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69 terms

Advanced EMT Drugs

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