Paramedic Drug Info

Description:	Drug Name, Indications, Contra, Effects, Side Effects, How Supplied and Route
Category:	Paramedic/EMT
Created by:	robillard.james on 2009-05-10

Question	Answer
*50% Dextrose: (D50) Indications Class: Carbohydrate	Unconcious diabetics; Altered level of consciousness; Seizures
*50% Dextrose: (D50) Contraindications Class: Carbohydrate	Known intercranial hemmorage
*50% Dextrose: (D50) Effects Class: Carbohydrate	Increases blood sugar
*50% Dextrose: (D50) Side Effects Class: Carbohydrate	Rare, neurologic symptoms in alcoholics, tissue necrosis if extravasation
*50% Dextrose: (D50) How Supplied Class: Carbohydrate	25gm/50ml
*50% Dextrose: (D50) Dosage and Route Class: Carbohydrate	25 gm bolus in free flowing IV
*Glucagon: Indications Class: Hormone	Hypoglycemia, Beta blocker overdose
*Glucagon: Contraindications Class: Hormone	Rare
*Glucagon: Effects Class: Hormone	Causes breakdown of glycogen in glucose
*Glucagon: Side Effects Class: Hormone	Rare
*Glucagon: How Supplied Class: Hormone	1 Unit (1 mg/ml to be mixed)
*Glucagon: Dosage and Route Class: Hormone	1 Unit (1ml) IM
*Nalaxone HCL: Indications Class: Narcotic Antagonist	Suspected narcotic OD
*Nalaxone HCL: Contraindications Class: Narcotic Antagonist	Intubated patients
*Nalaxone HCL: Effects Class: Narcotic Antagonist	Reverses effects of narcotics
*Nalaxone HCL: Side Effects Class: Narcotic Antagonist	Withdrawl syndrome
*Nalaxone HCL: How Supplied Class: Narcotic Antagonist	4mg/10ml
*Nalaxone HCL: Dosage and Route Class: Narcotic Antagonist	0.8 mg slow IV, IM, tirtated to respirations. Repeat dose 1.6 mg
*Thiamine/Vitamin: Description Class: Vitamin	Thiamine is vitamin B1, which is required to convert glucose into energy. It is not manufactured in the body and must be constantly provided from ingested foods.
*Thiamine/Vitamin: Indications Class: Vitamin	Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremors.
*Thiamine/Vitamin: Contraindications Class: Vitamin	None
*Thiamine/Vitamin: Precations Class: Vitamin	Known hypersensitivity to the drug
*Thiamine/Vitamin: Dosage and Route Class: Vitamin	50 to 100 mg IV/IM
*Atrophine Sulfate: Indications Class: Parasympatholytic	Bradycardia with hypotension, asystole; organophosphate poisoning
*Atrophine Sulfate: Contraindications Class: Parasympatholytic	Glaucoma; use caution in AMI
*Atrophine Sulfate: Effects Class: Parasympatholytic	Increased heart rate
*Atrophine Sulfate: Side Effects Class: Parasympatholytic	Blurred vision, headache, dialted pupils, thirst, flushed skin, dysuria
*Atrophine Sulfate: How supplied Class: Parasympatholytic	1 mg/10 ml
*Atrophine Sulfate: Dosage and Route Class: Parasympatholytic	Organophosphate poisoning: 2mg IV every 5-10 minutesBradycardia: 1 mg IVAsystole: 1 mg IV or 2 mg ET
*Diphenhydramine HCL (Benadryl): Indications Class: Antihistamine	Anaphalxysis; allergic reaction; dystonic reaction
*Diphenhydramine HCL (Benadryl): Contraindications Class: Antihistamine	Asthma, nursing mothers
*Diphenhydramine HCL (Benadryl): EffectsClass: Antihistamine	Blocks histamine effects; anitemetic; sedative; to reverse effects of phenothiazines
*Diphenhydramine HCL (Benadryl): Side Effects Class: Antihistamine	Hypotension, headache, tacycardia, and sedation
*Diphenhydramine HCL (Benadryl): How supplied Class: Antihistamine	50 mg/ml
*Diphenhydramine HCL (Benadryl): Dosage and Route Class: Antihistamine	25-50 mg IV or deep IM
Methylprednisolone (Solu-Medrol): Indications Class: Steroid	Used for severe anaphylaxis, and asthma/COPD
