drug cards

class - gastrointestinal adsorbent

• dosage - Adult [1 gm/kg] PO. if the quantity of the substance is know, 10 times the amount of
• ingested substance (by weight). Premix with Sorbitol is preferred.
• Pediatric same as adult

Indications - poisoning and overdoses in the alert patient. most commonly given in the hospital after gastric lavage, appropriate to give in the pre-hospital setting before lavage if long transport time is indicated.

Contraindications - Acids or alkali ingestion unless other drugs have ingested. GI obstruction

class - analgesic (reduces or prevents pain), antipyretic (reduces or prevents fever)

dosage - pediatric [10-15mg/kg] orally. not to exceed 50 mg/kg/24 hrs

indications - fever in pediatric patients during long transport

contraindications - 1. hypersensitivity to the drug. 2. hepatic failure or impairment

class - anti-inflammatory, analgesic, antipyretic

dosage - Adult [162-325mg] orally for AMI (prefer chewable). should not be given to pediatrics

indications - MI patients, including suspected AMI patients

contraindications - hypersensitivity, bleeding disorders, astham (relative)

class - sympathomimetic, beta2 selective adrenergic bronchodilator

• dosage - nebulizer - Adult [2.5mg](up to 5.0mg) in 3 ml of sterile NS given a inhalation therapy over
• 5-15 min, may be repeated as necassary
• Pediatric [1.25-2.5mg] in 3 ml of sterile NS given a inhalation therapy ove 5-15
• min, my be repeated as necessary

indications - used to treat reversible airway obstruction caused by: wheezing associated with astham, COPD (emphysema), chronic bronchitis

contraindications - hypersensitivity

class - anticholinergic (parasympatholytic)

dosage - adult [2.0mg] IVP repeated until symptoms abate (auto injector only, will be included in kit)

indications - antichoinesterase poisoning-organophosphate and nerve gases

contraindications - none when indicated

class - carbohydrate, nutrient, short acting osmotic diuretic

dosage - oral: [12-25gm] of aste, may be spread with tongue depressor

indications - symptomatic hypoglycemic, unconsciousness of unknown origin, seizures of: unknown etiology, new onset seizurs, known diabetic activity seizing

contraindications - intra-cranial bleeds, delirium tremens(alcohol shakes)with dehydration, unconscious, suspected CVA (stroke)

class - sympathomimetic

• dosage - adult: [0.3mg] (1:1,000) SQ or IM using pre-filled device
• pediatric: [[0.01mg/kg] SQ to a max dose of 0.3 mg/dose

indications - svere brocho spasms, broncho spasms unresponsive to albuterol, anaphylaxis

contraindications - none when indicated

class - anticholinergic

dosage - [1-2] inhalations] viaa metered dose inhaler, [250-500mcg (0.25-0.5mg)] via nebulization

indications - bronchial asthma, reversible bronchospasms associated with chronic bronchitis and emphysemma

contraindications - hypersensitivity to the drug, acute treatment of bronchospasms where rapid response is required

class - narcotic antagonist

• dosage - adult [0.4-2.0mg] IM or SQ, titrate to respiratory effort/rate. may be repoeated at 2-3 min, if needed. [2mg (1mg per naris)] IN
• pediatric [0.1mg/kg]<5yrs or <20kg, [2mg]>55yr or >20kg, IM or SQ may be repeated at 0.1
• mg/kg if no response
• neonate [0.1mg/kg] IM or SQ; repeat in 2-3 min if needed

indications - reversal of narcotic effects, particularly respiratory depression, due to narcotic drugs, whether ingested, injected, or administered in the course of treatment. narcotic drugs include agents such as morphine, Demerol, heroin, Dilaudid, Percodan, codine, Lomotil, propoxyphene (Darvon), pentazocine (Talwin)

contraindications - hypersensitivity, absences of indication

class - anti-anginal agent/vascular dilating agent

• dosage - adult (patients own) 1. sublingual: [0.3-0.4mg] tablet. repeat at 3-5 min as needed to a total
• of 3 tabs
• 2. spray: [0.4mg] metered dose, sprayed directly under the tongue;
• additional sprays every 3-5 in for a total of 3 sprays
• indications - chest pain, anginal pain
• contraindications - 1. hypersensitivity 2. severe hypotension 3. pericardial tamponade 4. increased intra-cranial pressure 5. hypovolemia/severe anemia

class - gas

• dosage - adult and pediatric
• low flow NC 1-2 L/min
• moderate flow NC 4-6 L/min pain, etc
• high flow NRB 10-15 L/min

indications - suspected hypoxia or respiratory distress from any cause, acute chest pain in which MI is suspected, shock (decreased oxygenation of tissue) from any cause, trauma, carbon monoxide poisoning

contraindications - none

class - cholinersterase re-activator

dosage - adult [600mg] IM by auto injector such as the "Mark I" antidote kit. May be repeated in 3-5 min after the first dose, if weakness or fasciculations have not been resolved

indications - organophosphate pesticide or nerve agent poisoning after Atropine has been administerd, unknown cholinersterase inhibitor poisoning

contraindications - 1. relative A. myasthenia gravis B. Renal failure 2. absolute A. inability to perform endotracheal intubation, if neuromuscular blockage were to occur (a rare, dose and rate related complication)