) IV/IO. May rpt every 3-5 mins.

    • Brady: 4mg (1:10,000) in 500 cc NS 2-8mcg/min. Titrate.
    • 2mcg=15gtts w/micro
    • 8mcg=60gtts w/micro

    Asthma/Allergic reaction w/out shock: 0.3mg (1:1,000) IM. May rpt every 20 mins (2x)

    • Anaphylaxis w/shock: 0.5-1mg (1:10,000) slow IV/IO over 60 secs. May rpt every 3-5 mins
    • or
    • 0.3mg (1:1,000) IM. May rpt every 20 mins (2x)
  21. Epi
       Pediatric
    Cardiac: 0.01mg/kg (1:10,000) IV/IO. May rpt every 3-5 mins as needed

    Asthma/Allergic reaction w/out shock: 0.01mg/kg (1:1,000) IM. Max single dose 0.3mg. May rpt every 20 mins (2x)

    Anaphylaxis w/shock: 0.01mg/kg (1:10,000) slow IV/IO. May rpt every 10-15 mins.
  22. Adenosine
       Administration
    • 6mg rapid IV/IO, w/in 1-3 secs.
    • Follow with rapid flush of 10-20ml NS.
    • May rpt 12mg in 1-2 mins (2x)
  23. Adenosine
       Pediatric
    • 0.1mg/kg rapid IV/IO, w/in 1-3 secs.
    • Follow w/rapid flush of 10ml NS.
  24. Amiodarone
       Administration
    Cardiac: 300mg IV/IO. May rpt 150mg (1x) in 3-5 mins.

    Tachydys: 150mg IV/IO or IVPB over 10 mins (15mg/min). For IVPB mix 150mg in 50ml NS. Use macrodrip set @50gtts/min.
  25. Amiodarone
       Pediatric
    Cardiac: 5mg/kg rapid IV/IO bolus. May rpt 10mg/kg in 3-5 mins (1x).

    Tachydys: 5mg/kg IV/IO over 20-60 mins. Rpt to a max of 15mg/kg.
  26. Atropine Sulfate
       Administration
    Bradycardia: 0.5mg IV/IO. MAy rpt every 3-5 mins to a max of 0.04mg/kg

    O-Poison: 2mg IV/IO/IM. May rpt every 5 mins until pt is breathing adqly and secretions begin to dry
  27. Atropine Sulfate
       Pediatric
    Bradycardia: 0.02mg/kg IV/IO. May rpt in 3-5 mins (1x) to a max of 0.04mg/kg.

    O-Poison: 0.05mg/kg IV/IO/IM. May rpt every 5 mins until pt is breathing adqly and secretions begin to dry. Max single dose 2mg.
  28. Diphenhydramine
       Administration
    50-100mg slow IV/IO @ 25mg/min or deep IM.
  29. Diphenhydramine
       Pediatric
    1mg/kg slow IV/IO over several mins.
  30. Narcan
       Administration
    • <5: 0.4-2mg IV/IO/MADD.
    • Titrate to adequate RR and TV.

    >5: Same as adult dose.
  31. Diazepam
       Administration
    • Seizure: 5-10mg slow IV/IO @ 5mg/min. Titrate to suppress seizure activity.
    • Max of 20mg

    • Sedation: 5-15mg IV/IO
    • Titrate to sedation.
    • Max of 20mg

    Anxiety: 2-5mg IM. Max of 20mg

    Severe O-Poison: 10mg IM (1x)
  32. Diazepam
       Pediatric
    • Seizure: 0.3mg/kg slow IV/IO.
    • Titrate to suppress seizure activity.
    • May rpt every 5 mins to max o 10mg.

