Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
SAR Medication Cards
Utah County Search and Rescue - Medication Flash Cards
| Medication | Classification | Indications | Contraindications / Cautions | Adult Dosages - SAR COGs | Adverse Effects |
|---|---|---|---|---|---|
| Albuterol Sulfate | Sympathomimetic, Bronchodilator | Wheezing, OB emergencies (OLMC) | Tachycardia, Synergistic with other sympathomimetics | EMT - Assist patient with own inhaler AEMT- 2.5mg every 10 min via nebulizer | Palpitations, Chest pain, Tachycardia, Hypertension, Tremors |
| Amiodarone | Antiarrhythmic | V-Fib, Pulseless V-Tach, Stable Wide complex tachycardia, ROSC | Sinus bradycardia, heart blocks | AEMT- first dose 300mg IV/IO, second dose 150mg IV/IO ROSC If used above, infusion 1mg/min Paramedic- Stable wide complex tachycardia = 150mg infusion over 10 minutes IV/IO | Loss of coordination, numbness or tingling, liver and lung problems |
| Atropine Sulfate | Parasympatholytic, anticholinergic agent | Unstable bradycardia, Organophosphate poisoning/nerve agents | Tachycardia, hypothermic bradycardia, caution with glaucoma | AEMT- Bradycardia=0.5mg IV/IO repeat as needed every 3 minutes (max dose 3mg) Beta Blocker Toxic= 1mg IV every 3-5min as needed (max 3mg) Paramedic- Organoph./nerve agents= 2mg rapid IV/IO q 15. Severe=4mg IM q 15 | Palpitations |
| Epinephrine 1:10,000 (Adrenalin) | Sympathomimetic | Cardiac Arrest, Neonatal resuscitation when HR less than 60 | Hypertension, hypothermia | AEMT- Cardiac arrest= 1mg IV/IO q 3-5 min as needed | Tachycardia, hypertension, chest pain |
| Epinephrine 1:1,000 (Adrenalin) | Sympathomimetic | Anaphylaxis, stridor, Severe Hypotension | Hypertension, hypothermia | EMT- Anaphylaxis = epi pen or 0,3mg IM q 10 min as needed AEMT- Stridor= 2mL mixed with 3mL NS via Nebulizer q 10 min as needed | Tachycardia, hypertension, chest pain |
| Lidocaine | Anesthetic, Antiarrhythmic | Conscious IO administration, Cardiac Arrest, Stable Wide Tachycardia, severe cough | 2nd or 3rd degree heart blocks, bradycardia, Stokes-Adams syndrome | AEMT- IO access= 20-50mg of 2% lido Cardiac Arrest= 1-1.5mg/kg IV may repeat q 3-5 (max 3mg/kg) ROSC=0.5-1.5mg/kg IV (if not given during arrest) Follow up with infusion per chart. + more Paramedic- ROSC (if given previously)= 2-4mg/min infusion | Respiratory Arrest, Arrhythmias |
| Nitroglycerin / Nitrostat | Vasodilator | Acute Chest Pain, Hypertension, CHF, Pulmonary edema, with Systolic BP >100 | Systolic BP under 100, severe bradycardia, tachycardia, patients who've taken Cialis/Levitra/Viagra/Other E.D. meds in last 48 hrs, patient taken pulmonary hypertension meds in last 48 hrs | EMT- Assist patient with prescribed Nitroglycerin SL (every 5 min, max of 3 doses) AEMT- 0.4mg SL (every 5 min, max of 3 doses) | Hypotension |
| Dextrose 50% | Carbohydrate | Hypoglycemia | Caution with intracranial hemorrhage | AEMT- 25g IV/IO titrate to effect (may repeat as necessary) | Tissue necrosis if IV site is infiltrated |
| Ondansetron (Zofran) | Antiemetic, Serotonin receptor antagonist | Nausea, Vomiting | Known allergy to it, prolonged QT. | AEMT- 4mg-8mg IV/IO/PO/SL | Headache, lightheadedness, dizziness, drowsiness, etc. |
| Promethazine (Phenergan) | Antiemetic, antihistamine | Nausea, Vomiting, potentiating analgesic effects of narcotics | CNS depression from other drugs, Lower respiratory symptoms | AEMT- 12.5-25mg IV (with SBP>100)**Always Dilute 10ml NS and administer slowly over 60 seconds. 25mg IM (if no vascular acccess) | Sedation, Confusion, tissue irritation |