Methylprednisolone (Solu-Medrol): Contraindications Class: Steroid	None in anaphylaxis; premature infants; systemic fungal infections, pregnancy
Methylprednisolone (Solu-Medrol): Effects Class: Steroid	Anti-inflammatory, natural glucocorticoid
Methylprednisolone (Solu-Medrol): Side Effects Class: Steroid	CHF, HTN, Seizures, N/V, dysrymthmias
Methylprednisolone (Solu-Medrol): How Supplied Class: Steroid	125 mg vial
Methylprednisolone (Solu-Medrol): Dosage and Route Class: Steroid	125 mg IV
*Adenosine (Adenocard): Description Class: Antidysrhythmic	This drug will be given after carotid sinus massage on pt's under 50 yoa, or valsalva maneuver on pt's 50 and older
*Adenosine (Adenocard): Indications Class: Antidysrhythmic	Supraventricular tachycardia (SVT)
*Adenosine (Adenocard): Contraindications Class: Antidysrhythmic	Arial fibrillation, atrail flutter or ventricular arrythmias including ventricular tachycardia, 2nd and 3rd degree heart blocks, or sick sinus syndrome
*Adenosine (Adenocard): Effects Class: Antidysrhythmic	Slows conduction through AV node
*Adenosine (Adenocard): Side Effects Class: Antidysrhythmic	Bradycardia, hypotension, facial flushing, transient dyspnea, chest pressure, headache, nausea, or bronchospasm. Expect an asystolic/bradycardic period. Do not treat for 1 minute
*Adenosine (Adenocard): How Supplied Class: Antidysrhythmic	6 mg/2 ml
*Adenosine (Adenocard): Dosage and Route Class: Antidysrhythmic	6 mg IV rapidly over 1-2 seconds. If no effect after 2 minutes, give 12 mg IV rapidly over 1-2 seconds. If patient is on Thepphyline, notify medical control as the may increase dose to 12, 12, 18
*AMIODARONE (Cordarone): Indications Class: Antidysrhythmic	used for treatment of arrythmias including ventricular tachycardia, ventricular fibrillation, and supra-ventricular arrythmia
*AMIODARONE (Cordarone): Contraindications Class: Antidysrhythmic	None in cardiac arest situations; bradycardia, heart block, hypotension, pregnancy
*AMIODARONE (Cordarone): Effects Class: Antidysrhythmic	Antiarrythmic, several different effecfts, primarily beta-blockade acutely
*AMIODARONE (Cordarone): Side Effects Class: Antidysrhythmic	Hypotension, bradycardia, increased heart block
*AMIODARONE (Cordarone): How Supplied Class: Antidysrhythmic	(3) 150 mg vials
*AMIODARONE (Cordarone): Dosage and Route Class: Antidysrhythmic	Cariac arrest situations- 300 mg IV pushUnstabel arrythmias, 150 mg IV over 10 minutes as an infusion, may be repeated once if needed for recurrent arrythmia
*ASPIRIN: Indications Class: Analgesic	Chest pain of suspected cardiac origin
*ASPIRIN: Contraindications Class: Analgesic	Trauma, bleeding, on blood thinners
*ASPIRIN: Effects Class: Analgesic	Inhibits the formation of blood clots
*ASPIRIN: Side Effects Class: Analgesic	None
*ASPIRIN: How Supplied Class: Analgesic	81 mg chewable tabs
*ASPIRIN: Dosage and Route Class: Analgesic	4- 81 mg tabs chewed after first Nitroglycerin
*ATROPHINE SULFATE: Indications Class: Parasympatholytic	Bradycardia with hypotension, asystole, organophosphate poisoning
*ATROPHINE SULFATE: Contraindications Class: Parasympatholytic	Glaucoma; use caution in AMI
*ATROPHINE SULFATE: Effects Class: Parasympatholytic	Increased heart rate
*ATROPHINE SULFATE: Side Effects Class: Parasympatholytic	Blurred vision, headache, dialated pupils, thirst, flushed skin, dysuria,
*ATROPHINE SULFATE: How Supplied Class: Parasympatholytic	1mg/10ml
*ATROPHINE SULFATE: Dosage and Route Class: Parasympatholytic	Organophsophate poisoning- 2 mg IV every 5-10 minutesBradycardia- 1 mg IV Asystole- 1 mg IV or 2 mg ET
