test8 may25 medic_drugs medic12

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thom.mccusker@gmail.com
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86884
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test8 may25 medic_drugs medic12
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2011-05-21 22:05:36
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test8 may25 medic_drugs medic12
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  1. Activated Charcoal
    • (Actidose)/Absorbent
    • Des: specially prepared charcoal that will adsorb & bind toxins from the gastrointestinal tract.
    • Ind: acute ingested poisoning
    • CI: none
    • PC: administer only after emesis or in those cases where emesis is CI
    • Dose: 1g/Kg mixed w/ at least 6-8 oz of H2O, then PO or via NG tube
  2. Calcium Chloride
    • (Calcium Chloride)/Electrolyte
    • Des: increases myocardial contractile force & increases ventricular automaticity.
    • Ind: hyperkalemia, hypocalcemia, hypermagnesemia, & calcium channel blocker toxicity
    • CI: ventricular fibrillation, hypercalcemia, & possible digitalis toxicity
    • PC: may precipitate toxicity in PTs taking digoxin. ensure the IV line is in a large vein & flushed before using & after calcium
    • Dose: 5-10cc of (10% solution / 1Gram –10cc)/10 min, as needed or 2-4mg/Kg . Ped: 20 mg/kg IV (10% solution) repeat at 10 min, as needed
  3. Methylprednisolone
    • (Solu-Medrol)/Corticosteroid, Anti-inflammatory
    • Des: synthetic adrenal corticosteroid, effective as an anti-inflammatory & used in mgt of allergic reactions & in some cases of shock. sometimes used in treatment of spinal cord injury.
    • Indications: spinal cord injury, asthma, severe anaphylaxis, COPD.
    • CI: no major CIs in the emergency setting.
    • PC: only a single dose should be given in the prehospital setting.
    • Dose: asthma/COPD/anaphylaxis: 125-250 mg IV/IM. Ped: 1-2 mg/kg/dose IV/IM. spinal cord injury: 30mg/kg IV over 15 min, after 45 min an infusion of 5.4 mg/kg/hr.

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