IVCH paramedic meds

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Author:
tonders
ID:
62452
Filename:
IVCH paramedic meds
Updated:
2011-01-27 20:18:28
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IVCH EMS meds
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Description:
Paramedic meds
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  1. Indication of albuterol
    respiratory distress, specifically wheezing, bronchoconstriction due to asthma/ COPD
  2. contraindications to albuterol
    allergy to / suspected pulmonary edema / (cautious with cardiac hx)
  3. Side effects of Albuterol
    Increased HR / anxiety (discontinue treatment if HR increases 20bpm)
  4. Dosage / Route of Albuterol
    2.5mg / 3ml nebulized with 6L O2
  5. Pediatric dosage for albuterol
    2.5mg / 3ml **contact medical control for additional dosages**
  6. Indications for atrovent
    respiratory distress specifically wheezing, bronchoconstriction due to asthma / COPD
  7. contraindications for atrovent
    Glaucoma / allergy to soy/peanuts/atropine / < 2 y/o
  8. side effects of atrovent
    dry mouth, headache, cough
  9. dosage / route for atrovent
    0.5mg nebulized or premixed with albuterol in duo-neb
  10. Indication of ASA
    chest pain / acute MI
  11. contraindications of ASA
    Active Ulcer / Asthma medications / Allergy to ASA
  12. Side effects of ASA
    GI bleeding
  13. Dosage / Route of ASA
    4 81mg chewable tablets (324mg) oral
  14. Pediatric Atrovent
    none <15 y/o
  15. indications Epi 1:1,000
    anaphylaxis / status asthmaticus without relief from inhaled treatments
  16. Contraindications Epi 1:1,000
    None
  17. Side effects of Epi 1:1,000
    Tachydysrhythmias / HTN / anxiety
  18. Dosage / route Epi 1:1,000
    0.3mg Epi-pen IM / 0.3mg SQ/IM
  19. Medical control Epi 1:1,000
    • anaphylaxis/asthma: contact for additional dosage
    • Asthma: >40 y/o / HR >160 / HTN / Cardiac Hx
  20. Pediatric Epi 1:1,000
    0.01mg/Kg IM max single dose 0.3mg CMC for additional doses
  21. Indicaitons for Glucagon
    hypoglycemia / bs <60 with ALOC & unable to establish IV
  22. Contraindications to glucagon
    allergy to glucagon
  23. Side effects of glucagon
    Nausea & vomiting
  24. Dosage / Route of glucagon
    1mg reconstituted in 1ml sterile H2O IM
  25. Pediatric Glucagon
    • <8 y/o 0.5mg IM
    • >8 y/o 1mg IM
  26. Indications for Oral Glucose
    hypoglycemia BS <60
  27. Contraindications of Oral Glucose
    No Gag reflex
  28. Dosage / route
    1 tube (24 grams - 31 grams) orally
  29. Indication of Narcan
    Opiate overdose / ALOC suspected overdose
  30. Side Effects of Narcan
    Vomiting/ withdrawal symptoms / agitation
  31. Dosage of Narcan
    • 2mg/2ml slow IV / IM/ IN
    • may repeat every 5 minutes as needed
  32. Pediatric Narcan
    • decreased respiratory effort
    • <20kg 0.1mg/kg
    • >20kg 2mg
  33. Indication of Nitro
    chest pain with suspected angina pectoris / acute MI / acute pulmonary edema
  34. contraindications of Nitro
    BP <100 / sexual enhancement drugs
  35. Side effects of nitro
    headhache / tachycardia / hypotension / syncope / N&V / facial flushing
  36. Dosage / Route of nitro
    • 0.4mg SL tablet / metered dose spray
    • Nitro Paste: 1gm / 1 inche topically (remove if bp drops <100)
  37. Indications for Lasix
    acute pulmonary edema
  38. Contraindications of Lasix
    dehydration / hypovolemia / pregnancy / hypotension
  39. Side effects of lasix
    N&V / dizziness / headache / **cause pulmonary edema or tinnitis if pushed too fast**
  40. Dosage / Route of Lasix
    40-80 mg SLOW IV push (over 2 minutes) *max 100mg* Call Medical control for orders
  41. Indication for lidocaine
    Stable V-Tach with pulse / Wide complex tachycardia
  42. Contraindication to Lidocaine
    Allergy to / bradycardia / 2nd or 3rd degree blocks
  43. Side effects of Lidocaine
    CNS depression / hypotension / bradycardia / N&V / respiratory/cardiac arrest
  44. Dosage/ Route
    • 1.0-1.5mg/kg IV
    • 2nd dose 0.5-0.75 mg/kg
    • total dose of 3mg
  45. Pediatric Lidocaine
    refer to broselow tape
