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EMT-E Drugs

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Asprin Indications   Chest pain of cardiac orgin, prevention of MCI or reinfarction, prevention of platelet aggregation in ischemia and thromboembolism.  
asprin contraindications   hypersensitivity to salicylates, GI bleeding, Acvtive ulcer disease, Hemorragic stroke, bleeding disorders, children w/ flu like symptoms  
asprin dosage   Adult 162mg to 324mg (2-4 tablets)  
Asprin routes   PO  
Nitroglycerine indications   Chest pain of cardiac orgin, MCI, angina pectoris  
Nitroglycerine contraindications   Hypotension, sexually-enhancing meds, increased intracranial pressure  
Nitroglycerine dosage   0.3mg to 0.4mg, may repeat every 5 min up to 3 times if chest pain persists  
Nitroglycerine routes   SL, topical or transdermal  
Albuterol Indications   Bronchospasm from asthma or emphysema, wheezing  
Albuterol contraindications   Synergistic with other sympathomimetics Use with caution in patients with diabetes, HTN, Hyperthyroidism  
Albuterol dosage   2.5 mg, diluted in 3 cc of normal saline  
Albuterol routes   Nebulizer- Hand-held (HHN) or attached to NRB mask  
Ipratropium Bromide(Atrovent) Indications   Persistent bronchospasm (wheezing)  
Ipratropium Bromide (Atrovent) contraindications   Hypersensitivity to ipratropium, atropine, alkaloid, soybean protein, peanuts  
Ipratropium Bromide (Atrovent) dosage   0.5 mg, diluted in 3 cc of normal saline Used in combination with albuterol 5 minutes after initial albuterol-only  Albuterol/Atrovent HHN may be given first when patient is in severe distress or has not responded to home therapy  
Ipratropium Bromide (Atrovent)routes   Nebulized -Hand-held (HHN) or attached to NRB mask  
Dextrose 50% indications   Hypoglycemia, altered LOC Coma of unknown origin or altered level of consciousness with glucometry unavailable  Seizure of unknown origin with glucometry unavailable  
Dextrose 50% contraindications   Intracranial hemorrhage, CVA, ICP  
Dextrose 50% dosage   Adult dosage 12.5g to 25g (supplied as 50mL of a 50% solution) Pediatric dosage Children (1 month-2 years)D25: 2-4 mL/kg Infant (0-30 days)D10 5-10 mL/kg  
Dextrose 50% routes   IV (adult) IV or IO (pediatric)  
Thamine (vitamin B) indications   Given with, or prior to, the administration of D50 in cases of hypoglycemic patients with suspected malnutrition or alcoholic.  
Thamine (vitamin B)contraindications   None significant  
Thamine (vitamin B)dosage   Adult dosage 100 mg IV Pediatric dosage Not recommend pre-hosp  
Thamine (vitamin B) routes   Slow IV push, IM (burning sensation)  
Glucagon indications   Hypoglycemia Immediate intervention while attempting to access IV site for D50 administration  
Glucagon contraindications   Hypersensitivity (allergy to proteins)  
Glucagon dosage   0.5mg to 1 mg  
Glucagon routes   IM  
Naloxone (Narcan) indications   Narcotic/Opiate overdose Overdose of an unknown origin with suspected narcotic/opiate  
Naloxone (Narcan) contraindications   Withdrawal symptoms, especially in neonates (nausea, vomiting, diaphoresis, increased heart rate, hypotension, tremors combativeness )  
Naloxone (Narcan) dosage   Adult dosage 0.4 mg to 2 mg IV titrated to normal respiratory rate 0.4 mg to 0.8 mg IM/SQ titrated Pediatric dosage 0.1 mg/kg up to 2 mg  
Naloxone (Narcan) routes   IV, IM, ET  
Epinephrine 1:1000 (Adrenalin) indications   Acute allergic reaction - anaphylaxis  
Epinephrine 1:1000 (Adrenalin) contraindications   Hypersensitivity (usually not an issue in true emergencies)  
Epinephrine 1:1000 (Adrenalin) dosage   0.3 m to 0.5 mg  
Epinephrine 1:1000 (Adrenalin) routes   IM/SQ  
Diphenhydramine (Benadryl) indications   Moderate to severe allergic reactions (after Epinephrine), Anaphylaxis, Acute extrapyramidal reactions  
Diphenhydramine (Benadryl) contraindications   Patients taking monoamine oxidase inhibitors, Hypersensitivity, Narrow-angle glaucoma, Newborns & nursing mothers  
Diphenhydramine (Benadryl) dosage   Adult dosage 10mg to 50 mg Pediatric dosage 1 mg/kg  
Diphenhydramine (Benadryl) routes   IV or IM  


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Created by: tashalee1984