Paramedic Drugs
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
|
|
|
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Morphine Sulfate | Narcotic Analgesic | Moderate to severe pain and in MI and to reduce venous return in pulmonary edema | MI: 2-4 mg IV over 1-5 mins every 5-15 mins. Pain: 2.5-15 mg IV; 5-20 mg IM/SC. Ped: 0.05-0.1 mg/kg IV; 0.1-0.2 mg/kg IM/SC. AMI or PE: 1-2 mg/6-10 min. to response. | Morphine
🗑
|
||||||||||
| Lorazepam | Sedative | Sedation for cardioversion and status epilepticus | Sedation: 2-4 mg IM, 0.5-2 mg IV. Ped: 0.03-0.5 mg/kg IV/IM/PR up to 4 mg. Status Epilepticus: 2 mg slow IV/PR (2 mg/min.). Ped: 0.1 mg/kg slow IV/PR (2-5 min.) | Ativan
🗑
|
||||||||||
| Midazolam | Sedative | To induce sedation before cardioversion or intubation | 1-2.5 mg slow IV; 0.07-0.08 mg/kg I (usually 5 mg). Ped: 0.05-0.2 mg/kg IV; 0.1-0.15 mg/kg IM; 3 mg intranasal | Versed
🗑
|
||||||||||
| Magnesium Sulfate | Electrolyte | Torsade de Pointes, eclamptic seizures. In children for status asthmaticus non-responsive to beta agents | Diluted in 100 mL, over 1-2 mins (in adults only). Peds: 25-50 mg/kg over 5-20 mins. Max dose 2 g. Asthma: same as for Torsades. Eclampsia: 2-4 g IV/IM | Magnesium
🗑
|
||||||||||
| Oxygen | Oxidizing Agent | Hypoxia or anticipated hypoxia, or in any medical or trauma patient to improve respiratory efficiency | Hypoxia: 100% by inhalation or IPPV | Oxygen
🗑
|
||||||||||
| Albuterol | Sympathomimetic Bronchodilator | Bronchospasm and asthma in COPD | Two inhalations (90 mcg) via metered-dose inhaler (2 sprays) or 2.5 mg in 2.5-3 mL NS via neb. repeat as needed. The duration of effect is 3-6 hours. Ped: 0.15 mg/kg in 2.5-3 mL NS via neb. repeat as needed. | Proventil, Ventolin
🗑
|
||||||||||
| Vecuronium | Nondepolarizing Skeletal Muscle Relaxant | Facilitated Endotracheal Intubation | 0.08-0.1 mg/kg IV. Ped: same as adult | Norcuron
🗑
|
||||||||||
| Succinylcholine | Depolarizing Neuromuscular Blocker | Facilitated endotracheal intubation | 1-1.5 mg/kg IV/IM; Ped: 1-2 mg/kg IV/IM | Anectine
🗑
|
||||||||||
| Promethazine | Antiemetic | Nausea and vomiting, motion sickness, to enhance the effects of analgesics, and to induce sedation | 12.5-25 mg IV/IM/PR. Ped: 0.5 mg/kg IV/IM/PR | Phenergan
🗑
|
||||||||||
| Prochlorperazine | Antiemetic | Severe nausea and vomiting or acute psychosis | 5-10 mg IV/IM Ped: 0.13 mg/kg IV/IM/PR if >10 kg or >2 yrs | Compazine
🗑
|
||||||||||
| Nitroglycerin | Nitrate | Chest pain associated with angina and acute MI, and acute pulmonary edema | 1 tablet (0.4 mg) Sl. May be repeated/3-5 mins up to 3 tablets, or 1/2 -1 inch of topical ointment, or 0.4 mg (one spray) SL up to 3 sprays/25 mins. | Nitrostat
🗑
|
||||||||||
| Nifedipine | Calcium Channel Blocker | Severe hypertension and angina | One 10-20 mg capsule SL/PO | Procardia, Adalat
🗑
|
||||||||||
