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Activated Charcoal
- (Actidose)/Absorbent
- Des: specially prepared charcoal that will adsorb & bind toxins from the gastrointestinal tract.
- Ind: acute ingested poisoning
- CI: none
- PC: administer only after emesis or in those cases where emesis is CI
- Dose: 1g/Kg mixed w/ at least 6-8 oz of H2O, then PO or via NG tube
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Calcium Chloride
- (Calcium Chloride)/Electrolyte
- Des: increases myocardial contractile force & increases ventricular automaticity.
- Ind: hyperkalemia, hypocalcemia, hypermagnesemia, & calcium channel blocker toxicity
- CI: ventricular fibrillation, hypercalcemia, & possible digitalis toxicity
- PC: may precipitate toxicity in PTs taking digoxin. ensure the IV line is in a large vein & flushed before using & after calcium
- Dose: 5-10cc of (10% solution / 1Gram –10cc)/10 min, as needed or 2-4mg/Kg . Ped: 20 mg/kg IV (10% solution) repeat at 10 min, as needed
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Methylprednisolone
- (Solu-Medrol)/Corticosteroid, Anti-inflammatory
- Des: synthetic adrenal corticosteroid, effective as an anti-inflammatory & used in mgt of allergic reactions & in some cases of shock. sometimes used in treatment of spinal cord injury.
- Indications: spinal cord injury, asthma, severe anaphylaxis, COPD.
- CI: no major CIs in the emergency setting.
- PC: only a single dose should be given in the prehospital setting.
- Dose: asthma/COPD/anaphylaxis: 125-250 mg IV/IM. Ped: 1-2 mg/kg/dose IV/IM. spinal cord injury: 30mg/kg IV over 15 min, after 45 min an infusion of 5.4 mg/kg/hr.
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