paramedic drugs
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| Description: this is an osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis | MANNITOL
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| Indications: cerebral edema | MANNITOL
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| Contraindications: hypersensitivity, pulmonary edema, CHF, organic CNS disease, intracranial bleeding, shock, renal failure, severe dehydration | MANNITOL
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| Precautions: non | MANNITOL
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| Dosage/Route: .5-1 g/kg over 5-10 min IV. Ped: 50 mcg/kg over 10-60 min | MANNITOL
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| Description: this is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects | MEPERIDINE
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| Indications: moderate to severe pain | MEPERIDINE
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| Contraindications: hypersensitivity, seizure disorders, acute abdomen prior to diagnosis | MEPERIDINE
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| Precautions: increased intracranial pressure, asthma or other respiratory conditions, SVT, prostatic hypertrophy, urethral stricture, glaucoma, elderly or debilitated patients, renal or hepatic impairment, hypothyroidism, addison's disease | MEPERIDINE
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| Dosage/Route: 25-100 mg IV, 50-100 mg IM. Ped. 1 mg/kg IV/IM | MEPERIDINE
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| Description: this is a synthetic sympathomimetic amine, similar to isoproterenol that c auses smooth muscle relaxation of the bronchial tree, decreasing airway resistance, facilitating mucus drainage, and increasing vital capacity | METAPROTERENOL
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| Indications: bronchospasm, as in asthma and COPD | METAPROTERENOL
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| Contraindications: hypersensitivity to sympathomimetic agents, tachydysrhythmias, hyperthyroidism | METAPROTERENOL
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| Precautions: elderly, hypertension, coronary artery disease, diabetes | METAPROTERENOL
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| Dosage/Route: .65 mg via metered dose inhaler (2 sprays); .2-.3 mL in 2.5-3 mL NS via nebulizer. Ped: .1-.2 mL/kg (5%solution) in 2.5-3 mL NS via nebulizer | METAPROTERENOL
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| Description: this is a synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. it is sometimes used in the treatment of spinal cord injury | METHYLPREDNISOLONE
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| Indications:spinal cord injury, asthma, severe anaphylaxis, COPD | METHYLPREDNISOLONE
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| Contraindications: no major contraindications in the emergency setting | METHYLPREDNISOLONE
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| Precautions: only a single dose should be given in the prehospital setting | METHYLPREDNISOLONE
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| Dosage/Route: Asthma/COPD/Anaphylaxis: 125-250 mg IV/IM. Ped: 1-2 mg/kg/dose IV/IM. Spinal cord injury: 30 mg/kg IV over 15 min, after 45 min an infusion of 5.4 mg/kg/hr | METHYLPREDNISOLONE
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| Description: this is a beta-adrenergic blocking agent that reduces heart rate, cardiac output, and blood pressure | METOPROLOL
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| Indciations: AMI | METORPOLOL
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| Contraindications: cardiogenic shock, sinus brady <45, 2nd-3rd degree heart block, PR interval >.24, cor pulmonale, asthma, COPD | METORPOLOL
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| Precautions: hypersensitivity, hepatic or renal impairment, cardiomegaly, CHF controlled by digitalis and diuretics, AV conduction defects, thyrotoxicosis, diabetes, peripheral vascular disease | METORPOLOL
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| Dosage/Route: 5mg slow IV/5 min up to 3 times | METORPOLOL
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rubtuge
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