| Verapamil | Calcium Channel Blocker | PSVT refractory to adenosine, A. flutter, and A. fib with rapid ventricular response | 2.5-5 mg IV bolus over 2-3 mins, then 5-10 mg after 15-30 mins to a max of 20 mg. Ped: Newborn = 0.1-0.2 mg/kg (no to exceed 2 mg), age 1-15 = 0.1-0.3 mg/kg (not to exceed 5 mg) | Isoptin, Calan
🗑
|
||||||||||
| Norepinephrine | Sympathomimetic Agent | Refractory hypotension and neurogenic shock | 0.5-30 mcg/min IV, titrated to BP. Ped:0.1-2 mcg/kg/min titrated to BP (rarely used) | Levophed
🗑
|
||||||||||
| Sodium Bicarbonate | Alkalizing Agent | Tricyclic antidepressand and barbiturate overdose, refractory acidosis, or hyperkalemia | 1 mEq/kg IV/IO. Ped: same as an adult | NaHCO3
🗑
|
||||||||||
| Furosemide | Diuretic | CHF and pulmonary edema | 40-120 mg slow IV. Ped: 1mg/kg slow IV | Lasix
🗑
|
||||||||||
| Activated Charcoal | Absorbent | Acute ingested poisoning | 1 g/kg mixed with at least 6-8 oz. of water, then PO or via and NG tube | Actidose
🗑
|
||||||||||
| Thiamine | Vitamine | Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremens | 50-100 mg IV/ IM. Ped: 10-25 mg IV/IM | Thiamine
🗑
|
||||||||||
| Diphenhydramine | Antihistamine | Anaphylaxis, allergic reactions, and dystonic reactions | 25-50 mg IV/IM | Benadryl
🗑
|
||||||||||
| Naloxone | Narcotic Antagonist | Narcotic and synthetic narcotic overdose, coma of unknown origin | 0.4-2 mg IV/IM repeated/2-3 mins. as needed up to 10 mg. Ped: 0.01 mg IV/IM repeated/2-3 mins. as needed up to 10 mg | Narcan
🗑
|
||||||||||
| Diazepam | Antianxiety, Hypnotic, Anticonvulsant, Sedative | Major motor seizures, status epilepticus, premedication before cardioversion, muscle tremors due to injury, and acute anxiety | Seizures: 5-10 mg IV/IM. Ped: 0.5-2 mg IV/IM. Acute Anxiety: 2-5 mg IV/ IM. Ped: 0.5-2 mg IM | Valium
🗑
|
||||||||||
| Racemic Epinephrine | Sympathomimetic Agonist | Croup (Laryngotracheobronchitis) | 0.25-0.75 mL of a 2.25% solution in 2 mL NS once by neb. Ped: Same as adult | microNefrin, Vaponefrin
🗑
|
||||||||||
| Aspirin | Analgesic, Antipyretic, Platelet Inhibitor, Antiinflammatory | Chest pain suggestive of an MI | 160-325 mg PO (Chewable) | Acetylsalicylic Acid, Alka-Seltzer, Bayer, Empirin, St. Joseph Children's)
🗑
|
||||||||||
| Oxytocin | Hormone | Severe postpartum hemorrhage | 3-10 units IM after delivery of the placenta. 10-20 units in 1,000 mL of D5W or NS IV titrated to effect | Pitocin
🗑
|
||||||||||
| Glucagon | Hormone, Antihypoglycemic | Hypoglycemia without IV access and to reverse beta-blocker overdose | Hypoglycemia: 1 mg IM/SC repeated/5-20 mins. Ped: 0.1 mg/kg Beta Blocker Overdose: 3 mg IV over 1 min. Ped: 50-150 mg/kg IV over 1 min | GlucaGen
🗑
|
||||||||||
| Dextrose 50% in Water | Carbohydrate | Hypoglycemia | 25 g D50W (50mL). Ped: 2-4 mL/kg of a 25% solution IV | D50W
🗑
|
||||||||||
| Methylprednisolone | Corticosteroid/ Antiinflammatory | Spinal cord injury, asthma, severe anaphylaxis, COPD | 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. | Solu-Medrol
🗑
|
||||||||||