*CALCIUM CHLORIDE 10%: Indications Class: Electolyte	Used for calcium blocker toxicity, Hypermagnesemia
*CALCIUM CHLORIDE 10%: Contraindications Class: Electolyte	VF, digitalis toxicity, hypercalcemia
*CALCIUM CHLORIDE 10%: Effects Class: Electolyte	Electrolyte
*CALCIUM CHLORIDE 10%: Side Effects Class: Electolyte	Extravasation causes necrosis, Dysrythmias, Hypotension, CNS changes
*CALCIUM CHLORIDE 10%: How Supplied Class: Electolyte	1 gm/10 ml
*CALCIUM CHLORIDE 10%: Dosage and Route Class: Electolyte	20 mg/kg slow IV
DILTIAZEM (Cardizem): Description(Calcium Channel Blocker) Class: Calcium Channel Blocker	is a slow calcium channel blocker similar to verapamil. It dialates coronary and peripheral arteries and aretioles, thus increasing circulation to the heart and reducing peripheral vascular resistance
DILTIAZEM (Cardizem): Indication Class: Calcium Channel Blocker	Supra-ventricular tachydysrhythmias (atrial fibrilation, atrial flutter and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina
DILTIAZEM (Cardizem): Contraindication Class: Calcium Channel Blocker	Hypersensitivity, sick sinus syndrome, 2nd and 3rd degree heart block, systoloc BP <100, Diastolic BP <60, wide complex tachycardia and WPW
DILTIAZEM (Cardizem): Precautions Class: Calcium Channel Blocker	CHF (especially with beta-blockers), conduction abnormalties, renal or hepatic impairment, the elderly, and nursing mothers
DILTIAZEM (Cardizem): How Supplied Class: Calcium Channel Blocker
DILTIAZEM (Cardizem): Dosage and Route Class: Calcium Channel Blocker	0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5 to 10 mg/hr not to exceed 15 mg/hr over 24 hrs
DOBUTAMINE (Dobutrex): Description Class: Sympathomimetic	Dobutamine is a synthetic catecholamine and beta agent that increases cardiac contraction without appreciably increasing rate
DOBUTAMINE (Dobutrex): Indication Class: Sympathomimetic	To increase cardiac output in congestive heart failure/ cardiogenic shock
DOBUTAMINE (Dobutrex): Contraindication Class: Sympathomimetic	Hypersensitivity to Sympathomemetic amines, ventricular tachycardia and hypovolemia without fluid resuscitation
DOBUTAMINE (Dobutrex): Precautions Class: Sympathomimetic	Atrial Fibrilattion or pre-existing hypertension
DOBUTAMINE (Dobutrex): How Supplied Class: Sympathomimetic	Change
DOBUTAMINE (Dobutrex): Dosage and Route Class: Sympathomimetic	2 to 20 mcg/kg/min IV
*DOPAMINE (Inotropin): Indication(to raise blood pressure) Class: Sympathomimetic	Cardiogenic and Septic shock
*DOPAMINE (Inotropin): Contraindication(to raise blood pressure) Class: Sympathomimetic	Usually only after volume deficit is corrected in cardiogenic and septic shock
*DOPAMINE (Inotropin): Effects(to raise blood pressure) Class: Sympathomimetic	Increases heart rate and force; increases urine output
*DOPAMINE (Inotropin): Side Effects(to raise blood pressure) Class: Sympathomimetic	Ventricular tachyarrhythmias, hypertension
*DOPAMINE (Inotropin): How Supplied(to raise blood pressure) Class: Sympathomimetic	200 mg/5 ml, or premix
*DOPAMINE (Inotropin): Dosage and Route(to raise blood pressure) Class: Sympathomimetic	Drip only: 200 mg in 250 ml D5WLow- 2-5 mcg/kgMed- 5-10 mcg/kgHigh- 15+ mcg/kg
*EPINEPHRINE (Adrenaline) 1:1000: Indications Class: Sympathomimetic	Anaphylaxis, asthma that is unresponsive to albuterol; severe asthma
*EPINEPHRINE (Adrenaline) 1:1000: Contraindications Class: Sympathomimetic	None in anaphylaxis. Do not give; if over age 50 years with cardiac history; if pulse is >140/min in adult or 180/min in child; if hypertensive
