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Drugs for 6-23-06

FCCTI Paramedic Class #7

Drug/ClassDescriptionOnset and DurationIndicationsContraindicationsAdverse ReactionsDrug Interactions
Drug: Lidocaine Class: Antidysrythmic (Class I-B), local anesthetic 1. Decreases phase 4 diastolic depolarization(which decreases automaticity) 2. Suppresses premature ventricular complexes 3. Used to treat v-tach and in some cases v-fib 4. Raises v-fib threshold Onset: 30-90 sec Duration: 10-20 min 1. v-tach 2. v-fib 3. Wide-complex tachycardia of uncertain origin 4. Significant ventricular ectopy in the setting of myocardial ischemia/infarction 1. Hypersensitivity 2. Adams-Stokes syndrome 3. 2nd or 3rd degree heart block w/o an artificial pacemaker 1. Light-headedness 2. Confusion 3. Blurred vision 4. Cardiovascular collapse 5. Bradycardia 6. Altered level of conciousness,irritability, muscle twitches, seizureswith high doses 1. Beta-adrenergic blockers 2. Succyinylcholine 3. IV phenytoin 4. Procainamide and tocainide
Drug: Midazolam Class: Short-acting benzodiazepine A water soluble benzodiazepine that may be administered for concious sedation to relieve apprehension or impair memory before tracheal intubation or cardioversion Onset: 1-3 min(IV); dose dependent Duration: 2-6 hr; dose dependant Premedication for tracheal intubation, cardioversion, or other painful procedures 1. Hypersensitivity to midazolam 2. Glaucoma (relative) 3. Shock 4. Coma 5. Alchohol intoxication(relative; may be used for alchohol withdrawal) 6. Depressed vital signs 7.Contaminant use of barbituates, alchohol, narcotics, or other CNS depressants 1. Respiratory depression 2. Hiccup 3. Cough 4. Oversedation 5. Pain at injection site 6. Nausea/vomiting 7.Headache 8. Blurred vision 9. Fluctuations in vital signs 10. Hypotension 11. Respiratory arrest Sedative effect may be accentuated by contaminant use of barbituates, alchohol, or narcotics( and therefore should not be used in patients who have taken CNS depressants)
Drug: Succinylcholine Class: Neuromuscular blocker (depolarizing) Has the quikest onset and briefest duration of all neuromuscular blocking drugs.Binds to the receptors for acetylcholine. Often leads to fasciculations and some muscular contractions Onset: Less than 1 minute Duration: 5-10 min after single IV dose 1. To facilitate intubation 2. Terminating laryngospasm 3. Muscle relaxation 1. Burns or injuries in the first 12 hours 2. Hypersensitivity 3. Skeletal muscle myopathies 4. Inability to control airway and/or support ventilations with oxygen and positive pressure 5. Personal or family history of malignant hyperthermia 1. HTN 2. Respiratory depression 3. Bradycardias 4. Dysrythmias 5. Initial muscle fasciculation 6. Excessive salvation 7. Malignant hyperthermia 8. Allergic reaction 9. May exacerbate hyperkalemia in trauma patients 1. Oxytocin, beta-blockers,chronic contraceptive use, and organophosphates may potentiate effects 2. Diazepam may reduce duration of action 3. Cardiac glyosides may induce dysrythmias
Created by: dewey0044