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2009 REMSA Paramedic

Paramedic Drugs

Adenosine- Action Decreases conduction throught the AV Node
Adenosine- Indication Symptomatic Supraventricular Tachycardia, Effective in terminating re-entyr arrhythmias due to AV or Sinus node
Adenosine- Contraindications 2nd or 3rd degree heart block, Sick Sinus Syndrome, Drug/Poison Tachycardia
Adenosine- Side Effects Paroxysmal dysrhythmias, Facial Flushing, SOB, Dizziness, Syncope. frequently cause brief periods of asystole.
Adenosine- Precautions Does not convert A-fib/Flutter or V-Tach
Adenosine- Supplied 6mg/2ml flip-top Vial (typical), 6mg and 12mg prefilled syringe
Adenosine- Dose and route Adult: 6mg RIVP, maybe repeated (X2) in 1-2min by 12mg RIVP if needed.Pedi: 0.1mg/kg IV/IO, followed in 1-2min with 0.2mg/kg IV/IO; Max 6mg then 12mg
Atropine Sulfate- Contraindications Tachycardias, Glaucoma
Atropine Sulfate- Side Effects Tachycardia, Dysrhythmias, exacerbation of glaucoma, pupil dilation, dry mouth, urine retention. Atropine can cause tachycardia, thus increasing myocardial oxygen demand which exacerbates myocardial infarction.
Atropine Sulfate- Supplied Prefilled Syringe 1mg/10ml (typical); Vial 1mg/ml
Atropine Sulfate- Dose and route Symptomatic Bradycardia, or vagally mediated bradycardia: Adult: 0.5mg IV may be repeated q 3min, max dose is 3 mg Pedi: 0.02mg/kg IV/IO (Minimum single dose 0.1mg Maximum single dose 0.5mg)Asystole or PEA:Adult: 1mg every 3 to 5 min, maximum dose i
Amiodrone- Action Prolongs the refactory period and action potential duration, decreases ventricular conduction, automaticity, and excitability. Class III antidysrythmic
Amiodrone- Indication V-Fib, V-Tach, Wide complex Tach of unknown origin, Atrial Dyshrythmias.
Amiodrone- Contraindications 2nd or 3rd degree heartblock, Ventricular escape rhythms.
Amiodrone- Side effects Cause profound hypotension, decreases myocardial contractility, prolong the QT interval
Amiodrone-Supplied 150mg in 3ml ampule or vial
Amiodrone- Precautions Terminal elimination is extremely long (half life of 40 days), has negative intropic and chronotropic effects, will foam up if shaken, be cautious with other drugs the prolong the QT interval (ie Procainamide)
Amiodrone-Dose and route Adult: 300mg IV bolus in cardiac arrest, may repeat once at 150mg (VF/VT)150mg IV Drip over 10 min in VT with pulses or Atrial DysrhythmiasPedi: 5mg/kg IV/IO bolusin cardiac arrest5mg/kg IV/IO drip over 20-60 minutes in rhythms with pulsesnot reco
Dopamine Action Stimulates alpha, beta 1, and dopaminergic receptors. Renal doses (2-4 mcg/kg/min): Vasodilation of renal. mesentric, and cerebal arteriesbeta doses (5-10mcg/kg/min): Increase cardiac outputAlpha doses (10-20mcg/kg/min): Vasoconstriction of periphal
Dopamine Indications Imporves cardiac output and BP in cardiogenic or neurogenic shock
Dopamine Contraindications Hypovolemic shock, tachydysrhymthias, HTN
Dopamine Side Effects HTN, dysrhythmias, headache, N/V, may increase myocardial ischemia, infilitration may cause necrosis
Dopamine Precautions Do not use concurrently with Sodium Bicarbonate
Dopamine Supplied 400mg/5ml vial to be mix for infusion400mg in 250ml (1600mcg/ml)premixed IV solution
Dopamine Dose and route 2-20mcg/kg/min IV infusionstart at 5mcg/kg/min to improve cardiac output
Epinephrine Action Stimulates Alpha receptors: which stimulates periphal vasoconstrictionStimulates Beta 1 receptors: whichcause increased heart rate, contactility and conductionStimulates Beta 2 receptors: which causes bronchdilations
Epinephrine Indications Asystole, VF, Pulseless VT, PEA, Symptomatic bradycardia,acute bronchospasm associated with asthma or anaphylaxis
Epinephrine Contra Indications None in cardiac arrest, tachyarrhythmias, Increase myocadrial o2 consumption
Epinephrine Side Effects Tachycardia, HTN, Angina, AMI.
