Cherokee County Paramedic Class 2010 drug cards

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Cherokee County Paramedic Class 2010 drug cards
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Cherokee County Paramedic Class 2010 drug cards
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  1. 1. D50W class
    Osmotic diuretic Carbohydrate
  2. 2. Phenytoin trade name
    Dilantin
  3. 3. Phenytoin class
    Anti convulsant
  4. 4. Phenytoin indication
    Seizures
  5. 5. Dobutamine trade name
    Dobutrex
  6. 6. Dobutamine class
    Sypathomimetic
  7. 7. Dobutamine MAO
    Increases contractual forse amd cardiac output
  8. 8. Dobutamine indication
    CHF, Cardiogenic Shock
  9. 9. Dobutamine Contra
    Hypovolemia
  10. 10. Dobutamine side effects
    Increases MI
  11. 11. Dobutamine interactions
    Sodiun Bicarb
  12. 12. Dobutamine dose
    2-20 mcg/kg/min
  13. 13. Dobutamine route
    Iv io drip only
  14. 14. Flumazenil trade name
    Romazicom
  15. 15. Flumazenil class
    Benzo antagonist
  16. 16. Flumazenil MOA
    Blocks Benzo effect on receptors
  17. 17. Flumazenil indication
    Benzo OD
  18. 18. Meperidine trade name
    Demerol
  19. 19. Meperidine class
    Opiod Analgesic, narcotic
  20. 20. Meperidine MOA
    Binds with opiod receptors decreasing pain
  21. 21. Meperidine indication
    Pain
  22. 22. Meperidine contra
    Respiratory depression
  23. 23. Meperidine side effects
    Hypotention, respiratory depression, N&V
  24. 24. Meperidine interaction
    Phenergan will increase the effect of narcotics
  25. 25. Meperidine dose
    25-100mg
  26. 26. Meperidine route
    Iv. Io. Im
  27. 27. Verapamil trade name
    Calan. Osoptin. Verelan
  28. 28. Verapamil class
    Calcium Channel Blocker
  29. 29. Verapamil MOA
    Vasodiolation. Decreases contracual force
  30. 30. Verapamil indication
    A fib. A flutter. SVT
  31. 31. Verapamil contra
    Hypotention, bradycardia
  32. 32. Verapamil interaction
    None
  33. 33. Verapamil dose
    2.5-5 mg slow IV push
  34. 34. Verapamil route
    IV. iO.
  35. 35. Amiodorone. Trade name
    Cordarone, cacearone
  36. 36. Amiodorone. Class
    Antiarrythmic, potasium channel blocker
  37. 37. Amiodorone. MOA
    Reduces cardiac iritability Increases Fibulation threshhold
  38. 38. Amiodorone. Indications
    Vfib. Vtach. Maligment PVC's, SVT
  39. 39. Amiodorone. Contra
    PVC with Bradicardia
  40. 40. Amiodorone. Side effects
    Burning sensation. Bradycardia. Hypotention
  41. 41. Amiodorone. Interactions
    Other antiarrythmics
  42. 42. Amiodorone. Dose cardiac
    300mg can repeat after four min with 150mg
  43. 43. Amiodorone.Dose PVC/V Tach
    150mg over ten min*
  44. 44. Amiodorone. Dose drip
    1mg/min
  45. 45. Route
    IV. iO
  46. 46. Diltiazem trade name
    Cardizem
  47. 47. Diltiazem class
    Calcium channel blocker
  48. 48. Diltiazem MOA
    Corinary Arterial diolation. Slows conduction through the AV Node
  49. 49. Diltiazem indication
    Afib. Aflutter. SVT. MI
  50. 50. Diltiazem contra
    Hypotention
  51. 51. Diltiazem side effects
    Hypotention, bradycardia
  52. 52. Diltiazem interaction
    Use caution with beta blockers
  53. 53. Diltiazem dose
    .25 mg/kg slow push if no effect then push .35 slow
  54. 54. Diltiazem drip dose
    10-15mg/kg
  55. 55. Diltiazem route
    • I. V. , I. O.