*EPINEPHRINE (Adrenaline) 1:1000: Effects Class: Sympathomimetic	Bronchodialation; increases BP
*EPINEPHRINE (Adrenaline) 1:1000: Side Effects Class: Sympathomimetic	Palpatations, hypertention, and dysrrhythmias
*EPINEPHRINE (Adrenaline) 1:1000: How Supplied Class: Sympathomimetic	1mg/ml
*EPINEPHRINE (Adrenaline) 1:1000: Dosage and Route Class: Sympathomimetic	0.3mg SQ. May repeat every 10-20 min
*EPINEPHRINE (Adrenaline) 1:10,000:Indications Class: Sympathomimetic	Asystole, ventricular fibrillation, ventricular tachycardia with no pulse, PEA
*EPINEPHRINE (Adrenaline) 1:10,000: Contraindications Class: Sympathomimetic	None in CPR
*EPINEPHRINE (Adrenaline) 1:10,000: Effects Class: Sympathomimetic	Increases heart rate, force, contractility, and automaticity
*EPINEPHRINE (Adrenaline) 1:10,000: Side Effects Class: Sympathomimetic	Tachyarrythmias
*EPINEPHRINE (Adrenaline) 1:10,000: How Supplied Class: Sympathomimetic	1 mg/10 ml
*EPINEPHRINE (Adrenaline) 1:10,000: Dosage and Route Class: Sympathomimetic	Cardiac Arrest: 1 mg IV (2mg ET) every 3-5 min
*FUROSMIDE (Lasix): Indications Class: Loop Diuretic	CHF; Pulmonary edema
*FUROSMIDE (Lasix): Contraindications Class: Loop Diuretic	Hypotension, pregnancy, hypocalcemia
*FUROSMIDE (Lasix): Effects Class: Loop Diuretic	Increase urine output; vasodialation
*FUROSMIDE (Lasix): Side Effects Class: Loop Diuretic	Dehydration, decreases potassium
*FUROSMIDE (Lasix): How Supplied Class: Loop Diuretic	40 mg/4 ml
*FUROSMIDE (Lasix): Dosage and Route Class: Loop Diuretic	40 mg IV over 2-3 min. May consider higher dose for patients already on diuretics
*LIDOCAINE (Xylocaine): Description(Anitarrythmic) Class: Antidysrhythmic	Lidocaine is an antidysrhythmic that suppresses automaticity and raises stimulations threshold of the ventricles. It also causes sedation, anti-convulsant, and analgesic effects
*LIDOCAINE (Xylocaine): Indications Class: Antidysrhythmic	Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia (with pulse)
*LIDOCAINE (Xylocaine): Contraindications Class: Antidysrhythmic	Hypersensitivity to amide-type local anesthetics, Supraventricular dysrhythmias, Stokes-Adams Syndrome, 2dn and 3rd degree heart blocks, and bradycardias
*LIDOCAINE (Xylocaine): Precautions Class: Antidysrhythmic	Hepatic or renal impairment, CHF, Hypoxia, Respiratory depression, Hypovolemia, myasthenia gravis, shock, debillitated patients, elderly, family hisory of malignant hypothermia
*LIDOCAINE (Xylocaine): Dosage and Route Class: Antidysrhythmic	Cardiac Arrest: 1 to 1.5 mg/kg IV repeasted every 3 to 5 min up to 3 mg/kg, follow conversion with a drip of 2 to 4 mg/minVentricular tachycardia (w/ pulse) 1 to 1.5 mg/kg slow IV. May repeat at one-half dose every 5to 10 min until conversion up to 3mg/
*MAGNESIUM SULFATE: Indications Class: Electrolyte	Refractory VT or SVT; eclampsia
*MAGNESIUM SULFATE: Contraindications Class: Electrolyte	None
*MAGNESIUM SULFATE: Effects Class: Electrolyte	Changes calcium transport in the cells
*MAGNESIUM SULFATE: Side Effects Class: Electrolyte	Flushing, Nausea
*MAGNESIUM SULFATE: How Supplied Class: Electrolyte	1 gm/2 ml
*MAGNESIUM SULFATE: Dosage and Route Class: Electrolyte	IV Refractory VF- 1-2 gm of 50% solution diluted in 10 ml of NS (dilute each gm of magnesium with 8 cc of NS), Eclampsia: Deep IM Gluteus Maximus, Eclampsia- 10% solution 2-4 gm IV push at no greater than gm/min until seizure stops or a max dose of 4 gm
METAPROLOL (Lopressor): Indications Class: Beta Blocker	Used for hypertension, acute MI, angina pectoris, adult V-fib, pulseless wide complex tachycardia
