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Drug Indications
Drug Indications for EMS Use
| Question | Answer |
|---|---|
| Albuterol-Proventil/Ventolin, Class- Sympathomimetic Bronchodilator | To relieve broncho spasm in patients with reversible airway obstructive airway disease (Asthma, Chronic Bronchitis, Emphysema) and accute attacks of broncho spasm |
| Atorphine Sulphate-Aptrophine, Class- Parasympatholytic | To increase cardiac output in symptomatic bradycardia (e.g. Altered mental status, hypotension, cardiac ectopy, chest pain, CHF), Asystole, PEA |
| Epinephrine 1:1,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | For treatment of allergic reaction, difficulty breathing, asthma- .3-.5 mg SQ |
| Epinephrine 1:10,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | To restore cardiac rhythm in cardiac arrest of dead Pt's- 1mg IV push every 3-5 minutes Hives, difficulty breathing, <BP .3-.5 mg IV push |
| Activated Charcoal-Actidose, Class- Absorbant | Injested poisons (acetominophen, aspirin, atropine, barbituates, and other drugs) |
| Ipratromim Bromide-Atrovent, Class- Parasympatholytic Bronchodilator | Same as Albuterol- To relieve broncho spasms and COPD |
| Amiodarone-Cordarone, Class- Antidysrythmic | Patient dead VFIB or PVT (300 mg IV push)Patient alive VFIB or PVT (150 mg IV push) |
| Aspirin, Class- Analgesic | For chest pain only, no other reason |
| Calcium Chloride 10%-Calcium Chloride, Class- Electrolyte | For treating Hyperkalcemia (elevated potassium), hypocalcemia (decreased calcium). |
| Diazepam-Valuim, Class-Sedative; Hyptnotic; anticonvulsant; benzodiazapine; antianxiety | Stop seizures, muscle relaxer, and to induce amnesia before minor surgeries and cardioversion (diminishes recall of procedure) |
| Dextrose 50%-D50W, Class- Carbohydrate | To increase blood sugar levels in Hypoglycemia |
| Diphenhydramine-Benadryl, Class- Antihistamine | Allergic reaction and Anaphylaxis (blocks histamine release) |
| Dopamine-Intropin, Class- Sympathomimetic | Hypotension (70-100mmHg) not caused by hypovolemia, to increase end-organ perfusion in cardiogenic shock |
| Furosemide-Lasix, Class- Loop Diuretic | To treat acute Pulmonary Edema and CHF |
| Glucogon-Glucogen, Class- Hormone | To increase blood glucose levels in hypoglycemia without IV access |
| Lidocaine-Xylocaine, Class- Antidysrhythmic | To convert ventricluar dysrythmias (VFIB and VTACH) in cardiac arrest to sinus rhythm |
| Magnesium Sulfate-Magnesium, Class- Electrolyte | TO reverse VFIB and Pulseless VTACH, reverse Torsades De Pointes, Asthma (after others), and manage seizures caused by Eclampsia |
| Morphine Sulfate-Morphine, Class- Narcotic Analgesic | To relieve moderate to severe pain, Vasodilation, and Pulmonary Edema |
| Naloxone-Narcan, Class- Narcotic Antagonist | To reverse the effects of narcotic analgesics, other drugs |
| Nitroglycerine-Nitrostat/Nitrospray, Class- Nitrate | To relieve chest pain in Angina and MI, Vasodilator for perfusion |
| Nitrous Oxide-Nitronox, Class- General Anesthetic | To relieve pain of muscoskeletal origin, burns, anxiety, suspected ischemic chest pain |
| Nor-Epinephrine Bitartrate-Levophed, Class- Sympathomimetic | To restore blood pressure in certain accute hypotensive states, neurogenic shock |
| Ondansterone-Zofran, Class- Antiemetic | Stop nausua and vomiting |
| Promethazine-Phenergan, Class- Antiemetic | Stop nausua and vomiting |
| Sodium Bi-carbonate, Class- Electorlyte | To treat Metabolic Acidosis |
| Terbutaline-Brethine, Class- Bronchodilator | Asthma, COPD as bronchodilator |
| Thiamine-Vitamin B1, Class- Vitamin | Delirium Tremors, Coma of unknown origin |
| Adenosine-Adenocard, Class- Antidysrhythmic | Narrow, complex paroxysmol supraventricular tachycardia refractory to vagal maneuvers |
| Methylprednisolone-Solu-Medrol, Class- Steroid | To reduce inflamation caused by severe anaphylaxis and asthma/COPD, to treat urticaria |
| AMIODARONE-Cordarone, Class: Antidyshrthmic | Antiarrhythmic for V-Fib, Unstable V-Tach |
| Digoxin-Lanoxin, Class, Cardiac Glycoside | Antiarrhythmic for SVT, A-Fib, A-Flutter, CHF, Cardiogenic Shock |
| Diltiazem-Cardizem, Class- Calcium Channel Blocker | Antiarrhythmic for PSVT, A-Fib, A-Flutter, multi-focal atrial SVT |
| Etomidate-Amidate, Class- Hypnotic | To induce sedation before intubation |
| Fentanyl-Sublimaze, Class- Narcotic Analgesic | Control severe pain, induce sedation during RSI |
| Haloperidol-Halidol, Class- Antipsychotic | To manage accute psychotic disorders |
| Labetolol-Normodyne, Class- Alpha & Beta Adrenergic | To reduce blood pressure |
| Midazolam-Versed, Class- Sedative | Sedation before intubation and for reducing seizures |
| Oxytosin-Oxytosin- Class: Hormone | Stop uterine contractions and control postpartum hemmorage |
| Succinylcholine-Anectine, Class- Depolarizing Neuromuscular Blocker | Paralytic used to ET intubate, 2-3 minutes IV, 10-30 minutes IM |
| Vasopressin-Pitressin, Class- Hormone; Vasopressor | Used a vasodialator during CPR V-Fib and V-Tach |
| Vecuronium-Norcuron, Class- Nodepolarizing Skeletal Muscle relaxant | Paralytic used to ET intubate, duration 24-40 minutes, half-life 30-80 minutes |
| Verapamil-Isoptin, Class- Calcium Channel Blocker | Antiarrhythmic for PSVT, A-Fib, A-Flutter, Unstable Angina |
| Flumazenil-Romazicon, Class- Benzodiazepine Antagonist | Benzodiazepine overdose |
| Lorazepam-Ativan, Class- Sedative | To induce sedation for cardioversion. |
Created by:
robillard.james
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