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Paramedic Drug Info
Drug Name, Indications, Contra, Effects, Side Effects, How Supplied and Route
| Question | Answer |
|---|---|
| *50% Dextrose: (D50) Indications Class: Carbohydrate | Unconcious diabetics; Altered level of consciousness; Seizures |
| *50% Dextrose: (D50) Contraindications Class: Carbohydrate | Known intercranial hemmorage |
| *50% Dextrose: (D50) Effects Class: Carbohydrate | Increases blood sugar |
| *50% Dextrose: (D50) Side Effects Class: Carbohydrate | Rare, neurologic symptoms in alcoholics, tissue necrosis if extravasation |
| *50% Dextrose: (D50) How Supplied Class: Carbohydrate | 25gm/50ml |
| *50% Dextrose: (D50) Dosage and Route Class: Carbohydrate | 25 gm bolus in free flowing IV |
| *Glucagon: Indications Class: Hormone | Hypoglycemia, Beta blocker overdose |
| *Glucagon: Contraindications Class: Hormone | Rare |
| *Glucagon: Effects Class: Hormone | Causes breakdown of glycogen in glucose |
| *Glucagon: Side Effects Class: Hormone | Rare |
| *Glucagon: How Supplied Class: Hormone | 1 Unit (1 mg/ml to be mixed) |
| *Glucagon: Dosage and Route Class: Hormone | 1 Unit (1ml) IM |
| *Nalaxone HCL: Indications Class: Narcotic Antagonist | Suspected narcotic OD |
| *Nalaxone HCL: Contraindications Class: Narcotic Antagonist | Intubated patients |
| *Nalaxone HCL: Effects Class: Narcotic Antagonist | Reverses effects of narcotics |
| *Nalaxone HCL: Side Effects Class: Narcotic Antagonist | Withdrawl syndrome |
| *Nalaxone HCL: How Supplied Class: Narcotic Antagonist | 4mg/10ml |
| *Nalaxone HCL: Dosage and Route Class: Narcotic Antagonist | 0.8 mg slow IV, IM, tirtated to respirations. Repeat dose 1.6 mg |
| *Thiamine/Vitamin: Description Class: Vitamin | Thiamine is vitamin B1, which is required to convert glucose into energy. It is not manufactured in the body and must be constantly provided from ingested foods. |
| *Thiamine/Vitamin: Indications Class: Vitamin | Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremors. |
| *Thiamine/Vitamin: Contraindications Class: Vitamin | None |
| *Thiamine/Vitamin: Precations Class: Vitamin | Known hypersensitivity to the drug |
| *Thiamine/Vitamin: Dosage and Route Class: Vitamin | 50 to 100 mg IV/IM |
| *Atrophine Sulfate: Indications Class: Parasympatholytic | Bradycardia with hypotension, asystole; organophosphate poisoning |
| *Atrophine Sulfate: Contraindications Class: Parasympatholytic | Glaucoma; use caution in AMI |
| *Atrophine Sulfate: Effects Class: Parasympatholytic | Increased heart rate |
| *Atrophine Sulfate: Side Effects Class: Parasympatholytic | Blurred vision, headache, dialted pupils, thirst, flushed skin, dysuria |
| *Atrophine Sulfate: How supplied Class: Parasympatholytic | 1 mg/10 ml |
| *Atrophine Sulfate: Dosage and Route Class: Parasympatholytic | Organophosphate poisoning: 2mg IV every 5-10 minutesBradycardia: 1 mg IVAsystole: 1 mg IV or 2 mg ET |
| *Diphenhydramine HCL (Benadryl): Indications Class: Antihistamine | Anaphalxysis; allergic reaction; dystonic reaction |
| *Diphenhydramine HCL (Benadryl): Contraindications Class: Antihistamine | Asthma, nursing mothers |
| *Diphenhydramine HCL (Benadryl): EffectsClass: Antihistamine | Blocks histamine effects; anitemetic; sedative; to reverse effects of phenothiazines |
| *Diphenhydramine HCL (Benadryl): Side Effects Class: Antihistamine | Hypotension, headache, tacycardia, and sedation |
| *Diphenhydramine HCL (Benadryl): How supplied Class: Antihistamine | 50 mg/ml |
| *Diphenhydramine HCL (Benadryl): Dosage and Route Class: Antihistamine | 25-50 mg IV or deep IM |
| Methylprednisolone (Solu-Medrol): Indications Class: Steroid | Used for severe anaphylaxis, and asthma/COPD |