    0.5mg/kg PR every 10-15 mins. (3 max)
  33. Zofran
       Administration
    • 4-8mg IV/IM
    • 4mg SL
  34. Mag Sulfate
       Administration
    • Torsades De Pointes/Bronchspasm:
    • 1-2mg IVPB in 50-100ml NS over 5 mins.
    • 50ml-100gtts w/macro

    Seizures: 2-4mg IV/IO over 2-3 mins.
  35. Glucagon
       Administration
    1mg IM. May rpt every 20 mins (2x).
  36. Vasopressin
       Administration
    40 U IV/IO (single dose only)
  37. Vasopressin
       Indications
    Cardiac arrest (to increase PVR w/CPR)
  38. Vasopressin
       Contraindications
    None in this application
  39. Glucagon
       Indications
    ALOC when hypoglycemia is suspected and IV access cannot be established.
  40. Mag Sulfate
       Indications
    • Polymorphic VT (Torsades de Pointes)
    • Seizures Associated w/eclampsia
    • Bronchospasm
  41. Zofran
       Indications
    Nausea/Vomiting
  42. Zofran
       Contraindications
    Hypersensitivity
  43. Diazepam
       Indications
    • Seizures (Status Epilepticus)
    • Sedation prior to:
    •    S.A.T.
    • Organophosphate Poisoning
  44. Diazepam
       Contraindications
    • Head injury
    • Acute alcohol intoxication
    • Shock/hypotension
  45. Narcan
       Indications
    Known or suspected narcotic overdose w/respiratory depression (decreased TV or RR<12)
  46. Narcan
       Contraindications
    Hypersensitivity
  47. Diphenhydramine
       Indications
    • Allergic reactions
    • Adjunct to epi in treating anaphylaxis
    • Dystonic reactions
  48. Diphenhydramine
       Contraindications
    • Glaucoma
    • Acute asthma
    • Lactating mothers
  49. Atropine Sulfate
       Indications
    • Symptomatic bradycardia
    • High degree AV block
    • O-Poisoning
  50. Atropine Sulfate
       Contraindications
    Neonates
  51. Amiodarone
       Indications
    • Pulseless V-tac
    • V-tac
    • V-fib
    • SVT (A-fib, A-flutter, Junctional/A-tac)
  52. Amiodarone
       Contraindications
    • High degree AV block
    • Bradycardia
    • Cardiogenic Shock
    • Sick sinus syndrome
  53. Adenosine
       Indications
    • Perfusing SVT unresponsive to valsalva
    • Poorly perfusing SVT in a conscious pt
  54. Adenosine
       Contraindications
    • History of Sick Sinus Syndrome
    • 2nd or 3rd degree heart blocks
    • Pts known to be taking:
    •    Persantine (dipyridamole)
    •    Tegretol (carbamazapine)
  55. Epi
       Indications
    • Cardiopulmonary Arrest:
    •    V-fib
    •    Pulseless V-tac
    •    PEA
    •    Aystole
    • Acute Asthma
    • Allergic reaction/Anaphylaxis
    • Symptomatic Bradycardia
  56. Epi
       Contraindications
    • Hypovolemia
    • Hypertension
  57. Lorazepam
       Indications
    • Seizures
    • Anxiety
  58. Lorazepam
       Contraindications
    • Hypersensitivity
    • Acute alcohol intoxication
  59. Succinylcholine
       Indications
    RSI
  60. Succinylcholine
       Contraindications
    • Malignant hyperthermia
    • Hypersensitivity
    • Risk of hyperkalemia (burns, crush)
    • Penetrating eye injury
  61. Midazolam HCL (Versed)
       Indications
    • Seizures
    • Sedation prior to:
    •    S,A,T
  62. Midazolam HCL (Versed)  
       Contraindications
    • Head injury
    • Glaucoma
    • Shock/Hypotension
    • Acute alcohol intoxication
    • Pts know to be taking:
    •    Cardiazim
    •    Verapamil
    •    AIDs meds
  63. Morphine Sulfate
       Indications
    • Chest pain of suspected AMI
    • Acute pulmonary edema (cardio shock)
    • Moderate to severe pain
  64. Morphine Sulfate  
       Contraindications
    • ALOC
    • Head injury
    • Pts at risk of respiratory depression
    • Hypovolemia
    • Ab pain of unknown origin

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