UVU Paramedic Drug Card - Utah Valley University

Utah Valley University Paramedic ALS Guide

Adult Dosing Acetaminophen (Tylenol) 650-‐1000mg Activated Charcoal 25-‐50 g Adenosine (Adenocard) 6 mg, 12 mg, 12 mg Albuterol (Proventil) 2.5 mg in 3 mL NS Amiodarone (Cordarone) 150-‐300 mg Aspirin (ASA) 324 mg Atropine 1 mg Calcium Chloride 800-‐1000 mg Diazepam (Valium) 5-‐10 mg Diphenhydramine (Benadryl) 25-‐50 mg Dextrose 25 g Dopamine (Inropin) 2-‐ 20 mcg/kg/min Epinephrine 1-‐1,000 0.3 mg Epinephrine 1-‐10,000 1 mg Fentanyl (Sublimaze) 50-‐100 mcg Furosemide (Lasix) 40 mg Glucagon (GlucaGen) 1 mg Haloperidol (Haldol) 5-‐10 mg Ibuprofen (Motrin) 800 mg

Ipratropium (Atrovent) 0.5 mg Ketamine (Ketlar) Lactated Ringers 500 mL Lidocaine (Xylocaine) 1.0-‐1.5 mg/kg Lorazapam (Ativan) 1-‐2 mg Magnesium Sulfate 1-‐4 g Midazolam (Versed) 2-‐4 mg Morphine Sulfate 4-‐10 mg Naloxone (Narcan) 0.4-‐2.0 mg Nitroglycerin (Nitrostat) 0.4 mg 0.9% Sodium Chloride 500 mL Ondansetron (Zofran) 4-‐8 mg Oxytocin (Pitocin) 10 units Promethazine (Phenegran) 12.5-‐25 mg Propafol 1.5-‐3 mg/kg Sodium Bicarbonate 1-‐2 mEq/kg Succinylcholine Chloride 1.0-‐1.5 mg/kg Vasopressin (Pitressin) 40 units Vecuronium (Bromide) 0.1-‐0.2 mg/kg

Pediatric Dosing Acetaminophen (Tylenol) 15 mg/kg Activated Charcoal 1 g/kg Adenosine (Adenocard) 0.1 mg/kg, 0.2 mg/kg, 0.2 mg/kg Albuterol (Proventil) < yo 1.5 mg in 3 mL NS Amiodarone (Cordarone) 5 mg/kg Aspirin (ASA) N/A Atropine 0.02 mg/kg Calcium Chloride 20 mg/kg Diazepam (Valium) 0.1 mg/kg Diphenhydramine (Benadryl) 1 mg/kg Dextrose 2 mL/kg Dopamine (Inropin) 2-‐ 20 mcg/kg/min Epinephrine 1-‐1,000 0.01 mg/kg Epinephrine 1-‐10,000 0.01 mg/kg Fentanyl (Sublimaze) 1 mcg/kg Furosemide (Lasix) OLMC Glucagon (GlucaGen) 0.1 mg/kg Haloperidol (Haldol) 1-‐3 mg Ibuprofen (Motrin) 10 mg/kg

Ipratropium (Atrovent) 0.125-‐0.25 mg Ketamine (Ketlar) Lactated Ringers 20 mL/kg Lidocaine (Xylocaine) 1.0 mg/kg Lorazapam (Ativan) 0.1 mg/kg Magnesium Sulfate 125-‐50 mg/kg Midazolam (Versed) 0.1 mg/kg Morphine Sulfate 0.1 mg/kg Naloxone (Narcan) 0.1 mg/kg Nitroglycerin (Nitrostat) N/A 0.9% Sodium Chloride 20 mL/kg Ondansetron (Zofran) 0.1 mg/kg Oxytocin (Pitocin) N/A Promethazine (Phenegran) OLMC Propafol 2.5-‐3.5 mg/kg Sodium Bicarbonate 1 mEq/kg Succinylcholine Chloride 1.0-‐1.5 mg/kg Vasopressin (Pitressin) N/A Vecuronium (Bromide) 0.01-‐0.015 mg/kg

Drug card legend Onset/Duration Onset: Immediate = Seconds, Rapid = less than 1 minute,

Fast = less than 5 minutes, Slow = more than 30 minutes Duration: Brief = less than a minute, Short = less than 5 minutes, Moderate = 30 minutes or less, Long = 30 minutes or more Classification Category or characteristics

Action What it does Indication When to use it Contra/Cautions When not to give it. Hypersensitivity applies to all drugs

(cautions will be clearly stated) Side/Adverse effects All drugs can have the following effects: headache, dizziness,

restlessness, diarrhea, nausea, vomiting Route/Administration Routes are ordered by preference. How to give the medication.