| Methylprednisolone (Solu-Medrol): Contraindications Class: Steroid | None in anaphylaxis; premature infants; systemic fungal infections, pregnancy |
| Methylprednisolone (Solu-Medrol): Effects Class: Steroid | Anti-inflammatory, natural glucocorticoid |
| Methylprednisolone (Solu-Medrol): Side Effects Class: Steroid | CHF, HTN, Seizures, N/V, dysrymthmias |
| Methylprednisolone (Solu-Medrol): How Supplied Class: Steroid | 125 mg vial |
| Methylprednisolone (Solu-Medrol): Dosage and Route Class: Steroid | 125 mg IV |
| *Adenosine (Adenocard): Description Class: Antidysrhythmic | This drug will be given after carotid sinus massage on pt's under 50 yoa, or valsalva maneuver on pt's 50 and older |
| *Adenosine (Adenocard): Indications Class: Antidysrhythmic | Supraventricular tachycardia (SVT) |
| *Adenosine (Adenocard): Contraindications Class: Antidysrhythmic | Arial fibrillation, atrail flutter or ventricular arrythmias including ventricular tachycardia, 2nd and 3rd degree heart blocks, or sick sinus syndrome |
| *Adenosine (Adenocard): Effects Class: Antidysrhythmic | Slows conduction through AV node |
| *Adenosine (Adenocard): Side Effects Class: Antidysrhythmic | Bradycardia, hypotension, facial flushing, transient dyspnea, chest pressure, headache, nausea, or bronchospasm. Expect an asystolic/bradycardic period. Do not treat for 1 minute |
| *Adenosine (Adenocard): How Supplied Class: Antidysrhythmic | 6 mg/2 ml |
| *Adenosine (Adenocard): Dosage and Route Class: Antidysrhythmic | 6 mg IV rapidly over 1-2 seconds. If no effect after 2 minutes, give 12 mg IV rapidly over 1-2 seconds. If patient is on Thepphyline, notify medical control as the may increase dose to 12, 12, 18 |
| *AMIODARONE (Cordarone): Indications Class: Antidysrhythmic | used for treatment of arrythmias including ventricular tachycardia, ventricular fibrillation, and supra-ventricular arrythmia |
| *AMIODARONE (Cordarone): Contraindications Class: Antidysrhythmic | None in cardiac arest situations; bradycardia, heart block, hypotension, pregnancy |
| *AMIODARONE (Cordarone): Effects Class: Antidysrhythmic | Antiarrythmic, several different effecfts, primarily beta-blockade acutely |
| *AMIODARONE (Cordarone): Side Effects Class: Antidysrhythmic | Hypotension, bradycardia, increased heart block |
| *AMIODARONE (Cordarone): How Supplied Class: Antidysrhythmic | (3) 150 mg vials |
| *AMIODARONE (Cordarone): Dosage and Route Class: Antidysrhythmic | Cariac arrest situations- 300 mg IV pushUnstabel arrythmias, 150 mg IV over 10 minutes as an infusion, may be repeated once if needed for recurrent arrythmia |
| *ASPIRIN: Indications Class: Analgesic | Chest pain of suspected cardiac origin |
| *ASPIRIN: Contraindications Class: Analgesic | Trauma, bleeding, on blood thinners |
| *ASPIRIN: Effects Class: Analgesic | Inhibits the formation of blood clots |
| *ASPIRIN: Side Effects Class: Analgesic | None |
| *ASPIRIN: How Supplied Class: Analgesic | 81 mg chewable tabs |
| *ASPIRIN: Dosage and Route Class: Analgesic | 4- 81 mg tabs chewed after first Nitroglycerin |
| *ATROPHINE SULFATE: Indications Class: Parasympatholytic | Bradycardia with hypotension, asystole, organophosphate poisoning |
| *ATROPHINE SULFATE: Contraindications Class: Parasympatholytic | Glaucoma; use caution in AMI |
| *ATROPHINE SULFATE: Effects Class: Parasympatholytic | Increased heart rate |
| *ATROPHINE SULFATE: Side Effects Class: Parasympatholytic | Blurred vision, headache, dialated pupils, thirst, flushed skin, dysuria, |
| *ATROPHINE SULFATE: How Supplied Class: Parasympatholytic | 1mg/10ml |
| *ATROPHINE SULFATE: Dosage and Route Class: Parasympatholytic | Organophsophate poisoning- 2 mg IV every 5-10 minutesBradycardia- 1 mg IV Asystole- 1 mg IV or 2 mg ET |