METAPROLOL (Lopressor): Contraindications Class: Beta Blocker	Shock, 2nd or 3rd degree AV heart block, sinus bradycardia, CHF, bronchial asthma
METAPROLOL (Lopressor): Effects Class: Beta Blocker	B1 blocker
METAPROLOL (Lopressor): Side Effects Class: Beta Blocker	Hypotension, dysrhythmias, CHF, N/V, CNS changes
METAPROLOL (Lopressor): How Supplied Class: Beta Blocker	5 mg in 5 ml ampules
METAPROLOL (Lopressor): Dosage and Route Class: Beta Blocker	5 mg IV once over 2 min, may repeat per medical control
NIFEDIPINE (Procardia): Indication Class: Calcium Channel Blocker	Hypertension and angina pectoris
NIFEDIPINE (Procardia): Contraindications Class: Calcium Channel Blocker	Hypersensitivity to drug, Hypotension
NIFEDIPINE (Procardia): Effects Class: Calcium Channel Blocker	Calcium channel blocker
NIFEDIPINE (Procardia): Side Effects Class: Calcium Channel Blocker	N/V, dizziness, H/A, bradycardia, heart block, hypotension, asystole
NIFEDIPINE (Procardia): How Supplied Class: Calcium Channel Blocker	Gel-capsule 10 mg each
NIFEDIPINE (Procardia): Dosage and Route Class: Calcium Channel Blocker	One to two tablts sublingual
MORPHINE SULFATE: Indications Class: Narcotic Analgesic	Pulmonary edema; pain in AMI; pain associated with identifiable injuries such as fractures, burns, etc.
MORPHINE SULFATE: Contraindications Class: Narcotic Analgesic	Hypotension; head injury; undiagnosed abdominal pain
MORPHINE SULFATE: Effects Class: Narcotic Analgesic	CNS depressant; vasodialator; decreases venous return to heart; decreases pain
MORPHINE SULFATE: Side Effects Class: Narcotic Analgesic	Hypotension, bradycardia, respiratory depression, dizziness
MORPHINE SULFATE: How Supplied Class: Narcotic Analgesic	10 mg/1 ml
MORPHINE SULFATE: Dosage and Route Class: Narcotic Analgesic	IV: 2-5 mg slow IV push every 5-10 min tirated to effect (max 15 mg). IM 5-10 mg
*NITROGLYCERINE: Indications Class: Antiaginal	Chest pain of suspected cardiac origin; pulmonary edema
*NITROGLYCERINE: Contraindications Class: Antiaginal	Hypotension, trauma, ICH, Consult medical control with patients using viagra, livitra, and cialis
*NITROGLYCERINE: Effects Class: Antiaginal	Vasodialation
*NITROGLYCERINE: Side Effects Class: Antiaginal	H/A, hypotension, dizziness
*NITROGLYCERINE: How Supplied Class: Antiaginal	0.4 mg (tablet), 1/150th grain
*NITROGLYCERINE: Dosage and Route Class: Antiaginal	1 tablet SL every 5 min
PROCAINAMIDE (Pronestyl): Desription Class: Antiarrythmic	Procainamide prolongs ventricular repolarization, slows conduction, and decreses myocardial excitability
PROCAINAMIDE (Pronestyl): Indications Class: Antiarrythmic	Ventricular Fibrillation and pulseless ventricular tachycardia refractory to lidocaine
PROCAINAMIDE (Pronestyl): Contraindications Class: Antiarrythmic	Hypersinsitivity to procainamide or procaine, myasthenia gravis, and 2nd or 3rd dgreee heart block
PROCAINAMIDE (Pronestyl): PrecautionsClass: Antiarrythmic	Hypotension, cariac enlargement, CHF, AMI, Ventricular dysrhythmias for digitalis, hepatic or renal impairment, electrolyte imbalance, or bronchial asthma
PROCAINAMIDE (Pronestyl): Dosage and Route Class: Antiarrythmic	20- 30 mg/min IV drip up to 17 mg/kg to effect, then 1-4 mg per min
VERAPAMIL (Isoptin, Calan): Description Class: Calcium Channel Blocker	Verapamil is a calcium channel blocker that slows AV conduction, suppresses re-entry dysrhythmias such as PSVT, and slows ventricular responses to atrial tachydysrhythmias. Verapamil also dialtes coronary arteries and reduces myocardial oxgen demand
