Paramedic Drug Cards

  1. Glucagon
    Class
    • Pancreatic hormone
    • Insulin antagonist
  2. Glucagon
    Description
    Blood glucose elevator
  3. Glucagon
    Indications
    • Persistent hypoglycemia despite glucose supplement
    • Calcium channel blocker & beta blocker toxicity
  4. Glucagon
    Contraindications
    Hypersensitivity
  5. Glucagon
    Adverse Reactions
    • Hypotension
    • Tachycardia
    • Urticaria
    • Nausea
    • Vomiting
  6. Glucagon
    Onset
    Within 1 min
  7. Glucagon
    Duration
    60-90 min
  8. Glucagon
    Dosage:Hypoglycemia
    Adult
    0.5-1 mg IM
  9. Glucagon
    Dosage:Hypoglycemia
    Pediatric
    >20 kg: 0.5-1 mg IM
  10. Glucagon
    Dosage:Calcium Channel Blocker/
    Beta Blocker Toxicity
    Adult: 3 mg initially, infuse 3 mg/hr prn
  11. Glucagon
    Special Considerations
    Pregnancy safety: Cat B
  12. Amiodarone
    Trade name
    Cordarone
  13. Amiodarone
    Discription
    Antidysrhythmic
  14. Amiodarone
    Indications
    Recurring VFib
  15. Amiodarone
    Contraindications
    • Cardiogenic shock
    • Pulmonary congestion
    • Hypotension
    • Sensitivity to amiodarone
    • bradycardia
  16. Amiodarone
    Adverse Reaction
    • Hypotension
    • Headache
    • Dizziness
    • Bradycardia
  17. Amiodarone
    Onset
    Within min
  18. Amiodarone
    Duration
    Variable
  19. Amiodarone
    Dosage: Adult
    • 300 mg IVP diluted in 20-30 mL of NS.
    • Repeat 150 mg IVP
  20. Amiodarone
    Dosage: Peds
    5 mg/ kg rapid IV bolus
  21. Amiodarone
    Special Considerations
    • Pregnancy Safety: Cat B
    • EKG monitor; discontinue if bradycardia
  22. Diazepam
    Trade name
    Valium
  23. Valium (Diazepam)
    Class
    Benzodiazepine
  24. Valium (Diazepam)
    Description
    Used to treat anxiety and stress
  25. Valium (Diazepam)
    Indications
    • Alcohol withdrawals
    • Seizures
    • Anxiety
  26. Valium
    Contraindications
    • CNS Depression
    • Resp Depression
    • Coma
    • Shock
    • Hypersensitivity
    • Substance abuse
  27. Valium
    Adverse Reactions
    • Hypotension
    • Reflex tachycardia
    • Resp depression
  28. Valium
    Onset
    • IV: 1-5 min
    • IM: 15-30 min
  29. Valium
    Duration
    • IV: 15 min-1 hr
    • IM: 15 min-1 hr
  30. Valium
    Dosage: Seizure
    5 mg over 2 min (up to 10 mg) IV q 10-15 prn
  31. Valium
    Dosage: Cardioversion or
    Transcutaneous pacing
    5-15 mg IV; 5-10 min before
  32. Valium (Diazepam)
    Special Considerations
    • Pregnancy Safety: Cat D
    • Local venous irritation
    • reduce by 50% in eldery
  33. Dopamine
    Trade name
    Intropin
  34. Dopamine
    Class
    Sympathomimetic
  35. Dopamine
    Description
    Neurotransmitter
  36. Dopamine
    Indications
    Significant hypotension w/o hypovolemia
  37. Dopamine
    Contraindications
    Tachydysrhythmia, Vfib
  38. Dopamine
    Adverse reactions
    • Dose related tachydysrhythmia
    • hypertension
  39. Dopamine
    Onset
    2-4 min
  40. Dopamine
    Dosage
    • 1-5 mcg/kg/min
    • 5-10 mcg/kg/min (cardiac dose)
    • 10-20 mcg/kg/min (vasopressor)
  41. Dopamine
    Special Considerations
    • Pregnancy Safety: Cat C
    • Infuse through large, stable vein
  42. Atropine Sulfate
    Trade name
    Atropine
  43. Atropine
    Class
    Anticholinergic agent
  44. Atropine
    Description
    Inhibits actions of ACT at postganglionic parasympathetic receptor sites
  45. Atropine
    Indications
    Hemodynamically significant bradycardia, Asystole, PEA activity w absolute bradycardia
  46. Atropine
    Contraindications
    • Tachycardia
    • Hypersensitivity
    • Obstructive disease of GI
    • Obstructive uropathy
    • Narrow angle glaucoma
    • Thyrotoxicosis
  47. Atropine
    Adverse reactions
    • Tachycardia
    • Palpitations
    • Dysrhythmias
    • Headache
    • Dizziness
    • Anticholinergic effects
    • Nausea/vomiting
    • Allergic reactions
  48. Atropine
    Onset
    Rapid
  49. Atropine
    Duration
    2-6 hr
  50. Atropine
    Dosage: Bradydysrhythmia
    0.5 mg q 3-5 min (max dose: 3 mg)
  51. Atropine
    Dosage: Asystole
    1 mg IV
  52. Atropine
    Special Considerations
    • Pregnancy Safety: Cat C
    • Follow ET Tube admin w several positive pressure ventilations
  53. Naloxone
    Trade name
    Narcan
  54. Narcan
    Class
    Opioid antagonist
  55. Narcan
    Description
    Competitive narcotic antagonist used for OD caused by narcotics
  56. Narcan
    Indications
    Reversal of CNS depression and resp depression induced by opioids. Morphine, heroin, hydromorphine, methadone, meperidine, paregoric, oxycodone
  57. Narcan
    Contraindications
    Hypersensitivity. Use caution in narcotic dependent patients
  58. Narcan
    Adverse reactions
    • Tachycardia
    • Hypertension
    • Dysrhythmias
    • Nausea/vomiting
    • Diaphoresis
    • Blurred vision
    • Withdrawal
  59. Narcan
    Onset
    w/in 2 min
  60. Narcan
    Duration
    30-60 min
  61. Narcan
    Dosage
    • 0.4-2 mg IM/IV/SQ
    • repeat in 5 min up to 10 min
  62. Narcan
    Special Consderation
    • Pregnancy Safety: Cat B
    • Seizures have been reported
    • May not reverse hypotension
Author
1jeffdad
ID
1489
Card Set
Paramedic Drug Cards
Description
Paramedic Drug Cards
Updated