Drugs 4 Parameds - CPG

• Primary Emergency Indications
• - As a replacement fluid in vol-depleted pts
• - Vehicle for diluting and intravenous admin. Of emergency drugs
• - Fluid to keep vein open for IV admin of emergency drugs

Presentation: 1000ml pack 500ml pack

Adult Dosage: PEA: 20ml/kg IV Identify and Rx causes – Hypoxia, Anaphylaxis, Asthma, Exsanguination, Upper airway obstruction, Tension pneumothorax Cardiac Arrest: TKVO – unconscious, pulseless VF, VT or asystole

• Hypothermia: 10ml/kg IV warmed to 37-42 degrees if pt<28-32 degrees, repeat 10ml/kg (Max: 40ml/kg) to maintain perfusion. Hyperthermia: 20ml/kg IV initial, then reassess VSS and temp. If pt>40 degrees use cool fluids if avail.
• Hypovolaemia: 20ml/kg IV, repeat if HR>100 or BP<100. If after 40ml/kg and BP remains <100, consult with MTS.
• Burn: % of burn x wt(kg) IV given over 2/24

• Special Notes:
• IV Half Life:
• Approx. 30-60min

• Primary Emergency Indications
• Diabetic hypoglycaemia (BGL<4mmol/l) in pts with an altered conscious state who are unable to self-administer oral glucose

Presentation: 1mg (IU) in 1ml Hypokit

Adult Dosage: Hypoglycaemia: 1ml unit IM (once) if BGL < 4 and pt does not respond to commands

(Note: use glucagon if unable to insert IV for dex10%)

Paediatric Dosage: Hypoglycaemia: pt < 25kg 0.5ml unit IM (once) Pt > 25kg 1ml unit IM (once) if BGL < 4 and pt does not respond to commands

Side Effects: Nausea & Vomiting (rare)

Special notes: not all pts will respond to Glucagon, for example those with inadequate glycogen storage in the liver – alcoholics, malnourishment

• IM Effects:
• Onset:5 Min
• Peak: n/a
• Duration:25min

• Primary Emergency Indications
• Diabetic hypoglycaemia(BGL<4mmol/l) in pts with an altered conscious state who are unable to self-administer oral glucose.

Presentation: 25g in 250ml Infusion soft pack

Adult Dosage:Hypoglycaemia: 15g (150ml) IV – then normal saline 10ml flush. Repeat 10g (100ml) at 3/60 if inadequate response i.e. GCS<15 then flush with normal saline 10ml

• if BGL < 4 and pt does not respond to commands