Epinephrine Precaution Protect from light, precipitates in alkaline solution(ie sodium bicarbonate), pink or bron colorindicates impotent, expired drug
Epinephrine Supplied Ampule: 1mg/ml 1:1000Multidose vial: 30mg/30ml 1:1000Prefilled syringe: 1mg/10ml 1:10,000
Epinephrine Dose and route Anaphylaxis/allergic reaction/acute broncho spasm:Adult: 0.3-0.5mg, 1:1000 SQ,or 0.1mg 1:10,000Iv if severePedi: 0.01mg/kg, 1:1000 SQ (0.5mg max)Cardiac ArrestAdults: 1 mg IV q 3-5 minutes2.5mg, 1:1000 Et q 3-5 minutesPedi: o.01mg/kg (equivale
Furosemide (Lasix) Action Loop diuretic, Venodilation
Furosemide (Lasix) Indications Pulmonary edema, Hypertension
Furosemide (Lasix) ContraIndications hypovolemia, Hypotension, renal insufficiency,Pregancy, Anuria
Furosemide (Lasix)Side effects Hypovolemia, Hypotension, Hypokalemia, Electrolyte imbalance
Furosemide (Lasix)Precautions Rapid administration can cause permanet hearing damage
Furosemide (Lasix) Supplied 40mg/2ml vial
Furosemide (Lasix)Dose and route 20-40mg SIVP or double the Home RX dose up to 80mg
Heparin Action Prevents conversion of fibrinogen to fibrin and prothrombin to thrombin by enhancing the inhibitory effects of antithrombin III. slows the clotting process, and inhibits reactions that lead to the clotting of blood
Heparin Indications DVT, PE, AMI, Post heart surgery, DIC, A-Fib with embolization
Heparin Contra Indications Hypersensitivity, hemophelia, leukemia with bleeding, peptic ulcer, sever hepatic disease, thrombocytopenia, active bleeding.
Heparin Side Effects Bleeding gums, petecchiae, eccymoisis, GI bleeding, epistaxis
Heparin Precautions Heparin mey increase action of diazepam, a baseline PT and PTT must be drawn before administration
Heparin Supplied usually 25,000 units in 500ml (50units/ml)
Heparin Dose and route Initial IV bolus of 80 units/kg Heparin rate is adjusted to maintain a PTT of 51-75 seconds
Lidocaine (Xylocaine) Action Sodium channel blocker, decreases ventricular conduction, automaticity, and excitability. Class I antidysrhythmic
Lidocaine (Xylocaine)Indications V-fib, V-tach, R on T PVC's
Lidocaine (Xylocaine) Contra Indications 2nd or 3rd degree heart block, hypotension
Lidocaine (Xylocaine)Side effects CNS abnormalities (Sz, altered LOC, irritability), Hypotension, Heart block, N/V
Lidocaine (Xylocaine)Supplied 100mg/5mg Prefilled syringe2g/500ml infusion (4mg/ml)
Lidocaine (Xylocaine) Dose and route Cardiac Arrest (VF/VT):1-1.5mg/kg IVP or ET q 3-5 minutes, 3mg/kg max total conversionmaintenance infusion; IV drip 1-4mg/minWide complex Tachycardia, Ventricular Ectopy, stable VT (with Pulses) .5-.75 mg/kg IV loading bolus. total maximum dose
Nitroglycerin (Nitrolingual) Actions VAscular Smooth muscle relaxant, decreases preload and periphera vascular resistance(afterload), Dilates cornary arteries
Nitroglycerin (Nitrolingual)Indications Acutse Cornary Syndrome (ACS), Pulmonary edema 2nd to CHF, HTN
Nitroglycerin (Nitrolingual) Contra Indications Hypotension, cerebral hemorrhage
Nitroglycerin (Nitrolingual) Side effects Hypotension, Headache, Reflex tachycardia
Nitroglycerin (Nitrolingual) Precautions To insure potency, protect from light, air, heat, replace every q 4-6 months. May have to prime nitrolingual to ensure accurate delievery
Nitroglycerin (Nitrolingual) Supplied Tablets Nitrostat:.4mgTopical Paste Nitro-bid: 1cm=6mgPump Spray Nitrolingual: .4mg/spray
Nitroglycerin (Nitrolingual)Dose and Route Tablets Nitrostat:.4mg SL, q 3-5 minTopical Paste Nitro-bid: 1-2cm paste 1cm/6mg topicallyPump Spray Nitrolingual: 1 spray SL (.4mg)q 3-5min
Vasopressin (Pitressin) Action Stimulates smooth muscle receptors causing smooth muscle contraction