    • ****Flush line before and after every dose****
  56. 56. Lorazepam trade name
    Ativan
  57. 57. Lorazepam. Class
    Benzo
  58. 58. Lorazepam. MOA
    CNS depression, Memory imparment
  59. 59. Lorazepam. Indications
    Seizures, Anxiety, Painfull procedures
  60. 60. Lorazepam. Contra
    Hypotention, Respiratory depression
  61. 61. Lorazepam. Interaction
    None
  62. 62. Lorazepam. Dose
    2-4 mg
  63. 63. Lorazepam. Rout
    IV. IO. IM
  64. 64. Diazepam. Trade name
    Valium
  65. 65. Diazepam. Class
    Benzo
  66. 66. Diazepam. MOA
    CNS depression
  67. 67. Diazepam. Indications
    Seizures aniety. Painfull procedures
  68. 68. Diazepam. Contra
    Hypotention
  69. 69. Diazepam. Side effects
    Hypotention, Respiratory Depression
  70. 70. Diazepam. Interactions
    CNS depesants
  71. 71. Diazepam. Dose anxiety
    2-5mg
  72. 72. Diazepam. Dose seizures
    5-10 mg
  73. 73. Diazepam. Dose Painfull procedeures
    5-15 mg
  74. 74. Diazepam. Route
    • IV. iO. IM. Rectal
    • *Dont mix with ANYthing*
  75. 75. Midazolam trade name
    Versed
  76. 76. Midazolam class
    Benzo
  77. 77. Midazolam MOA
    Cns depressant, memory imparment
  78. 78. Midazolam indication
    Seizures, premed for ETT, painfull Procedures
  79. 79. Midazolam contra
    Hypotention
  80. 80. Midazolam side effects
    Hypotention, Respitatory depession
  81. 81. Midazolam interactions
    CNS depresants
  82. 82. Midazolam dose
    1mg incroments to a max of 5mg
  83. 83. Midazolam route
    IV. IO. IM. IN
  84. 84. Glucagon class
    Hormone
  85. 85. Glucagon MOA
    Converts glycogem to glucose to increase blood sugar
  86. 86. Glucagon indication
    • Hypoglycemia with NO I.V. Acsess
    • and Beta blocker O.D.
  87. 87. Glucagon contra
    Hypoglocemia with I.V. Acess
  88. 88. Glucagon side effects
    None
  89. 89. Glucagon interactions
    None
  90. 90. Glucagon dose
    1mg=1unit
  91. 91. Route
    I.M.
  92. 92. D50w class
    Osmotic diuretic, carbohyd.
  93. 93. D50w MOA
    Increases blood sugar
  94. 94. D50w Indocation
    Hypoglocemia
  95. 95. D50w contra
    Stroke. Head Injury
  96. 96. D50w side effects
    Tissue nacrosis
  97. 97. D50w interaction
    None
  98. 98. D50w dose
    1-amp = 25g
  99. 99. D50w route
    IV. or diluted IO
  100. 100. Thiamine other name
    Vitimin B-1
  101. 101. Class of Thiamin
    Vitamin
  102. 102. Thiamin MOA
    Inhances carbohydrate transport
  103. 103. Thiamin indication
    Coma of ukn. origin. Hypogloycemia with no response to D-50
  104. 104. Thiamin dose
    100mg
  105. 105. Thiamin route
    IV. IO. IM
  106. 106. Promethazine trade name
    Phenergan
  107. 107. Promethazine class
    Antihistamine, antiemetic,antinasea
  108. 108. Promethazine MOA
    H-1 reseprtor antagonist
  109. 109. Promethazine indications
    N&V
  110. 110. Promethazine conta
    Hypersensitivity
  111. 111. Promethazine side effects
    Depression of CNS vaso damage, burning
  112. 112. Promethazine interactions
    Potentiates narcotics
  113. 113. Promethazine dose
    12.5-25mg
  114. 114. Promethazine route
    • IV. IO. IM
    • *dilute I.V. and push slow
  115. 115. Naloxone trade name
    Narcan
  116. 116. Naloxone class
    Narcotic antagonist
  117. 117. Naloxone MOA
    Blocks Opiate receptors
  118. 118. Naloxone indocation
    • Narc/Opiate O.D.
    • Coma of unk. Origin
  119. 119. Naloxone side effects
    • Projectile Vomit,
    • Returning Pain and Narc. With drawl
  120. 120. Naloxone dose
    .4- 2 mg titrated to induce stable respirations and to counteract nartics and or opiates
  121. 121. Naloxone route
    IV. IO. IM. ETT IN
  122. 122. Methylprednisolone Trade Name
  123. Solu-Medrol
  124. 123. Methylprednisolone class
    Corticosteroid
  125. 124. Methylprednisolone MOA
    Anti-inflamitory
  126. 125. Methylprednisolone indication
    Cord injury, RAD, Anaphalaxis (after epi and benadryl)
  127. 126. Methylprednisolone dose
    40-125mg
  128. 127. Methylprednisolone route
    IV. IO. IM
  129. 128. Methylprednisolone contra,side effect and interactions
    None
  130. 129. Calcium Chloride class
    Electrolyte
  131. 130. Calcium Chloride MOA
    Increases myocardia contractul force
  132. 131. Calcium Chloride indications
    Calcium Channel Blocker O.D. , Mag-Sulfate O.D.
