Tjems.org

Drug Listing
ADENOSINE
EMT-I, EMT-P
(ADENOCARD)
Medical Command for Pediatrics
This drug will be given after carotid sinus massage on patients under 50 years old, or after Valsalva maneuver on patients 50 and older. INDICATIONS
CONTRAINDICATIONS
Atrial fibrillation, atrial flutter or ventricular arrhythmias including ventricular tachycardia, 2nd and 3rddegree heart blocks, or sick sinus syndrome SIDE EFFECTS
Bradycardia, hypotension, facial flushing,transient dyspnea, chest pressure, headache, nausea, or bronchospasm Expect an asystolic/bradycardic period.
HOW SUPPLIED
QUANTITY
DOSAGE AND ROUTE
6 mg IV rapidly over 1-2 seconds. If no effect after 2
minutes, give 12 mg IV rapidly over 1-2 seconds.
Pediatric: 0.1 mg/kg
ALBUTEROL
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
Bronchospasm related to asthma, chronic bronchitis & emphysema CONTRAINDICATIONS
SIDE EFFECTS
Tachycardia, anxiety, nausea & vomiting HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
1 unit dose of 2.5 mg/3ml 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 facemask.
Drug Listing (continued)
AMIODARONE
EMT-I, EMT-P
INDICATIONS
Used for treatment of arrythmias including ventricular tachycardia, ventricular fibrillation, and supra-ventricular arrythmia CONTRAINDICATIONS
None in cardiac arrest situations;bradycardia, heart block, hypotension, pregnancy Antiarrythmic, several different effects, primarily beta-blockade acutely SIDE EFFECTS
Hypotension, bradycardia, increased heart block HOW SUPPLIED
DOSEAGE & ROUTE
Cardiac arrest situations, 300 mg IV push.
Unstable arrythmias, 150 mg IV over 10 minutes as an infusion, may be repeated once if needed for recurrent arrythmia ASPIRIN
All Levels
INDICATIONS
CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
2 - 81 mg tabs chewed after first Nitroglycerin Drug Listing (continued)
ATROPINE SULFATE
EMT-I, EMT-P
INDICATIONS
Bradycardia with hypotension, asystole; organophosphate poisoning CONTRAINDICATIONS
SIDE EFFECTS
Blurred vision, headache, dilated pupils, thirst, flushed skin, dysuria HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Pediatric: 0.02 mg/kg (Minimum dose 0.1 mg)
Organophosphate poisoning: 2 mg IV every 5-10 min
(0.05 mg/kg child).
CALCIUM CHLORIDE 10%
EMT-I, EMT-P
Medical Command only
INDICATIONS
Used for Calcium blocker toxicity, Hypermagnesemia CONTRAINDICATIONS
SIDE EFFECTS
Extravasation causes necrosis, Dysrhythmias,hypotension, CNS changes HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Pediatric: 10 mg/kg IV or IO slowly
Drug Listing (continued)
50% DEXTROSE EMT-E, EMT-I, EMT-P, Park Medic
(D50)
INDICATIONS
Unconscious diabetics; altered level of consciousness; seizures CONTRAINDICATIONS
SIDE EFFECTS
Rare, neurologic symptoms in alcoholics; tissue necrosis if extravasation HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Pediatric: .5 gm/kg. See dilution on Pediatric: Glucose
Emergencies
DIAZEPAM
EMT-I, EMT-P
INDICATIONS
Status epilepticus, severe emotional tension CONTRAINDICATIONS
SIDE EFFECTS
Hypotension, stupor, respiratory and/or cardiac arrest HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Drug Listing (continued)
DIPHENHYDRAMINE HCL
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
Anaphylaxis; allergic reactions; dystonic reaction CONTRAINDICATIONS
Block histamine effects; antiemetic; sedative; to reverse side effects of phenothiazines SIDE EFFECTS
Hypotension, headache, tachycardia, and sedation HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Pediatric: 1.0 mg/kg slow IV push (over 2 minutes)
maximum dose of 50 mg for hives, allergic reaction.
DOPAMINE HCL
EMT-I, EMT-P
(INOTROPIN)
Medical Command only
INDICATIONS
CONTRAINDICATIONS
Use only after volume deficit is corrected in cardiogenic & septic shock Increases heart rate & force; increases urine output; constricts small blood vessels SIDE EFFECTS
Ventricular tachyarrhythmias, hypertension HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Drip only: 200 mg in 250 ml D5W. Start at 2 to 5 micrograms/kg/min (or approx 10-20 micro drops/min) titrated to BP.
Quick calculation: drops/min = kg x micrograms/kg/min x .075 Drug Listing (continued)
EPINEPHRINE 1:1000
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
Anaphylaxis; asthma that is unresponsive to Albuterol; severe asthma CONTRAINDICATIONS
None in anaphylaxis. Do not give: If over the age of 50
yrs with cardiac history; if pulse is greater than 140/min
in adult or 180/min in child; if hypertensive.
SIDE EFFECTS
Palpitations, hypertension, and dysrhythmias HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Pediatric: 0.01 mg/kg SQ
EPINEPHRINE 1:10,000
EMT-I, EMT-P
INDICATIONS
Asystole; ventricular fibrillation; ventricular tachycardia with no pulse; PEA CONTRAINDICATIONS
Increases heart rate, force, & automaticity SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Cardiac arrest: 1 mg IV or double dose ET every 3-5 min. Pediatric: 0.01 mg/kg, repeat dose
Drug Listing (continued)
FUROSEMIDE
EMT-I, EMT-P
INDICATIONS
CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
40 mg IV over 2-3 min. May consider higher dose for patients already on diuretics.