Vasopressin (Pitressin)Indications Cardaic Arrest(VF/VT only) 2nd line to Epinephrine
Vasopressin (Pitressin) Contra Indications PVC's
Vasopressin (Pitressin)Side Effects N/V, headaches
Vasopressin (Pitressin) Dose and Route 40 units(U) IV/IO one time only (not recommended for pedis)
Albuterol Sulfate (Proventil, Ventolin)Action Stimulates Beta2 receptors causing bronchial smooth muscle relaxation, reducing bronchospasm
Albuterol Sulfate (Proventil, Ventolin)Indications Bronchospasm 2nd to COPD, asthma, Reactive airway disease
Albuterol Sulfate (Proventil, Ventolin)Contra Indications Tachydysrhythmias
Albuterol Sulfate (Proventil, Ventolin)Side Effects Tachycardia, anxiety, N/V
Albuterol Sulfate (Proventil, Ventolin)Precautions My increase Myocardial O2 demand through tachycardia
Albuterol Sulfate (Proventil, Ventolin) Supplied MDI 1 spray=90-100mcgNebulizer 2.5mg/3ml bullet
Albuterol Sulfate (Proventil, Ventolin)Dose and Route Aerosol nebulizer: 2.5mg/3ml bullet nebulized @6lpm
Ipratropium Bromide (Atrovent) Action Blocks parasympathetic stimulation, allowing sympathetic system to open airways by causing bronchial smooth muscle relaxiation, reducing bronchospasm.
Ipratropium Bromide (Atrovent) Indications Bronchospasm 2nd to COPD, asthma, Reactive airway disease
Ipratropium Bromide (Atrovent) Contra Indications Pt's w? Hx of sensitivity to Soyalecithin or related food producta such as soy beans and peanuts
Ipratropium Bromide (Atrovent) Side effects Tachycardia, Anxiety, N/V
Ipratropium Bromide (Atrovent) Precautions May cause increased myocardial O2 demand through tachycardia
Ipratropium Bromide (Atrovent) Supplied .5mg/2.5ml bullet
Ipratropium Bromide (Atrovent) Dose and Route Aerosol Nebulizer, .5mg/2.5ml bullet, nebulized @ 6lpm
Methylprednisone (Solu-Medrol) Action Decrease inflammation by suppresing imune system response, binds with intracellular corticosteriod receptors
Methylprednisone (Solu-Medrol)Indications Status asthmaticus, anaphylaxis, spinal cord swelling,exacerbated COPD
Methylprednisone (Solu-Medrol)Contra Indications Hypersensitivity
Methylprednisone (Solu-Medrol) Side Effects Headache, HTN, CNS Depression
Methylprednisone (Solu-Medrol) Precautions Pregancy, Glaucoma, renal Disease, CHF,HTN, Diabetes, Myasthenia Gravis
Methylprednisone (Solu-Medrol) Dose and route Adult 125-250mg IV/IMPedis 30mg/kg IV/IM
Diazepam (Valium) Action Anticonvulsant, Sedative
Diazepam (Valium) Indications Status epliepticus, sedation
Diazepam (Valium) Contra Indications Shock, Coma, Respiratory Distress
Diazepam (Valium) Side Effects CNS and Respiratory Depression, Hypotension
Diazepam (Valium) Precautions Oil based slower absorption
Diazepam (Valium) Supplied 10mg/2ml vial
Diazepam (Valium) Dose and Route Adults 0.1mg/kg IV maybe repeated Q 5-10min, 30mg max dosePedi .5mg/kg rectally, may repeat Q 5 min
Diphenydramine (Benadryl) ACtions Antihistamine, sedation, motion sickness
Diphenydramine (Benadryl) Indications Moderate to sever allergic ractions, anaphylaxis, acute extrapyramidal reactions
Diphenydramine (Benadryl) Contra Indications asthma, gluacoma, CNS Depression
Diphenydramine (Benadryl) Precautions Safety for use during pregancy has not been estblished
Diphenydramine (Benadryl) Supplied 50mg vials
Diphenydramine (Benadryl) Dose and route Adults 25-50mg IV/IMPedis 1mg/kg IV/IM
Haloperidol (Haldol) Action 1st generation anti-psychotic, belived to block dopamine receptors in the brain
Haloperidol (Haldol) Indications Acute psychotic episodes, Schizophrenia, Tourette Syndrome
Haloperidol (Haldol) Conta Indications CNS depression, Coma, Pregancy, Parkingson's disease
Haloperidol (Haldol) Side Effects Orthostatic hypotension,N/V, Allergic reaction, Prolonged QT interval.
