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Here is a drug list that you need to know before taking the nremt-p exam

Here is a drug list that you need to know before taking the NREMT-P
exam!! Taken from the book EMS NOTES.com


Special thanks to the number #1 internet training site id44.com and also to
EMSNOTES.com “What you need to know” EMT and Paramedic Study Guides
Look for the book Written by Forrest Munden EMT-P that’s the good one!


(NOTE) Please remember that package amounts may vary. Always use National Registry
dosages when taking the NREMT exam. Dosages are always subject to change.
Atropine -

Actions: Potent anticholinergic (parasympathetic blocker) that reduces vagal tone and thus increases automatically the SA node and increases A-V conduction
Albuterol -

Packaged: Premixed unit dose of 2.5mg in 2.5ml NS. Actions: Primarily a beta-2 sympathomimetic and as such produces bronchodialtion, because of its greater specificity for beta 2 adrenergic it produces fewer cardiovascular side affects and more prolonged bronchodilation than isoproterenol.
Special thanks to the number #1 internet training site id44.com and also to
EMSNOTES.com “What you need to know” EMT and Paramedic Study Guides
Look for the book Written by Forrest Munden EMT-P that’s the good one!

Adenosine -
Packaged:
Actions: decreasing conduction through the AV node. 1/2 life is less than: 10
Amiodorone -

Dose: 150mg in conscious pt. 300mg in unstable Actions: Blocks sodium channels at rapid pacing frequencies and exerts non- competitive antisympathetic action. One of its main effects with prolonged
administrations is to lengthen cardiac action potential. In addition, it produces a negative
chronotropic effect nodal tissue. It also blocks potassium channels, which contributes to
showing which contributes to slowing of conduction prolongedness of refractoriness. Its
vasodilatory action can decrease cardiac workload and consequently myocardial oxygen
consumption.
Cardizem -

Dose: .25mg/kg for first dose, .35mg/kg in second dose Actions: Calcium channel blocker that slows AV nodal conduction time and prolong AV refractoriness.
Calcium Chloride -

Actions: Increases the force of myocardial contraction; calcium may either increase or decrease systemic vascular resistance
Special thanks to the number #1 internet training site id44.com and also to
EMSNOTES.com “What you need to know” EMT and Paramedic Study Guides
Look for the book Written by Forrest Munden EMT-P that’s the good one!

Dopamine -

Packaged: 400mg in 250 cc's making for a 1600mcg/ml Dose: 400mg in 250cc for a 1600mcg/cc concentration Actions: It exerts an inotropic effect on the myocardium resulting in increased cardiac output, peripheral vasoconstriction and a marked increase in pulmonary occlusive
pressure
Epinephrine -

Packaged: 1mg in 10cc for 1:10,000 concentration Dose: 1mg in 10cc IV 1:10,000 or for anaphylaxis .3mg sub Q 1:1,000 Actions: Sympathomimetic, which stimulates both alpha and beta adrenergic receptors causing immediate bronchodilation, increase in heart rate and increase in the
force of cardiac contraction as well as increasing vascular resistance which may enhance
defibrillation
Furosemide -

Actions: Inhibits the reabsorption of Sodium Chloride in the proximal and distal renal tubules as well as in the loop HenleHas a direct venodilating effect in acute pulmonary edema.With IV admnistration onset of venodilation is in 5-10:00
Morphine -

Dose: 2-10mg IV Slowly every 5:00 until desired response max is 10mg Action: Narcotic analgesic, which depresses the CNS and sensitivity to pain. Increases venous capacitance, decreases venous return and produces mild peripheral vasodilatation. Also decreases myocardial oxygen demand.

Special thanks to the number #1 internet training site id44.com and also to
EMSNOTES.com “What you need to know” EMT and Paramedic Study Guides
Look for the book Written by Forrest Munden EMT-P that’s the good one!