| Tranexamic Acid (TXA) | Antifibrinolytic | Hemorrhage control, blunt or penetrating trauma and SBP <90 or HR >110 | Patients under 15 years old. More than 3 hours since injury for first dose. Spinal cord injury. AMI. Stroke. Pulmonary embolism. Other thrombotic complication. | Paramedic- 1st dose 1g IV bolus Over 10 min (mix in 100ml IV bag) Prolonged transport times: 2nd dose (only if criteria met)= 1g IV infusion over 8 hours | Gastrointestinal disturbances (nausea, vomiting, diarrhea). Hypotension if given too rapidly. |
| Sodium Bicarbonate 8.4% | Systemic hydrogen ion buffer | Metabolic acidosis from cardiac arrest, Tricyclic Antidepressant overdose, crush injury | Metabolic Alkalosis, electrolyte imbalance from vomiting | Paramedic- 1mEq/kg slow IV/IO | Metabolic Alkalosis |
| Aspirin (ASA) | Anti-platelet aggregate, anti-inflammatory agent | New onset Chest Pain | Pediatrics (patient under 18). Caution if patient takes blood thinners/active ulcers/ asthma | EMT- 324mg preferably chewed (baby aspirin) | Prolonged bleeding, GI bleeding, Wheezing, Tinnitus, Heart burn |
| Diphenhydramine (Benadryl) | Antihistamine, Anticholinergic agent | Moderate to severe allergic reaction | Pregnancy, infants, nursing mothers, patients taking MAOIs, Asthma | AEMT- 50mg IV/IO/IM | Sedation, paradoxical excitement in children, increases bronchial secretions |
| 0.9% Sodium Chloride (Saline) | Isotonic crystalloid solution | Traumatic shock, non-traumatic shock, severe dehydration | Congestive Heart Failure (CHF), caution with wet lung sounds | AEMT- Traumatic shock= 500ml at a time, repeat as needed to maintain minimum BP (see minimums on protocols). Non-traumatic shock= 500ml boluses (max of 2 liters) | Rare with therapeutic dosages |
| Naloxone (Narcan) | Opioid antagonist | Opiate overdose | caution with narcotic-dependent patients | EMT- 0.4-2mg IN/IM (intranasal/intramuscular) (may repeat as needed) AEMT- same dose, but can administer it IV/IO/IN/IM | Withdrawal symptoms, nausea, vomiting, seizures |
| Ancef / Cefazolin | Antibiotic | Open fractures, lacerations, or other causes of possible infection. | Hypersensitivity to Cefazolin or the Cephalosporin Class of Antibacterial Drugs, Penicillins, or Other Beta-lactams | Paramedic- Adult dose= 2g IV (for trauma) Pediatric dose= 20mg/kg | gastrointestinal (nausea, vomiting, diarrhea), and allergic reactions (anaphylaxis, urticaria, skin rash) |
| Oral Glucose | Carbodydrate | Hypoglycemia | Patient is unable to swallow or protect airway. Caution with intracranial hemorrhage. | EMT- 15g oral (may repeat in 15 minutes as needed) | None likely. Allergic reaction possible. |
| Fentanyl | Opioid Analgesic | Pain management | Traumatic Brain Injury, patients taking MAOI, Myasthenia gravis, respiratory depression | AEMT- 25-50mcg IV/IO/IM/IN (every 10 minutes as needed) | CNS depression, nausea, vomiting |
| Morphine Sulfate | Opioid Analgesic | Moderate to severe pain, chest pain | head injury, CVA (stroke), depressed respiratory drive, undiagnosed abdominal pain, hypotension, MAOI use within 14 days | AEMT- 4-10mg IV/IO/IM (every 10 minutes as needed, titrate to effect) | Sedation, CNS depression, syncope |
| Midazolam (Versed) | Benzodiazepine | Seizures, chemical sedation, anxiety | Respiratory depression, Coma | AEMT- 5mg IV/IO/IN/PO/IM every 5 minutes to desired effect (max dose of 10mg) or for anxiety use the above doses or... 1 dose of IM 10mg (intramuscular)(Once only) | Respiratory Depression |
| Ketamine | Anesthetic, with analgesic effects | Pain, Anxiety, Chemical Sedation, Excited Delirium | Severe Hypertension | Paramedic- (1/2 dose with narcotics or alcohol) Pain: IV/IO=10-20mg (max of 40mg) or IN= 50mg x 1 dose Sedation/Anesthesia: IV/IO 0.5-1mg/kg every 10 minutes to desired effect (max 200mg total) Excited Delirium: IM 4mg/kg Once(max 300mg) | Hypertension, Tachycardia, Increased ICP, Visual Hallucinations |
Created by:
bmoeller
Popular Paramedic/EMT sets