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EMT-P VB Drug Cards

2012/2013 Paramedic VB Drug Cards

QuestionAnswer
Sympathetic ANS "Fight or Flight" neurotransmitter: NE constrict blood flow/incr to skeletal muscle, bronchdilation Incr:HR,contractility,sweat,energy Decr: digestion, bladder
Parasympathetic ANS "Feed or Breed" neurotransmitter: ACH vegitative functions (HR,BP), bronchoconstriction Incr: digestion
Sypmathomimetics Adrenergic Agonists "Chatecholamines" Epi, NE & Dopamine Cocaine, Amphetamines Terbutaline, Albuterol
Parasympathomimetics Cholinergic Agonists "Cholinergics" organophosphates, mushrooms
Sypmatholytics Antiadrenergics (antagonists) alpha adrenergic blockers (inhibit) beta adrenergic blockers (inhibit): Ex-propanolol, metoprolol, atenolol
Parasympatholytics Anticholinergics (antagonists) block muscarinic & nicotonic receptors Ex- Atropine, Ipratropium Bromide(atrovent) antihistamines, TCAs
Cholinergic Toxidrome S&S D:diarrhea,diaphoresis U:urination M:miosis B:bradycardia,bronchosecretions E:emesis L:lacrimation S:salivation
Anticholinergic Toxidrome S&S Hot/Red (Hyperthermia), Dry as a bone, Blind/Bat(Dilated pupils), MAD (Delerium/Hallucinations), Tachycardia
Sympathomimetic Toxidrome S&S Mydriasis, Tachycardia, Hypertension, Hyperthermia, Seizures
Narcotic/Opiate Toxidrome S&S Miosis, Bradycardia, Hypotension, Hypoventilation, Coma
Withdrawal from Toxidromes S&S (from alcohol, opiods, benzos,barbiturates,antihypertensives) Diarrhea, Mydriasis, Tachycardia, Lacrimation, Hypertension, Yawning,Cramps
Miosis "Pinpoint" constricted pupils: Cholinergics, Opiates, Narcotics, PCP, Organophosphates, Sedative-hypnotics
Mydriasis Dilated Pupils: Anticholinergics (atropine etc), antihistamines, antidepressants, Sympathomimetics
Indication/Agent: Carbon Monoxide Antidote: High flow oxygen
Indication/Agent: Opiates/Narcotics Antidote: Naloxone "Narcan" .4-2 mg SLOW IV/IM prn if experiencing respiratory depression
Indication/Agent: Organophosphates Antidote: Atropine 2-5 mg IV prn until HR >100/min & lung sounds are clear
Indication/Agent: Cyanide Antidote: Nitrates, Cyanokit
Indication/Agent: BetaBlockers Antidote: (If confirmed)Epi Infusion to maintain BP(2-10 mcg/min) Glucagon 2 mg IV prn IF SYMPTOMATIC: bradycardia &/or hypotension
Indication/Agent: Tricyclic Antidepressant (TCAs) Antidote: (if confirmed)Sodium Bicarb .5-1 mEq/kg SLOW IV or infusion 50 mEq in 1000 ml NS. Epi Infusion up to to maintain BP(2-10 mcg/min)
Indication/Agent: CCBs Antidote: Calcium Chloride 500-1000 mg IV or IM prn for confirmed CCB OD. Epi Infusion to maintain BP(2-10 mcg/min) with confirmed CCB OD (insulin?/dextrose?)
Indication/Agent: Cocaine Antidote: Diazepam 20-10 mg IV (over 2-5 min)prn for confirmed cocaine OD with tachycardia,tremors,anxiety Consider NS up to 20 ml/kg if symptomatic Treat chest pain as ACS="MONA"
Indication/Agent: Phenothiazine OD/ Dystonic Reaction Antidote: Diphenhydramine 50 mg IV or 25 mg IV/ 25 mg IM for the treatment of dystonia associated with phenothiazine ingestion
Created by: VBoutte07