Haloperidol (Haldol) Precautions Pts on anticonvulsants or anticoagulants
Haloperidol (Haldol) Supplied 5mg/1ml ampule
Haloperidol (Haldol) Dose and route 5mg IM/IV, repeat as necessary
Meperidine (Demerol) Actions Synthetic Opiod analgesic, CNS depressant
Meperidine (Demerol) Indications Moderate to sever pain
Meperidine (Demerol) Contra Indications Undiagnosed abdominal pain, ALOC
Meperidine (Demerol) Side Effects N/V, Hypotension, Tachycardia, Respiratory depression
Meperidine (Demerol) Precautions Monitor closely for repiratory depression and reverse with Narcan
Meperidine (Demerol) Supplied 50mg/1ml vial
Meperidine (Demerol) Dose and Route 25-50mg IV 50-100MG IM
Fentanyl (Sublimaze, Duragesic) Actions Synthetic opioid analgesic, Rapid onset short acting analgesic CNS depression
Fentanyl (Sublimaze, Duragesic) Indications Moderate to sever pain
Fentanyl (Sublimaze, Duragesic) Contra Indications Undiagnose abdominal pain, ALOC
Fentanyl (Sublimaze, Duragesic) Side effects N/V, hypotension, respiratory depression
Fentanyl (Sublimaze, Duragesic) Precautions Monitor closely for respiratory depression reverse with Narcan PRN, rapid administration has been shown to cause chest wall ridigity.
Fentanyl (Sublimaze, Duragesic) Supplied 100mcg/2ml ampule
Fentanyl (Sublimaze, Duragesic) Adults and Pedi's:1mcg/kg SIVP (adult max dose 100mcg, pedi max dose 2.5mcg/kg)Pedi's intranasal: .5-2mcg/kg divided into each nostril
Flumazenil (Romazicon) Action Benzodiazepine anatagonist that competitively inhibits the actions of Benzodiapines
Flumazenil (Romazicon) Indications Reversal of sedative effects after benzodiazepines after administration, suspected Benzodiazepine OD with respiratory arrest
Flumazenil (Romazicon) Contra Indications Hypersensitivity, Serious TCA OD
Flumazenil (Romazicon) Side effects Whatch for resedation that may occur after reversal of benzodiazepine may out last Flumazenil.
Flumazenil (Romazicon) Precautions Caution in Pt's with seizure disorders, ETOH, or benzodiazepine dependence
Flumazenil (Romazicon) Supplied .5mg/5ml vial
Flumazenil (Romazicon) Dose and Route Initally .2mg IV over 30 seconds, May repeat .3mg IV over 30 IV seconds, may then consider .5mg IV over 30 seconds PRN @ 1 minute intervals MAX of 3mg
Nalbuphine (Nubain) Action synthetic analgesic, Opioid agonist/antagonist
Nalbuphine (Nubain) Indications Moderate to sever pain
Nalbuphine (Nubain) Contra Indications Undiagnosed Abdominal pain, ALOC
Nalbuphine (Nubain) Side Effects N/V, hypotension, Tachycardia, Respiratory depression, Narcotic withdrawl
Nalbuphine (Nubain) Precautions May antagonize fentanyl and morphine
Nalbuphine (Nubain) Supplied 10mg/1ml ampule
Nalbuphine (Nubain) Dose and Route 2-5mg IVP, titrate to effect, maximum singe dose 20mg
Midazolam (Versed) Action Rapid onset/short acting Benzodiazepine with CNS depressant and antiseizure actions.
