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Hermiston Fire EMS Protocols
Durgs
125
Health Care
Undergraduate 1
05/17/2011

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Cards

Term
Adenosine Class
Definition
Antiarrhythmic
Term
Adensonine Actions
Definition
Slow down conduction time through the AV node resorting NSR
Term
Adenosine Indications
Definition
PSVT, SVT, Narrow or Wide Tachycardias
Term
Adenosine Contraindications
Definition
Second or Third degree Heart Block, Sick Sinus Syndrome, Known Hypersensitivity.
Term
Adenosine Adult dosage
Definition
6mg, 12mg, 12mg
Term
Adenosine Pediatric Dosages
Definition
0.1mg/kg, 0.2mg/kg
Term
Alburerol Class
Definition
Sympathomimetic/bronchodialator/beta 2 stimulator
Term
Albuterol Actions
Definition
Bronchodialator, Relaxes smooth muscle,
Term
Albuterol Indications
Definition
Bronchial asthma and bronchial spasm
Term
Albuterol Precautions
Definition
Arrhythmias, Paradoxical bronchospasm may occur with excessive administration, Skeletal muscle tremors.
Term
Albuterol Dosages
Definition
2.5mg in 3 ml NS, 6 LPM Nebulized.
Term
Aspirin (ASA) Class
Definition
Anti-inflammatory agent, Platelet inhibitor
Term
Aspirin Actions
Definition
Inhibits prostaglandin and disrupts platelet function.
Term
Indications
Definition
Chest pain suspected to be cardiac in origin.
Term
Aspirin Contraindications
Definition
Allergy, asthma, active bleeding disorder,
GI bleed, anticoagulation therapy, suspected aortic dissection.
Term
Aspirin Dosages
Definition
324 mg
Term
Atropine Class
Definition
Parasympatholytic
Term
Atropine Actions
Definition
Blocks Vegas Nerve
Term
Atropine Indications
Definition
Increase heart rate in bradycardia and pacemaker failure, to improve conduction in second or third degree heart blocks, antidote fore insecticide exposures.
Term
Atropine Contraindications
Definition
A-fib, A-flutter, Bradycardia in setting of acute MI, Do not treat unless poor perfusion.
Term
Atropine Adult Dosages
Definition
0.5-1mg max 3 mg bradycardia, 1-2 mg Organophosphates.
Term
Atropine Pediatric Dosages
Definition
0.02mg/kg Minimum dose of 0.1mg
Term
Atrovent (ipratroprium Bromide) Class
Definition
Atropine derivative used for inhalation
Term
Atrovent Actions
Definition
Inhibits acetylcholine at receptor sites on bronchial smooth muscle, resulting in decreased bronchial dilation.
Term
Atovent Indications
Definition
Beta agonist in patients with asthma and copd.
Term
Contraindications
Definition
Hyoptension, wide complex tachycardia, conduction system disturbances.
Term
Atrovent Dosages
Definition
0.5mg Nebulized
Term
D-50 Class
Definition
Carbohydrate
Term
D-50 Actions
Definition
Provides quick energy
Term
D-50 Indications
Definition
Hypoglycemia.
Term
D-50 Precautions
Definition
Extavasation causes vein necrosis, CVA.
Term
D-50 Adult Dose
Definition
50gms
Term
D-50 Pediatric Dosages
Definition
>10Kg 1cc/kg <10Kg 2cc/kg 25%
Term
Diazepam (Valium) Class
Definition
Benzodiazepine, sedative-hypnotic, anticonvulsant.
Term
Diazepam Actions
Definition
Acts on the limbic, thalamic, and hypothalamic regions of the CNS to potentate the effects of inhibitory neurotransmitters, raising seizure threshold in the motor cortex.
Term
Indications
Definition
Status epilepticus, Acute Anxiety, Acute alcohol withdrawal, muscle relaxant, RSI sedation.
Term
Diazepam Contraindications
Definition
Hypersensitive, Glaucoma, Hypotension, Head Injury, CNS Depression, Respiratory depression.
Term
Diazepam Adverse Reactions
Definition
Hypotension, Reflex tachycardia, respiratory depression, ataxia, motor impairment, confusion, nausea.
Term
Diazepam Dosages Adult Status Epilepticus
Definition
5-10mg may repeat once to 20mg
Term
Diazepam Dosages Adult Acute Anxiety
Definition
2-5mg
Term
Diazepam Adult Dosages Cardioversion
Definition
5-15mg
Term
Diazepam adult dosages RSI
Definition
0.1-0.2mg/kg
Term
Diazepam Adult dosages Muscle Relaxant
Definition
2-5mg
Term
Diazepam Pediatric Dosages
Definition
0.5mg/kg Rectal
Term
Diphenhydramine Class
Definition
Antihistamine
Term
Diphenhydramine Actions
Definition
Blocks histamine release, anticholinergic, anti parkinsonian effect, witch treats acute dystonic reactions to anti psychotic drugs.
