Advanced Care Paramedic Medications
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| show | TYLENOL
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| show | ACETAMINOPHEN
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| What is the CLASSIFICATION of ACETAMINOPHEN | show 🗑
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| show | 120 - 350 mg tablets
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| What are the ACTIONS (pharmacodynamics) of ACETAMINOPHEN | show 🗑
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| show | Relief of mild to moderate pain, fever
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| DOSAGES for ACETAMINOPHEN | show 🗑
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| CONTRAINDICATIONS of ACETAMINOPHEN | show 🗑
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| show | Use with cautions in hepatic impairment.
Renal impairment.
Alcohol dependency.
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| show | Has little hypnotic activity and rarely causes histamine release.
Synergistic effects when given with benzodiazepines.
Used in combination with benzodiazepines to maintain "sedation" for advanced airways and advanced procedures.
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| What is the TRADE name for ACETYLCYSTEINE | show 🗑
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| show | ACETYLCYSTEINE
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| show | Antidote for acetaminophen overdose.
Mucolytic.
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| What is the SUPPLIED does of ACETYLCYSTEINE | show 🗑
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| show | Acetaminophen Antidote: exact mechanism unknown.
It is thought it restores hepatic glutathione or inactivates the toxic metabolite of acetaminophen, preventing haptic damage
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| show | Acetaminophen (toxicity) antidote
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| show | Acetaminophen Toxicity: 150 mg/kg IV over 60 min. (mix in N/S).
Followed by:
First maintenance dose: 50 mg/kg IV over 4 hours; then
Second maintenance does: 100 mg/kg IV over 16 hours
Notes: Adjust infusion according to acetaminophen levels
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| CONTRAINDICATIONS for ACETYLCYSTEINE | show 🗑
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| show | Elderly or debilitated patients with severe respiratory insufficiency.
Use cautiously in patients with asthma or a history of bronchospasm (may exacerbate).
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| show | Should be given less than 8 hours after injection.
Must be refrigerated. Unpleasant odour.
Will discolour after opening (does not impair effectiveness)
There are also PO dosages. These will be absorbed if activated charcoal is administered also.
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| What is the TRADE name for ACETYLSALICYLIC ACID | show 🗑
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| What is the GENERIC name of NOVASEN (Canada), ASPIRIN, ASA, BUFFERIN. | show 🗑
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| What is the CLASSIFICATION of ACETYLSALICYLIC ACID | show 🗑
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| show | 80 or 81 mg tablet.
325 mg tablet.
500 mg tablet.
650 mg tablet.
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| What are the ACTIONS (pharmacodynamics) of ACETYLSALICYLIC ACID | show 🗑
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| INDICATIONS for ACETYLSALICYLIC ACID | show 🗑
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| show | 160 - 325 mg tablet (chewed and swallowed by the patient)
Note: may be given even if the patient had taken ASA prior fo incident.
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| show | Hypersensitivity to ASA / NSAIDS. Active GI bleed.
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| CONTRAINDICATIONS for ACETYLSALICYLIC ACID part 2 | show 🗑
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| show | Active ulcer disease (suppository recommended)
Asthma (may induce bronchospasm)
Bleeding Disorders (hemophilia, von Willebrand's disease)
Impaired renal and hepatic function
Children with viral infections (increase risk of Reye's syndrome)
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| show | Non-enteric chewable or soluble aspirin should be used.
the effects of a single does of aspirin persists for the life of the platelet (about 8 days)
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| show | Adenocard
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| What is the GENERIC name of ADENOCARD | show 🗑
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| show | Antiarrhythmic ( a naturally occurring nucleoside)
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| show | 3mg/ml in 2 and 5 ml vials
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| What are the ACTIONS (pharmacodynamics) | show 🗑
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| INDICATIONS For ADENOSINE PART 1 | show 🗑
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| show | May be considered for: Unstable narrow-complex regular tachycardia while preparations are made for cardioversion.
stable, regular, monomorphic, wide complex tachycardia thought or previously defined to be re-entry SVT with aberrancy
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| show | 6mg FIVP (over 1-2 secs)
A second dose of 12mg can be given in 1-2 minutes if required
NOTE: each dose should be flushed 20ml NS while elevating the arm while informing patient of possible side effects such as dyspnea, chest pain, flushing.
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| show | Hypersensitivity, Poisoning/ Drug induced tachycardia, 2nd /3rd degree AV block, Sick sinus syndrome, AFIB, A Flutter
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| PRECAUTIONS of ADENOSINE | show 🗑
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| OTHER NOTES on ADENOSINE Part 1 | show 🗑
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| show | Short, transient 1st, 2nd and 3rd degree blocks or asystole may occur following injection. Usually resolves quickly due to short half-life
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| What is the trade name for AMIODARONE HCL | show 🗑
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| What is there GENERIC NAME for CODARONE | show 🗑
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| What is the CLASSIFICATION for AMIODARONE | show 🗑
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| show | 50g/ml
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| show | Prolongs the action potential and refectory period (depolarization inhibition)-Noted in the QR interval of the ECG. Inhibits adrenergic stimulation and decreases peripheral vascular resistance
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| what are the PHARMACODYNAMICS of AMIODARONE PART 2 | show 🗑
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| show | VF/pVT unresponsive to shock delivery, CPR, and a vasopressor
Recurrent , hemodynamic stable VT
With expert consultation amiodarone may be used for tx of some atrial and ventricular arrhythmias
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| DOSAGE of AMIODARONE VF/pVT | show 🗑
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| show | Rapid infusion: 150mg/10 mins q 10 mins (until suppression of arrhythmia or max cumulative dose) Mix 150mg in 100ml bag of NS of D5W (concentration is 1.5mg/ml. Using 10gtt set= 10 got/min (15 mg /min)
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| show | Immediately post suppression of arrhythmia : 1mg/min over 6 hours (360 mg)
Maintenance Infusion: 0.5mg/min over 18 hours (540 mg) Max cumulative dose of 2.2gms/24 hours
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| show | AV BLOCK, pre-existing 2nd or 3rd degree block without artificial pacemaker; sinus node dysfunction ; bradycardia resulting is syncope; sensitivity to amiodarone or iodine(contains iodine) ; Cardiogenic shock (Hypotnsion)
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| show | Avoid use with its receiving beta-blockers or calcium channel blockers
use with caution in patients with hepatic failure and thyroid disease, hypotension
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| show | Decrease the infusion rate if there is a prolongation of the QT interval or heart block; stop the infusion if the QRS widens to 50% of the baseline or hypotension develops. Amiodarone infusions exceeding 2 hours, should be prepared using D5W in glass.
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| show | Treatment of overdose may require beta adrenergic agonists (isoproterenol) or TCP. Hypotension must be treated with positive inotropes (dopamine, dobutamine)or vasopressors (epic, norepinephrine). Do not administer with other drugs that prolong WT inter
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| show | Do not administer with other drugs that prolong QR interval i.e procainamide; other antiarrythmics can induce tornadoes de points. Beta blockers calcium channel blockers may potentiate bradycardia , sinus arrest and AV block
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