Indications and Field Use Flashcards
ABIXIMAB
indications and field use
- Infusion monitoring during interfacility transport only.
- Adjunctive to or in preparation of percutaneous transluminal coronary angioplasty
(PTCA) for the prevention and treatment of acute coronary syndrome and associated acute cardiac ischemic complications in patients at risk for abrupt closure of the treated coronary vessel. - Heparin should be concurrently administered and monitored.
ACETYLSALICYLIC ACID, ASPIRIN, ASA
indications and field use
- Chest pain or other signs/symptoms suggestive of acute myocardial infarction
- ECG changes suggestive of acute myocardial infarction
- Unstable angina
- Pain, discomfort, fever in adult patient only
ACETYLSALICYLIC ACID, ASPIRIN, ASA (EMT Administration)
indications and field use
Chest pain or other signs/symptoms suggestive of acute myocardial infarction
ADENOSINE
indications and field use
- Conversion of supraventricular tachycardias with no known atrial fibrillation or atrial flutter.
- Undifferentiated regular monomorphic wide-complex tachycardia
ALBUMIN, normal serum 5% / 25%
indications and field use
- Restores plasma volume in burns
- Hyperbilirubinemia
- Shock
- Hypoproteinemia
- Prevention of cerebral edema
- Cardiopulmonary bypass procedures
- ARDS
ALUTEROL SULFATE
indications and field use
- Treatment of bronchospasm
- Treatment of hyperkalemia
AMIODARONE
indications and field use
- Treatment of: defibrillation-refractory VF/pulseless VT, polymorphic VT, and wide complex tachycardia of uncertain origin.
- Control hemodynamically stable ventricular tachycardia when cardioversion unsuccessful.
- Adjunct to cardioversion of SVT and PSVT. Rate control in atrial fibrillation or flutter.
ATROPINE SULFATE
indications and field use
- Symptomatic bradycardia (sinus, junctional, and AV blocks causing significant hypotension, ventricular ectopy, chest pain, altered level of consciousness, etc.), monitored patient only.
- Acetylcholinesterase inhibitor poisoning (organophosphate, carbamate cholinergic poisoning).
BUMETANIDE
indications and field use
Pulmonary edema
Congestive heart failure
CALCIUM CHLORIDE
indications and field use
- Acute hypocalcemia
- Calcium channel blocker OD
- Acute hyperkalemia (known or suspected)
- Hypermagnesemia (Magnesium OD)
- Pre-treatment for IV calcium channel blocker administration
CALCIUM GLUCONATE GEL, 2.5%
indications and field use
Used after contact with hydrofluoric acid to mitigate or prevent the related pain and potential tissue burns and bone damage.
CHARCOAL, ACTIVATED (without sorbitol)
indications and field use
- Sole prehospital therapy of oral ingestion of toxic substances
- Pre-lavage of oral ingestions of toxic substances
CIMETIDINE
indications and field use
- Infusion monitoring during interfacility transport only
- Short-term treatment of duodenal ulcer; maintenance therapy
- Pathological hypersecretory conditions
- Prevention of upper GI bleeding
DEXAMETHASONE SODIUM PHOSPHATE
indications and field use
Reactive airway disease:
Acute exacerbation of bronchial asthma
Anaphylaxis
Cerebral edema (non-traumatic)
DEXTROSE 50%
indications and field use
- Known hypoglycemia
- Altered level of consciousness of unknown etiology
- Seizures of unknown etiology
- Hyperkalemia
DIAZEPAM
indications and field use
Grand mal seizures, especially status epilepticus.
Transient analgesia/amnesia for medical procedures (e.g., fracture reduction, cardioversion, pacing).
Delirium tremens.
Treat the cause first.
DILTIAZEM
indications and field use
Rapid ventricular rates associated with atrial fibrillation and atrial flutter, and for PSVT refractory to adenosine.
