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Medications

  1. Epinephrine - Adult
    • 1:1000
    • 0.3 - 0.5 mg 
    • IM or SC q 15 min prn
  2. Albuterol - Adult
    2.5 mg Albuterol in 2.5 mL NS q 5-15 min prn
  3. Albuterol - Pediatric
    0.15 mg Albuterol in 2.5 mL NS q 5-15 min prn
  4. Aspirin (ASA)
    81 mg - 325 mg, once
  5. Nitroglycerin (NTG)
    0.4 mg SL q 5 min prn up to 3x
  6. Contraindications for ASA
    • Bleeding
    • Asthma
    • GI ulcer
  7. Contraindications for NTG
    • Systolic BP below 100 mm Hg
    • Pt. taken ED meds within 24 hrs.
    • Pt. taken more than 3 doses prior to EMS arrival
    • Unresponsive / AMS
    • Possible Internal / External Hemorrhage
    • S/s consistent with CVA
    • Hypovolemia
    • Intracranial bleeding or head injury
  8. Indications for Albuterol
    Bronchospasms in pt. with COPD / Asthma
  9. Contraindications for Albuterol
    • Hypersensitivity
    • Tachycardia
  10. Mechanism of Action - Albuterol
    Beta-2 agonist with some beta-1 activity
  11. Indications for ASA
    Cardiac chest pain (suspected MI)
  12. Mechanism of Action - ASA
    Platelet aggregation inhibiter
  13. Dextrose 50% (D50) - Adult
    12.5-25 g slow IV, prn
  14. Dextrose 50% (D50) - Pediatric
    0.5-1 g/kg slow IV, prn
  15. How to make D25?
    Shoot how 25 mL of D50 and draw up 25 mL of NS
  16. How to make D10?
    Shoot out 40 mL of D50 and draw up 40 mL of NS
  17. Indications of D50
    Hypoglycemia
  18. Contraindications of D50
    Intracranial hemorrhage
  19. Epinephrine - Pediatric
    • 1:1000
    • 0.01 mg/kg
    • SC or IM
    • Maximum 0.3 mL
  20. Indications of Epinephrine
    • Allergic reaction
    • Anaphylaxis
    • Asthma
  21. Contraindications of Epinephrine
    • HTN
    • Hypothermia
    • Pulmonary Edema
    • Myocardial Ischemia
    • Hypovolemic Shock
  22. Mechanism of Action - Epinephrine
    Sympathomimetic
  23. Glucagon - Adult
    • 0.5-1 mg IM
    • May repeat in 7-10 min
  24. Glucagon - Pediatric
    0.5-1 mg IM for children <20 kg
  25. Indications for Glucagon
    • AMS due to hypoglycemia
    • Beta blocker overdose (inotropic agent)
  26. Contraindications for Glucagon
    • Hyperglycemia
    • Hypersensitivity
  27. Naloxone (Narcan)
    0.4-2 mg slow IV q 5 min up to 10 mg
  28. Indications for Narcan
    Opiate Overdose
  29. Contraindications for Narcan
    None
  30. Mechanism of Action - Narcan
    Narcotic Antagonist
  31. Indications of NTG
    • Acute angina pectoris
    • Ischemic chest pain
    • HTN
    • CHF
    • Pulmonary Edema
  32. Mechanism of Action - NTG
    Vasodilator
  33. Indications for Oral Glucose
    Conscious pt. with hypoglycemia
  34. Contraindications for Oral Glucose
    • Decreased LOC
    • N/V
  35. Activated Charcoal - Adult
    25 - 50 g
  36. Activated Charcoal - Pediatric
    12.5 - 25 g
  37. Mechanism of Action - Activated Charcoal
    Binds to the poison so that it is carried out the digestive tract.
  38. Indications for Activated Charcoal
    Ingested a poison
  39. Contraindications for Activated Charcoal
    • Ingested acid, alkali, or petroleum product
    • Decreased LOC
    • Cannot swallow or protect airway
Author
jelliott
ID
195947
Card Set
Medications
Description
Med doses, Indications, and Contraindications
Updated

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