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Paramedic Drugs In EMS

Paramedic Drugs In EMS

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Published by sarge299
Paramedic pharmacology resource with common drugs used in EMS
Paramedic pharmacology resource with common drugs used in EMS

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Published by: sarge299 on Feb 28, 2011
Copyright:Attribution Non-commercial

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03/03/2014

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 Presents 
 
 
Paramedic Drug Formulary
 
This is a valuable resource with populardrugs EMS paramedics give in the field andgives, names, indications, commondosages and warnings.
                
ParamedicMentor.com
 
NOTICE:
You DO NOT Have the Right to Reprint or Resell this Publication. 
© Copyright Paramedicmentor.com. ALL RIGHTS RESERVED
. You maygive this publication away, offer it on your website or share it with your peers. 
DISCLAIMER AND/OR LEGAL NOTICES:
The information presented herein represents the views of the author as of thedate of publication. Because of the rate with which conditions change, the authorreserves the right to alter and update this information based on the newconditions. The publication is for informational purposes only. While everyattempt has been made to verify the information provided in this publication,neither the author nor its affiliates/partners assume any responsibility for errors,inaccuracies or omissions. Any slights of people or organizations areunintentional. If advice concerning medical, legal or related matters is needed,the services of a fully qualified professional should be sought.  You should beaware of any laws/practices or local policies which govern emergency care orother pre hospital care practices in your country and state. Any reference to anyperson or business whether living or dead is purely coincidental. 
ParamedicMentor.com
 
Adenosine (Adenocard)
 
CLASS:
Antiarrhythmic
ACTIONS:
slows AV conduction
INDICATIONS:
symptomatic PSVT
CONTRAINDICATIONS:
second- or third-degree heart block, sick-sinus syndrome, knownhypersensitivity to the drug.
PRECAUTIONS:
Arrhythmias, including blocks, are common at the time of cardioversion. Usewith caution in patients with asthma.
SIDE EFFECTS:
Facial flushing, headache, shortness of breath, dizziness, and nausea.
DOSAGE:
6 mg rapid IV bolus over  1-2s; after 1-2 minutes, 12-mg dose over 1-2 seconds.
ROUTES:
IV with 20cc flush
PEDIATRIC DOSAGE:
Initial dose: 0.1mg/kg; max 1st does = 6mg; Rapid IV bolus w/5ccflush 
Amiodarone HCL (Cordarone)
 
CLASS:
Antiarrhythmic (Group III)
ACTIONS:
Prolongs action potential and refractory period. Slows the sinus rate; Increases PRand QT intervals. Decreases Peripheral vascular resistance.
INDICATIONS:
Life-threatening cardiac arrhythmias such as ventriculartachycardia andventricular fibrillation.
CONTRAINDICATIONS:
Severe sinus node dysfunction, Sinus Bradycardia, Second andThird Degree Block, Hemodynamically significant bradycardia
PRECAUTIONS:
Heart Failure
SIDE EFFECTS:
Hypotension, Nausea, Anorexia, Malaise – Fatigue, Tremors, Pulmonarytoxicity, Ventricular escape beats
DOSAGE: Adults – V-Fib / V-Tach without pulses:
300 mg IV
(max is 2.2g IV/24 hrs)Adults – Ventricular arrhythmias with a pulse
: 150 mg over 10 minute. rpt every 10 min.
Maintenance Infusion: 540mg IV over 18 hours (0.5mg/min)
 
ROUTES:
IV
PEDIATRIC DOSAGE:
 
Pulseless arrest:
5mg/kg rapid IV bolus
 Perfusing tachycardia
: 5mg/kg IV over 20-60 min. 
Aspirin (Bufferin)
 
CLASS:
Platelet inhibitor/anti-inflammatory.
ACTIONS:
Blocks platelet aggregation.
INDICATIONS:
New-onset chest pain suggestive of MI signs and symptoms suggestive orrecent CVA.
CONTRAINDICATIONS:
GI bleed, ulcer, hemorrhagic stroke, bleeding disorders, kids withflu symptoms
SIDE EFFECTS:
Heartburn, nausea and vomiting, wheezing.
DOSAGE:
324 mg PO or chewed q4hr.
PEDIATRIC DOSAGE:
over 12: 40-100mg/kg/day in divided doses 
   
ParamedicMentor.com

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