drug cards nemsa

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nicolemoore
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294473
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drug cards nemsa
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2015-01-31 21:26:57
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nemsa drugcards
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nemsa paramedic flash cards
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  1. glucagon
    hypoglycemia when IV line not avail

    • 1.0 mg deep IM if > 20kg
    • 0.5 mg if <20kg
  2. Furosemide (Lasix)
    Congestive heart failure or other pulmonary edema

    0.5-1.0 mg/kg or match po dose
  3. Flumazenil (Romazicon)
    Bezo Overdose

    initial dose 0.2mg IV/IO over 15 sec
  4. Fentanyl Citrate
    Analgesia, sedation

    25-50 mcg IV/IM/IN q 2 mins
  5. Epinephrine 1:10000 (Adrenalin)
    Bradycardia refractory to TCP, atropine, and dopamine

    2-10 mcg/min continuous IV infusion (mix 1mg in 250ml D5W)
  6. Epinephrine 1:10000 (Adrenalin)
    • Asthma/Anaphylaxis 
    • PEDS: Stridor Barking cough

    0.1-0.25 mg IV/IO
  7. Epinephrine 1:10000 (Adrenalin)
    All cardiac arrests; PEA,VT/VF without a pulse or asystole

    1mg q 3-5 min for life or code
  8. Epinephrine 1:1000 (Adrenaline)
    Asthma/Anaphylaxis

    • 0.3-0.5 mg SQ 
    • PEDS: 1 mg/kg SQ
  9. Dopamine (Intropin)
    Hypotension (not due to hypovolemia) symptomatic bradycardia

    • low- 2-5 mcg/min 
    • med- 5-10 mcg/min
    • high- 10-20 mcg/min
  10. Diphenhydramine (Benadryl)
    Allergic Reaction, anaphylaxis, dystonia (phenothiazides)

    • 25-50 mg slow IV/IO/IM 
    • PEDS: 2-5 mg/kg slow IV/IO deep IM
  11. Diltiazem (cardizem)
    • control ventricular response rate in pts with Afib
    • A-Flutter, or multifocal Atrial Tachycardia

    0.25 mg/kg actual body weight over 20 min
  12. Benzodiazepine (Valium)
    Status Epilepticus, Acute Anxiety/behavioral emergency, premed before cardioversion

    • Status Epi- 5-10 mg slow IV/IO
    • Anxiety- 2-5 mg slow IV/IO/IM 
    • Premed- 5-15 mg IV/IO
  13. Dextrose 50 % (D50)
    Acute or Suspected Hypoglycemia

    25 g IV push
  14. Dexamethasone (Decadron, Hexadrol)
    Anaphylaxis after epi and diphenhydramine, asthma COPD

    4-24 mg IM/IV/IO
  15. Calcium Gluconate
    Hypoglycemia, antidote for mag sulfate overdose to reduce muscle cramps secondary to insect bites

    500 to 1000 mg IV/IO
  16. Calcium Chloride
    acute hypocalcemia, CaCl blocker overdose, antidote for mag. sulfate, abdominal cramping in spider and jellyfish bites

    2-4 mg/kg of 10% solution slow IV push q 10 min
  17. Atropine
    Organophosphate  Poisoning

    3-5 mg every 3-5 min until secretions dry
  18. Atropine
    Symptomatic Bradycardia- except 2degree type 2 and 3rd degree block

    0.5 mg q 3-5 min rapid IV push
  19. Amiodarone (Cordarone)
    • Wide Complex lethal rhythms such as VTach and VFib
    • VT with pulse 150 mg over 10 min 15mg/min
    • VT/VF 300mg IV push followed be defibrilation w/in 1 min
  20. Atenolol (Tenormin)
    ACS, hypertension, SVT, Atrial Flutter, Afib

    5 mg IV/IO over 5 min, repeat in 5 min
  21. Aspirin (ASA)
    Chest Pain, AMI, or suspected AMI

    325mg PO once
  22. Aminophylline
    Bronchospasm 

    load with 5mg/kg IV/IO slowly over 20-30 min followed by infusion rate of 0.4 mg/kg/hr
  23. Albuterol (ventolin, proventil)
    Bronchospasm associated w/ COPD and allergy

    • nebulizer 2.5mg diluted to 2.5ml over 15 min
    • MDI: 1-2 puffs
  24. Lidocaine Infusion
    Maintenance drip if pt coverts using liodocaine for ventricular rhythm

    2-4 mg/min IV drip
  25. Magnesium Sulfate
    wide complex lethal rhythms such as VTach and VFib/ Torsade de Pointes