Midazolam (Versed) Indications Status epilepticus, sedation prior to Cardio version, sedation prior to intubation
Midazolam (Versed) Contra Indications Use caution in pts with respiratory compromise/ distress or decreased mental status. Versed should not be used with pts with known hypersensitivity to benzodiasepine or pts with glaucoma.
Midazolam (Versed) Side effects CNS and respiratory depression, hypotension
Midazolam (Versed) Precautions monitor cardiopulmonary status constantly
Midazolam (Versed) Supplied 10mg/2ml vial
Midazolam (Versed) Dose and Route Adults: Titrate 2mg SIVP w/additional 1mg dose q 2min. Until desired sedative effect is achieved. 0.07-0.08 mg/kg deep IM (avg 3-5mg dose)Pedi: .1mg-.2mg/kg IV/IM Intranasal to maximum of 7 mg.
Morphine Sulfate (MS, Duramorph, Astramorph) Action Opioid analgesic, CNS depressant, Periphal Vasodilation
Morphine Sulfate (MS, Duramorph, Astramorph) Indications Moderate to severe pain, ACS, Pulmonary Edema
Morphine Sulfate (MS, Duramorph, Astramorph) Contra Indications Undiagnosed Abdominal pain, ALOC
Morphine Sulfate (MS, Duramorph, Astramorph) Side Effects N/V, Hypotension, Tachycardia, respiratory depression
Morphine Sulfate (MS, Duramorph, Astramorph) Precautions Monitor closely for respiratory depression, reverse with Narcan
Morphine Sulfate (MS, Duramorph, Astramorph) Supplied 10mg/1ml typical
Morphine Sulfate (MS, Duramorph, Astramorph) Dose and Route 2-5mg IV q 5 minute, titrate to effect5-15mg IM
Naloxone (Narcan) Action Opioid anatagonist, blocks opioid receptor sites
Naloxone (Narcan) Indications ALOC 2nd to narcotic or herion OD or of UNK etiology
Naloxone (Narcan) Contra Indications Hypersensitivity
Naloxone (Narcan) Side Effects Acute withdrawl symptoms
Naloxone (Narcan) Supplied .4mg/ml (1ml,10ml vials) 2mg/2ml vial
Naloxone (Narcan) Dose and Route Adult: 2mg IV,IM,SQ,ETPedi:.1mg/kg max 2mg IV,IM,SQ,ET, Intranasal
Nitrous Oxide (Nitronox) Action Gaseous Analgesic, CNS Depresent
Nitrous Oxide (Nitronox) Indications Moderate to Severe pain, Anxiety
Nitrous Oxide (Nitronox) Contra Indications decreased LOC, head injury, undiagnosed abdonmial pain, alcohol or drug intoxication
Nitrous Oxide (Nitronox) Side Effects Dizziness, N/V, Hypotension, decreased LOC
Nitrous Oxide (Nitronox) Supplied D and E cylinders, mixed with 50% O2
Nitrous Oxide (Nitronox) Dose and Route Self administered, Pt must hold mask to their face, effects go away quickly
Zofran (Odansetron) Action Prevents nausea and Vomiting bl blocking serotonin peripherally, centerally and in the small intestine
Zofran (Odansetron) Indication N/V
Zofran (Odansetron) Contra Indications Hypersensitivity
Zofran (Odansetron) Precautions Pts w/ liver failure, pregancy, lactation, and children
Zofran (Odansetron) Dose and route Adult: 4mg SIVPPedi: SIVP (max 4mg)
Promethazine (Phenergan) Action Antiemetic, antihistamine, phenothiazine drivative causing sedation
Promethazine (Phenergan) Indications N/V
Promethazine (Phenergan) Contra Indications Decreased LOC hypersensitivity
Promethazine (Phenergan) Side Effects May impair mental and physical abilities, may potentiate other CNS depressants, may cause extra pyramidal reactions
Promethazine (Phenergan) Precautions Dilute in 10ml NaCL to prevent phlebis