Term
Diphenhydramine Indications
Definition
Second line druge in allergic reactions, counteract acure dystonic reactions to anti psychotic drugs.
Term
Diphenhydramine Dosages Adult
Definition
25-50mg IV
Term
Diphenhydramine Pediatric Doasges
Definition
1-2mg/kg Max 50mg
Term
Dopamine Class
Definition
Adrenergic Vasopressor
Term
Dopamine Class
Definition
Adrenergic Vasopressor
Term
Dopamine Actions (2-10mcg/kg/min)
Definition
Beta Effects on heart, increases cardiac output without increasing heart rate.
Term
Dopamine Indications
Definition
Cardiogenic Shcok
Term
Dopamine Dosages Adult and Pediatric
Definition
2-10mcg/kg/min
Term
Epinephrine Class
Definition
Sympathetic agonist
Term
Epinephrine Actions
Definition
Catecholamine with alpha and beta effects.Increase HR, Increase myocardial contractile force, increased systemic vascular resistance, increased arterial blood pressure, Increase myocardial o2 consumption, increased automaticity. Bronchodialator.
Term
Epinephrine Indications
Definition
V-fib, Asystole, Systemic reactions, asthma in pt under 50.
Term
Epinephrine Dosages Adult
Definition
V-Fib, PEA, Asystole 1mg 1-10000 IV
Anaphylaxis, asthma 0.3-0.5mg 1:1000 SQ or IM or 0.3-0.5 1:10000 IV
Term
Epinephrine Pediatric Dosages
Definition
Cardiac arrest 0.01mg/kg 1:10000 IV
Anaphylaxis/asthma 0.01mg/kg 1:1000 SQ max 0.3mg
Term
Fentanyl Class
Definition
Potent opiate narcotic analgesic
Term
Fentanyl Actions
Definition
binds to pain receptors
Term
Fenyanyl Indications
Definition
Pain management
Term
Fentanyl Contraindications
Definition
Hypersensitivity, pregnancy, respiratory depression.
Term
Fentanyl dosages adult
Definition
25-100mcg Max 200mcg
Term
Fentanyl pediatric dosages
Definition
1-4mcg/kg
Term
Furosimide (Lasix) Class
Definition
Diuretic
Term
Furosimide Actions
Definition
Inhibits sodium reabsorption throughout the kidneys.
Term
Furosimide Indications
Definition
Pulmonary edema
Term
Furosimide Precautions
Definition
Hypovolemia, or hypotension, not used in pregnant women.
Term
Furosimide Dosages
Definition
20-80mg max of 100mg
Term
Glucagon Class
Definition
Anthypoglycemic agent
Term
Glucagon Actions
Definition
hormone that causes glucose mobilization in the body. Acts opposite of insulin.
Term
Glugagon Indications
Definition
Hypoglycemia without IV access
Term
Glucagon special notes
Definition
may be useful in treating life threatening beta blocker overdoses.
Term
Glucagon dosages
Definition
adult 1mg IM, Pediatric if less then 20kg 0.5mg
Term
Haldol Class
Definition
Antipsychotic
Term
Haldol Actions
Definition
Thought to block the impulse transmission in dopaminergic neurons
Term
Haldol Indications
Definition
Manifestations of acure and chronic psychosis. Aggressive and agitated behavior.
Term
Haldol Contraindications
Definition
Comatose and CNS depression. Senile patients with pre-existing parkinson like symptoms.
Term
Hadol Cautions
Definition
Use caution in patients with epilepsy. Use with anticonvulsant
Term
Haldol Dosages
Definition
2-5mg IV/IM do not exceed 3ml per injection site.
Term
Hydromorphone (dilaudid) Class
Definition
Opioid, Narcotic analgesic
Term
Hydromorphone Actions
Definition
A. Inhibits ascending pain pathways in CNS
B. Increases the pain threshold and alters pain perception.
Term
Hydromorphone Indications
Definition
A. Pain due to burns or extremity injuries
B. Analgesia for moderate to severe pain.
Term
Hydromorphone Contraindications
Definition
A. Migraine Headaches
B. Use in children or during labor
C. Status asthmaticus
D. Obsterics
E. Respiratoy depression in absence of resusitative equipment.
F. Lactation
Term
Hydromorphone Dosages
Definition
2-4mg IV/IM
Term
Lidocaine Class
Definition
Antiarrhythmic Agent
Term
Lidocaine Actions
Definition
Depresses automaticity of purkinje fibers (makes ventricles less likely to fiberlate)
Term
Lidocaine Indications
Definition
A. PVC's in suspected ishemic event.
B. Stable ventricular tachycardia or recurrent ventricular tachycardia if clinical condition is not rapidly deteriorating.