| *CALCIUM CHLORIDE 10%: Indications Class: Electolyte | Used for calcium blocker toxicity, Hypermagnesemia |
| *CALCIUM CHLORIDE 10%: Contraindications Class: Electolyte | VF, digitalis toxicity, hypercalcemia |
| *CALCIUM CHLORIDE 10%: Effects Class: Electolyte | Electrolyte |
| *CALCIUM CHLORIDE 10%: Side Effects Class: Electolyte | Extravasation causes necrosis, Dysrythmias, Hypotension, CNS changes |
| *CALCIUM CHLORIDE 10%: How Supplied Class: Electolyte | 1 gm/10 ml |
| *CALCIUM CHLORIDE 10%: Dosage and Route Class: Electolyte | 20 mg/kg slow IV |
| DILTIAZEM (Cardizem): Description(Calcium Channel Blocker) Class: Calcium Channel Blocker | is a slow calcium channel blocker similar to verapamil. It dialates coronary and peripheral arteries and aretioles, thus increasing circulation to the heart and reducing peripheral vascular resistance |
| DILTIAZEM (Cardizem): Indication Class: Calcium Channel Blocker | Supra-ventricular tachydysrhythmias (atrial fibrilation, atrial flutter and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina |
| DILTIAZEM (Cardizem): Contraindication Class: Calcium Channel Blocker | Hypersensitivity, sick sinus syndrome, 2nd and 3rd degree heart block, systoloc BP <100, Diastolic BP <60, wide complex tachycardia and WPW |
| DILTIAZEM (Cardizem): Precautions Class: Calcium Channel Blocker | CHF (especially with beta-blockers), conduction abnormalties, renal or hepatic impairment, the elderly, and nursing mothers |
| DILTIAZEM (Cardizem): How Supplied Class: Calcium Channel Blocker | |
| DILTIAZEM (Cardizem): Dosage and Route Class: Calcium Channel Blocker | 0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5 to 10 mg/hr not to exceed 15 mg/hr over 24 hrs |
| DOBUTAMINE (Dobutrex): Description Class: Sympathomimetic | Dobutamine is a synthetic catecholamine and beta agent that increases cardiac contraction without appreciably increasing rate |
| DOBUTAMINE (Dobutrex): Indication Class: Sympathomimetic | To increase cardiac output in congestive heart failure/ cardiogenic shock |
| DOBUTAMINE (Dobutrex): Contraindication Class: Sympathomimetic | Hypersensitivity to Sympathomemetic amines, ventricular tachycardia and hypovolemia without fluid resuscitation |
| DOBUTAMINE (Dobutrex): Precautions Class: Sympathomimetic | Atrial Fibrilattion or pre-existing hypertension |
| DOBUTAMINE (Dobutrex): How Supplied Class: Sympathomimetic | Change |
| DOBUTAMINE (Dobutrex): Dosage and Route Class: Sympathomimetic | 2 to 20 mcg/kg/min IV |
| *DOPAMINE (Inotropin): Indication(to raise blood pressure) Class: Sympathomimetic | Cardiogenic and Septic shock |
| *DOPAMINE (Inotropin): Contraindication(to raise blood pressure) Class: Sympathomimetic | Usually only after volume deficit is corrected in cardiogenic and septic shock |
| *DOPAMINE (Inotropin): Effects(to raise blood pressure) Class: Sympathomimetic | Increases heart rate and force; increases urine output |
| *DOPAMINE (Inotropin): Side Effects(to raise blood pressure) Class: Sympathomimetic | Ventricular tachyarrhythmias, hypertension |
| *DOPAMINE (Inotropin): How Supplied(to raise blood pressure) Class: Sympathomimetic | 200 mg/5 ml, or premix |
| *DOPAMINE (Inotropin): Dosage and Route(to raise blood pressure) Class: Sympathomimetic | Drip only: 200 mg in 250 ml D5WLow- 2-5 mcg/kgMed- 5-10 mcg/kgHigh- 15+ mcg/kg |
| *EPINEPHRINE (Adrenaline) 1:1000: Indications Class: Sympathomimetic | Anaphylaxis, asthma that is unresponsive to albuterol; severe asthma |
| *EPINEPHRINE (Adrenaline) 1:1000: Contraindications Class: Sympathomimetic | None in anaphylaxis. Do not give; if over age 50 years with cardiac history; if pulse is >140/min in adult or 180/min in child; if hypertensive |
