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Respiratory Medicati

Field Medications for the Paramedic Student

NameTrade NameClassIndicationDoseSide Effects and Interactions
Terbutaline Brethine Bronchodilator, smooth muscle relaxer Asthma, COPD, Pre term labor 0.25Mg SC every 15-30 min to a max of 0.5Mg in 4 HRS. Inhalation 400Mcg via Neb None Listed
Metaproterenol Alupent Sympathiomimetic Bronchodilator Asthma, Chronic Bronchitis, Emphysema, COPD 02.- 0.3Ml diluted in 2.5Ml NS via Neb. Pedi: (6 -12) 0.1 - 0.2Ml in 3Ml NS MAOI's, Beta blockers, Sympathiomimetics
Ipratroprieum Bromide Atrovent Anticholinergic Bronchodilator Used with other bronchdilators for chronic asthma 60 -- 120 Mcg by MDI, 400 - 500 Mcg via Neb, Pedi: 150 - 250 Mcg via Neb Dry Mouth, NV, BETA 2. Watch for hypersensitivity to Atropine.
Methylprednisone Solu-Medrol Corticosteriod / Anti-Inflamatory Asthma, COPD, Anaphalaxis 80 - 125 Mg Max. Pedi: 1- 2 Mg/Kg not less than 0.5 Mg / Kg in 24 Hrs. Hypotension, CV Collapse
Albuterol Proventil, Ventolin Sympathiomimetic Bronchodilator Asthma, Bronchospasam, COPD 2.5 Mg in 2.5 Ml NS. Pedi: 0.05 - 0.15 Mg/Kg in 2 Ml NS every 20 min BETA 2, Anxiety, tremors. TCA's, Beta Blockers, Diuretics.
Magnesium Sulfate (blank) Electrolyte Torsades de Pointes, V-Fib, V-Tach, Elamptic Seizures, TCA OD, Dig Toxicity. VF/VT 1-2 Gm in 10 Ml D5W over 1-2 Min.Eclampsia 1-4 Gm IV over 3 Mins to a max of 1.5 Ml/Min. Broncodilation 1-2 Gm in 250 cc NS over 20 Min. Hypotension, Cardiac Arrest, Decreased Respirations, Heart Block.
Epinephrine Epi, Adrenalin A, B, B2 agonist Fine V-Fib, Aystole, PEA, Bradycardia, Bronchodilation. IVP: 1 Mg 1:10000 in 10 Ml every 3-5 as needed. IV Infusion:1 mg 1:1000 in 500 Ml NS titrated to response. ETT: 2-2.5 Mg 1:1000 in 10 Ml every 3-5 min as needed. Asthma/Anaphalaxis: 0.3-0.5 Mg 1:1000 SC every 20-30 Min as needed. Pressor: IV Infusion 1 Mg A, B, BETA 2
Racemic Epinephrine Micronefrin, Vaponefrin Sympathiomimetic Asthma, Croup, Laryngeal Edema, 2-3 Inhalation every 5 Min as needed. 5 Ml in 5 Ml NS over 5 Min. Pedi: 0.25 Ml in 2.5 Ml NS if Pt is under 20 Kg. 0.75 Ml in 2.5 Ml NS if Pt is over 40 Kg. BETA 2, Watch out fpr MAOI's and Beta Blockers
Paramedic Student Bipolar Physco Way to many Books, Attitude, Lethargy. 1 Pint Guiness. Eventual certification and licensure.
Created by: sravage
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