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EMS Pharmacology
Drug | Indications | Contraindications | Dosage | Pharmacodynamics | Antidote | Classification | Side Effects |
---|---|---|---|---|---|---|---|
Epinephrine | cardiac arrest anaphylaxis asthma | cardiac arrest: 1mg 1:10,000 q 3-5 min anaphylaxis/asthma: 0.1 to 0.5mg SQ | N/A | + chronotroph + inotroph vasoconstrictor | hypertension tachycardia chest pain | ||
Atropine | bradycardia asystole PEA | asystole, PEA: 1mg (max 0.4mg/kg) bradycardia: 0.5 - 1.0 mg | parasympatholytic | tachycardia chest pain hypertension | |||
Fentanyl | burns ACS (acute coronary syndrome) extremity trauma | 1mcg/kg may repeat 1/2 does q5 min until max of 3mcg/kg | |||||
Cardizem (Diltiazem) | wide complex tachycardia SBP<100 | 0.25mg/kg May repeat after 15min at dose of 0.35mg/kg | calcium channel blocker | ||||
Ondansetron(Zofran) | 4mg IM 4mg slow IVP | ||||||
Naloxone (Narcan) | |||||||
Diphenhydramine (Benedryl) | |||||||
Morphine Sulfate | extremity trauma burns ACS | 0.05mg/kg IV q5 min until max 0.2mg/kg | |||||
Diazepam (Valium) | seizures sedation | 0.1mg/kg IV q5 min until max of 0.3mg/kg | |||||
Midazolam (Versed) | seizures sedation | 0.05mg/kg IV q5 min until max 0.1mg/kg | |||||
Furosemide (Lasix) | CHF | 40-100mg IV |