| *EPINEPHRINE (Adrenaline) 1:1000: Effects Class: Sympathomimetic | Bronchodialation; increases BP |
| *EPINEPHRINE (Adrenaline) 1:1000: Side Effects Class: Sympathomimetic | Palpatations, hypertention, and dysrrhythmias |
| *EPINEPHRINE (Adrenaline) 1:1000: How Supplied Class: Sympathomimetic | 1mg/ml |
| *EPINEPHRINE (Adrenaline) 1:1000: Dosage and Route Class: Sympathomimetic | 0.3mg SQ. May repeat every 10-20 min |
| *EPINEPHRINE (Adrenaline) 1:10,000:Indications Class: Sympathomimetic | Asystole, ventricular fibrillation, ventricular tachycardia with no pulse, PEA |
| *EPINEPHRINE (Adrenaline) 1:10,000: Contraindications Class: Sympathomimetic | None in CPR |
| *EPINEPHRINE (Adrenaline) 1:10,000: Effects Class: Sympathomimetic | Increases heart rate, force, contractility, and automaticity |
| *EPINEPHRINE (Adrenaline) 1:10,000: Side Effects Class: Sympathomimetic | Tachyarrythmias |
| *EPINEPHRINE (Adrenaline) 1:10,000: How Supplied Class: Sympathomimetic | 1 mg/10 ml |
| *EPINEPHRINE (Adrenaline) 1:10,000: Dosage and Route Class: Sympathomimetic | Cardiac Arrest: 1 mg IV (2mg ET) every 3-5 min |
| *FUROSMIDE (Lasix): Indications Class: Loop Diuretic | CHF; Pulmonary edema |
| *FUROSMIDE (Lasix): Contraindications Class: Loop Diuretic | Hypotension, pregnancy, hypocalcemia |
| *FUROSMIDE (Lasix): Effects Class: Loop Diuretic | Increase urine output; vasodialation |
| *FUROSMIDE (Lasix): Side Effects Class: Loop Diuretic | Dehydration, decreases potassium |
| *FUROSMIDE (Lasix): How Supplied Class: Loop Diuretic | 40 mg/4 ml |
| *FUROSMIDE (Lasix): Dosage and Route Class: Loop Diuretic | 40 mg IV over 2-3 min. May consider higher dose for patients already on diuretics |
| *LIDOCAINE (Xylocaine): Description(Anitarrythmic) Class: Antidysrhythmic | Lidocaine is an antidysrhythmic that suppresses automaticity and raises stimulations threshold of the ventricles. It also causes sedation, anti-convulsant, and analgesic effects |
| *LIDOCAINE (Xylocaine): Indications Class: Antidysrhythmic | Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia (with pulse) |
| *LIDOCAINE (Xylocaine): Contraindications Class: Antidysrhythmic | Hypersensitivity to amide-type local anesthetics, Supraventricular dysrhythmias, Stokes-Adams Syndrome, 2dn and 3rd degree heart blocks, and bradycardias |
| *LIDOCAINE (Xylocaine): Precautions Class: Antidysrhythmic | Hepatic or renal impairment, CHF, Hypoxia, Respiratory depression, Hypovolemia, myasthenia gravis, shock, debillitated patients, elderly, family hisory of malignant hypothermia |
| *LIDOCAINE (Xylocaine): Dosage and Route Class: Antidysrhythmic | Cardiac Arrest: 1 to 1.5 mg/kg IV repeasted every 3 to 5 min up to 3 mg/kg, follow conversion with a drip of 2 to 4 mg/minVentricular tachycardia (w/ pulse) 1 to 1.5 mg/kg slow IV. May repeat at one-half dose every 5to 10 min until conversion up to 3mg/ |
| *MAGNESIUM SULFATE: Indications Class: Electrolyte | Refractory VT or SVT; eclampsia |
| *MAGNESIUM SULFATE: Contraindications Class: Electrolyte | None |
| *MAGNESIUM SULFATE: Effects Class: Electrolyte | Changes calcium transport in the cells |
| *MAGNESIUM SULFATE: Side Effects Class: Electrolyte | Flushing, Nausea |
| *MAGNESIUM SULFATE: How Supplied Class: Electrolyte | 1 gm/2 ml |
| *MAGNESIUM SULFATE: Dosage and Route Class: Electrolyte | IV Refractory VF- 1-2 gm of 50% solution diluted in 10 ml of NS (dilute each gm of magnesium with 8 cc of NS), Eclampsia: Deep IM Gluteus Maximus, Eclampsia- 10% solution 2-4 gm IV push at no greater than gm/min until seizure stops or a max dose of 4 gm |
| METAPROLOL (Lopressor): Indications Class: Beta Blocker | Used for hypertension, acute MI, angina pectoris, adult V-fib, pulseless wide complex tachycardia |