VERAPAMIL (Isoptin, Calan): Indications Class: Calcium Channel Blocker	PSVT refractory to adenosine, atrial flutter, and atrial fibrillation with rapid ventricular response
VERAPAMIL (Isoptin, Calan): Contraindications Class: Calcium Channel Blocker	Severe hypotension, cariogenic shock, 2nd or 3rd degree heart block, CHF, sinus node disease, and accessory AV pathways, WPW syndrome. It should not be administered to patients taking Beta Blockers
VERAPAMIL (Isoptin, Calan): Precautions Class: Calcium Channel Blocker	Hepatic and renal impairment, MI with coronary artery occlusion, or myocardial stenosis
VERAPAMIL (Isoptin, Calan): Dosage and Route Class: Calcium Channel Blocker	2.5 to 5 mg IV Bolus over 2-3 min, then 5 to 10 mg after 15 to 30 min to a max of 30 mg in 30 min
VASOPRESSIN (Pitressin): Indications Class: Hormone, Vasopressor	used in ventricular fibrillation cardiac arrest situations
VASOPRESSIN (Pitressin): Contraindications Class: Hormone, Vasopressor	None in cardiac arrest
VASOPRESSIN (Pitressin): Effects Class: Hormone, Vasopressor	Stimulates smooth muscle resulting in vasoconstriction
VASOPRESSIN (Pitressin): Side Effects Class: Hormone, Vasopressor	None in cardiac arrest
VASOPRESSIN (Pitressin): How Supplied Class: Hormone, Vasopressor	20 unit vials
VASOPRESSIN (Pitressin): Dosage and Route Class: Hormone, Vasopressor	40 u IV- adult only
*DIAZEPAM (Valium): Indications Class: Sedative	Status elipticus, severe emotional tension, sedation prior to cardioversion
*DIAZEPAM (Valium): Contraindications Class: Sedative	Pregnancy
*DIAZEPAM (Valium): Effects Class: Sedative	CNS Depressant
*DIAZEPAM (Valium): Side Effects Class: Sedative	Hypotension, stupor, respiratory and or cardiac arrest
*DIAZEPAM (Valium): How Supplied Class: Sedative	10 mg/2 ml
*DIAZEPAM (Valium): Dosage and Route Class: Sedative	2.5 to 5 mg slow IV
*ETOMIDATE (Amidate): Description Class: Hypnotic	Etomidate is an ultra short acting non-barbituate hypnotic with no analgesic effects and limited cardiovasular and respiratory effects
*ETOMIDATE (Amidate): Indications Class: Hypnotic	Induces sedation for rapid sequence intubation
*ETOMIDATE (Amidate): Contraindications Class: Hypnotic	Hypersensitivity
*ETOMIDATE (Amidate): Precautions Class: Hypnotic	Marked hypotension, severe asthma, or severe cardiovascular disease
*ETOMIDATE (Amidate): Dosage and Route Class: Hypnotic	0.1 to 0.3 mg/kg IV over 15 to 30 seconds
*FENTANYL (Sublimaze): Description Class: Narcotic Analgesic	Fentanyl is a potent synthetic narcotic anlagesic similar to morphine and meperidine but with a more rapid and less prolonged action
*FENTANYL (Sublimaze): Indications Class: Narcotic Analgesic	Induce sedation for endotrachial intubation
*FENTANYL (Sublimaze): Contraindications Class: Narcotic Analgesic	MAO inhibitors within 14 days, myasthenia gravis
*FENTANYL (Sublimaze): Precautions Class: Narcotic Analgesic	Incresed ICP, elderly, debilitated, COPD, repiratory problems, hepatic and renal insufficiency
*FENTANYL (Sublimaze): Dosage and Route Class: Narcotic Analgesic	25 to 100 mcg slowly IV (2-3 minutes)
*LORAZEPAM (Ativan): Description Class: Sedative	Lorazepam is the most potent benzodiazepine available. It has strong anti-anxiety, sedative, hypnotic, and skeletal muscle relaxant properties, and a relatively short half life
*LORAZEPAM (Ativan): Indications Class: Sedative	Sedation for carioversion and status epileptics
*LORAZEPAM (Ativan): Contraindications Class: Sedative	Sensitivity to Benzodiazapines
