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Emergency Medications/terminology For Paramedics
Paramedic Class Summer 09'
Activated Charcoal
Absorbant Rx-poisoning/overdoses:1mg/kg po or ng tube (mix with water to make slurry) contra-do not give before or with syrup of ipecac contact poison control for more advice SE-constipation
Adenosine (adenocard)
ANTIARRYTHMIC rx-PSVT: 6mg (2ml) IV rapidly over 1-3 seconds [flush with 20cc ns bolus make sure to elevate the arm] if no effect in 1-2 min, give 12 mg bolus over 1-3 seconds may repeat 12 mg bolus one more time. contra-2degree or 3deg AV block, VT, sick sinus syndrome. SE-transient dysrythmias, facial flushing, dyspnea, chest pressure, hypotension, headache, nausea, bronchospasm
Adenosine (adenocard) cont.
adenosine is blocked by theophylines; but potentianted by dipyridmole, carbamezapine. Pedi.: 0.1-0.2 mg/kg IV rapidly, IO up to 6 mg. may double dose if no effect. Max 12 mg /dose
Dipyridamole
–noun Pharmacology. a yellow crystalline powder, C24H40N8O4, used prophylactically for angina pectoris and in combination with other drugs to reduce thrombus formation.
Carbamazepine
: a tricyclic anticonvulsant andanalgesic C15H12N2O used in the treatment of trigeminal neuralgia and epilepsy —see TEGRETOL
Albuterol
a selective sympathomimetic bronchodilator, C13H21NO3, inhaled to relax bronchial muscles and ease breathing during an asthma attack 1.25-2.5mg mixed in 3cc contra-tachydysrythmias SE-Tachydysrythmias, anxiety, N/V peds: 0.03 ml/kg nebulized max:1 ml
Sympathomimetic
an agent that mimics the stimulation of the sympathetic nervous system.
sympathetic nervous system
The part of the autonomic nervous system originating in the thoracic and lumbar regions of the spinal cord that in general inhibits or opposes the physiological effects of the parasympathetic nervous system, as in tending to reduce digestive secretions, speeding up the heart, and contracting blood vessels.
Alteplase (activase)
FIBRINOLYTIC Acute MI (<12 hours old) 1oomg IV over 3 hrs mix in 100 ml sterile water for 1mg/ml.
Alteplase (activase) accelerated 1.5 hour infusion
administer 15mg IV bolus 15 ml over 2 minutes, then give 0.75 mg/kg (max:50mg) over next 30 minutes followed by 0.5 mg/kg (max35mg) over next hr.
Alteplase (activase) 3 hr infusion
10mg IV bolus (10 ml) over 2 minutes then give 50mg (50ml) over first hour followed by 20mg/hr (20ml/hr over the next 2 hours
Alteplase (activase)
Rx-acute pulmonary embolism 100mg IV over 2hrs,Acute Ischemic stroke (<3hrs)give 10%of the dose as an IV bolus over the next hour.
Alteplase (activase) Contraindications
Any within 3 months: stroke, AV malformation, neoplasm, recent trauma, aneurysm, recent surgery, active internal bleed w/in 21 days, major surgery or trauma w/in 14 days, aortic dissection, severe htn, known bleeding disorders, prolonged cpr w/ thoracic trauma. SE: reperfusion dysrythmias, bleeding, shock
Amiodarone (cordarone)
ANTIARRYTHMIC RX-cardiac arrest VF/VT: 300 mg IVP, may repeat 150mg IVP q 3-5 min. max-2200mg/24hrs
amiodarone rapid infusion
150mg IV over 10min., may repeat 150mg IVP q 10min., max-2200mg/24hrs. (mix 150mg in 100ml; run at 10 ml/min or 600 microdrop/min
amiodarone slow infusion
360mg IV over 6 hours (mix 1000mg in 500ml; run at 30ml/hr or 30 microdrip/min.
Amiodarone maintenence infusion
540mg IV over 18 hours mix 1000mg in 500 ml; run at 15 ml/hr or 15 microdrip/hr
Amiodarone (contra-SE)
contra-cardiogenic shock, bradycardia, 2nd and 3rd degree hrt block, do not use with drugs that prolong QT interval. SE-vasodilation, decrease bp, hrt rate, AV block, hepatotoxicity, Inc. qtc, VF VT, 40 day half life
Amiodarone PEDI dose
5mg/kg IV/IO
Amyl Nitrate
Cyanide antidote RX-cyanide poisoning: adm vapors from crushed inhalant for 30 secs. repeat continuously. SE hypotension, HA, Nausea, methemoglobinemia
methemoglobinemia
decrease in the oxygen-carrying capacity of the red blood cells (erythrocytes) due to the presence of methemoglobin in the blood. The severity of the symptoms of methemoglobinemia is related to the quantity of methemoglobin present in the circulation and range from a bluish discoloration of the skin and mucous membrane to weakness, difficulty in breathing, and dizziness in the more severe cases.
Anistreplase (eminase, APSAC)
fibrinolytic used in acute MI less than 12 hours old
Aspirin (asa)
Antiplatelet used in acute MI 160-325 PO or 2-4 chewable childrens tablets contra-allergy caution with asthma ulcers gi bleed SE- GI bleeding
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