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EMT-E Drugs

Asprin Indications Chest pain of cardiac orgin, prevention of MCI or reinfarction, prevention of platelet aggregation in ischemia and thromboembolism.
asprin contraindications hypersensitivity to salicylates, GI bleeding, Acvtive ulcer disease, Hemorragic stroke, bleeding disorders, children w/ flu like symptoms
asprin dosage Adult 162mg to 324mg (2-4 tablets)
Asprin routes PO
Nitroglycerine indications Chest pain of cardiac orgin, MCI, angina pectoris
Nitroglycerine contraindications Hypotension, sexually-enhancing meds, increased intracranial pressure
Nitroglycerine dosage 0.3mg to 0.4mg, may repeat every 5 min up to 3 times if chest pain persists
Nitroglycerine routes SL, topical or transdermal
Albuterol Indications Bronchospasm from asthma or emphysema, wheezing
Albuterol contraindications Synergistic with other sympathomimetics Use with caution in patients with diabetes, HTN, Hyperthyroidism
Albuterol dosage 2.5 mg, diluted in 3 cc of normal saline
Albuterol routes Nebulizer- Hand-held (HHN) or attached to NRB mask
Ipratropium Bromide(Atrovent) Indications Persistent bronchospasm (wheezing)
Ipratropium Bromide (Atrovent) contraindications Hypersensitivity to ipratropium, atropine, alkaloid, soybean protein, peanuts
Ipratropium Bromide (Atrovent) dosage 0.5 mg, diluted in 3 cc of normal saline Used in combination with albuterol 5 minutes after initial albuterol-only  Albuterol/Atrovent HHN may be given first when patient is in severe distress or has not responded to home therapy
Ipratropium Bromide (Atrovent)routes Nebulized -Hand-held (HHN) or attached to NRB mask
Dextrose 50% indications Hypoglycemia, altered LOC Coma of unknown origin or altered level of consciousness with glucometry unavailable  Seizure of unknown origin with glucometry unavailable
Dextrose 50% contraindications Intracranial hemorrhage, CVA, ICP
Dextrose 50% dosage Adult dosage 12.5g to 25g (supplied as 50mL of a 50% solution) Pediatric dosage Children (1 month-2 years)D25: 2-4 mL/kg Infant (0-30 days)D10 5-10 mL/kg
Dextrose 50% routes IV (adult) IV or IO (pediatric)
Thamine (vitamin B) indications Given with, or prior to, the administration of D50 in cases of hypoglycemic patients with suspected malnutrition or alcoholic.
Thamine (vitamin B)contraindications None significant
Thamine (vitamin B)dosage Adult dosage 100 mg IV Pediatric dosage Not recommend pre-hosp
Thamine (vitamin B) routes Slow IV push, IM (burning sensation)
Glucagon indications Hypoglycemia Immediate intervention while attempting to access IV site for D50 administration
Glucagon contraindications Hypersensitivity (allergy to proteins)
Glucagon dosage 0.5mg to 1 mg
Glucagon routes IM
Naloxone (Narcan) indications Narcotic/Opiate overdose Overdose of an unknown origin with suspected narcotic/opiate
Naloxone (Narcan) contraindications Withdrawal symptoms, especially in neonates (nausea, vomiting, diaphoresis, increased heart rate, hypotension, tremors combativeness )
Naloxone (Narcan) dosage Adult dosage 0.4 mg to 2 mg IV titrated to normal respiratory rate 0.4 mg to 0.8 mg IM/SQ titrated Pediatric dosage 0.1 mg/kg up to 2 mg
Naloxone (Narcan) routes IV, IM, ET
Epinephrine 1:1000 (Adrenalin) indications Acute allergic reaction - anaphylaxis
Epinephrine 1:1000 (Adrenalin) contraindications Hypersensitivity (usually not an issue in true emergencies)
Epinephrine 1:1000 (Adrenalin) dosage 0.3 m to 0.5 mg
Epinephrine 1:1000 (Adrenalin) routes IM/SQ
Diphenhydramine (Benadryl) indications Moderate to severe allergic reactions (after Epinephrine), Anaphylaxis, Acute extrapyramidal reactions
Diphenhydramine (Benadryl) contraindications Patients taking monoamine oxidase inhibitors, Hypersensitivity, Narrow-angle glaucoma, Newborns & nursing mothers
Diphenhydramine (Benadryl) dosage Adult dosage 10mg to 50 mg Pediatric dosage 1 mg/kg
Diphenhydramine (Benadryl) routes IV or IM
Created by: tashalee1984