Promethazine (Phenergan) Supplied 25mg/1ml ampule, 50mg/1ml ampule
Promethazine (Phenergan) Dose and Route Adult: 12.5-25mg SIVP or 25-50mg IMPedi: 6.25-12.5mg IV 12.5-25mg IM
Calcium Chloride Action Positive inotrope which increase contractility, stabilizes myocardial tissue in the setting of hyperkalemia
Calcium Chloride Indication Hyperkalemic cardiac arrest, calcium channel blocker OD, respiratory depression, hypotension or bradycardia that may be encounter after the administradion of MgSO4
Calcium Chloride Contra Indication hyperkalemiadue to digitalis toxicity, know hypercalcemia
Calcium Chloride Side Effects None
Calcium Chloride Supplied 10ml vial (100mg/ml)
Calcium Chloride Dose and Route Adults: 5-10ml 10% solution SIVPPedis: .15-3ml/kg (.2-.4mg/kg) 10% solution SIVP
Magnesium Sulfate Action CNS Depressant, Anticonvulsant, smooth muscle relaxant, decrease neuronal excitability.
Magnesium Sulfate Indication Torsades des Pointes, Siezure 2nd to eclampsia, refactory VF/VT
Magnesium Sulfate Contra Indication Heart block, renal insufficiency
Magnesium Sulfate Side Effects Hypotension, CNS and Respiratory depression, muscular paralysis
Magnesium Sulfate Suppied 1gm/2ml vial
Magnesium Sulfate Dose and route Torsades de Pointes: (adult)2gm SIVP over 1-2min, (pedi) 25-50mg/kgRefactory VF/VT: Adult 2 gm IVP, Pedi25-50mg/kgseizure 2nd to eclampsia: 4gm SIVP
Pottasiun Chloride (KCl, K DUR) Action electrolyte vital for normal nerve conduction, muscles, and kidney function
Pottasiun Chloride (KCl, K DUR) Indication Tx/ prevention of hypokalemia, sever diarrhea, vomiting
Pottasiun Chloride (KCl, K DUR) Contra Indications Hyperkalemia, severl renal failure
Pottasiun Chloride (KCl, K DUR) Side effects Respiratory depression, apena, cardiac arrrest/ dysrhythmias, N/V, hyperkalemia
Pottasiun Chloride (KCl, K DUR) Precautions Monitor ECG for changes
Pottasiun Chloride (KCl, K DUR) Dose and Route Adult: 10-40 meq/hr IVPedi: .02meq/kg/min max 3meg/kg/day IV
Sodium Bicarbonate Action Allalinizing agent, increase serum PH
Sodium Bicarbonate Indications Metobolic acidosis, post resuscitation (after long down time), Tricyclic antidepressant OD, hyperkalemia
Sodium Bicarbonate Contra Indication metobolic alkalosis
Sodium Bicarbonate Side Effect Metobolic alkalosis, electrolyte imbalance
Sodium Bicarbonate Supplied 50meq/50cc prefilled syringe
Sodium Bicarbonate Dose and Route 1meq/kg IV repeated by .5meq/kg IV
Dextrose (D50, D25, D10) Actions Increase blood glucose level (BGL)
Dextrose (D50, D25, D10) Indications Adults BGL<60mg/dl; infants BGL<40mg/dl, hypoglycemia with decrease LOC or Seizrue of unknown etiology
Dextrose (D50, D25, D10) Contra Indication Suspected intracranial hemorrhage, CVA
Dextrose (D50, D25, D10) Side effects Infilteration can cause neucrosis, cerebral hemorrhage in neonates
Dextrose (D50, D25, D10) Supplied 25gm/50cc prefilled syringe
Dextrose (D50, D25, D10) Dose and Route Adults: 50% dextrose (D50) 25gm SIVPPedis: > 6 months 25 % dextrose (D25) 1-2ml/kg IV/IO< 6 months 10 % dextrose (D10) 1-2,ml/kg IV/IO
Glucagon Action Panceratic hormonic which stimultes the breakdown of heptic glycogen to glucose
Glucagon Indication decreased LOC 2nd to hypoglycemia (BGL<60)with out IV access.
