Texas EMT-I Drug Cards
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Xopenex | Class: Parasympathomimetic
Action: Bronchodilation
Indications: Bronchospasms; Moderate to severe allergic reaction
Contraindications: Allergy
Precaustions: Tachycardia and pregnancy
Dose: .3mL nebulizer
.6-1.25 mg neb q 6-8h prn
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Albuterol | Class: Sympathomimetic
Action: Bronchodilation
Indications: Bronchospasms; Moderate to severe allergic reaction
Contraindications: Allergy
Precautions: Tachycardia and pregnancy
Dosage: 2.5mg/2-3mL of NS or sterile H2O
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Atrovent | Class: Parasympathomimetic
Action: Bronchodilator
Indications: Bronchospasms/Constriction/Exacerbated COPD
Contraindications: Allergy
Precautions: Tachycardia and pregnancy
Dosage: 17 micrograms/spray
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Aspirin | Class: Platelet Aggregate Inhibitor
Action: Inhibits binding of platelets
Indications: Chest pain
Contraindications: Allergy; active ulcers
Precautions: Gastritis/GERD; <12 y/o with flu-like symptoms
Side Effects: GERD
Dosage: 325mg
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Activated Charcoal | Class: Adsorbent
Action: Binds to ingested poisons
Indications; Poisonings <30 mins when emesis contraindicated and after calling Poison Control.
Contrindications: 1) Caustics/Corrosives/Petroleum Distilates; 2) Altered Mental Status
Side Effects:
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Ipecac | Class: Emetic
Action: Vomit
Indications: Poisoning of non-corrosives after contacting Poison Control
Contra indications: 1) Caustics/Corrosives/Petroleum Distilates; 2) AMS
Side Effects: CNS depression, Diarrhea
Dosage: 15 mL + 2-3 glasses (8-1
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Narcan | Class: Narcotic Antagonist
Action: Competes for opiate receptors. Increase CNS function
Indication: Opiate overdose [Darvoset, fentanyl, Heroin, Codeine]
Contrindications: Allergy
Side Effects: Withdrawl sympstoms; DTs
Precautions: Goal = Incr
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D50 | Class: Carbohydrate
Action: Increase BGL
Indications: Hypoglycemia (BGL < 80)
Contraindications: None in emergency setting
Side effects: +BGL; Tachycardia; n/v/ local tissue necrosis if IV not patent
Precautions: Ensure IV site patency
Dose:
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Oral Glucose | Class: Carbohydrate
Action: +BGL
Indications: Hypoglycemia (BGL <80)
Contraindications: Failure to follow simple commands
Side Effects: +BGL; Tachycardia; N/V
Dose: 12-20g
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Thiamine (Vitamin B1) | Class: Vitamin
Action: Aids neurological tissue in metabolizing sugar
Indications: 1.) Chronic alcoholics with -BGL; 2.) Failure to Thrive
Contraindications: None
Side Effects: None
Precautions: None
Dose: 100mg IV
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Epinephrine (1:1000) | Class: Antiarrythmic
Action: Stimulates alpha- and beta-adrenergic receptors
Indications: Anaphylaxis
Contrraindications: Pregnancy, shock, glaucoma
Precautions: HTN, Hyperthyroidism
Dose: .1-.5mg q 5-15 min PRN up to 1mg/dose
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Nitroglycerin | Class: Nitrate
Action: Vascular smooth muscle relaxant
Indications: Chest Pain
Contraindications: ICP
Precautions: Hypotension
Dose: .3-.6mg SL q 5min
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