  133. 132. Calcium Chloride dose
    .5 - 1 gram
  134. 133. Calcium Chloride Route
    IV. IO
  135. 134. Morphine Sulfate trade name
    MS Contin
  136. 135. Morphine Sulfate class
    Opiod analgesic, Narcotic
  137. 136. Morphine Sulfate MOA
    Binds to opiod receptors, vasodiolates
  138. 137. Morphine Sulfate indication
    Angina,CHF, severe pain
  139. 138. Morphine Sulfate contra
    • Head Trauma,
    • Abdominal pain
  140. 139. Morphine Sulfate side effects
    CNS depression, N&V
  141. 140. Morphine Sulfate interactions
    Phenergan Potentiates narcdic effect
  142. 141. Morphine Sulfate dose
    2mg every 3-5 minto a max of 10mg
  143. 142. Morphine Sulfate route
    IV. IO. IM
  144. 143. Dopamine trade name
    Intropin
  145. 144. Dopamine class
    Sypathomimetic
  146. 145. Dopamine MOA
    • Vasoconstriction,
    • increases BP and heart rate
  147. 146. Dopamine indication
    Cardiogenic and neurogenic shock
  148. 147. Dopamine contra
    Hypovolimic shock
  149. 148. Dopamine side effects
    Tachycardia, hypotention
  150. 149. Dopamine interactions
    Spidium Bicarb
  151. 150. Dopamine dose
    2 - 20mcg/kg/min
  152. 151. Dopamine route
    IV. IO. Drip only
  153. 152. Furosemide trade name
    Lasix
  154. 153. Furosemide class
    Loop diuretic
  155. 154. Furosemide MOA
    • Increases urination
    • Decreases sodium absorption
  156. 155. Furosemide indication
    CHF, Pulminary Adema
  157. 156. Furosemide contra
    Hypokalimia, Hypovolemia,
  158. 157. Furosemide side effects
    Hypokalimia, Hypovolemia,
  159. 158. Furosemide dose
    • 20 - 40mg without lasix
    • 40 - 120mg with lasix
  160. 159. Furosemide route
    IV. IO. (slow push)
  161. 160. Diphenhydramine Trade Name
  162. Benadryl
  163. 161. Diphenhydramine class
    Antihistamine
  164. 162. Diphenhydramine MOA
    • Blocks "antogenises" aka
    • (H1) Histamine reseptors
  165. 163. Diphenhydramine indication
    • Alergic reaction,anaphalaxis,
    • Dystonic reaction
    • i.e. Haldol O.D.