| METAPROLOL (Lopressor): Contraindications Class: Beta Blocker | Shock, 2nd or 3rd degree AV heart block, sinus bradycardia, CHF, bronchial asthma |
| METAPROLOL (Lopressor): Effects Class: Beta Blocker | B1 blocker |
| METAPROLOL (Lopressor): Side Effects Class: Beta Blocker | Hypotension, dysrhythmias, CHF, N/V, CNS changes |
| METAPROLOL (Lopressor): How Supplied Class: Beta Blocker | 5 mg in 5 ml ampules |
| METAPROLOL (Lopressor): Dosage and Route Class: Beta Blocker | 5 mg IV once over 2 min, may repeat per medical control |
| NIFEDIPINE (Procardia): Indication Class: Calcium Channel Blocker | Hypertension and angina pectoris |
| NIFEDIPINE (Procardia): Contraindications Class: Calcium Channel Blocker | Hypersensitivity to drug, Hypotension |
| NIFEDIPINE (Procardia): Effects Class: Calcium Channel Blocker | Calcium channel blocker |
| NIFEDIPINE (Procardia): Side Effects Class: Calcium Channel Blocker | N/V, dizziness, H/A, bradycardia, heart block, hypotension, asystole |
| NIFEDIPINE (Procardia): How Supplied Class: Calcium Channel Blocker | Gel-capsule 10 mg each |
| NIFEDIPINE (Procardia): Dosage and Route Class: Calcium Channel Blocker | One to two tablts sublingual |
| MORPHINE SULFATE: Indications Class: Narcotic Analgesic | Pulmonary edema; pain in AMI; pain associated with identifiable injuries such as fractures, burns, etc. |
| MORPHINE SULFATE: Contraindications Class: Narcotic Analgesic | Hypotension; head injury; undiagnosed abdominal pain |
| MORPHINE SULFATE: Effects Class: Narcotic Analgesic | CNS depressant; vasodialator; decreases venous return to heart; decreases pain |
| MORPHINE SULFATE: Side Effects Class: Narcotic Analgesic | Hypotension, bradycardia, respiratory depression, dizziness |
| MORPHINE SULFATE: How Supplied Class: Narcotic Analgesic | 10 mg/1 ml |
| MORPHINE SULFATE: Dosage and Route Class: Narcotic Analgesic | IV: 2-5 mg slow IV push every 5-10 min tirated to effect (max 15 mg). IM 5-10 mg |
| *NITROGLYCERINE: Indications Class: Antiaginal | Chest pain of suspected cardiac origin; pulmonary edema |
| *NITROGLYCERINE: Contraindications Class: Antiaginal | Hypotension, trauma, ICH, Consult medical control with patients using viagra, livitra, and cialis |
| *NITROGLYCERINE: Effects Class: Antiaginal | Vasodialation |
| *NITROGLYCERINE: Side Effects Class: Antiaginal | H/A, hypotension, dizziness |
| *NITROGLYCERINE: How Supplied Class: Antiaginal | 0.4 mg (tablet), 1/150th grain |
| *NITROGLYCERINE: Dosage and Route Class: Antiaginal | 1 tablet SL every 5 min |
| PROCAINAMIDE (Pronestyl): Desription Class: Antiarrythmic | Procainamide prolongs ventricular repolarization, slows conduction, and decreses myocardial excitability |
| PROCAINAMIDE (Pronestyl): Indications Class: Antiarrythmic | Ventricular Fibrillation and pulseless ventricular tachycardia refractory to lidocaine |
| PROCAINAMIDE (Pronestyl): Contraindications Class: Antiarrythmic | Hypersinsitivity to procainamide or procaine, myasthenia gravis, and 2nd or 3rd dgreee heart block |
| PROCAINAMIDE (Pronestyl): PrecautionsClass: Antiarrythmic | Hypotension, cariac enlargement, CHF, AMI, Ventricular dysrhythmias for digitalis, hepatic or renal impairment, electrolyte imbalance, or bronchial asthma |
| PROCAINAMIDE (Pronestyl): Dosage and Route Class: Antiarrythmic | 20- 30 mg/min IV drip up to 17 mg/kg to effect, then 1-4 mg per min |
| VERAPAMIL (Isoptin, Calan): Description Class: Calcium Channel Blocker | Verapamil is a calcium channel blocker that slows AV conduction, suppresses re-entry dysrhythmias such as PSVT, and slows ventricular responses to atrial tachydysrhythmias. Verapamil also dialtes coronary arteries and reduces myocardial oxgen demand |