*LORAZEPAM (Ativan): Precautions Class: Sedative	Narrow angle glaucoma, depression or psychosis, coma, shock, accute alcohol intoxication, renal or hepatic impairment, organic brain syndrome, myesthenia gravis, GI disorders, elderly, debilitated, limited pulmonary reserve
*LORAZEPAM (Ativan): Dosage and Route Class: Sedative	Sedation: 2 to 4 mg IM, 0.5 to 2 mg IV.Pedi: 0.03 to 0.5 mg/kg IV/IM/PR up to 4 mg. Status epileptis: 2 mg slow IV/PR (2mg/min)
*MIDAZOLAM (Versed): Indications Class: Sedative	Used for sedation and seizures
*MIDAZOLAM (Versed): Contraindications Class: Sedative	Shock, accute narrow angle glaucoma
*MIDAZOLAM (Versed): Effects Class: Sedative	CNS depressant, anticonvulsant and amnesic
*MIDAZOLAM (Versed): Side Effects Class: Sedative	Respiratory depression, hypotension, decreased HR
*MIDAZOLAM (Versed): How Supplied Class: Sedative	5 mg/ml
*MIDAZOLAM (Versed): Dosage and Route Class: Sedative	Adult sedation: 2 to 5 mg IVSeizures: 5 mg IM if no IV
PROMETHAZINE (Phenergan): Indications Class: Antiemetic	Motion sickness, rhinitis, allergy symptoms, sedation, nausea
PROMETHAZINE (Phenergan): Contraindications Class: Antiemetic	Accute asthma attack, lower respiratory tract disease
PROMETHAZINE (Phenergan): Effects Class: Antiemetic	Anti-emetic
PROMETHAZINE (Phenergan): Side Effects Class: Antiemetic	Drowsiness, anxiety, euphoria, confusion, hypotension, tachycardia, increased secretions, wheezing, thrombocytopenia, rash, nasal stuffiness, blurred vision
PROMETHAZINE (Phenergan): How Supplied Class: Antiemetic	Vial/ampules 25 mg/1 cc
PROMETHAZINE (Phenergan): Dosage and Route Class: Antiemetic	Adult: 12.5 to 25 mg IV, 25 IM(must be diluted for IV administration)
*ALBUTEROL (Proventil): Indications Class: Sympathomimetic Bronchodialator	Bronchospasm related to asthma, chronic bronchitis and emphysema
*ALBUTEROL (Proventil): Contraindications Class: Sympathomimetic Bronchodialator	Tachydysrythmias
*ALBUTEROL (Proventil): Effects Class: Sympathomimetic Bronchodialator	Bronchodialation
*ALBUTEROL (Proventil): Side Effects Class: Sympathomimetic Bronchodialator	Tachycardia, anxiety, N/V, tremors
*ALBUTEROL (Proventil): How Supplied Class: Sympathomimetic Bronchodialator	2.5 mg/3 ml
*ALBUTEROL (Proventil): Dosage and Route Class: Sympathomimetic Bronchodialator	1 unit dose of 2.5 mg/3 ml through hand held nebulizer with oxygen flow at 4-6 liters; may repeat if necessary. A modified nebulizer may be used with a BVM or a simple face mask
IPRATROPIUM (Atrovent): Indications Class: Parasympatholytic Bronchodialator	Bronchospasm related to asthma, chronic bronchitis and emphysema
IPRATROPIUM (Atrovent): Contraindications Class: Parasympatholytic Bronchodialator	Tachydysrythmias
IPRATROPIUM (Atrovent): Effects Class: Parasympatholytic Bronchodialator	Bronchodialation
IPRATROPIUM (Atrovent): Side Effects Class: Parasympatholytic Bronchodialator	Tachycardia, myocardial ischemia
IPRATROPIUM (Atrovent): How Supplied Class: Parasympatholytic Bronchodialator	0.5 mg/3 ml
IPRATROPIUM (Atrovent): Dosage and Route Class: Parasympatholytic Bronchodialator	1 unit dose of 0.5 mg/3 ml through hand held nebulizer with oxygen flow at 4-6 liters. Mixed with 1st dose of Albuterol. A modified may be used with a BVM or a simple face mask
METHYLPREDNISOLONE (Solu-medrol): Indications Class: Steroid	Used for severe anaphylaxis and Asthma-COPD
METHYLPREDNISOLONE (Solu-medrol): Contraindications Class: Steroid	None in anaphylaxis; premature infants; systemic fungal infections; pregnancy