  46. Indication for Epi 1:10,000
    Cardiac Arrest: VF/ Asystole / pulseless VT
  47. Dosage / route Epi 1:10,000
    1mg IV every 3-5 minutes
  48. Pediatric Epi 1:10,000
    0.01 mg/kg IV (refer to broselow tape)
  49. Indications for D50
    hypoglycemia
  50. Contraindications of D50
    caution to watch for infiltration
  51. Dosage / Route of D50
    25 g / 50ml IV *consider IO if unable to establish IV*
  52. Pediatric D50
    • >8 y/o D50 1-2ml/kg
    • 1-8 y/o D25 2-4ml/kg
    • <1 y/o D12.5 4ml/kg
  53. Indications of Benadryl
    Alergic reaction / rash
  54. Contraindications of benadryl
    asthma
  55. Side Effects of Benedryl
    hypotension / headache / sedation / palpitations
  56. Dosage / Route Benadryl
    25-50 mg IV/ IM slow
  57. Pediatric Benadryl
    1mg / kg slow IV
  58. Indication of Morphine
    pain / chest pain / acute pulmonary edema
  59. Contraindication of Morphine
    allergy to / BP <90 / head injury / undiagnosed abd. pain / respiratory depression
  60. Side effects of morphine
    respiratory depression / hypotension / N&V
  61. Dosage / Route Morphine
    • up to 5mg slow IV/IM
    • CMC for additional orders
  62. Pediatric Morphine
    Burns **CMC** 0.05mg/kg - 0.1mg/kg IV
  63. Indication for Adenocard
    Narrow comples SVT
  64. Contraindications for Adenocard
    Allergy to / 2nd & 3rd degree blocks / asthma
  65. Side effects of adenocard
    shortness of breath / facial flushing / bronchospasms / dysrhythmias
  66. Dosage / Route adenocard
    6mg / 12mg / 12 mg IV slam fould by flush (IV site AC)
  67. Pediatric Adenocard
    • CMC refer to broselow tape
    • 0.1mg/kg 1st dose (max 6mg)
    • 0.2mg/kg 2nd/3rd dose (max 12mg)
  68. Indications of Valium
    Witnessed seizure / premedication for pacing/cardioversion / psychological emergencies / medicated intubation for respiratory distress
  69. Contraindications of Valium
    Allergy to / shock / coma / depressed vital signs / pregnancy / respiratory depression
  70. Dosage / Route of Valium
    • Seizure/Premedication/Psych: up to 5mg IV CMC for additional
    • Medicated intubation: up to 10mg IV
    • Elderly pt: use smallest effective dose
  71. Pediatric Valium
    • witnessed seizure 0.1mg/kg - 0.3mg/kg slow IV every 15 mins.
    • <5 y/o max total 5mg
    • >5 y/o max 10mg
  72. Indications of zofran
    nausea & vomiting
  73. contraindications of zofran
    allergy to
  74. side effects of zofran
    headache / dizziness
  75. Dosage / Route of zofran
    4mg IV (slow)
  76. Indications of Atropine
    Asystole / symptomatic bradycardia / organophosphate poisoning
  77. Dosage/Route of Atropine
    • Asystole: 1mg IVP every 3-5 mins Max 3mg
    • Bradycardia: CMC 0.5-1mg IVP every 3-5 mins max 3mg
    • Organophosphate poisoning: 2mg every 3-5 min maintain HR 70bpm
  78. Pediatric Atropine
    0.02mg/kg min dose 0.1mg max 0.5mg
  79. Indication of Toradol
    pain rated <5; back/flank pain
  80. contraindications to Toradol
    alergy to toradol/ASA/NSAIDs; renal impairment; bleeding disorders; 2 weeks before/after surgery; brestfeeding/pregnancy; pt on coumadin; head injury
  81. Side effects of Toradol
    irritation to area/vein; nausea; hypotension
  82. Dosage/Route of Toradol
    • 60mg IM >65 y/o& <110lbs decrease dose to 30mg IM
    • 15-30mg SLOW IV
  83. Indication of fentanyl
    pain not relieved by morphine; pts with allergy to morphine
  84. Contraindications of fentanyl
    allergy to; <=2y/o; do not push fast, leads to respiratory depression
  85. Side Effects of Fentanyl
    MANY; respiratory depression; laryngospasm; N/V; thorasic rigidity
  86. Dosage / Route of Fentanyl
    • 50mcg IV slow / IM
    • decrease dose to 25mcg for elderly
  87. Indications for Sodium Bicarb
    ASA / Tricyclic antidepressant
  88. Side Effects of Sodium bicarb
    metabolic alkalosis; kypokalemia; fluid overload watch for infiltration; push VERY slow to reduce chance of cerebral dysfunction, seizure, peripheral tissue hypoxia, & lactic acidosis
  89. Dosage / Rate of Sodium bicarb
    50mEq/IV VERY SLOW

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