May draw 10 mg (1 ml) into a 10 ml syringe and mix with 9 ml of Normal Saline. This creates a 1 mg/1 ml concentration for better control when administering the medication.
Activated Charcoal
Most effective if administered within 30 minutes of ingestion
Use very cautiously in patients who cannot protect their own airway
Nitroglycerin
Do not shake canister if administered as a spray as it will altered the metered dose in a single spray
Do not have patient inhale drug on administration as it will alter absorption rate
Establish IV prior to or immediately following administration to combat hypotension if necessary
Oxygen
none
Diazepam
Riverside County: not included in the Riverside County protocol
Midazolam
none
Naloxone
Darvon and other synthetic narcotics may require larger dosages to reverse the effects
Glucagon
Place patient into recovery position to prevent aspiration should vomiting occur prior to patient becoming fully conscious
Dextrose 50% in water (D50W)
Do not exceed a 12.5% concentration in neonates.
Thiamine
Medication should be administered prior to Dextrose 50%