DIPHENHYDRAMINE HCL
indications and field use
- Anaphylaxis (2nd line)
- Phenothiazine reactions (extrapyramidal symptoms)
- Antiemetic
DOPAMINE
indications and field use
Symptomatic bradycardias.
Hemodynamically significant hypotension in the absence of hypovolemia (Cardiogenic or septic shock only after fluid administration; assess breath sounds first).
EPINEPHRINE AUTO-INJECTOR
indications and field use
Indicated in the emergency treatment of anaphylaxis.
EPINEPHRINE HCL
indications and field use
- Cardiac arrest - VF/Pulseless VT; asystole; PEA (First line pharmacologic agent for any pulseless dysrhythmia in cardiopulmonary arrest).
- Severe bronchospasm, i.e., bronchiolitis, asthma.
- Anaphylaxis.
- Bradycardia, refractory with profound hypotension, monitored patient only.
- Hypotension unresponsive to other therapy, monitored patient only.
- Croup
EPTIFIBATIDE
indications and field use
- Infusion monitoring during interfacility transport only.
- For the treatment of acute coronary syndrome, for patients to be managed medically or
those undergoing percutaneous transluminal coronary angioplasty (PTCA) or
atherectomy. - Heparin should be concurrently administered and monitored.
ETOMIDATE
indications and field use
Induction of anesthesia for rapid sequence intubation (RSI)
FAMOTIDINE
indications and field use
- Infusion monitoring during interfacility transport only.
- Hospitalized patients who cannot take oral drug or who have intractable ulceration or
hypersecretory conditions.
FENTANYL CITRATE
indications and field use
- Analgesia, especially in patients with burns or other trauma, myocardial infarction, renal colic.
- Adjunct to sedation in post-intubation state.
- Adjunct to induction in Rapid Sequence Intubation (RSI) or medication assisted
intubation.
FUROSEMIDE
indications and field use
Pulmonary edema; congestive heart failure
GLUCAGON
indications and field use
Symptomatic hypoglycemia when IV access is delayed.
Beta blocker poisoning
HEMOSTATIC AGENTS
indications and field use
Life-threatening hemorrhage on external wounds as an adjunct with direct pressure when direct pressure is ineffective.
HYDROXOCOBALAMIN
indications and field use
Acute, life-threatening known or suspected cyanide poisoning. Symptoms include altered mental status or shock.
Sources of cyanide poisoning include, but are not limited to:
- Smoke inhalation in the setting of a closed space fire.
- Ingestion of cyanide salts
- Industrial accidents, such as mining
- Other cyanide exposures
INSULIN
indications and field use
Type 1 (insulin-dependent) diabetes mellitus; type 2 (non-insulin-dependent) diabetes mellitus unresponsive to diet and oral hypoglycemics
IPRATROPIUM BROMIDE
indications and field use
Treatment of bronchospasm associated with chronic obstructive pulmonary disease (emphysema and chronic bronchitis). To be used either alone or in combination with other bronchodilators especially beta adrenergics (i.e., albuterol).
KETAMINE HYDROCHLORIC INJECTION
indications and field use
- For 15 years and older
- Pre-anesthetic (Induction agent) for Rapid Sequence Intubation.
- Pre-anesthetic for critical asthma patients needing aggressive bronchodilation and
possible intubation.
LIDOCAINE HCL
indications and field use
- Suppression of ventricular arrhythmias (ventricular tachycardia, ventricular fibrillation, PVC’s).
- Prophylaxis against recurrence after conversion from ventricular tachycardia or ventricular fibrillation.
- Pain management after IO insertion in conscious patients.