Pediatric: 1-2 mg/kg
GLUCAGON
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Pediatric: 1 unit IM
Drug Listing (continued)
IPRATROPIUM
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
Bronchospasm related to asthma, chronic bronchitis & emphysema CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
1 unit dose of 0.5 mg/3ml through hand-held nebulizer with oxygen flow at 4-6 liters. Mixed with 1st dose of Albuterol. A modified nebulizer maybe used with a BVM or a simple face mask.
MAGNESIUM SULFATE
EMT-I, EMT-P
Medical Command for Eclampsia
INDICATIONS
CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Refractory VF – 1 to 2 grams of 50% solution diluted in
10 mL of NS (Dilute each gram of Magnesium with 8cc
of NS).
Eclampsia – Medical Command only - 10% solution 2
to 4 grams IV push at no greater than 1 gram per
minute, until seizure stops or a maximum dose of 4
grams have been given.
Drug Listing (continued)
METAPROLOL
EMT-I, EMT-P
(Lopressor)
Medical Command only
INDICATIONS
Used for hypertension, acute MI, angina pectoris, adult v-fib, pulseless wide complex tachycardia CONTRAINDICATIONS
Shock, 2nd or 3rd degree AV heart block, sinus bradycardia, CHF, bronchial asthma SIDE EFFECTS
Hypotension, dysrhythmias, CHF, N/V, CNS changes HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
5 mg IV once over 2 minutes, may repeat per medical command.
METHYLPREDNISOLONE
EMT-E, EMTI, EMT-P, Park Medic
INDICATIONS
Used for severe anaphylaxis and asthma/COPD CONTRAINDICATIONS
None in anaphylaxis; premature infants; systemic fungal Infections; pregnancy anti-inflammatory, natural glucocorticoid SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
125 mg IV
Pediatrics: 1-2mg/kg IV
Drug Listing (continued)
MIDAZOLAM
EMT-I, EMT-P, Park Medic
INDICATIONS
CONTRAINDICATIONS
CNS depressant, anticonvulsant and amnesic SIDE EFFECTS
Respiratory depression, hypotension, decreased HR HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Adult sedation: 2-5 mg IV; seizures 5 mg IM if no IVPediatric sedation: 0.1mg/kg, max 2 mg; seizures 0.1 mg/kg IM MORPHINE SULFATE
EMT-I, EMT-P, Park Medic
INDICATIONS
Pulmonary edema; pain in AMI; & pain associated withidentifiable injuries such as fractures, burns, etc.
CONTRAINDICATIONS
Hypotension; head injury; undiagnosed abdominal pain CNS depressant; vasodilator; decreases venous return to heart; decreases pain SIDE EFFECTS
Hypotension, bradycardia, respiratory depression, dizziness HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
IV: 2-5 mg slow IV push every 5-10 min titrated to desired effect (max 15 mg) IM: 5-10 mg Pediatric: 0.1 mg/kg IV or IM
Drug Listing (continued)
NALOXONE HCL
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
0.8 mg slow IV, IM, titrated to respirations. Repeat dose 1.6 mg Pediatric: 0.1 mg/kg IV, IO or IM
NITROGLYCERINE
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
Chest pain of suspected cardiac origin; pulmonary edema; CONTRAINDICATIONS
Hypotension, trauma, ICH, Use in consultation with Medical Control Physician with patients using Viagra, Levitra and Cialis.
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Drug Listing (continued)
NITROPASTE
EMT-J, EMT-E, EMT-I, EMT-P, Park Medic
INDICATIONS
Pulmonary edema; chest pain of suspected cardiac origin; CONTRAINDICATIONS
Hypotension, trauma, ICH, Use in consultation with Medical Control Physician with patients using Viagra, Levitra and Cialis.
SIDE EFFECTS
Hypotension, dizziness. (Wipe off if side effects occur) HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
PROMETHAZINE
EMT-I, EMT-P, Park Medic
INDICATIONS
Motion sickness, rhinitis, allergy symptoms, sedation, nausea CONTRAINDICATIONS
Acute asthma attack, lower respiratory tract disease SIDE EFFECTS
Drowsiness, anxiety, euphoria, confusion, hypotension, tachycardia, increased secretions, wheezing, thrombocytopenia, rash, nasal stuffiness, blurred vision.
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
Adult: 12.5 – 25 mg IV, 25 mg IMPed: 0.5 mg/kg IM Medical Command only – must be diluted for IV administration
Drug Listing (continued)
SODIUM BICARBONATE
EMT-I, EMT-P
8.4%
Medical Command only
INDICATIONS
Cardiac arrest only after prolonged anoxia, tricyclic antidepressant overdose, known acidosis CONTRAINDICATIONS
SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE
1 mEq/kg IV followed by 1/2 the initial dose every 10 min.
Pediatric: 1 mEq/kg. Dilute 1:1 with IV fluid
VASOPRESSIN
EMT-I, EMT-P
INDICATIONS
Used in ventricular fibrillation Cardiac Arrest situations CONTRAINDICATIONS
Stimulates smooth muscle resulting in vasoconstriction SIDE EFFECTS
HOW SUPPLIED
QUANTITY
DOSAGE & ROUTE

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