Adult Dose Pediatric Dose

Gives dose and max dose. Some drugs require online medical control consulting prior to administration (OLMC). Pediatric doses never exceed adult doses.

Notes:

Generic (Trade) Acetaminophen (Tylenol) Onset/Duration Slow/Long Classification Analgesic, antipyretic Action Analgesic activity, antipyretic activity Indication Fever, pain Contra/Cautions Liver dysfunction Side/Adverse effects Possible sleepiness Route/Administration Oral/rectal, may repeat every 4 hours Adult Dose 650-‐1000mg (max of 4 grams per day) Pediatric Dose 15mg/kg (max 75 mg/kg) Notes:

Generic (Trade) Activated Charcoal (EZ-‐Char, Actidose, Liqui-‐Char) Onset/Duration Immediate/Long Classification Adsorbent Action Adsorbs toxic substances from GI tract Indication Oral poisonings and medication overdose Contra/Cautions Patient unable to swallow. Ingestion of corrosives, caustics,

liquids, hydrocarbons. Patients with undiagnosed abdominal pain or known GI obstruction.

Side/Adverse effects Aspiration, Constipation, Vomiting Route/Administration Oral/nasogastric tube. Call medical control before using. Shake well

before administering. Adult Dose 25-‐50 grams Pediatric Dose 1g/kg Notes:

Generic (Trade) Adenosine (Adenocard)

Onset/Duration Rapid/Brief Classification Antidysrhythmic

Action Slows conduction through the AV node Indication Symptomatic SVT

Contra/Cautions 2nd or 3rd degree heart block, Drug induced tachycardia Side/Adverse effects Cardiac arrest, bronchospasm, chest pain, hypotension, SOB Route/Administration IV/IO Rapid Followed by immediate flush may repeat every 3 minutes Adult Dose 6 mg 1st dose, 12 mg 2nd dose, 12 mg 3rd dose. (max of 3 doses) Pediatric Dose 0.1 mg/kg 1st dose, 0.2 mg/kg 2nd and 3rd dose. (max of 3 doses)

Notes:

Generic (Trade) Albuterol (Proventil, Ventolin)

Onset/Duration Fast/Long Classification Sympathomimetic, bronchodilator Action Relax bronchial muscles and peripheral vasculature Indication Wheezing, Breach presentations (call OLMC) Contra/Cautions Tachycardia, Synergistic with other Sympathomimetics Side/Adverse effects Palpations, chest pain, tachycardia, hypertension, tremors Route/Administration Inhalation, Medication is nebulized, may be repeated every 10 minutes Adult Dose 2.5 mg Pediatric Dose 2.5 mg, 1.5 mg for less than 1 year old

Notes

Generic (Trade) Amiodarone (Cordarone, Pacerone)

Onset/Duration Immediate/Long Classification Antidysrhythmic Action Delays repolarization and increases duration of action potential Indication V-‐Fib, pulseless V-‐Tach, Stable wide complex tachycardia, ROSC Contra/Cautions Sinus bradycardia, heart blocks

Side/Adverse effects Loss of coordination, numbness or tingling, liver and lung problems Route/Administration IV/IO IV/IO push over 10 min. Pediatric push over 20-‐60 min., call

OLMC before administration. IV Drip only if amiodrone bolus was used previously. .