Nitroglycerin -

Packaged: Spray 0.4mg metered dose. Bottle 1/150gr = 0.4mg per tablet. Dose: .4mg (1 tablet or 1 spray) max is 3 doses Action: direct vasodilator which acts principally on the venous system although it also produces direct coronary artery vasodilatation as a result. There is a decrease in
venous return which decreases the workload on the heart and thus decreases myocardial
oxygen demand.
Narcan -

Packaged: 2cc Ampule (1mg/1ml.) 10ml Vial (4mg/10ml.) 1ml Ampule/Vial Dose: 2mg IV, IM, ET, SC may repeat every 2-3:00 Action: antagonizes the effects of opiates by competing at the same receptor sites. When given IV the action is apparent within 2:00. IM or SC administration is slightly
slower
Mag Sulfate -

Action: Prevents or controls convulsions by blocking neuromuscular transmission and decreasing the amount of acetylcholine liberated at the endplate by the motor nerve
impulse. Mag is said to have a depressant effect on the CNS but does not affect the
mother or fetus when used in eclampsia and pre-eclampsia. Also acts peripherally to
produce vasodilatation.
Versed -

Packaged: 2mg/2ml, 10mg/2ml and 5mg/5ml vials Action: Short-acting benzodiazepine CNS depressant that produces sedation and

Special thanks to the number #1 internet training site id44.com and also to
EMSNOTES.com “What you need to know” EMT and Paramedic Study Guides
Look for the book Written by Forrest Munden EMT-P that’s the good one!

Valium -
Packaged:

Action: Benzodiazepine which depresses the limbic system, thalamus, and hypothalamus resulting in calming effects. Also a muscle relaxant

Lidocaine -

Packaged: 5ml Preload syringes (100mg/5ml) Dose: 1 - 1.5mg/kg max dose is 3mg/kg (Adult use 2% Peds. use 1% solution) or Action: Decreases ventricular automaticity and raises the ventricular fibrillation threshold
Vasopressin -

Action: normally and anti diuretic hormone. In unnaturally high doses (more than needed for diuretic) vasopressin acts as a non adrenergic peripheral vasoconstrictor. Acts by direct stimulation of smooth muscle V1 receptors. During CPR increases coronary perfusion pressure, vital organ blood flow, ventricular fibrillation median frequency, and cerebral oxygen delivery.
Special thanks to the number #1 internet training site id44.com and also to
EMSNOTES.com “What you need to know” EMT and Paramedic Study Guides
Look for the book Written by Forrest Munden EMT-P that’s the good one!

Sodium Bicarb -

Action: an alkalizing agent used to buffer acids present in the body during and after severe hypoxia. It combines with excess acids present in the body to form a weak
volatile acid which is broken down into CO2 and H2O. Only effective with adequate
ventilation
Benadryl -

Packaged: 1cc (50mg/1ml) Ampoule or Vial. Dose: 25-50mg IV or 50mg IM max is 400mg per day Actions: An antihistamine with anticholinergic (drying) and sedative side effects. Prevents but does not reverse histamine mediated responses, particularly on the smooth
muscles of the airway, GI tract, uterus, and blood vessels.
Aspirin-

Packaged: 81mg chewable tablets. 325mg tablets Actions: analgesic, anti-inflammatory, and antipyretic, blocks the formation of thromboxane A- 2 (which causes platelets to aggregate and arteries to constrict). Reduces overall mortality in MI.

Source: http://id44.com/Here%20is%20a%20drug%20list%20that%20you%20need%20to%20know%20before%20taking%20the%20NREMT.pdf

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Surveys of Antimicrobial Resistance in Commensal Flora (Extracted from the APUA ROAR literature database) Organism by Sulfamethoxazole, Streptomycin, Kanamycin, and ampicillin gentamicin- nalidixic acid-sulphamethoxazole-trimethoprim-sulphamethoxazole-kanamycin-ampicillin-streptomycin Anderson, J. F., T. D. Parrish, et al. (2008). "Antibiotic resistance of enterococci in American bison (Bi

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