| VERAPAMIL (Isoptin, Calan): Indications Class: Calcium Channel Blocker | PSVT refractory to adenosine, atrial flutter, and atrial fibrillation with rapid ventricular response |
| VERAPAMIL (Isoptin, Calan): Contraindications Class: Calcium Channel Blocker | Severe hypotension, cariogenic shock, 2nd or 3rd degree heart block, CHF, sinus node disease, and accessory AV pathways, WPW syndrome. It should not be administered to patients taking Beta Blockers |
| VERAPAMIL (Isoptin, Calan): Precautions Class: Calcium Channel Blocker | Hepatic and renal impairment, MI with coronary artery occlusion, or myocardial stenosis |
| VERAPAMIL (Isoptin, Calan): Dosage and Route Class: Calcium Channel Blocker | 2.5 to 5 mg IV Bolus over 2-3 min, then 5 to 10 mg after 15 to 30 min to a max of 30 mg in 30 min |
| VASOPRESSIN (Pitressin): Indications Class: Hormone, Vasopressor | used in ventricular fibrillation cardiac arrest situations |
| VASOPRESSIN (Pitressin): Contraindications Class: Hormone, Vasopressor | None in cardiac arrest |
| VASOPRESSIN (Pitressin): Effects Class: Hormone, Vasopressor | Stimulates smooth muscle resulting in vasoconstriction |
| VASOPRESSIN (Pitressin): Side Effects Class: Hormone, Vasopressor | None in cardiac arrest |
| VASOPRESSIN (Pitressin): How Supplied Class: Hormone, Vasopressor | 20 unit vials |
| VASOPRESSIN (Pitressin): Dosage and Route Class: Hormone, Vasopressor | 40 u IV- adult only |
| *DIAZEPAM (Valium): Indications Class: Sedative | Status elipticus, severe emotional tension, sedation prior to cardioversion |
| *DIAZEPAM (Valium): Contraindications Class: Sedative | Pregnancy |
| *DIAZEPAM (Valium): Effects Class: Sedative | CNS Depressant |
| *DIAZEPAM (Valium): Side Effects Class: Sedative | Hypotension, stupor, respiratory and or cardiac arrest |
| *DIAZEPAM (Valium): How Supplied Class: Sedative | 10 mg/2 ml |
| *DIAZEPAM (Valium): Dosage and Route Class: Sedative | 2.5 to 5 mg slow IV |
| *ETOMIDATE (Amidate): Description Class: Hypnotic | Etomidate is an ultra short acting non-barbituate hypnotic with no analgesic effects and limited cardiovasular and respiratory effects |
| *ETOMIDATE (Amidate): Indications Class: Hypnotic | Induces sedation for rapid sequence intubation |
| *ETOMIDATE (Amidate): Contraindications Class: Hypnotic | Hypersensitivity |
| *ETOMIDATE (Amidate): Precautions Class: Hypnotic | Marked hypotension, severe asthma, or severe cardiovascular disease |
| *ETOMIDATE (Amidate): Dosage and Route Class: Hypnotic | 0.1 to 0.3 mg/kg IV over 15 to 30 seconds |
| *FENTANYL (Sublimaze): Description Class: Narcotic Analgesic | Fentanyl is a potent synthetic narcotic anlagesic similar to morphine and meperidine but with a more rapid and less prolonged action |
| *FENTANYL (Sublimaze): Indications Class: Narcotic Analgesic | Induce sedation for endotrachial intubation |
| *FENTANYL (Sublimaze): Contraindications Class: Narcotic Analgesic | MAO inhibitors within 14 days, myasthenia gravis |
| *FENTANYL (Sublimaze): Precautions Class: Narcotic Analgesic | Incresed ICP, elderly, debilitated, COPD, repiratory problems, hepatic and renal insufficiency |
| *FENTANYL (Sublimaze): Dosage and Route Class: Narcotic Analgesic | 25 to 100 mcg slowly IV (2-3 minutes) |
| *LORAZEPAM (Ativan): Description Class: Sedative | Lorazepam is the most potent benzodiazepine available. It has strong anti-anxiety, sedative, hypnotic, and skeletal muscle relaxant properties, and a relatively short half life |
| *LORAZEPAM (Ativan): Indications Class: Sedative | Sedation for carioversion and status epileptics |
| *LORAZEPAM (Ativan): Contraindications Class: Sedative | Sensitivity to Benzodiazapines |