Adult Dose 300 mg, 150 mg, 150 mg repeated once 1 mg/min when using a drip Pediatric Dose 5 mg/kg repeated once, 5 mg/kg repeated once Notes:

Generic (Trade) Asprin (ASA, Bayer)

Onset/Duration Fast/Long Classification Platelet inhibitor, Anti-‐inflammatory agent. Action Prevents platelets from clumping Indication New onset chest pain Contra/Cautions Pediatrics, Caution with patient takes blood thinners/ Active ulcers or

asthma Side/Adverse effects Prolonged bleeding, GI bleeding, Wheezing, Tinnitus, Heart burn

Route/Administration Oral preferably chewed Adult Dose 324 mg Notes:

Generic (Trade) Atropine Sulfate

Onset/Duration Immediate/Long Classification Parasympatholytic, anticholinergic agent Action Increases heart rate Indication Unstable bradycardia, Organophosphate poisoning/Nerve agents Contra/Cautions Tachycardia, hypothermic bradycardia, Caution with Glacoma Side/Adverse effects Palpitations

Route/Administration IV/IO/IM may be repeated every 3 min, every 15 min until patient improves

Adult Dose 1.0 mg (max 3 mg), 2.0 mg (mild to moderate symptoms) 4.0 mg (severe symptoms)

Pediatric Dose 0.02 mg/kg (max 1 mg), See department protocols doses start at 0.02mg/kg Notes:

Generic (Trade) Calcium Chloride

Onset/Duration Rapid/Moderate Classification Electrolyte Action Increases cardiac contractility Indication Hypocalcemia, overdoses of magnesium sulfate, beta blockers, or

calcium channel blockers, crush injuries Contra/Cautions Hypercalcemia, V-‐fib, digitalis toxicity Side/Adverse effects Cardiac arrest, dysthythmias, bradycardia, peripheral vasodilation Route/Administration IV/IO may repeat as needed every 5 minutes push slowly, give prior to

releasing load Adult Dose 500-‐1000 mg, 1 gram Pediatric Dose 20 mg/kg, Call OLMC Notes:

Generic (Trade) Dextrose (Glucose, D50, D25, D10)

Onset/Duration Rapid/Variable

Classification Carbohydrate Action Increase blood sugar level

Indication Hypoglycemia, no gag reflex (oral glucose) Contra/Cautions Caution with Intracranial hemorrhage Side/Adverse effects Tissue necrosis if IV site is infiltrated Route/Administration IV/IO/Oral Titrate to effect, Pediatric doses are diluted in normal saline Adult Dose 25 g dextrose, Oral glucose 15 g Pediatric Dose Oral glucose 7.5 g, month or less D10 2ml/kg,

Infants up to a year D10 5ml/kg, Children over a year D25 2ml/kg Notes:

Generic (Trade) Diazepam (Valium)

Onset/Duration Fast/Long

Classification Benzodiazepine Action Induces amnesia and sedation, Raises seizure threshold.

Indication Seizures, chemical sedation, anxiety Contra/Cautions Respiratory depression, coma, head injury Side/Adverse effects Respiratory depression, muscle weakness.

Route/Administration IV/IO/Rectal every 5 min Adult Dose 5-‐10 mg (max 30 mg), Cut dose in half for patients on narcotics or

alcohol Pediatric Dose 0.1 mg/kg (max 10 mg) Notes:

Generic (Trade) Diphenhydramine (Benadryl)

Onset/Duration Slow/Long

Classification Antihistamine, anticholinergic agent Action Blocks histamine receptors, decrease vasodilation

Indication Moderate to severe allergic reaction Contra/Cautions Pregnancy, infants, nursing mothers, patients taking MAOIs, asthma Side/Adverse effects Sedation, paradoxical excitement in children, Increases bronchial

secretions Route/Administration IV/IO/IM

Adult Dose 25-‐50 mg Pediatric Dose 1 mg/kg Notes:

Generic (Trade) Dopamine (Intropin)

Onset/Duration Fast/Effects cease after infusion

Classification Sympathomimetic, vasopressor Action Inotropic and chronoptropic effects, increases blood pressure.

