Term
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Definition
Narcotic antagonist
Dose: 0.4 -2.0 mg every 2 to 3 mins IV/IM up to 10 mg ( 2to2.5 time dose ET tube)
Def pure narcotic antagonist that blocks the effects of both natural and synethitic narcotics and may reverse respiratory depresstion
Ind: Narcotic and synthetic narcotic overdose or coma of unknown origin
Contra: hypersensitivity to the drugs non narcatic induced repriatory depression
Prec: Possible dependecy it also has a half life that is shorter than most narcotics hence the pt may return to overdose state |
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Term
| Dextrose 50% in water 50/ml carbohydrate |
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Definition
Dosage: 25g D50W (50ml) IV
Def: simple sugar that the body can rapidaly metabolize to create energy
Ind: Hpoglycemia
Cont:None in Hypoglycemia
Pre: Increased ICp determine blood glucole leverl before admin ensure good venous access |
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Term
| Insulin - Regular insulin,Humula Hormone |
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Definition
Dosage:5 to 10 units IV/IM/SC
Def:is a natuarlly accuring protein that promotes that uptake of glucose by the cells
Ind:hyperglycimea,Diabetic coma
Contra:Hypersensitvity hypoglycemia
Pre: none |
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Term
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Definition
Dose:325-650mg PO 4 to 6 hrs max 1000mg
Fever Reducer APAP
Def:Acetomenaphin is a clincally proven anagelsic antipyretic with little effect on platelt function
Ind:for mild to moderate pain and fever when asprin is otherwise not tolerated
Contra:Hypersenivity
Pre:Pt w/hepatic liver disease children under 12 w arthiric conditions,alcholism malnutrion hrombocytopenia(blood disorder) |
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Term
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Definition
Dosage:1g/Kg mixed with at least 6 to 8 oz water PO or NG tube
Class:Absorben
Def:is a specially prepared charcoal that wil absorb and bind toxins from the gastrotestinal tract
Ind:Acute ingested poisoning
Contr:Uncontrolled airway,ingestion cynide mineral,acids,caustic alkalis,organic solvents iron,ethanol,methanol
Pre:adim only after emesis or emesis contraindicated |
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Term
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Definition
Dosage:25 to 50 mg IV/IM
Antithistamine
Def: blocks histamine release there by reducing bronchoconstrictor
Contra:Asthma and lower airway disease
Ind:Anaplyaxis,allergic reaction, dystonic recations
Pre:May induce hypotension headache palpation tachycardia drowsiness or distrubed coordination sedation |
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Term
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Definition
Hormone
Dosage:Img IM/SC repeat 5 to 20 min
Def: Protein secreted by pancreatic cell that causes a breakdown of stored glycogen into glucose and inhibits the synthesis of glycogen from gluclose
Ind:Hypoglycemia w/o IV access and to reverse beta blocker
Con:Hypersensitvity to glucagon or protein compounds
Pre:Cardiovascular or renal impairment only effective when sufficent stores of glycogen in the liver |
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Term
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Definition
Vitamin
Dosage:50 to 100 mg IV/IM
Def:Vitiam B which is required to convert gluclose into energy it is nota manufactured by the body and must be constenly ingested by food
Ind:coma of unknown origin,Chronic alcoholism w ass coma and delivium tremors
Contra:none |
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Term
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Definition
Dosage:160 to 325 mg PO Chewable
Def : Inhibits agents that cause the production of inflammations,pain fever relieves mild to moderate pain by acting on the peripheral nervouse system lower body temp in fever and powerfully inhibits platlet aggression
Ind:Chest pain sug MI
Con:hypersensitivity to salicyates active ulcer disease,asthma
Pre:allergies to other NSAIDS bledding disorder, children teenagers w varicilla or flu like sypmtoms can cause Reyes syndrome |
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Term
| Ibuprofen NSAID-non steroidal antiflammatory drug |
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Definition
Dosage:200 - 400 mg PO 4 to 6 hrs up to 1200 mg
Def:Protype nsaid w significant analgesic and antipyretic prperties it also inhibits platelt affefation and incrase bleeding time antipyretic properties
Ind:Reduce fever and relieve minor to moderate pain