| Procainamide | Antiarrhythmic | V. Fib and PVTach refractory to lidocaine | 20-50 mg/min IV drip up to 17 mg/kg to effect, then 1-4 mg/min. Ped: 15 mg/kg/IV/IO over 30-60 mins. | Pronestyl
🗑
|
||||||||||
| Odansetron | Antiemetic | Nausea and vomiting | 4 mg over 1-5 mins. IV | Zofran
🗑
|
||||||||||
| Meperidine | Narcotic Analgesic | Moderate to severe pain | 25-50 mg IV, 50-100 mg IM. Ped: 1 mg/kg IV/IM | Demerol
🗑
|
||||||||||
| Lidocaine | Antidysrhythmic | Pulseless VTach, V.Fib., V. Tach (w/pulse) | Cardiac Arrest: 1-1.5 mg/kg IV/IO repeated at 0.5-0.75 every 5-10 mins up to 3 mg/kg follow conversion with a dirp of 1-4 mg/min. Ped: 1 mg/kg rapid IV/IO, to 100 mg, follow conversion with a drip of 20-50 mcg/kg/min. V. Tach w/pulse: 0.5-1.5 mg/kg | Xylocaine
🗑
|
||||||||||
| Fentanyl | Narcotic Analgesic | Induce sedation for endotracheal intubation/moderate to severe pain | 25-100 mcg slow IV (2-3 mins.) Ped: 2 mcg/kg slow IV/IM | Sublimaze
🗑
|
||||||||||
| Epinephrine | Sympathomimetic | To restore rhythm in cardiac arrest and severe allergic reactions | Arrest: 1 mg 1:10,000 IV (3-5 mins) Allergic Reactions: 0.3-0.5 mg 1:1,000 SQ/IM (5-15 mins.) | Adrenalin
🗑
|
||||||||||
| Etomidate | Hypnotic | Induce sedation for rapid sequence intubation | 0.1-0.3 mg/kg IV over 15-30 sec. Ped: 0.2-0.4 mg/kg IV/IO over 30-60 sec. Max 20 mg. | Amidate
🗑
|
||||||||||
| Flumazenil | Benzodiazepine Antagonist | Respiratory depression secondary to the benzodiazepines | 0.2 mg IV over 15 sec/min repeated at 0.3 mg over 30 sec. then 0.5 mg over 30 sec. every minute to affect or 3 mg. | Romazicon
🗑
|
||||||||||
| Ipratropium | Anticholinergic | Bronchospasm associated with asthma, COPD, and inhaled irritants | 500 mcg in 2.5-3 mL NS via NEb or 2 sprays from MDI. Ped: 125-250 mcg | Atrovent
🗑
|
||||||||||
| Labetelol | Beta Blocker | Acute hypertensive crisis | 10 mg slow IV, then 20-40 mg/10 mins as needed, up to 150 mg OR a bolus of 10 g, then continuous drip of 2-8 mg/min | Trandate, Normodyne
🗑
|
||||||||||
| Haloperidol | Anti-psychotic | Acute psychotic episodes | 2-5 mg IM Ped: Children>3 years, 0.015-0.15 mg/kg/day PO in 2 or 3 divided doses | Haldol
🗑
|
||||||||||
| Ipecac Syrup | Emetic | Poisoning and overdose | 30 mL PO, followed by 1-2 glasses of water, repeat in 20 mins as needed. Ped: 15 mL PO followed by 1-2 glasses of water, repeat in 20 mins. as needed | Ipecac Syrup
🗑
|
||||||||||
| Ketorolac | NSAID | Mild or Moderate Pain | 30 mg IV/IM (15 mg>65 years or weighs <50kg | Toradol
🗑
|
||||||||||
| Atropine | Parasympatholitic | Hemodynamically significant bradycardia, bradyasystolic arrest, and organophosphate poisoning | Asystole/PEA: 1 mg IV/IO ever 3-5 mins (max 3 doses) Sympathomatic Brady.: 0.5 mg IV Repeat 3-5 mins to 3 mg. Ped: 0.02 mg/kg IV Organophosphate Poisoning: 2-5 mg IV/IM/IO/10-15 mins. Ped: 0.05 mg/kg IV/IM/IO/10-15 mins. | Atropine
🗑
|
||||||||||
| Calcium Chloride | Electrolyte | Hyperkalemia, hypocalcemia, hypermagnesmia, and calcium channel blocker toxicity | 2-4 mg/kg IV/10 mins. as needed. Ped: 60-100 mg/kg IV/IO repeat at 10 mins/ as needed | Calcium Chloride