Indication Hypotension, bradycardia Contra/Cautions Hypovolemic shock, tachydysrhythmias, v-‐fib Side/Adverse effects Anxiety, hypertension, chest pain, increased myocardial oxygen demand

Route/Administration IV/IO Titrate to increase blood pressure to 100 systolic, Titrate too normal pediatric blood pressure

Adult Dose 2-‐20 mcg/kg/min Pediatric Dose 2-‐20 mcg/kg/min Notes:

Generic (Trade) Epinephrine 1:1,000 (Adrenalin)

Onset/Duration Immediate/Short

Classification Sympathomimetic Action Vasconstriction, Positive inotropic, chronotropic, and dromotropic

effects, bronchial muscle relaxant Indication Severe hypotension, anaphylaxis, strider

Contra/Cautions Hypertension, hypothermia Side/Adverse effects Tachycardia, hypertension, chest pain

Route/Administration IV/IO Drip, IM every 5 min, max 1.2 mg , Nebulized, Adult Dose 2-‐10 mcg/min, 0.3 mg, 2 mL with 3 mL Normal saline Pediatric Dose 0.1-‐2 mcg/kg/min, 0.091 mg/kg, 2 mL with 3 mL Normal saline Notes:

Generic (Trade) Epinephrine 1-10,000 (Adrenalin)

Onset/Duration Immediate/Short

Classification Sympathomimetic Action Vasconstriction, Positive inotropic, chronotropic, and dromotropic

effects, bronchial muscle relaxant Indication Cardiac arrest, Neonatal resuscitation when HR less than 60

Contra/Cautions Hypertension, hypothermia Side/Adverse effects Tachycardia, hypertension, chest pain

Route/Administration IV/IO may repeat every 3-‐5 minutes Adult Dose 1mg Pediatric Dose 0.01mg/kg, 0.01-‐0.03 mg/kg Notes:

Generic (Trade) Fentanyl (Sublimaze)

Onset/Duration Fast/Moderate

Classification Opioid Analgesic Action Binds to opiate receptors producing analgesia Indication Pain management Contra/Cautions Traumatic brain injury, patients taking MAOI, Myasthenia gravis,

respiratory depression Side/Adverse effects CNS depression, nausea, vomiting

Route/Administration IV/IN/IM/IO doses may be given every 10 minutes Adult Dose 50-‐100 mcg (max 200 mcg) Pediatric Dose 1 mcg/kg (max 75 mcg per dose) 2 mcg/kg for intranasal (max 100 mcg

per dose) Notes:

Generic (Trade) Furosemide (Lasix)


Classification Loop Diuretic Action Increases urine output

Indication CHF, pulmonary edema, hypertensive crisis Contra/Cautions Hypovolemia, anuria, hypotension, pregnancy Side/Adverse effects ECG changes, hypotension

Route/Administration IV/IO Adult Dose 40 mg (max 80 mg) or twice the amount of pt prescribed dose max

(120 mg)

Pediatric Dose OLMC Notes:

Generic (Trade) Glucagon (GlucaGen)

Onset/Duration Rapid/Long

Classification Pancreatic hormone, insulin antagonist Action Increases blood sugar level by stimulating glycogenolysis. Indication Hypoglycemia

Contra/Cautions Hyperglycemia Side/Adverse effects Rebound hypoglycemia, hypertension

Route/Administration IV/IO/IM Adult Dose 1 mg Pediatric Dose 0.1mg/kg Notes:

Generic (Trade) Haloperidol (Haldol)


Classification Tranquilizer, antipsychotic Action Sedative effect

Indication Acute psychotic episodes Contra/Cautions Parkinsons disease, depressed CNS, pregnancy, head injury Side/Adverse effects Seizures, dystonia, QT prolongation

Route/Administration IM/IV/IO Adult Dose 5-‐10 mg, 2-‐5 mg Pediatric Dose 1-‐3 mg 6-‐12 years old, 12 years and older use adult dose Notes:

Generic (Trade) Ibuprofen (Motrin)


Classification Analgesic, antipyretic Action Analgesic activity, antipyretic activity

Indication Fever, pain Contra/Cautions Children under 6 months old, Immune-‐compromised patients Side/Adverse effects GI intolerance

Route/Administration Oral may be given every 6-‐8 hours. Consider alternating with Acetaminophen

Adult Dose 800 mg Pediatric Dose 10 mg/kg (max 40 mg/kg/day) Notes:

Generic (Trade) Ipratropium (Atrovent) Onset/Duration Rapid/Long Classification Anticholinergic, bronchodilator Action Inhibits interaction of acetylcholine at receptor sites of bronchial

smooth muscle Indication Persistent bronchospasm, COPD exacerbation, wheezing Contra/Cautions Atropine, alkaloids, allergy to peanuts Side/Adverse effects Dyspnea, tachycardia, palpitations, MI Route/Administration Nebulized and mixed with first dose of albuterol Adult Dose 0.5 mg Pediatric Dose 5-‐12 years old 0.125-‐0.25 mg , 12 years and older 0.25-‐0.5 mg Notes:

Generic (Trade) Ketamine (Ketalar) Onset/Duration Classification Action Indication Contra/Cautions Side/Adverse effects Route/Administration Adult Dose Pediatric Dose Notes:

Generic (Trade) Lactated Ringers Onset/Duration Immediate/Effects cease after infusion Classification Isotonic crystalloid solution Action Replaces water and electrolytes Indication Hypovolemic shock, IV maintenance Contra/Cautions Congestive heart failure, renal failure Side/Adverse effects Rare in therapeutic dosages Route/Administration IV/IO Adult Dose 500 mL increments (max 2 liters) Pediatric Dose 20 mL/kg (max 60 mL/kg call OLMC for further dosing) Notes:

Generic (Trade) Lidocaine (Xylocaine)


Classification Antidysrhythmic Action Decreases automaticity of cardiac cells

Indication Cardiac arrest, stable wide tachycardia, post cardiac arrest, severe cough

Contra/Cautions 2nd or 3rd degree heart blocks, bradycardia, Stokes-‐Adams syndrome Side/Adverse effects Respiratory arrest, dysrhythmias

Route/Administration IV/IO may repeat every 3-‐5 minutes, Adult Dose 1.0-‐1.5 mg/kg (max 3 mg/kg), 2-‐4 mg/min, 40-‐60 mg added too

albuterol bullet Pediatric Dose 1 mg/kg (max 3 mg/kg) Notes:

Generic (Trade) Lorazepam (Ativan)



Indication Seizures, severe anxiety, sedation Contra/Cautions Coma, Suspected drug abuse Side/Adverse effects CNS depression, hypotension, bradycardia

Route/Administration IV/IO may be given every 5 minutes Adult Dose 1-‐2 mg max of 4 mg Pediatric Dose 0.1 mg/kg Notes:

Generic (Trade) Magnesium Sulfate

Onset/Duration Immediate/Moderate

Classification Electrolyte Action Reduces striated muscle contractions, induces uterine relaxation

Indication Seizures of exlampsia, Torsades de Pointes Contra/Cautions Heart blocks, myocardial damage Side/Adverse effects CNS depression, abnormal ECG, vasodilation

Route/Administration IV/IO (Given over 15 to 30 minutes) IM, IV,IO given over 2 minutes Adult Dose 4 g, 1-‐2 g Pediatric Dose 25-‐50 mg/kg Notes:

Generic (Trade) Midazolam (Versed)

Onset/Duration Rapid/Long


Indication Seizures, chemical sedation, anxiety Contra/Cautions Respiratory depression, coma Side/Adverse effects Respiratory depression

Route/Administration IV/IO may be given every 5 minutes, IN/Oral given as one dose, IM given as one dose

Adult Dose 2-‐4 mg (max of 10) 0.4 mg/kg 2-‐5 mg Cut dose in half for patients on narcotics or alcohol

Pediatric Dose 0.1 mg/kg, 0.4 mg/kg, 0.1 mg/kg (max 4 mg), Cut dose in half for patients on narcotics or alcohol

Notes:

Generic (Trade) Morphine

Onset/Duration Immediate/Long

Classification Opioid analgesic Action Alleviates pain, decreases Myocardial oxygen demand by lowering BP

Indication Moderate to severe pain, chest pain Contra/Cautions Head injury, CVA, depressed respiratory drive, undiagnosed

abdominal pain, hypotension, MAOI use within 14 days Side/Adverse effects Sedation, CNS depression, syncope

