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NREMT Paramedic Drugs
- ACETAMINOPHEN: Class: Anti-pyretic
Indications: Fever
Contraindications: Liver failure; hypersensitivity; exceed max dose
Side effects: Liver toxicity
Adult Dose: 1 g q 6 hours; max 4 g in 24 hours
Pediatric Dose: 15 mg/kg q 6 hours
Special info: Tylenol
- ADENOSINE: TRADE NAME: Adenocard
CLASS: Antiarrhythmic
ACTIONS: Slows (decreases) AV conduction
INDICATIONS: Symptomatic PSVT, including Wolff-Parkinson-White Syndrome
(WPW)
PHARMACOKINETICS:
Onset: 20 - 35 seconds
Peak Effect: 20 - 35 seconds
Duration: 30 - 120 seconds
Half Life: 10 seconds
CONTRAINDICATIONS: Second or third degree heart block, sick-sinus syndrome,
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hypersensitivity to the drug, dysrhythmias other than PSVT, reactive airway diseases like asthmea.PRECAUTIONS: Arrhythmias, including blocks, are common at the time of cardiover- sion.Use with caution in patients with asthma.
SIDE EFFECTS:
CNS: Dizziness, near syncope, syncope
CV: PVCs, PACs, sinus tachycardia, sinus bradycardia, AV blocks, chest pain, facial flushing, headache
Resp: SOB, bronchoconstriction
GI/GU: Nausea
DOSAGE:
ADULT: 6 mg rapid IV bolus over 1-2s; after 1-2 minutes, 12-mg dose over 1-2
seconds.PEDIATRIC: Initial dose: 0.1mg/kg; max 1st does = 6mg; Rapid IV bolus w/5cc flush
ROUTES: IV with 20cc flush
- ALBUTEROL: TRADE NAME: Proventil, Ventolin
CLASS: Sympathetic Agonist 2 / 3
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DESCRIPTION: Sympathomimetic bronchodilator selective for ²2adrenergic recep-
tors
ACTIONS: Selective direct acting ²2agonist
INDICATIONS: Bronchial asthma, emphysema, chronic bronchitis, allergic bron-
chospasm, or other reversible bronchospasm
PHARMACOKINETICS:
Onset: 5 - 15 minutes
Peak Effect: 1 - 1.5 hours
Duration: 3 - 6 hours
Half Life: < 3 hours
CONTRAINDICATIONS: Know hypersensitivity to Albuterol.
SIDE EFFECTS:
CNS: Tremor, anxiety, dizziness, seizure
CV: Headache, palpations, HTN, tachycardia, chest pain
Resp: Bronchospasm (paradoxical effect)
GI/GU: Nausea, vomiting, dry mouth
DOSAGE For patients in emergency setting:
ADULT: Nebulizer: 2.5mg in 3cc normal saline or 5mg in 6cc normal saline via HHN over 5 - 15 min.Repeat 10-20 min. prn, maximum 10mg/hr (4 treatments) MDI- 1-2 inhalations (90mcg each) many repeat every 15 minutes prn.
PEDIATRIC: 0.15 mg/kg in 2.5-3.0 ml NS via HHN. Repeat prn.
ROUTES: Nebulizer, metered-dose inhaler (MDI)
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