🗑
|
||||||||||
| Diltiazem | Calcium Channel Blocker | SVT dysrhythmias (A. Fib., A. Flutter, and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina | 0.25 mg/kg IV over 2 mins., may repeat in 15 mins with 0.35 mg/kg followed by a drip of 5-10 mg/hr not to exceed 15 mg/hr over 24 hrs | Cardizem
🗑
|
||||||||||
| Dexamethasone | Steroid | Anaphylaxis, asthma, COPD, spinal cord edema | 4-24 mg IV/IM Ped: 0.5-1 mg/kg | Decadron
🗑
|
||||||||||
| Dopamine | Sympathomimetic | Nonhypovolemic hypotension (70-100 mmHg) and cardiogenic shock | 2-20 mcg/kg/min. titrated to effect. Ped: same as adult | Intropin
🗑
|
||||||||||
| Bumetanide | Loop Diuretic | To promote diuresis in CHF and pulmonary edema | 0.5-1 mg IM/IV over 1-2 mins. repeat in 2-3 hours as needed | Bumex
🗑
|
||||||||||
| Calcium Gluconate | Electrolyte | Hyperkalemia, hypermagnesemia, and calcium channel blocker toxicity | 5-10 mL of 10% solution, repeated as necessary at 10 min. intervals | Kalcinate
🗑
|
||||||||||
| Amiodarone | Antidysrhythmic | Life threatening recurrent ventricular and supraventricular dysrhythmias that have not responded to other antidysrhythmic agents | 150-300 mg IV over 10 mins, then 1 mg/min over next 6 hours. Ped: 5 mg/kg IV/IO, then repeat up to 15 mg/kg | Cordarone, Pacerone
🗑
|
||||||||||
| Alteplase Recombinant | Thrombolytic | To thrombolyse in AMI, Acute ischemic stroke, and pulmonary embolism | MI: 15 mg IV, then 0.75 mg/kg up to 50 mg over 30 mins, then 0.5 mg/kg up to 35 mg over 60 mins up to 100 mg. Stroke: 0.09 mg/kg over 1 min, then 0.91 mg/kg up to 90 mg over next 60 min. Pulmonary embolism: 100 mg IV infusion over 2 hours | tPA, Activase
🗑
|
||||||||||
| Adenosine | Antidysrhythmic | Narrow, complex SVT refractory to vagal maneuvers | 6 mg rapidly (over 1-3 sec.) IV, then flush th eline rapidly with saline. If ineffective, 12 mg in 1-2 min, may be repeated. Ped: 0.1 mg/kg to a max of 6 mg. IV followed by rapid saline flush, then 0.2 mg/kg in 1-2 min to max 2nd dose of 12 mg | Adenocard
🗑
|
||||||||||
| Dobutamine | Sympathomimetic | To increase cardiac output in CHF/cardiogenic shock | 2-20 mcg/kg/min IV. Ped: same as adult | Dobutrex
🗑
|
||||||||||
| Nitrous Oxide | Analgesic (gas) | Musculoskeletal, burn, and ischemic chest pain and sever anxiety (including hyperventilation) | Self-Administered inhalation until the pain is relieved or the patient drops the mask | Nitronox
🗑
|
||||||||||
| Ibuprofen | NSAID | Reduce fever and relieve minor to moderate pain | 200-400 mg PO/4-6 hours up to 1,200 mg/day. Ped:5-10 mg/kg PO/4-6 hours up to 40 mg/kg/day | Advil, Motrin, Nuprin, Excedrin IB
🗑
|
||||||||||
| Acetaminophen | Analgesic, Antipyretic | For mild to moderate pain and fever when aspirin is otherwise not tolerated | 325 to 650 mg PO/4-6 hours. 650 mg PR/4-6 hours. | Tylenol, Anacin-3
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
674541819
Popular Paramedic/EMT sets