2012/2013 Paramedic VB Drug Cards
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| Sympathetic ANS | "Fight or Flight" neurotransmitter: NE
constrict blood flow/incr to skeletal muscle,
bronchdilation
Incr:HR,contractility,sweat,energy
Decr: digestion, bladder
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| Parasympathetic ANS | "Feed or Breed" neurotransmitter: ACH
vegitative functions (HR,BP), bronchoconstriction
Incr: digestion
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| Sypmathomimetics | Adrenergic Agonists "Chatecholamines"
Epi, NE & Dopamine
Cocaine, Amphetamines
Terbutaline, Albuterol
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| Parasympathomimetics | Cholinergic Agonists "Cholinergics"
organophosphates, mushrooms
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| Sypmatholytics | Antiadrenergics (antagonists)
alpha adrenergic blockers (inhibit)
beta adrenergic blockers (inhibit): Ex-propanolol, metoprolol, atenolol
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| Parasympatholytics | Anticholinergics (antagonists)
block muscarinic & nicotonic receptors
Ex- Atropine, Ipratropium Bromide(atrovent)
antihistamines, TCAs
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| Cholinergic Toxidrome S&S | D:diarrhea,diaphoresis U:urination M:miosis B:bradycardia,bronchosecretions E:emesis L:lacrimation S:salivation
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| Anticholinergic Toxidrome S&S | Hot/Red (Hyperthermia), Dry as a bone, Blind/Bat(Dilated pupils), MAD (Delerium/Hallucinations), Tachycardia
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| Sympathomimetic Toxidrome S&S | Mydriasis, Tachycardia, Hypertension, Hyperthermia, Seizures
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| Narcotic/Opiate Toxidrome S&S | Miosis, Bradycardia, Hypotension, Hypoventilation, Coma
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| Withdrawal from Toxidromes S&S | (from alcohol, opiods, benzos,barbiturates,antihypertensives)
Diarrhea, Mydriasis, Tachycardia, Lacrimation, Hypertension, Yawning,Cramps
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| Miosis | "Pinpoint" constricted pupils:
Cholinergics, Opiates, Narcotics, PCP, Organophosphates, Sedative-hypnotics
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| Mydriasis | Dilated Pupils:
Anticholinergics (atropine etc), antihistamines, antidepressants, Sympathomimetics
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| Indication/Agent: Carbon Monoxide | Antidote: High flow oxygen
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| Indication/Agent: Opiates/Narcotics | Antidote: Naloxone "Narcan" .4-2 mg SLOW IV/IM prn if experiencing respiratory depression
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| Indication/Agent: Organophosphates | Antidote: Atropine 2-5 mg IV prn until HR >100/min & lung sounds are clear
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| Indication/Agent: Cyanide | Antidote: Nitrates, Cyanokit
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| Indication/Agent: BetaBlockers | Antidote: (If confirmed)Epi Infusion to maintain BP(2-10 mcg/min)
Glucagon 2 mg IV prn IF SYMPTOMATIC: bradycardia &/or hypotension
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| Indication/Agent: Tricyclic Antidepressant (TCAs) | Antidote: (if confirmed)Sodium Bicarb .5-1 mEq/kg SLOW IV or infusion 50 mEq in 1000 ml NS. Epi Infusion up to to maintain BP(2-10 mcg/min)
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| Indication/Agent: CCBs | Antidote: Calcium Chloride 500-1000 mg IV or IM prn for confirmed CCB OD.
Epi Infusion to maintain BP(2-10 mcg/min) with confirmed CCB OD
(insulin?/dextrose?)
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| Indication/Agent: Cocaine | Antidote: Diazepam 20-10 mg IV (over 2-5 min)prn for confirmed cocaine OD with tachycardia,tremors,anxiety
Consider NS up to 20 ml/kg if symptomatic
Treat chest pain as ACS="MONA"
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| Indication/Agent: Phenothiazine OD/ Dystonic Reaction | Antidote: Diphenhydramine 50 mg IV or 25 mg IV/ 25 mg IM for the treatment of dystonia associated with phenothiazine ingestion
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