Combat Medic Medications

Terms in this set (72)

Morphine Drug Type
Analgesic
Morphine trade names
MSO4, AVINza, Kadian, MS Contin, MSIR
Morphine indications
severe pain, combat injuries (ie: traumatic amputations, ballistic injuries, severe burns, crush injuries
Morphine Contraindications
Known allery
AMS
Suspected Head Injury (TBI)
Other opiate drugs already given
Morphine Side Effects
Respiratory Depression, N/V
Morphine Dosage
5mg morphine diluted in 5mL NaCl slow I.V. push over 1-2 minutes
Q/10min PRN
Fentanyl Drug Type
Analgesic
Fentanyl Trade Names
Actiq, Duragesic, Fentora, Sublimaze
Fentanyl Indications
Allergies to Morphine
Combat injuries
Patient must be alert and conscious
Fentanyl Contraindications
Known allery
AMS
patient already given morphine or other opiate drug
Fentanyl Side Effects
Can multiply effects of morphine
Fentanyl Dosage
800 mcg (micrograms) BUC
Naloxone Drug Type
Narcotic Antagonist
Naloxone Trade Name
Narcan
Naloxone Indications
Opiate or Narcotic overdose
Naloxone Contraindications
None
Naloxone Side Effects
*withdrawal symptoms
*N/V
*Tachycardia
Naloxone Dosage
0.4mg slow I.V. push over 1-2 minutes
Titrate to effect
repeated until desired effect usually 10-20mg
Ketamine Drug Type
Dissociative Anesthetic
Ketamine Trade Names
Ketalar
Ketamine Indications
*Severe Pain
*Combat Injuries (i.e Traumatic Amputations, Ballistic injuries, Severe burns, crush injuries
Ketamine Contraindications
*Known allergy
*already given other narcotic pain medications
Ketamine Side Effects
Confusion
Ketamine Dosage
20mg Slow IV push over 1 minute. repeat dose every 5-10 minutes for severe pain
Meloxicam Drug Type
Analgesic
Meloxicam Trade Name
Mobic
Meloxicam Indications
Mild to moderate pain (for soldiers still able to fight)
Meloxicam Contraindications
*Known alllergy
*AMS (altered mental status)
*Unable to swallow
*History of asthma
Meloxicam Side Effects
GI issues in high doses
Meloxicam Dosage
15mg PO (by mouth) QD (once a day)
Acetaminophen Drug Type
Analgesic
Acetaminophen Trade Name
Tylenol
Acetaminophen Indications
Mild to moderate pain (in soldiers still able to fight)
Acetaminophen Contraindications
*Known allergy
*AMS (altered mental status)
*Unable to swallow
Acetaminophen Side Effects
Liver damage in high doses over an extended period of time
Acetaminophen Dosage
2x650mg Bi-layer caplets, 2 PO QID (every 8 hours or 4 times a day)
Promethazine Drug Type
Antihistamine
Promethazine Trade Names
*Phenergan
*Pentazine
Promethazine Indications
*N/V (nausea/vomiting)
*Mild allergic reactions
*Given in conjunction with Morphine (has a synergistic analgesic effect)
Promethazine Contraindications
Known allergy
Promethazine Side Effects
*Sedation
*Dizziness
Promethazine Dosage
12.5, 25 or up to 50mg Deep IM or IV
Diphenhydramine Drug Type
Antihistamine
Diphenhydramine Trade Names
Benadryl
Diphenhydramine Indications
Allergic reaction
Diphenhydramine Contraindications
Known allergy
Diphenhydramine Side Effects
*Sleepiness
*Headache
*Dry mouth
*Hypotension
Diphenhydramine Dosage
25-50mg IM/IV/PO
Epinephrine Drug Type
Artificial Adrenalin
Epinephrine Trade Names
*Adrenalin Chloride
*EpiPen
*Twinject
Epinephrine Indications
Anaphylaxis
Epinephrine Contraindications
Known allergy
Epinephrine Side Effects
*Headache
*Nausea
*Hypertension
Epinephrine Dosage
0.3-0.5mg SQ (subcutaneous)
Moxifloxin Drug Type
Antibiotic
Moxifloxin Trade Name
Avelox
Moxifloxin Indications
Penetrating combat wounds in soldiers still able to fight to include occular trauma
Moxifloxin Contraindications
*Known allergy to this drug or other quinolone antibiotics
*Unable to swallow
Moxifloxin Side Effects
*N/V (naseau/vomiting)
*Diarrhea
*Dizziness
*Headache
Moxifloxin Dosage
400mg PO QD (once a day)
Cefotetan Drug Type
Antibiotic
Cefotetan Trade Names
Cefotetan IV
Cefotetan Indications
Penetrating combat wounds in soldiers unable to fight with transport delayed greater than 3 hrs
Cefotetan Conraindications
*Known allergy
*Known allergy to cephalosporins or penicillins
Cefotetan Side Effects
*Swelling, pain or soreness at the injections site
*N/V (naseau/vomiting)
*Diarrhea
*Headache
Cefotetan Dosage
2g slow IV push over 3-5 minutes or IM BID (twice a day)
Ertapeneum Drug Type
Antibiotic
Ertapeneum Trade Names
Invanz
Ertapeneum Indications
Penetrating combat wounds in soldiers unable to fight with transport delayed greater than 3 hrs
Ertepeneum Contraindications
*Known allergy
*Known allergy to other cephalosporins or penicillins
Ertepeneum Side Effects
*Swelling, pain, or soreness at the injection site
*N/V (naseau/vomiting)
*Diarrhea
*Headache
Ertepeneum Dosage
1g IV/IM QD (once a day)
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