-
- Adrenalin
- Sympathomimetic
- Direct act on A & B
- Positive inotropic and chronotropic
- Blocks Histamine
- Give for
- -Cardiac Arrest
- -astha
- -anaphylaxis
- -Bradicardia
- -hypotension
- 1:10,000 pre filled 6_8
- 1:1000 ampule 1-2
- 1:1000 multi dose vial
-
Vasopressin
- ADH
- Causes vasoconstriction
- Give for
- -cardiac arrest
- (Substitute first or second epi dose)
- Not carried in AZ drug box
- 20 U/ml
-
Atropine
- Parasympatholytic- parasympathetic blocker
- Anticholinergic
- Blocks acetylcholine and allows sympathetic to take over
- Positive chronotropic, dromo and ino(slight)
- Causes mydration- pupil dialation
- Use for-
- Symptamatic Brady
- Organophosphate poisoning
- Bronchial spasm
- 1mg/10ml pre filled syringe x 3
- 8mg/20ml multi dose vial (0.4 mg/ml)
-
Adenosine
- Adenocard
- Slows conduction time through AV
- Slows sinus rate- stops and resets the heart
- Used to-
- Convert SVT
- Or wide complex tachy
- 6mg/2ml vials, syringe
- (3mg/1ml) concentrated doses
-
Sodium Bicarbonate
- Buffers H+ and increases pH
- Given as antidote for TCA (like amytriptaline/ Elivil)
- Or given for overdose in ASA
- Used for-
- Cardiac arrest - after interventions and ventilation are complete
- 50 mEq/50ml prefilled x 3
-
Albuterol
- Proventil, Ventolin
- Sympathomimetic, bronchodilator
- B agonist (B2)
- Decrease airway resistance
- Bronchodilation
- 2.5mg in 3ml x 6
-
Atrovent
- Ipratropium Bromide
- Parasympatholytic, anticholinergic, parasympathetic blocker
- Dilation of larger central airways where beta agonists affect peripheral
- Out of light, avoid humidity
- Used to treat-
- Bronchspasm, COPD,
- 500 mcg/2.5ml (0.02%) X 2-4
-
Solu-medtrol
- Methylprednisolone Sodium Succinate
- Corticosteroid, glucocordicoid, anti-inflamitory
- Has immunosuppresive effects
- Use for-
- Acute asthma, COPD
- Anaphylaxis
- Burns involving airway
- Acute spinal cord trauma
- 125mg/2ml mix-a-vial x 1-2
-
Midazolam
- RSI drug
- Versed
- CNS depressant mediated through gaba
- Benzodiazepine {not the same but similar to Diazepam/Valium} (schedule IV)
- Acts @ limbic, thalamic, hypothalamic
- Used for- anxiolytic, sedative, hypnotic, anticonvulsant
- 1mg/1ml in a 5ml vial 5 mg total x 4 vials
-
Succinylcholine
- RSI drug
- Ultra short acting depolarizing- skeletal muscle relaxant
- Combines to cholinergic receptors of motor end plate to produce depolarization
- Used for endo tracheal intubation causes complete muscle paralysis
- 200mg/10ml vials- recommended 400 milligrams
-
Etomidate
- RSI drug
- Sedative/ hypnotic agent
- CNS Depression and anesthesia
- No analgesic ( pain relieving)
- 40mg/20ml pre filled or vial- recommended 80 milligrams
-
Diphenhydramine
- Benadryl
- Blocks H1 H2 histamine receptors, not the histamine release
- Antihistamine, anticholinergic
- Used for-
- -anaphylaxis (2nd line)
- (Phenothiazine) so it is an antidote for psychotic pts on Haldol
- 50mg/1ml syringes and vials x 1-2
-
Aspirin
- ASA, Bufferin, Anacin
- Analgesic, antipyretic, anti-inflamatory
- Blocks thromboxane A2
- Platelet aggregant, vasoconstrictor ( decreases platelet aggregation)
- Use for- MI
- Chest pains
- Unstable angina
- 81-325 mg tablet 50-100 tablets
-
Nitroglycerin
- Nitrostat, Tridil
- Vasodialator, smooth muscle relaxant,
- Decrease pre load by dialating veins
- Arteriolar vasodilation- so it decreases the afterload
- Decreases heart O2 demand by opening coronary vessels and increasing blood flow
- Use for- angina, and MI, and CHF
- Beware other nitrates -viagra, livetra, cialis
- 1/150 grain tablets x 25 in a bottle (0.4 mg)
- IV infusion pump used on inter facility transfers
-
Morphine Sulfate
- Schedule II opiod drug
- Narcotic agonist
- Elevates pain threshold, binds to pain receptors
- Depresses CNS respiratory centers
- Artery and vein dilator- so reduces preload and afterload
- Causes histamine release
- Used for -
- Pain relief especially for burns
- treat MI
- Treat pulmonary edema
- 10mg/ml ampules or syringe only x2 or 20mg total
-
Activated Charcoal
- Charcola, Actidose-aqua
- adsorbent,
- Physical binding of toxins of GI tract
- prevents adsorption
- sole prehospital therapy for toxic ingestion
- may lessen effect of Mucomyst for acetylmetaphine ODs