METHYLPREDNISOLONE (Solu-medrol): Effects Class: Steroid	Anti-inflammatory, natural glucocorticoid
METHYLPREDNISOLONE (Solu-medrol): Side Effects Class: Steroid	CHF, HTN, Seizures, N/V, Dysryhthmias
METHYLPREDNISOLONE (Solu-medrol): How SuppliedClass: Steroid	125 mg vial
METHYLPREDNISOLONE (Solu-medrol): Dosage and Route Class: Steroid	125 mg IV
*TERBUTALINE (Brethine, Bricanyl): Description Class: Sympathetic Agonist	Terbutaline is a synthetic sympathomemetic that causes bronchodialations with less cardiac effect than epinephrine
*TERBUTALINE (Brethine, Bricanyl): Indications(Sympathetic Agonist)	Bronchial asthma and bronchospasm in COPD
*TERBUTALINE (Brethine, Bricanyl): Contrindications(Sympathetic Agonist)	Hypersensitivity to the drug
*TERBUTALINE (Brethine, Bricanyl): Precautions(Sympathetic Agonist)	The patient may experience palpatations, anxiety, nausea, and or dizziness. Vital signs and breath sounds must be monitored; use caution with cardiac or hypertensive patients
*TERBUTALINE (Brethine, Bricanyl): Dosage and Route(Sympathetic Agonist)	Two inhalations with a metered dose inhaler, repeated once in 1 minute or 0.25 mg SQ repeated in 15 to 30 minutes
AMINOPHYLLINE: Despcription Class: Methylxanthine Bronchodialator	Is a xanthine bronchodialator that is sometimes efective in cases when sympathomimetics have not been effect
AMINOPHYLLINE: Indications Class: Methylxanthine Bronchodialator	Asthma, CFH, Bronchospam with COPD, Pulmonary edemaCardiac Use: Overdose of Adenosine
AMINOPHYLLINE: Contraindications Class: Methylxanthine Bronchodialator	Hypersensitivity to drug, uncontrolled cardiac dysrhythmias
AMINOPHYLLINE: Precautions Class: Methylxanthine Bronchodialator	Patients with cardiovascular history or hypertension. hypotension may occur with rapid administration
AMINOPHYLLINE: Side Effects Class: Methylxanthine Bronchodialator	Tachycardia, dysrhythmias, palpatations, tremors, N/V, seizures
AMINOPHYLLINE: Dosage and Route Class: Methylxanthine Bronchodialator	CHF: 250 mg in 100 ml bag or 500 mg in 100 ml bag of D5W. Infuse over 20-30 minutes. Other strength: 250 or 500 mg/2-5 mg/kg in 20 ml of D5W
*SODIUM BICORBONATE 8.4%: Indications Class: Electrolyte	Cardiac arrest only after prolonged anoxia, tricyclic anti-depressant overdose, known acidosis
*SODIUM BICORBONATE 8.4%: Contraindications Class: Electrolyte	Not to be given as an initial drug therapy
*SODIUM BICORBONATE 8.4%: Effects Class: Electrolyte	Increases pH
*SODIUM BICORBONATE 8.4%: Side Effects Class: Electrolyte	Metablolic alkalosis, increased sodium
*SODIUM BICORBONATE 8.4%: How Supplied Class: Electrolyte	50 mEq/50 ml
*SODIUM BICORBONATE 8.4%: Dosae and Route Class: Electrolyte	1 mEq/kg IV followed by 1/2 the initial dose every 10 minutes
*SUCCINYCHOLINE (Anectine): Description Class: Depolarizing Neuromuscular Blocker	Succinycholine is a ultra-short-acting depolarizing nueromuscular blocker
*SUCCINYCHOLINE (Anectine): Indications Class: Depolarizing Neuromuscular Blocker	Facilitated endotracheal intubation
*SUCCINYCHOLINE (Anectine): Contraindications Class: Depolarizing Neuromuscular Blocker	Hypersenitivity, family HX malignant hyperthermia, penetrating eye injury, narrow angle glaucoma
*SUCCINYCHOLINE (Anectine): Precautions Class: Depolarizing Neuromuscular Blocker	Sever burn or crush injury; electrolyte imbalances; hepatic, renal, cardiac, or pulmonary impairment; fractures, spinal cord injury; dehydration; severe anemia; porphyria
*SUCCINYCHOLINE (Anectine): Dosage and Route Class: Depolarizing Neuromuscular Blocker	1 to 1.5 mg/kg IV/IM