Glucagon Contra Indication Hyper sensitivity (protiens), ability to administer oral glucose
Glucagon Side Effects Tachycardia, N/V
Glucagon Supplied Glucagon must be reconstituted with provided dilutent. Dilute 1mg powder in 1 ml of diluting solution
Glucagon Dose and Route >20kg 1mg IM<20kg .5mg IM
Thiamine (Betaxin) Action Vitamin B1, essential for the normal metabolism of glucose
Thiamine (Betaxin) Indication Hypoglycemia (BGL <60 mg/dl) with alcohol abuse, or malnutrition (prior to the administration of D50) wernicks encephalopathy
Thiamine (Betaxin) Contra Indication None
Thiamine (Betaxin) Side Effects Anxietry, N/V, allergic reaction
Thiamine (Betaxin) Supplied in 1ml vial
Thiamine (Betaxin) Dose and Route 100mg SIVP or SIMP
Oxytocin (Pitocin) Action Stimulates uterine muscle tone and contractions after placental delivery
Oxytocin (Pitocin) Indications To control postpartium hemorrhage
Oxytocin (Pitocin) Contra indications Hypersensitivity
Oxytocin (Pitocin)Side Effects Hypertonicity of uterus, uterine rupture, N/V, dysrhythmias
Oxytocin (Pitocin)Supplied 10 units/ml, 1 ml Vial
Oxytocin (Pitocin) Dose and Router Place 20 unit ampule in 1000cc of NaCL, administer 500ml over 10-20 minutes the reduce infusion to 125ml/hr.
Acetaminophen (Tylenol) Action Exact action is unknown, is thought o reduce fever by centeral action on the hypothalamic heat regulating cener. thought to produce analgesia by blocking generation of pain impulses
Acetaminophen (Tylenol) Indication Mild pain or fever
Acetaminophen (Tylenol)Contra Indication Hypersensitivity
Acetaminophen (Tylenol) Side Effects May produce false positive decrease in blood glucose levels in home monitoring systems
Acetaminophen (Tylenol)Precautions Use cautiously in Pts with pre existing liver disease, chronic alcohol use or chronic hepatitis/ jaundice
Acetaminophen (Tylenol)Supplied 325mg and 120mg rectal suppository/OTC Liquid form 160mg/various concentration levels
Acetaminophen (Tylenol) Dose and Route Adults: 325-650mg PO/PR q 4hrsPedis: 15 mg/kg PO/PR q 4hrs
Aspirin Action Inhibits platelet aggergation and therby reduces thrombus formation
Aspirin Indication ACS
Aspirin Contra Indications GI Bleeding, Multi system tramua, hypersensitivity
Aspirin Side Effects None
Aspirin Supplied 81 mg Tablets
Aspirin Dose and Route 162mg PO
Activated Charcoal Actions An absorbent that adheres to many drugs and chemicals, inhibiting their absorotion from the GI tract
Activated Charcoal Indications Poisoning/ OD
Activated Charcoal Contra Indications Semi consciuos/ Unconsciuos
Activated Charcoal Side Effects N/V, Black stools
Activated Charcoal Precautions Contains 48 gm of sorbitol which has osmotic qualities promoting GI evacuation.
Activated Charcoal Supplied 25gm Tube
Activated Charcoal Dose and Route 1-2gm/kg PO
Proparacaine (Alcaine) Action Provides anesthesia prior to ophthalmic procedures
Proparacaine (Alcaine) Indications Anesthesia prior to irrigation, foreign body in eye
Proparacaine (Alcaine) Contra Indications Hypersensitivity
Proparacaine (Alcaine) Side Effects None
Proparacaine (Alcaine) Precautions Not for long term use, warn Pt not to rub or touch eye while it is anesthetized, do not use if solution is discolored
Proparacaine (Alcaine) Supplied 5% solu 15 ml
Proparacaine (Alcaine) Dose and route 1-2 drops in eyes 2-3 minutes prior to procedure
Created by: w7owc



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