Route/Administration IV/IO/IM may be given every 10 minutes, titrate to effect Adult Dose 4-‐10 mg (max 20 mg) Call OLMC for additional doses Pediatric Dose 0.1 mg/kg (max 4 mg per dose) Notes:

Generic (Trade) Naloxone (Narcan)

Onset/Duration Fast/Long (not as long as Heroin)

Classification Opioid antagonist Action Competitive inhibition at narcotic receptor sites

Indication Opiate overdose Contra/Cautions Caution with narcotic-‐dependent patients Side/Adverse effects Withdrawal symptoms, nausea, vomiting, seizures

Route/Administration IV/IN/IM/IO may repeat once Adult Dose 0.4-‐2.0 mg Pediatric Dose 0.1 mg/kg Notes:

Generic (Trade) Nitroglycerin (Nitrostat, Nitro-‐bid, Tridil)


Classification Vasodilator Action Smooth muscle relaxant, decreases workload on the heart

Indication Acute chest pain, hypertension, CHF, pulmonary edema Contra/Cautions Systolic blood pressure under 100, severe bradycardia, tachycardia,

Patients who have taken Cialis, Levitra, or Viagra in the last 24 hours Side/Adverse effects Hypotension

Route/Administration Sublingual may be repeated every 5 minutes Adult Dose 0.4 mg (max 1.2 mg) Pediatric Dose Notes:

Generic (Trade) Ondansetron (Zofran)


Classification Antiemetic, Serotonin receptor antagonist Action Blocks action of serotonin causing a decrease in nausea/vomiting

Indication Nausea or vomiting Contra/Cautions Side/Adverse effects

Route/Administration IV/IM/PO/SL Adult Dose 4-‐8 mg Pediatric Dose 0.1 mg/kg (max 4 mg) Notes:

Generic (Trade) Oxytocin (Pitocin)

Onset/Duration Fast/Long, Immediate/20 minutes after infusion stops

Classification Pituitary hormone Action Increases uterine contractions

Indication Excessive hemorrhaging after placenta is delivered Contra/Cautions Presence of second fetus, bradycardia, Side/Adverse effects Stimulates lactation, seizures, anxiety, dysrhthmias

Route/Administration IM, if bleeding continues call OLMC to start IV/IO drip Adult Dose 10 units, 40 units in 1000 mL of NS Pediatric Dose Notes:

Generic (Trade) Promethazine (Phenergan)

Onset/Duration Immediate/Long Classification Antiemetic, antihistamine Action Blocks action of histamines, anti-‐motion, antiemetic, potentiates

narcotic effects Indication Nausea, vomiting, potentiating analgesic effects of narcotics

Contra/Cautions CNS depression from other drugs, Lower respiratory symptoms Side/Adverse effects Sedation, Confusion, tissue irritation

Route/Administration IV push slowly and diluite medication in 10 mL normal saline, IM. Administer only if systolic is over 100

Adult Dose 12.5-‐25 mg, 25 mg Pediatric Dose Not recommended call OLMC Notes:

Generic (Trade) Propofol (Diprivan) Onset/Duration Rapid/Brief Classification Sedative hypnotic, short acting Action Rapid and brief general anesthesia Indication Rapid sequence intubation, anesthesia Contra/Cautions Hypovolemia, hypersensitivity to soybean oil, peanuts, and eggs Side/Adverse effects Seizures, apnea, dysrhythmias, acute renal failure Route/Administration IV/IO Adult Dose Induction dose 1.5-‐3 mg/kg, Maintenance infusion 25-‐75 ug/kg/min Pediatric Dose Induction dose 2.5-‐3.5 mg/kg, Maintenance infusion 125-‐300

ug/kg/min Notes:

Generic (Trade) Sodium Bicarbonate

Onset/Duration Immediate/Short Classification Systemic hydrogen ion buffer Action Buffers metabolic acidosis Indication Metabolic acidosis from cardiac arrest. Tricyclic antidepressant

overdose, Crush injury Contra/Cautions Metabolic alkalosis, electrolyte imbalance from vomiting or

diarrhea Side/Adverse effects Metabolic alkalosis Route/Administration IV/IO Heart rate over 120 QRS wider than .1 secs Administer normal bolus then hang liter bag with 50 mEq of bicarb Adult Dose 1-‐2 mEq/kg, 1 mEq/kg, 1 mEq/kg