  166. 164. Diphenhydramine side effects
    Drowsiness, CNS stimulation
  167. 165. Diphenhydramine dose
    25-50mg
  168. 166. Diphenhydramine route
    IV. IO. IM.
  169. 167. Nitroglycerin trade name
    Nitrostat, Tridil
  170. 168. Nitroglycerin class
    Vasodiolator, antiangina
  171. 169. Nitroglycerin MOA
    • Decreases cardiac work load
    • Corinary diolation
  172. 170. Nitroglycerin indication
    Chest pain, CHF, hypertensive crisis
  173. 171. Nitroglycerin contra
    • -90 systolic hypotention,stroke,
    • Head injury
  174. 172. Nitroglycerin interaction
    Male inhancment drugs
  175. 173. Nitroglycerin side effects
    Hypotention, Head Ache
  176. 174. Nitroglycerin dose
    0.4mg every 5 min max of 3 doses
  177. 175. Nitroglycerin route
    Sub-ling, topical, IV
  178. 176. Magnesium sulfate class
    Smooth muscle relaxer
  179. 177. Magnesium sulfate MOA
    CNS Supresser
  180. 178. Magnesium sulfate indication
    • Polymorphic Vtach,aclampcia
    • Broncocostroctions
  181. 179. Magnesium sulfate contra
    Bradycardia, hypotention
  182. 180. Magnesium sulfate
    • side effects
    • CNS depression,
    • Respiratory paralysis
  183. 181. Magnesium sulfate dose Aclampcia
    2-4 gm SIVP
  184. 182. Magnesium sulfate dose Poly V Tach
    1-2 gm SIVP over 5-60 min
  185. 183. Magnesium sulfate route
    IV. IO. IM.
  186. 184. Ipotropium trade name
    Atrovent
  187. 185. Ipotropium class
    Broncodiolator
  188. 186. Ipotropium MOA
    Blocks parasympothetic nerve system
  189. 187. Ipotropium indications
    • Broncoconstrictions,
    • Asthma, RAD
  190. 188. Ipotropium side effects
    • Dry mouth, blured vision,
    • Tachycardia
  191. 189. Ipotropium dose
    .5 with 3cc normal saline
  192. 190. Ipotropium route
    Nebul. 6Lpm
  193. 191. Albuterol trade name
    Proventolin, ventolin
  194. 192. Albuterol class
    Beta 2 selective
  195. 193. Albuterol MOA
    Broncodiolaton
  196. 194. Albuterol indications
    Asthma, Copd, RAD, broncoconstriction
  197. 195. Albuterol contra
    Tachycardia, +140 pulse
  198. 196. Albuterol side effects
    Tremors, palpitations, agitation,tachycardia
  199. 197. Albuterol interactions
    Beta blockers
  200. 198. Albuterol dose
    2.5mg/3cc normal saline
  201. 199. Albuterol route
    6Lpm nebulized
  202. 200. Sodium Bicarbonate class
    Alkolizing Agent
  203. 201. Sodium Bicarbonate MOA
    Reduces acid
  204. 202. Sodium Bicarbonate indication
    Metobolic acidosis
  205. 203. Sodium Bicarbonate contra
    Respiratory Acidosia TCA OD
  206. 204. Sodium Bicarbonate side effects
    • Increases Co2
    • Decreases K+
  207. 205. Sodium Bicarbonate Interaction
    Catacholamines
  208. 206. Sodium Bicarbonate dose
    • 1meq/kg
    • then 1/2 every 10 min
  209. 207. Sodium Bicarbonate route
    IV or Diluted IO
  210. 208. Epinephrine 1:1,000 Trade Name
    Adrinoline
  211. 209. Epinephrine 1:1,000 class
    Sympothetic agonist
  212. 210. Epinephrine 1:1,000 MOA
    Stimulates alpha and beta reseptors. Diolates broncules
  213. 211. Epinephrine 1:1,000 indication
    • Anaphalaxis shock
    • Severe RAD
  214. 212. Epinephrine 1:1,000 contra
    Angina MI
  215. 213. Epinephrine 1:1,000 Side effect
    Tachycardia, palpatation, chest pain
  216. 214. Epinephrine 1:1,000 Interaction
    Sodium carbonate
  217. 215. Epinephrine 1:1,000 dose
    .3-.5 mg
  218. 216. Epinephrine 1:1,000 route
    SubQ IM
  219. 217. Actylsalalicyic Acid Trade Name
    Asprin aka (ASA)
  220. 218. Actylsalalicyic Acid class
    Antipyretic, platelet inhibitor
  221. 219. Actylsalalicyic Acid MOA
    Prevents platelet agrigation
  222. 220. Actylsalalicyic Acid Indication
    Chest Pain, angina, MI
  223. 221. Actylsalalicyic Acid contra
    • Bleeding disorder, G.I. Bleed
    • Alergy
  224. 222. Actylsalalicyic Acid Side Effect
    bleeding
  225. 223. Actylsalalicyic Acid Dose
    81mg x 2-4 max of 324mg
  226. 224. Actylsalalicyic Acid Route
    P.O.