C. Recurrent V-fib.
D. Following defibrillation or cardioversion from v tach
E. Intubation with neuromuscular blocking agents.
F. Pain Control for EZ-IO.
Term
Lidocaine Precautions
Definition
Advanced AV block, A-fib, A-flutter, SVT,
Term
Lidocaine Dosages
Definition
A. PVC's, stable VT, Recurrent VF 1.5mg/kg 0.75mg/kg over 10 min
B. RSI 1mg/kg
Term
Magnesium Sulfate class
Definition
Antiarrhythmic agent, Anticonvulsant
Term
Magnesium Indications
Definition
A. Torsods de pointes
B. Eclampsia
Term
Mag sulfate Dosages
Definition
2gms IV diluted in 10ml NS
Eclamsia 4gms
Term
Midazolam (versed) Class
Definition
Benzodiazepine
Term
Midazolam Actions
Definition
Acts as a CNS depressant, anticonvulsant, and given IV or IM
Term
Midazolam Indications
Definition
Active Seizure, relive anxiety and produce amnesia during cardioversion, paralytic intubation or pacing.
Term
Midazolam dosages adult
Definition
A. Behavioral 1-2.5mg IV
B. Cardiac Pacing 1-2.5mg IV
C. RSI 1-5mg IV
D. Seizure 2-5mg IV, 5-10mg IM, 0.1mg/kg IV to max initial dose of 2.5mg may give 5mg for seizures longer then 5 min, 0.2mg/kg IM max 10mg
Term
Morphine Class
Definition
Narcotic analgesic
Term
Naloxone (narcan) Class
Definition
Narcotic antagonist
Term
Naloxone Actions
Definition
Competitively binds to narcotic sites but which exhibits almost no pharmacological activity of its own.
Term
Naloxone Indications
Definition
A. Narcotic overdose
Term
Naloxone precautions
Definition
Restrain the pt before administering.
Term
Nalonone Dosages Adult
Definition
2mg IV/IM recreational use
0.4mg IV/IM for chronic pain users
Term
Nalonone Dosages Pediatrics
Definition
<20kg: 0.1mg/kg no more then 2mg/kg
Term
Nitroglycerin Class
Definition
Antiangianl agent
Term
Nitroglycerin Actions
Definition
Vasodialator
Term
Nictroglycerin Indications
Definition
Chest Pain, pulmonary edema.
Term
Nitroglycerin Precautions
Definition
hypotension, ED drugs
Term
Nitroglygerin dosages
Definition
0.4mg sBP up to three
Term
Phenergan Class
Definition
Antiemetic, antihistamine
Term
Phenergan indications
Definition
sever vomiting and nausea
vertigo
Term
Phenergan precautions
Definition
A. Altered mental status.
B. Can damage vein and tissues
Term
Phenergan Contraindications
Definition
A. <8 YO
B. Intoxication
C. hypotension
D. Coma
E. Allergy
F. Lactating mothers
Term
Phenergan Dosages
Definition
Adults 12.5-25mg IV Dilute in 10CC
12.5 Deep IM
Term
Sodium Bicarbonate Class
Definition
Alkalinizing agent
Term
SodiumBicarbonate Actions
Definition
Neutralizes acids found in the blood
Term
Sodiumbicarbonate Indications
Definition
A. To control arrhythmias in cyclic antidepressant overdose.
B. Suspected hyperkalemia
C. Entrapment where crush injury is imminent.
Term
Sodiumbicarbonate Dosages
Definition
1mEq/kg
Hyperkalemia 50 mEq
Term
Sodium Bicarbonate Pediatric dosage
Definition
1 mEq/kg
Term
Succinylcholine Class
Definition
Depolarizing neuromuscular blocking agent
Term
Succinylcholine Actions
Definition
Short acting, motor nerve depolarizing, skeletal muscle relaxant. Binds to cholinergic receptors causing depolarization.
Term
Succinylchonine indications
Definition
To achieve paralysis where muscle tone, or seizure activity prevent intubation.
Term
Succinylcholine Contraindications
Definition
A. Hypersensitivity
B. organophospate poisonings.
C. hyperkalemia
Term
Succinylcholine Dosages
Definition
Adult/children 2.0mg/kg IV/IM
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