Pediatric Dose 1 mEq/kg Call OLMC Notes:

Generic (Trade) 0.9% Sodium Chloride (Normal Saline)

Onset/Duration Immediate/Effects cease after infusion

Classification Isotonic crystalloid solution Action Replaces water and electrolytes

Indication Traumatic Shock, Non traumatic shock, Contra/Cautions Congestive heart failure, caution with wet lung sounds Side/Adverse effects Rare in therapeutic dosages

Route/Administration IV/IO Adult Dose 500 mL increments Closed head injury maintain 110-‐120 systolic,

Open head injury maintain 80-‐90 systolic, 500 mL increments (max 2 liters)

Pediatric Dose 20 mL/kg (max 60 mL/kg call OLMC for further dosing) Notes:

Generic (Trade) Succinylcholine Chloride (Anectine) Onset/Duration Rapid/Short Classification Neuromuscular blocker Action Short acting skeletal muscle relaxant Indication Rapid sequence intubation Contra/Cautions Major burns, extensive muscle injury Side/Adverse effects Respiratory depression, dysrhythmias, cardiac arrest Route/Administration IV/IO push quickly repeat once if needed Adult Dose 1.0-‐1.5 mg/kg Pediatric Dose 1.0-‐1.5 mg/kg, 2.0 mg/kg for infants Notes:

Generic (Trade) Vasopressin (Pitressin)

Onset/Duration Immediate/Variable

Classification Vasopressor Action Stimulation of smooth muscle receptors

Indication Alternative to epinephrine in cardiac arrest Contra/Cautions Caution with coronary artery disease, epilepsy or heart failure Side/Adverse effects Chest pain, dysrhythmia,

Route/Administration IV/IO replaces 1st and 2nd dose of epinephrine Adult Dose 40 units Pediatric Dose Notes:

Generic (Trade) Vecuronium Bromide (Norcuron) Onset/Duration Fast/Long Classification Neuromuscular blocker Action Skeletal muscle relaxant Indication Rapid sequence intubation Contra/Cautions Newborns, myasthenia gravis, hepatic or renal failure Side/Adverse effects Respiratory depression, dysrhythmias, cardiac arrest Route/Administration IV/IO, maintenance dose within 45-‐40 minutes after induction dose,

maintenance dose within 20-‐40 minutes after induction dose, Adult Dose 0.1-‐0.2 mg/kg Pediatric Dose 0.01-‐0.015 mg/kg Notes:

Name of medication Name of medication

ADD & ADHD Alzheimer’s Disease

Analgesics Antianxiety (panic disorders)

Antibiotics (Bactrial Infection) Anticonvulsants (Seizures)

Antidepressants (Depression) Antiemetics (Nausea)

Antifungals Antihistamines (Allergies

Antihypertensive, Lowers Blood pressure

Antimigraine/Headache

Antipsychotics (Mental Disorders) Antitussives (Cough Suppressants)

Antivirals (Viral Infection) Bone Disease Agents (Osteoporosis)

Calcium Channel Blockers Cardiovascular Agents (Heart Problems)

Chemotheraphy Agents (Cancer) Constipation Agents

Contraceptives (Birth Control) Corticosteroids (Reduce Inflammation)

Diabetic Agents Diuretics

Fibromyalgia (Nerve Pain) Lipid Lowering Agents (Cholesterol)

Male Impotence Agents Muscle Relaxants

NSAIDS (Anti-‐Inflamatory) Opthalmic Agents (Eye drops)

Otics (Ear Drops) Parkinsons’s Disease

Prostate Disease Agents Recombinant DNA Agent (Cancer)

Respiratory/ Asthma Agents Skin Disorders/Topicals

Sleep Agents (Hypnotics) Thyroid Agents

Urinary Problem Agent Vitamins

All information is located in one of the following three resources.

Utah County Clinical Operating Guidelines

District 2b Protocols

Nancy Caroline’s Emergency Care in the Streets

UVU Paramedic Drug Card - Utah Valley University

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