- 25 gm premixed tubes x 2-4
-
Magnesium Sulfate
- Electrolyte, anti-contraction medication(tocolytic)
- 2nd most plentiful intracellular cation (1st is Potassium, K+)
- essential to cause intracellular K+ replenishment
- decreases myocardial, neuromuscular irritability(by decreasing acetylcholine released by nerve inpulse)
- use for- Pre-term Labor
- hypomagnesemia
- severe asthma
- Pregnancy induced hypertension
- pre-eclampsia/eclampsia (convultions in pregnancy)
- torsade de pointes
- 1gm/2ml vials x 4-10
-
Oxytocin
- Pitocin, Syntocin
- Pituitary Hormone, polypetide, uterine stimulant
- increases force and frequency of uterine contractions by binding to uterine smooth muscles
- use for-
- postpartum hemorrage=excess of 500ml @ delivery
- fundal massage also indicated along with giving med
- is optional drug
- 10 USP units/1ml ampule x 1-2
-
Amiodarone
- Cordarone
- antiarrhythmic- used after epi
- effects- sodium, potassium, and calcium channels
- sodium- slows conduction
- potassium-prolongs action potential
- Calcium- negg chronotropic effects, because blocks calcium and B receptors
- dilates coronary arteries because blocks B receptors
- use for-
- VF,VT
- control stable VT when cardioversion not successful
- -only for interfacility transport
- -prefered AHA Ventric antiarrhythmic
-
Lidocaine
- Xylocaine
- antiarrhythmic, local anesthetic
- decreases automaticity by slowing depolorization
- stops re-entry by decreasing conduction, it equalizes the speed
- increases VFib threshold
- use for-
- suppress VFib and VTach
- as a drip to prevent going back to VFIB/Tach after conversion
- preintubation for head trauma or intracrainial pressure(hypertension)
- 100mg/5ml prefilled syringe x 3-4
- 1g/25ml vial x 1
- 2g premixed bag in 500 ml D5W x 1
-
Phenylephrine Nasal Spray 0.5%
- Neo-synephrine Nasal Spray 0.5%
- topical vasoconstrictor
- stimulates receptors in blood vessels to consrict
- decreases nasal bleeding
- 15ml bottle 0.5% solution x1
-
Naloxone
- Narcan
- ET diliverable drug
- Direct but slow IV push
- Narcotic (opioid) antagonist
- competes for narcotic receptors
- reverses/antidote for respiratory depression caused by narcotics
- antidote for opioid overdoses
- 1mg/ml
- 1ml, 2ml ampules
- 1,5,or 10ml vials
- 10mg total
-
Nalmefene
- Revex
- -back up for Narcan/Naloxone
- replaces narcan if unavailable
- narcotic (opioid) antagonist
- competes for narcotic recoptor sites
- reverses respiratory depression caused by narcotics
- antidote for Opioid overdoses
- 1mg/ml
- 1,2 ml vials
-
Diazepam
- Valium
- Benzodiazepine {not the same as but similar to midazolam/Versed} (Schedule IV)
- acts on limbic system, thalamus, and hypothalamus- to produce calming effects
- DECREASES SEIZURES-by increasing seizure threshold
- sedative
- use for-
- Grand Mal Seizures-especially in status elipticus
- analgesic, amnesic {used for fraction reducing, and cardioversion/pacing}
- Delirium Tremens DT (withdraw shakes from alcoholism)
- TREAT THE CAUSE FIRST
- 10mg/2ml prefilled syringe, ampule, vial x2
-
Calcium Chloride
- Electrolyte
- increases intra/extracellular calcium levels
- stimulates catacholmine release (epi, noreoi, & dopamine)
- calcium channel blockers decrease concraction, but clacium put back in will increase contraction/AUTOMATICITY
- inhibits adenosine on mast cells
- use for-
- OVERDOSE of Calccium channel blockers (verapamil/diltiazem)
- OVERDOSE OF Magnesium (hypermagnesemia)
- Acute hypoCalcemia (low calcium levels)
- Acute hypoKalemia (low potassium levels)
- pre-treat for verapamil admin
- 1gm/10ml prefilled syringe x 1-2
-
Dopamine
- Intropin
- sympathomimetic/catacholmine
- Effects are dose-depentent
- 1-2 micrograms/kg/min-stimulate cerebral,renal,messenteric vasculature to dilate
- 2-10 micrograms/kg/min-B1 (heart) stimulant, increases cardiac output and vasoconstricts
- 10-20 micrograms/kg/min-A-adrenergic effects=peripheral artery&vein constriction and @ this high dose-it constrics the renal and messenteric vasculature
- Used for-
- bradycardia w/symtoms
- significant hypotension w/out hypovolemia(hole in bloodvesels-cause it will constrict and make the bleed worse)
- SHOCK-
- -CARDIO/SEPTIC- after administration & ASSESMENT of LUNG SOUNDS!!!