| *LORAZEPAM (Ativan): Precautions Class: Sedative | Narrow angle glaucoma, depression or psychosis, coma, shock, accute alcohol intoxication, renal or hepatic impairment, organic brain syndrome, myesthenia gravis, GI disorders, elderly, debilitated, limited pulmonary reserve |
| *LORAZEPAM (Ativan): Dosage and Route Class: Sedative | Sedation: 2 to 4 mg IM, 0.5 to 2 mg IV.Pedi: 0.03 to 0.5 mg/kg IV/IM/PR up to 4 mg. Status epileptis: 2 mg slow IV/PR (2mg/min) |
| *MIDAZOLAM (Versed): Indications Class: Sedative | Used for sedation and seizures |
| *MIDAZOLAM (Versed): Contraindications Class: Sedative | Shock, accute narrow angle glaucoma |
| *MIDAZOLAM (Versed): Effects Class: Sedative | CNS depressant, anticonvulsant and amnesic |
| *MIDAZOLAM (Versed): Side Effects Class: Sedative | Respiratory depression, hypotension, decreased HR |
| *MIDAZOLAM (Versed): How Supplied Class: Sedative | 5 mg/ml |
| *MIDAZOLAM (Versed): Dosage and Route Class: Sedative | Adult sedation: 2 to 5 mg IVSeizures: 5 mg IM if no IV |
| PROMETHAZINE (Phenergan): Indications Class: Antiemetic | Motion sickness, rhinitis, allergy symptoms, sedation, nausea |
| PROMETHAZINE (Phenergan): Contraindications Class: Antiemetic | Accute asthma attack, lower respiratory tract disease |
| PROMETHAZINE (Phenergan): Effects Class: Antiemetic | Anti-emetic |
| PROMETHAZINE (Phenergan): Side Effects Class: Antiemetic | Drowsiness, anxiety, euphoria, confusion, hypotension, tachycardia, increased secretions, wheezing, thrombocytopenia, rash, nasal stuffiness, blurred vision |
| PROMETHAZINE (Phenergan): How Supplied Class: Antiemetic | Vial/ampules 25 mg/1 cc |
| PROMETHAZINE (Phenergan): Dosage and Route Class: Antiemetic | Adult: 12.5 to 25 mg IV, 25 IM(must be diluted for IV administration) |
| *ALBUTEROL (Proventil): Indications Class: Sympathomimetic Bronchodialator | Bronchospasm related to asthma, chronic bronchitis and emphysema |
| *ALBUTEROL (Proventil): Contraindications Class: Sympathomimetic Bronchodialator | Tachydysrythmias |
| *ALBUTEROL (Proventil): Effects Class: Sympathomimetic Bronchodialator | Bronchodialation |
| *ALBUTEROL (Proventil): Side Effects Class: Sympathomimetic Bronchodialator | Tachycardia, anxiety, N/V, tremors |
| *ALBUTEROL (Proventil): How Supplied Class: Sympathomimetic Bronchodialator | 2.5 mg/3 ml |
| *ALBUTEROL (Proventil): Dosage and Route Class: Sympathomimetic Bronchodialator | 1 unit dose of 2.5 mg/3 ml through hand held nebulizer with oxygen flow at 4-6 liters; may repeat if necessary. A modified nebulizer may be used with a BVM or a simple face mask |
| IPRATROPIUM (Atrovent): Indications Class: Parasympatholytic Bronchodialator | Bronchospasm related to asthma, chronic bronchitis and emphysema |
| IPRATROPIUM (Atrovent): Contraindications Class: Parasympatholytic Bronchodialator | Tachydysrythmias |
| IPRATROPIUM (Atrovent): Effects Class: Parasympatholytic Bronchodialator | Bronchodialation |
| IPRATROPIUM (Atrovent): Side Effects Class: Parasympatholytic Bronchodialator | Tachycardia, myocardial ischemia |
| IPRATROPIUM (Atrovent): How Supplied Class: Parasympatholytic Bronchodialator | 0.5 mg/3 ml |
| IPRATROPIUM (Atrovent): Dosage and Route Class: Parasympatholytic Bronchodialator | 1 unit dose of 0.5 mg/3 ml through hand held nebulizer with oxygen flow at 4-6 liters. Mixed with 1st dose of Albuterol. A modified may be used with a BVM or a simple face mask |
| METHYLPREDNISOLONE (Solu-medrol): Indications Class: Steroid | Used for severe anaphylaxis and Asthma-COPD |
| METHYLPREDNISOLONE (Solu-medrol): Contraindications Class: Steroid | None in anaphylaxis; premature infants; systemic fungal infections; pregnancy |
