Paramedic Drug Cards

• Pancreatic hormone
• Insulin antagonist

Blood glucose elevator

• Persistent hypoglycemia despite glucose supplement
• Calcium channel blocker & beta blocker toxicity

Hypersensitivity

• Hypotension
• Tachycardia
• Urticaria
• Nausea
• Vomiting

Within 1 min

60-90 min

0.5-1 mg IM

>20 kg: 0.5-1 mg IM

Adult: 3 mg initially, infuse 3 mg/hr prn

Pregnancy safety: Cat B

Cordarone

Antidysrhythmic

Recurring VFib

• Cardiogenic shock
• Pulmonary congestion
• Hypotension
• Sensitivity to amiodarone
• bradycardia

• Hypotension
• Headache
• Dizziness
• Bradycardia

Within min

Variable

• 300 mg IVP diluted in 20-30 mL of NS.
• Repeat 150 mg IVP

5 mg/ kg rapid IV bolus

• Pregnancy Safety: Cat B
• EKG monitor; discontinue if bradycardia

Valium

Benzodiazepine

Used to treat anxiety and stress

• Alcohol withdrawals
• Seizures
• Anxiety

• CNS Depression
• Resp Depression
• Coma
• Shock
• Hypersensitivity
• Substance abuse

• Hypotension
• Reflex tachycardia
• Resp depression

• IV: 1-5 min
• IM: 15-30 min

• IV: 15 min-1 hr
• IM: 15 min-1 hr

5 mg over 2 min (up to 10 mg) IV q 10-15 prn

5-15 mg IV; 5-10 min before

• Pregnancy Safety: Cat D
• Local venous irritation
• reduce by 50% in eldery

Intropin

Sympathomimetic

Neurotransmitter

Significant hypotension w/o hypovolemia

Tachydysrhythmia, Vfib

• Dose related tachydysrhythmia
• hypertension

2-4 min

• 1-5 mcg/kg/min
• 5-10 mcg/kg/min (cardiac dose)
• 10-20 mcg/kg/min (vasopressor)

• Pregnancy Safety: Cat C
• Infuse through large, stable vein

Atropine

Anticholinergic agent

Inhibits actions of ACT at postganglionic parasympathetic receptor sites

Hemodynamically significant bradycardia, Asystole, PEA activity w absolute bradycardia

• Tachycardia
• Hypersensitivity
• Obstructive disease of GI
• Obstructive uropathy
• Narrow angle glaucoma
• Thyrotoxicosis

• Tachycardia
• Palpitations
• Dysrhythmias
• Headache
• Dizziness
• Anticholinergic effects
• Nausea/vomiting
• Allergic reactions

Rapid

2-6 hr

0.5 mg q 3-5 min (max dose: 3 mg)

1 mg IV

• Pregnancy Safety: Cat C
• Follow ET Tube admin w several positive pressure ventilations

Narcan

Opioid antagonist

Competitive narcotic antagonist used for OD caused by narcotics

Reversal of CNS depression and resp depression induced by opioids. Morphine, heroin, hydromorphine, methadone, meperidine, paregoric, oxycodone

Hypersensitivity. Use caution in narcotic dependent patients

• Tachycardia
• Hypertension
• Dysrhythmias
• Nausea/vomiting
• Diaphoresis
• Blurred vision
• Withdrawal

w/in 2 min

30-60 min

• 0.4-2 mg IM/IV/SQ
• repeat in 5 min up to 10 min

• Pregnancy Safety: Cat B
• Seizures have been reported
• May not reverse hypotension