  227. 225. Adenosine Trade name
    Adenocard
  228. 226. Adenosine class
    Antidysrythmic
  229. 227. Adenosine MOA
    Slows conduction through the A.V. node
  230. 228. Adenosine indication
    SVT, PSVT, WPW
  231. 229. Adenosine Contra
    • Bradycardia
    • V Tach
  232. 230. Adenosine Side effects
    Asystole, Crushing Cheat Pain
  233. 231. Adenosine dose
    6-12-12mg RIVP
  234. 232. Adenosine route
    IV IO
  235. 233. Lidocaine trade name
    Xylocaine
  236. 234. Lidocaine class
    antidysrythmin, Sodium Channel Blocker
  237. 235. Lidocaine MOA
    • Decreases cardiac iritability
    • Increases fib threshhold
  238. 236. Lidocaine indications
    • V fib, V tach,
    • maligment PVC's
  239. 237. Lidocaine contra
    • Bradycardia, Hypotention,
    • Stked Adam
  240. 238. Lidocaine side effects
    Siezures, Bradycardia, Respiatory depression
  241. 239. Lidocaine interactions
    Other Antidysrtymics
  242. 240. Lidocaine dose Arrythmias
    1-1.5mg/kg IV every 5-10 max at 3mg/kg
  243. 241. Lidocaine dose ACLS, pulesless Vtach
    • 1-1.5mg/kg X 1
    • max of 3mg/kg
  244. 242. Lidocaine route
    IV, IO, IM, ET,
  245. 243. Epinephrine 1:10,000 Trade Name
    Adrenalin
  246. 244. Epinephrine 1: 10,000 class
    Sympothetic Agonist
  247. 245. Epinephrine 1: 10,000 MOA
    Stimulates Alpha / Beta receptors
  248. 246. Epinephrine 1: 10,000 Indication
    Asystole, PEA, Bradycardia
  249. 247. Epinephrine 1: 10,000 Contra
    MI, Hypothermia
  250. 248. Epinephrine 1: 10,000 Side effect
    Hypertention, Tachycardia, Palps
  251. 249. Epinephrine 1: 10,000 Interaction
    Sodium bicard
  252. 250. Epinephrine 1: 10,000 Dose arrest
    .5-1mg IV every 3-5 min
  253. 251. Epinephrine 1: 10,000 Dose bradycardia
    2-10mcg/min
  254. 252. Epinephrine 1: 10,000 Ett dose
    1mg
  255. 253. Epinephrine 1: 10,000 Route
    IV IO ET
  256. 254. Atropine trade name
    Atropen
  257. 255. Atropine class
    Antipoliegic, parasympatholitic
  258. 256. Atropine MOA
    Antagonizes acetylcholine reseptors
  259. 257. Atropine indication
    Bradycardia, asystole, PEA, organophalsfate poisoning
  260. 258. Atropine contra
    NA Glocoma, Afub, Aflutter, MI, tachycardia
  261. 259. Atropine side effects
    • Palps, tachy,
    • Pupilary Dialation
  262. 260. Atropine dose Arrest
    • .5mg IV every 3-5min
    • Max3
  263. 261. Atropine dose Bradicardia
    .5 mg IV every 3-5 min prn
  264. 262. Atropine dose Organophalsfate poisoning
    Start with 2mg IV or IM or you can go with 4-6mg for severe cases until Sx improve
  265. 263. Atropine route
    IV, IO, IM
  266. 264. Lactated ringers Class
    Isotonic crystoloid solution
  267. 265. Lactated ringers MOA
    Volume replacement
  268. 266. Lactated ringers indication
    Hypovolemia, burns,Dehydtation
  269. 267. Lactated ringers
    CHF, Hyperkolemia
  270. 268. Lactated ringers side effects
    fluid overload
  271. 269. Lactated ringers dose
    10-20 cc/kg
  272. 270. Lactated ringers route
    IV IO
  273. 271. D-5-W class
    Hypotonic crystaloid solution
  274. 272. D-5-W MOA
    Increases blood sugar
  275. 273. D-5-W indication
    Maintain Rx. Line
  276. 274. D-5-W contra
    Hypovolemia
  277. 275. D-5-W dose
    TKO KVO
  278. 276. D-5-W route
    IV, IO
  279. 277. D-10-W class
    Hypertonic crystaloid solution
  280. 278. D-5-W MOA
    Increases blood sugar
  281. 279. D-5-W indication
    Neonatal resucitaion
  282. 280. D-5-W side effects
    Hyperglocemia
  283. 281. D-5-W dose
    2-4 cc/kg
  284. 282. D-5-W route
    IV, IO
  285. 283. 0.9% Sodium Chloride class
    Isotonic Crystaloid solutuon
  286. 284. 0.9% Sodium Chloride MOA
    Replaces fluids and electrolytes Increases Blood presure
  287. 285. 0.9% Sodium Chloride indications
    Hypotention, dehydration, hypovolemia
  288. 286. 0.9% Sodium Chloride contra
    Severe Hypotention and or Edema
  289. 287. 0.9% Sodium Chloride side effects
    Caution with edema check B/P every 250ML
  290. 288. 0.9% Sodium Chloride interactions
    Can interact with Valium in a syringe
  291. 289. 0.9% Sodium Chloride dose
    10-20 cc/kg
  292. 290. 0.9% Sodium Chloride route
    IV IO

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