    • VF/ Pulseless VT: 1-2 g IV over 2 min
    • Torsades: 5-10 g IV at 1g/min until rhythm is supressed
  26. Magnesium Sulfate
    Bronchospasm, Asthma 

    1-2 g IV over 30 min
  27. Magnesium Sulfate
    Toxemia/Seizure in pregnancy 

    1-4 g IV/IM
  28. Meperidine (Demerol)
    moderate to severe pain

    • 50 to 150 mg IV/IO/IM or SQ
    • Elderly: 50 mg IV/IO/IM or SQ
  29. Methylprednisolone (Solu-Medrol)
    Asthma/bronchospasm associated with COPD tertiary med in allergic reaction

    125-250 mg IV/IM
  30. metproprolol (Lopressor)
    Tachycardia narrow complex, acute coronary syndrome, hypertension

    5mg IV q 5 min
  31. Midazolam (Versed)
    Status Epilepticus

    2-2.5 mg IM or IN
  32. Midazolam (Versed)
    Chemical Restraint and sedation for cardioversion 

    2-2.5 mg IM or IN
  33. Morphine
    Congestive Heart Failure, Severe Pain, AMI

    2-10 mg IV q 3-5 min in 2 mg increments
  34. Naloxone (Narcan)
    Narcotic Overdose w/ respiratory depression

    0.4 mg to 2 mg IV/IO/IN and 2x dose ET
  35. Nitroglycerine SL (Nitrostat)
    Acute MI, Congestive Heart Failure

    0.4 mg SL q 3-5 min
  36. Nitroglycerine TD (Nitrobid)
    Acute MI, CHF

    1/2-1 inch applied to anterior chest wall
  37. Nitroglycerine IV ( Tridil)
    Acute MI, CHF

    5-10 mcg/min on IV pump only
  38. Norepinephrine (Levophed)
    Hypotension refractory to other therapy 

    0.1-0.5 mcg/kg/min titrate to effect
  39. Odansetron (Zofran)
    Nausea/Vomiting

    4 mg IV/IM may repeat in 10 min if necessary
  40. Promethazine (Phenergan)
    Nausea/ Vomiting

    12.5-25 mg IV/IO/IM
  41. Propranolol (Inderal)
    Angina, narrow complex tachycardias that originate from either reentry mechanism ot and automatic focus uncontrolled by vagal maneuvers & adenosine in pts with preserved ventricular function , hypertension, migraine headaches

    1-3 mg IV/IO at rate 1 mg/min may repeat in 2 mins
  42. Racemic Epinephrine (MicroNEFRINE)
    Bronchial Asthma, Croup

    0.25-0.75 ml of a 2.25% solution in 2ml NaCl neb.
  43. Sodium Bicarbonate
    Correction of metobolic acidosis

    • 1 meq/kg IV/IO push initial
    • repeat dose at 0.5 meq/kg q 10 min
  44. Thiamine (Vitamin B1)
    Wernicke-Korsakoff Syndrome, beriberi, nutritional supplementation

    100mg IV/IO
  45. Vasopressin (ADH)
    VFib or pulseless VT , asystole, PEA, vasodilatory shock 

    40 units IV/IO push
  46. Verpamil (Isoptin, Calan)
    PSVT

    2.5-5 mg slow IV push repeat dose at 15-30 min of 5-10 mg slow IV push
  47. Lidocaine (Xylocaine)
    Wide complex lethal rhythms such as VTach and VFib/ possible for significant ventricular ectopy

    1-1.5 mg/kg IV push
  48. Lorazepam (Ativan)
    Status Epilepticus , Anti-anxiety, hypnotic, sedative

    • sedation: 2 mg or 0.44 mg/kg IV/IO
    • seizure: 4 mg IV/IO over 2-5 min
  49. Labetalol (normodyne, trandate)
    ACS, SVT, severe hypertension 

    • cardiac: 10 mg IV/IO over 1-2 min
    • repeat every 10 min to max 150 mg 
    • or initial bolus the infusion 2-8 mg/min
    • Hypertension: initial 20mg IV/IO slow infusion over 2 min repeat every 10 min second dose 40 mg IV/IO
  50. Ketorolac (Toradol)
    Musculoskeletal pain especially isolated pain or kidney stones

    15-30 mg IV or 30-60 mg IM
  51. Ipatropium Bromide (Atrovent)
    500 mcg added to nebulizer w/ bronchodilator
  52. Glucagon
    Beta Blocker or Calcium Channel blocker overdose

    2-5 mg IV/IO over 1 min followed by second dose of 10 mg IV if symptoms reoccur

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