LORAZEPAM
indications and field use
Status epilepticus
Seizure
Agitation/excited delirium
MAGNESIUM SULFATE
indications and field use
- Torsade de pointes, drug of choice
- Hypomagnesemia
- Pre-term labor (PTL)
- Pregnancy-induced hypertension (PIH, toxemia of pregnancy, pre-eclampsia and/or
eclampsia). - Hyperreactive Airway - Severe Asthma
METHYLPREDNISOLONE SODIUM SUCCINATE
indications and field use
Reactive airway disease: Acute exacerbation of emphysema, chronic bronchitis, asthma Anaphylaxis
Burns potentially involving the airway
MIDAZOLAM HYDROCHLORIDE
indications and field use
- Anti-convulsant
- Sedation
- Management of acute agitation/excited delirium (treat cause as well, if possible)
- Induction for intubation
MORPHINE SULFATE
indications and field use
- Analgesia
- Pulmonary edema (cardiogenic).
NALMEFENE HCL
indications and field use
Antidote for: Opioid poisoning when naloxone is not available May differentiate opioid-induced coma from other causes
NALOXONE HCL
indications and field use
Antidote for: Opioid poisoning
May differentiate opioid-induced coma from other causes
NITROGLYCERIN
indications and field use
- Angina
- Myocardial infarction
- Congestive heart failure with pulmonary edema
NOREPINEPHRINE
indications and field use
Severe hypotension- due to cardiogenic, septic, or neurogenic shock either refractory to intravascular fluid boluses or in which intravascular fluid bolusing is contraindicated (e.g. pulmonary edema).
ONDANSETRON
indications and field use
Nausea and vomiting
OXYTOCIN
indications and field use
Postpartum hemorrhage due to uterine atony
PHENYLEPHRINE NASAL SPRAY 0.5%
indications and field use
Facilitation of nasotracheal intubation
PROPARACAINE HYDROCHLORIDE OPTHALMIC
indications and field use
Induction of topical anesthesia prior to irrigation of eyes with or without adjuncts e.g. Morgan’s lens.
PROPOFOL
indications and field use
Intensive care unit (ICU) sedation of intubated mechanically ventilated adult patients
RACEMIC EPINEPHRINE
indications and field use
- Croup
- Chronic Obstructive Lung Disease, Chronic Bronchitis, Bronchiolitis, Bronchial Asthma,
and other peripheral airway disease
RANITIDINE
indications and field use
- Infusion monitoring during interfacility transport only
- Short-term treatment of duodenal ulcer; maintenance therapy
- Pathological hypersecretory conditions
SODIUM BICARBONATE 8.4%
indications and field use
- Pre-existing metabolic acidosis
- Poisoning of aspirin, cyclic antidepressants (alkalinization of blood)
- Cardiac arrest after other interventions and ventilation is adequate
SUCCINYLCHOLINE
indications and field use
Endotracheal intubation requiring paralysis (RSI) by a qualified Paramedic with authorization from the Paramedic’s administrative medical director
THIAMINE HCL (VITAMIN B1) indications and field use
- Alcoholism, delirium tremens
- Coma of unknown origin, especially if alcohol or malnourishment may be involved.
- Suspect Wernicke or Korsakoff Syndrome
- Other thiamine deficiency syndromes
- Severe congestive heart failure
TIROFIBAN
indications and field use
- Infusion monitoring during interfacility transport only.
- For the treatment of acute coronary syndrome, for patients to be managed medically or
those undergoing percutaneous transluminal coronary angioplasty (PTCA) or
atherectomy. - Heparin should be concurrently administered and monitored.
TOTAL PARENTERAL NUTRUITION
indications and field use
Indications:
Patients with long-term needs for intravenous feeding, who cannot receive nutrients adequate enough to meet physiologic needs through the gastrointestinal system, including hypercatabolic states (burns, trauma, sepsis, etc.), various gastrointestinal diseases, renal failure, pancreatitis, etc.
Field use:
Inter-facility transport only.
VASOPRESSIN
indications and field use
Adult shock-refractory ventricular fibrillation/pulseless ventricular tachycardia
VERAPAMIL HCL
indications and field use
- Supraventricular tachycardia
- Atrial fibrillation and atrial flutter with rapid ventricular response