| METHYLPREDNISOLONE (Solu-medrol): Effects Class: Steroid | Anti-inflammatory, natural glucocorticoid |
| METHYLPREDNISOLONE (Solu-medrol): Side Effects Class: Steroid | CHF, HTN, Seizures, N/V, Dysryhthmias |
| METHYLPREDNISOLONE (Solu-medrol): How SuppliedClass: Steroid | 125 mg vial |
| METHYLPREDNISOLONE (Solu-medrol): Dosage and Route Class: Steroid | 125 mg IV |
| *TERBUTALINE (Brethine, Bricanyl): Description Class: Sympathetic Agonist | Terbutaline is a synthetic sympathomemetic that causes bronchodialations with less cardiac effect than epinephrine |
| *TERBUTALINE (Brethine, Bricanyl): Indications(Sympathetic Agonist) | Bronchial asthma and bronchospasm in COPD |
| *TERBUTALINE (Brethine, Bricanyl): Contrindications(Sympathetic Agonist) | Hypersensitivity to the drug |
| *TERBUTALINE (Brethine, Bricanyl): Precautions(Sympathetic Agonist) | The patient may experience palpatations, anxiety, nausea, and or dizziness. Vital signs and breath sounds must be monitored; use caution with cardiac or hypertensive patients |
| *TERBUTALINE (Brethine, Bricanyl): Dosage and Route(Sympathetic Agonist) | Two inhalations with a metered dose inhaler, repeated once in 1 minute or 0.25 mg SQ repeated in 15 to 30 minutes |
| AMINOPHYLLINE: Despcription Class: Methylxanthine Bronchodialator | Is a xanthine bronchodialator that is sometimes efective in cases when sympathomimetics have not been effect |
| AMINOPHYLLINE: Indications Class: Methylxanthine Bronchodialator | Asthma, CFH, Bronchospam with COPD, Pulmonary edemaCardiac Use: Overdose of Adenosine |
| AMINOPHYLLINE: Contraindications Class: Methylxanthine Bronchodialator | Hypersensitivity to drug, uncontrolled cardiac dysrhythmias |
| AMINOPHYLLINE: Precautions Class: Methylxanthine Bronchodialator | Patients with cardiovascular history or hypertension. hypotension may occur with rapid administration |
| AMINOPHYLLINE: Side Effects Class: Methylxanthine Bronchodialator | Tachycardia, dysrhythmias, palpatations, tremors, N/V, seizures |
| AMINOPHYLLINE: Dosage and Route Class: Methylxanthine Bronchodialator | CHF: 250 mg in 100 ml bag or 500 mg in 100 ml bag of D5W. Infuse over 20-30 minutes. Other strength: 250 or 500 mg/2-5 mg/kg in 20 ml of D5W |
| *SODIUM BICORBONATE 8.4%: Indications Class: Electrolyte | Cardiac arrest only after prolonged anoxia, tricyclic anti-depressant overdose, known acidosis |
| *SODIUM BICORBONATE 8.4%: Contraindications Class: Electrolyte | Not to be given as an initial drug therapy |
| *SODIUM BICORBONATE 8.4%: Effects Class: Electrolyte | Increases pH |
| *SODIUM BICORBONATE 8.4%: Side Effects Class: Electrolyte | Metablolic alkalosis, increased sodium |
| *SODIUM BICORBONATE 8.4%: How Supplied Class: Electrolyte | 50 mEq/50 ml |
| *SODIUM BICORBONATE 8.4%: Dosae and Route Class: Electrolyte | 1 mEq/kg IV followed by 1/2 the initial dose every 10 minutes |
| *SUCCINYCHOLINE (Anectine): Description Class: Depolarizing Neuromuscular Blocker | Succinycholine is a ultra-short-acting depolarizing nueromuscular blocker |
| *SUCCINYCHOLINE (Anectine): Indications Class: Depolarizing Neuromuscular Blocker | Facilitated endotracheal intubation |
| *SUCCINYCHOLINE (Anectine): Contraindications Class: Depolarizing Neuromuscular Blocker | Hypersenitivity, family HX malignant hyperthermia, penetrating eye injury, narrow angle glaucoma |
| *SUCCINYCHOLINE (Anectine): Precautions Class: Depolarizing Neuromuscular Blocker | Sever burn or crush injury; electrolyte imbalances; hepatic, renal, cardiac, or pulmonary impairment; fractures, spinal cord injury; dehydration; severe anemia; porphyria |
| *SUCCINYCHOLINE (Anectine): Dosage and Route Class: Depolarizing Neuromuscular Blocker | 1 to 1.5 mg/kg IV/IM |
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