- 400mg/5ml vials
- 400mg/ 250ml D5W premixed IV solution bag
-
Dextrose 50%
- D50
- it's a carbohydrate
- ATP production
- reverse hypoglycemia
- makes short term osmotic diuresis (increased urine production)
- Use for-
- known hypoglycemia
- unknown- Altered LOC/seizures
- hyperKlemia (increased potassium)
- 25gms/50ml prefilled x 2-4
-
Glucagon
- Glucagen
- Pancreatic hormone, polypeptide, hyperglycemic agent- Alpha cell of pancrease
- gets more glucose from the Liver
- converts liver glycogen-to glucose
- counteracts insulin
- reverse hypoglycemia- in 4-8 min up to 15 min
- Used for-
- low sugar when IV is delayed
- Beta-blocker(like metaprpolol) OVERDOSE
- Esophageal lodgement-cause relaxes GI smooth muscle
- 1mg, 1unit kit of diluting solution
-
Thiamine
- Betalin
- Vitamin required for carb metabolism
- deficiency= anemia, inflamation of peripheral nerves, Wernicke's encephalopathy (commonly caused by excessive alcoholizm)-all the fluid get dehydrated out especially thiamine, whch inturn causes the disease, dificeincy also leads to weakened and enlarged heart muscle(cardiomyopathy)
- Used for-
- to reverse effects of above dieseases
- alcoholism
- Delirium tremens (DTs)
- Coma/alcoholor malnurishment
- severe congestive heart failure
- 100mg/ml 1ml ampule or tubex x 1-2
-
Furosemide
- Lasix
- Loop diuretic-inhibites electrolyte reabsorption in ascending loop of Henle
- excrete a lot of POTASSIUM!!!!, and sodium&chloride
- VASODILATES- to decrease afterload
- Used for-
- Pulmonary edema
- CHF
- 40mg/4ml ampule, vial, syringe (20mg/2ml)
-
Bumetanide
- Bumex
- -Back up for Furosemide/Lasix
- loop diuretic=inhibits electrolyte reabsorption in loop of Henle
- -DOES NOT HAVE VASODILATORY PROPERTIES OF FUROSEMIDE
- -may reduce blood suply to fetus
- -1MG Bumetanide= 40mg furosemide
- Used for-
- Pulmonary Edema
- CHF
- used if furosemide not available
- 1mg/4ml vial x 4-8 (0.25mg/1mL)
-
Verapamil
- Isoptin, Calan, Verelan
- Calcium Channel blocker
- -blocks calcium from cardiac and smooth muscle causing depressant effect on contracttility, which=negative inotropy
- slow conduction, & prolongs refractory period
- slows SA node and AV conduction
- Use for-
- Supraventricular Tachy
- Atrial Fib
- -ACLS no longer recommends this drug, they say Diltiazem is safer
- 5mg/2mL (2.5mg/1ml) prefilled, ampule, vial x2-3
-
Diltiazem
- Cardizem
- Calcium channel blocker (Verapamil is also a calcium channel blocker and works similar to it)
- decreases myocardial contract force, and slows SA and AV conduction-also dilates coronary/peripheral vessels
- Used for-
- Supraventricular Tachycardia after not responding to Adenosine
- AFib and AFlutter w/rapid ventricular response
- 100mg powered form vial, because fluid must be refrigerated
-
Ondansetron
- Zofran
- Antiemetic agent (keep from vomiting)
- selectively blocks serotonin 5-HT3 receptors in CNS @ chemoreceptor trigger zone and in Peripheral nervous of the vagus nerve
- Use for-
- Nausea Vomiting
- 4mg/2ml vials x 1-2
-
Nitrous Oxide
- Nitronox
- Anagesic/inhalation
- Centrally acting agent-makes CNS depression & elevate pain threshold
- Use for-
- PAIN from:
- trauma, burns, AMI (severe pain)
- machine-delivers nitrous oxide & O2 (50:50) separate tanks and self admin mask
- optional item, seldom carried due to size
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