Contr:sensitivty asprin or nsaids active peptic ulcer bledding abnormalites
Pre: HTN,GI Ulceration,hepatic renal impairment,cardiac decompensation |
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Term
| Nitrious oxide Nurtibix/Analegsic Gas |
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Definition
Dosage: Self admin til pain ceases or pt drops mask inhalation
composed of 50% o2 50%nitrious oxide Its effects only last 2 to 5 mins after administration ceases
Ind:Musculoskeletal ischemic chest pain and severe anxiety including hyperventalation
Contra:Possible bowel obstruction,pneumothorax tension pnuemothrax copd head injury impaired mental status drug intoxiation
Pre:nausea vomiting use in well ventilated area |
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Term
| Ketorolac Toradol/non steroidal antinflammatory |
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Definition
Dosage:30mg IV/IM(15mg over 65 yrs less than 50kg/110 lbs)
Injectable NSAID that exhibits analgsesic antinflamatory and antipyretic properties w/o sedative effects
Ind:mild to moderate pain
CON:Hypersensititvity ASA NSAID Asthma
Pre:Peptic ulcer,renal or heptic impairment elderly
60mg has to be given IM straight to liver cannot break down |
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Term
| Promethazine Phenergon(antiemetic class) |
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Definition
Dosage:12.5 to 25mg IV/IM/PR
Des:is an anticholinergic agent that enhances the effects of analgesics and is a potent antiemtic
Ind:Nausea and vomiting,motion sickness,to enhance the effects of analegesics to induce sedation
Con:Hypersenstivity to phenothiazines
Pre:Hepatic respriatory cardia impairement,ashtma,HTN,elderly debilitated pt
AKA zofran at the hospital |
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Term
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Definition
Dosage for pain2.5mg to 15mg IV. 5 to 20mg IMSQ Only push if syst above 100
class:narcotc anaglesic
Des: potent analgesic and sedative that causes vasodilation reducing venous return and reduce myocardial oxygen demand
Ind:Mod to severe pain and MI reduce pulmonary edema
Con: Hypersensitivity to opiates undiagnosed head and abdmonial pain hypotension or volume depletion,acute bronchodialation asthma copd sever resp depression pulmoary edema due to chemical inhalation
Pre elderly children dibillitated pt naloxone should be ready |
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Term
| Meperidine (Demerol) Narcotic Analgesic |
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Definition
Dos 25 to 50mg IV 50 to 100mg IM
Synthetic narcotic w sedative and analgsic properties comparable to morphine but w/o hemodynamic side effects
Ind:moderate to severe pain
COn:hypersensitivity seizure dis,acue abdominal pain prior to diagnosis
Pre:Higher ICP,asthma respriatory,superventricular tachycardias prostatic glaucoma elderly dbilitated pt renal or hepatic impairiment hypothyroidism Addison disease |
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Term
| Methylapredisolone Predisone Solumedrol Corticosteriod Antiflamatory |
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Definition
Dosage: 125 to 250mg IV/IM asthma copd anaphylasis:Spinal Cord 30mg/kgIV or 15 min after 45 min an infusion of 5.4mg/kg
Is a synethetic adremal cortissteriod eff as am antinflammatory and used in tthe management of allergic reactions and in shockcases and spinal cory injury
Ind:Spinal cord injury,asthma,COPD,anaphylasis
Contra: no major
Pre Only a single dose should be given in the prehospial setting |
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Term
| Lorazepam Ativan Sedative |
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Definition
Most potent benzo strong antianxiety sedative hypnotic skeletal muscle relaxant properties and realitivty short half life
Ind:Sedation cardioversion and status epilepticus
Con:Sensitivity benzo's
Pre:narrow angle glaucoma depression coma shcok acute alcohol intoxication renal and hepatic impairment organic brain syndrome eldelry myasthnia gravis GI disorders benilitated limted pulmonary reserve |
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Term
| Diazepam Valium antianxiety hypnotic anticonsulsant sedative |
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Definition
Siezures: 5 to 10mg IV/IM
Anixiety:2 to 5mg IV /IM
Pre Med:5 to 10mg IV
Sedative and skeletal muscle relexant decrease tremors and seizures,pain cardioversion
Ind siezures anxiety premed cardioversion
Contra hypersensitivity shock coma low vitals alcholism OB pts neonates
Precautions: Depression hepatic and renal impairment addiction very ill pts copd short half life |
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