Medic2011

Card Set Information

Author:
Anonymous
ID:
66583
Filename:
Medic2011
Updated:
2011-02-15 20:22:09
Tags:
Paramedic Drugs
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Description:
First Batch of Drug Cards
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  1. Activated Charcoal
    • Actions:
    • Binds and Absorbs ingests toxins in gastrointestinal tract
    • Indications:
    • Posions and medication overdose after stomach has been emptied or without vomiting
    • Contraindications:
    • ALC, unless admin by nasgastric tube and airway is protected by tube. cyanide, methanol, organophosphate toxicity
    • Reactions:
    • Nausea, vomiting, abdominal cramping, constipation with black stools.
    • Dosage:
    • Adult: 1g/kg mix with water
    • Peds: 1g/kg mix with water
  2. Diphenhydramine Hydrochloride
    Benadryl
    • Actions:
    • Blocks cellular histamine receptors, decreases vasodilation
    • Indications:
    • Relief of allergies, allergic reactions, acute dystonic reactions, blood admin reactions.
    • Contraindications:
    • Asthma, glaucoma, pregs, hypertension, infants, pt taking monamine oxides inhibiters
    • Reactions:
    • Sedation, hypotension, seizures, vomiting, urinary retention, palpitations, arrhythmias
    • Dosage:
    • Adult: 25-50 mg IV or 50 mg deep IM. (max 400mg per day)
    • Peds: 1mg/kg (max 50mg/300mg per day) dilute w/9ml NS to equal 50mg/10ml
  3. Dopamine Hydrochloride
    Intropin
    • Actions:
    • Metabolic precursor to norepi. increase vascular resistance, dilate renal, increases myocardial contractility and stroke volume
    • Indications:
    • Cardiogenic, septic, spinal shock, hypotension/low cardiac output states. distributive shock
    • Contraindications:
    • Hypovolemic shock, coma, tachyarrhythmias, V-fib
    • Reactions:
    • Arrhythmias, hypertension, increased myocardial oxygen demand, may cause tissue necrosis
    • Dosage:
    • Adult: 2-20mcg/kg/min (max 20mcg)
    • Peds: same as above
  4. Lorazepam
    Ativan
    • Actions:
    • Depresses CNS, produces sedation, relieves anxiety, cause lack of recall, relief muscle spasms.
    • Indications:
    • Adjunct to seizure control, control violent pt
    • Contraindications:
    • Narrow-angle glaucoma, coma, shock, suspected drug abuse
    • Reactions:
    • Respiratory depression, apnea, drowsiness, sedation, ataxia, psychomotor impairment, confusion, restlessness, hypotension, bradycardia
    • Dosage:
    • 1-2mg IV or IM
  5. Haloperidol
    Haldol
    • Actions:
    • Inhibits CNS catecholamine receptors, strong antidopaminergic, weak anticholinergic, depresses subcurtical, mid brain, RAS
    • Indications:
    • Acute psychotic episodes
    • Contraindications:
    • Agitation secondary to shock or hypoxia, parkinson, seizures disorders, coma, alcoholism, cocaine overdoes
    • Reactions:
    • Restlessness, spasms, parkinson like symptoms, drooling, dystonia, hypotension, blurred vision.
    • Dosage:
    • 5-10mg IM peds not recommended
  6. Naloxone Hydrochloride
    Narcan
    • Actions:
    • Reverse respiratory depression secondary to depressant drugs, inhibits effect of morphine
    • Indications:
    • Opiate overdose, coma, agonist for: morphine, heroin, methadone, meperidine(Demeral) paregoric, fentanyl(Sublimase) oxycodone(percodon) codeine
    • Contraindications:
    • Narcotic dependent pt, neonates of narcotic dependent mothers
    • Reactions:
    • Withdrawal symptoms, tachycardia, hypertension, arrhythmias, diaphoresis
    • Dosage:
    • Adult: Initial 2mg IV,IM,SC,ET, repeat 2-3mins, no response after 10mg its not a narcotic. fentanyl requires large dose
    • Peds: .1mg/kg IV,IM,IO,ET,SC repeat .1mg/kg
  7. Lidocaine Hydrochloride
    Xylocaine
    • Actions:
    • Decrease vent automaticity and raises vent fib threshold
    • Indications:
    • V-tach and V-fib
    • Contraindications:
    • 2nd and 3rd AV block, morbitz II, stones-adams syndrome, ventricular dysrhythmias associated with tricyclic antidepressant overdoes
    • Reactions:
    • Slurred speech, seizures, AMS, confusion, lightheadedness, blurred vision, bradycardia
    • Dosage:
    • Adult: 1-1.5mg/kg IV, repeat .5-.75mg/kg 5-10mins, total of 3mg/kg. repeat every 3mins for vent ectopy
    • Peds: 1mg/kg IV
  8. Atropine Sulfate
    • Actions:
    • Parasympathetic agent binds to receptors and diminishes actions of acetylcholine .
    • Indications:
    • Unstable bradycardia(<60 beats) PEA, organophosphate poisoning, brochospastic disorders Contraindications:
    • Tachycardia, myocardial ischemia, narrow-angle glaucoma
    • Reactions:
    • Flushing, pupil dilation, dry mouth, tachycardia, nausea, vomiting.
    • Dosage;
    • Adult: .03mg/kg IV, repeat 5-10mins
    • Peds: .05mg/kg (max 3mg/kg) IV, repeat 5-10mins
  9. Amiodarone Hydrochloride
    Cardarone
    Pacerone
    • Actions:
    • Blocks sodium channels and myocardial potassium channels, vasodilator
    • Indications:
    • V-fib/ pulseless V-tach, SVT, instable V-tach in pt refractory to other therapy
    • Contraindications:
    • Hypersensitivity, cardiogenic shock, sinus bradycardia, 2nd or 3rd degree AV block
    • Reactions:
    • Hypotension, Bradycardia, fever, CHF, V-tach, nausea, abnormal liver function
    • Dosage:
    • Adult: VT/pulse and SVT: 150mg IV in 50ml D5W over 10 mins and repeat. VF and pulseless VT: 300mg IV
    • Peds: VT/pulse and SVT: 5mg/kg in 50ml D5W IV over 20 mins. VF and Pulseless VT: 5mg/kg IV
  10. Adenosine
    Adenocard
    • Actions:
    • Decreases conduction through AV node, slows HR
    • Indications:
    • SVT, wolff-parkinson-white syndrome
    • Contraindications:
    • 2nd and 3rd degree AV block, sick sinus syndrome, known hypersensitivity to adenosine, artial flutter, V-tach
    • Reactions:
    • Flushing, shortness of breathe, chest pain, headache, paresthsia, diaphoresis, palpitations, hypotension, metallic taste
    • Dosage:
    • Adult: 6ml rapid IV/followed by 20ml NS flush, repeat 2 mins, 12mg IV/ 20ml NS flush
    • Peds: 0.1mg/kg rapid IV/ 6ml NS flush(max 6mg)
    • repeat in 2mins, 0.2mg/kg, 6ml NS flush(max 12mg)

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