Advanced EMT Drugs

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ACLS Drugs and all the drugs that an AEMT can adminsister in Utah

Albuterol

a bronchodilator (trade names Ventolin or Proventil) used for asthma and emphysema and other lung conditions

Albuterol Adult Dose

2.5-3 ml

Albuterol Pediatric Dose

administer solution of 0.01 to 0.03 mL diluted in 2 mL of 0.9% of normal saline.

Albuterol Indications

Bronchial Ashtma

Albuterol Contraindications

Hypersensitivty and Tachydysrythmias

Albuterol how supplied

Inhalation

Activated Charcoal

Used in Poisoning and Overdoses

Activated Charcoal Contraindication

Not used in Cyanide mehtanol caustic and alkalis, orn and lithium

Activated Charcoal Dosages

Adult 25 mg-50mg
Pediatric 12.5 to 25 g

Actidose

25 -50 mg suspension drug

aspirin indication

chest pain consistant with AMI.

asprin is

anti-flammatory analegesic and anti-fever

asprin contraindication

allergy, ashtma, and active ulcer disease

asprin dosages

Adult 162-324 mg 325mg
Pediatric: not recommended

asprin look

chewable tablets/absorbed

Dextrose 50

50% dextrose

D50 dosages

Adult: 25-50 gm
Peds: D25

Dextrose 50 indications

Hypoglycemia and older than 8 yrs

Dextrose 50 contraindications

Alcoholics
D50 no peds
Head Trauma

D50 how supplied

prefilled syrynges and vials 50m of 50%

Epinepherine 1:1000

.3-.5mg

Epi 1:1 Indications

Severe allergic reaction
Broncospasms

Epinepherine 1:1000 Contraindications

Hypertension, angina, hyperthyroidism

Epinepherine 1:1 how supplied

ampules containing 1 mg in 1 ml (1:1 Solution)

EPI 1:1 doses

Adult: .3-.5 ml
Peds: .01-.3ml

Epi 1:1 how drug is given

SQ and/or IM

Lidocaine

Suppresses ventricular ectopic activity. Prevent V-Fib

Lidocaine Doses

Adult: 100 mg.. 1.0-1.5mg

Lidocaine Indication

Life-threatening Ventricular Dysrhythmia
Cardiac Arrythmias

Lidocaine Contraindication

allergy/hypersensitivity

Lidocaine how stored

Ampules and prefilled syrynges
IV push

Morphine

Vasodilator
CNS depression

Morphine Doses

Adult: 3-5 mg up to 10 mg

Morphine indications

Pulmonary Edema
Relieve pain

Morphine Contraindication

hypotension
respiratory distress
allergy

Morphine route

IV

Naloxone (trade)

Narcan (generic)

Narcan doses

Adult: .4-2.0mg

Narcan indications

opiate overdose
will not reverse coma unless opiate related

Nalxone Contraindication

narcotic dependent patients

Narcan

Restores respiratory depression
Completely inhibits the action of Morphine

Nitroglycerin

Nitrostat

Nitrostat

smooth muscle relaxant. Reduces preload and afterload

Nitro

Vasodilatior

Nitro Indications

acute angina pectoris, ischemic chest pain, hypertension, CHF, Pulmonary Edema

Nitro Contraindications

Hypotension, hypovolemia, intracranial bleeding, Head injury, Viagra within the last 24 hours

Nitro Dosage

Adult: tablest .3-.4mg SL may repeat 3-5 min.

Atropine

Blocks vagal effects, results in increased heart rate

Atropine Indications

asystole
hemodynamically significant bradycardia

Atropine Contraindications

Tachycardia, hypersensitivity, unstable cardiovascular status in acute hemorrhage and myocardial ischemia, narrow-angle glaucoma

Atropine Dose

.5-1mg
prefilled syrynges

Amiodarone

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Amiodarone is in a class of medications called antiarrhythmics. It works by relaxing overactive heart muscles.

Amiodarone Indications

VF/plulseless VT unresponsive to schock deliver, CPR and a vasopressor. Life threatining arrythmias

Amiodarone Contraindications

Hypotension, Bradycardia

Amiodarone effect

prolongs action

Amiodarone how delivered

IV/IO bolus or infusion

Amioradone Dose

300 mg followed by 150 mg

Vasopressin

alternative to epi

Vasopressin Indications

Shock, pulseless VT/VF

Vasopressin Contraindication

Hypersensitivity

Vasopressin dose

40 units

Vasopressin route

injection

Epi 1:10

restore electic activity

Epi 1:10 indications

cardiac arrest

Epi 1:10 contraindications

none in cardiac arrest

Epi 1:10

prefilled syrynges 1 mg-10mg or 10mg in 1mg

Glucagon

used for hypoglycemia and must be reconstituted IM, SQ and IV... vials

Glucagon contraindication

hypersensitivity, pheowchromocytoma

Glucagon MOA

Increases blood glucose

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