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HACC 46th Medic School > PA Paramedic Protocol Meds > Flashcards

PA Paramedic Protocol Meds Flashcards

1
Q

Acetaminophen (APAP)

A

Analgesic / Antipyretic
* Adult: 650 mg Orally (Q4hr PRN)
* Pediatric: Follow Weight Based Dosing Chart
*Usually 15 mg/kg Orally (Q4hr PRN)

Maximum 4 grams in 24 Hours*

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2
Q

Activated Charcoal

A

Chemical Absorbant
* 1 gm/kg Orally (75gm is Typical)

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3
Q

Adenosine (Adenocard)

A

Class-V Antidysrhythmic
* Adult: 6 mg (Rapid IV/IO) followed by a Rapid Saline Flush 20 mL
*2 Repeat Doses of 12 mg (IV/IO) may be given.

  • Pediatric: 0.1 mg/kg (Rapid IV/IO) followed by a Rapid Saline Flush 5 mL
    *2 Repeat Doses of 0.2 mg/kg (IV/IO) may be given.
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4
Q

Albuterol (Proventil/Ventolin)

A

Bronchodilator / Beta II Agonist
* Adults/Peds: 3 mg Albuterol / 0.5 mg Ipratropium diluted in 2.5 mL of Normal Saline

Nebulized over 5-15 Minutes

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5
Q

Amiodarone

A

Class–III Antidysrhythmic
Ventricular Fibrillation and Pulseless Ventricular Tachycardia:
* Adult: 300 mg (IV/IO)
* Pediatric: 5 mg/kg (IV/IO)

Wide Complex Tachycardias (With Pulse):
* Adult: 150 mg (IV/IO) – Infused over 10 Minutes
* Pediatric: 5 mg/kg (IV/IO) – Infused over 20-60 Minutes

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6
Q

Aspirin (ASA)

A

Antiplatelet; Non-Opioid Analgesic; Antipyretic
* Adult: 325mg PO (Often dosed as four 81mg tablets)

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7
Q

Atropine

A

Parasympatholytic (Anticholinergic/Antimuscarinic)
Symptomatic Bradycardia:
* Adult: 1mg (IV/IO) every 3 – 5 Minutes with a Max Dose of 3 mg.
* Pediatric: 0.02 mg/kg (IV/IO) May Repeat Once

Nerve Agent Poisoning:
* Adult: 2 to 6 mg (IV/IM/IO)
* Commonly Administered via “Rescue Pens”: Nerve Agent Antidote Auto-Injector (NAAA) or Atropen Injector

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8
Q

Calcium Chloride

A

Electrolyte (Anion)
* 1 Gram of a 10% Solution (IV/IO) – Slowly

  • Do not administer by IM or SubQ routes; it will cause significant tissue necrosis.
  • IV should be FLUSHED between administrations with Sodium Bicarbonate to avoid precipitation.
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9
Q

Cefazolin (Ancef)

A

Antibiotic (Broad Spectrum)
* Adults: 1-2 g (IV/IO Infusion)
* Children Above 9 Years old: 1 g (IV/IO Infusion)

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10
Q

Diazepam (Valium)

A

Benzodiazepine
* Adult: 5-10 mg (IV/IO)
o May Repeat After 5 Minutes
* Pediatrics: 0.3 mg/kg (IV/IO)
o May Repeat After 5 Minutes

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11
Q

Diltiazem (Cardizem)

A

Calcium Channel Blocker
* Adult: 0.25 mg/kg (IV/IO)
o Slow IV Push
* Use extra caution in patients who take Beta Blockers, as combining these two drugs will potentiate each other’s effects and toxicities.
* Patients with a history of heart failure and heart block are at high risk for toxicity.

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12
Q

Diphenhydramine (Benadryl)

A

Antihistamine
* Adult: 25-50 mg (PO/IV/IM/IO)
* Pediatrics: 1 mg/kg (PO/IV/IM/IO)

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13
Q

Dopamine

A

Sympathomimetic; Vasopressor
* Adult: 2-20 mcg/kg/min (IV/IO) Infusion.
* Pediatric: Dosing Same as Adult

  • Dose Titration to Desired Effect
  • Typical Starting dose is 5 mcg/kg/min.
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14
Q

Droperidol (Inapsine)

A

Sedative-Hypnotic; Antiemetic
* Antiemetic Dose: 1.25 mg (IV/IM/IO)
* Sedation Dose: 5mg (IM)

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15
Q

Enalapril (Vasotec)

A

ACE Inhibitor
* 0.625 mg – 1.25 mg IV

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16
Q

Epinephrine (Adrenalin)

A

Sympathomimetic; Adrenergic Agent; Inotropic; Chronotropic
Cardiac Arrest
* Adult: 1mg (1:10,000) IV/IO
* Pediatric: 0.01 mg/kg (1:10,000) IV/IO

Anaphylaxis/Respiratory
* Adult: 0.3mg IM (1:1,000)
* Pediatric: 0.15mg IM (1:1,000)

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17
Q

Etomidate (Amidate)

A

Sedative - Hypnotic
* 0.3 mg/kg (IV/IO)
* Single Dose Maximum is 30 mg

18
Q

Fentanyl

A

Synthetic Opioid Analgesic
* 1 mcg/kg (IV/IO/IM/IN)

Max Singular Dose of 100 mcg

May repeat ½ dose every 5 minutes until 300-mcg max administration.

19
Q

Furosemide (Lasix)

A

Loop Diuretic
* 0.5 – 1 mg/kg (IV)

Typically 40 – 100 mg

20
Q

Glucagon

A

Pancreatic Hormone (Antihypoglycemic Agent)
Hypoglycemia:
* 1 mg (IM/IN)

Beta Blocker Overdose:
* 3-10 mg IV over 3-5 Minutes (Followed by Infusion at 3-5 mg/hr.)

21
Q

Glucose (Dextrose)

A

Carbohydrate; Hypertonic Solution
Various Concentrations (Commonly 25g)
* D10: 250 mL of 10% Dextrose Solution (25g) IV
* D50: 50mL of 50% Dextrose Solution (25g) IV
* Oral Glucose Tube: 15g - 25g

22
Q

Hydroxocobalamin (Cyanokit)

A

Cyanide Antidote
* Adult: 5 G (IV/IO) Over 15 Minutes
* Pediatric: 70 mg/kg (IV/IO) Over 15 Minutes

May Repeat the Dose with Medical Consult

23
Q

Ketamine (Ketalar)

A

Dissociative Anesthetic
Sedation/Intubation:
* 4 mg/kg (IM) {Single Dose}
* 2 mg/kg (IV/IO) {May Repeat Once}

Analgesia:
* 0.3 mg/kg (IV/IO) {Diluted and Infused Over Ten Minutes}

24
Q

Ketorolac (Toradol)

A

Non-steroidal Anti-Inflammatory Drug (NSAID)
* Adult: 15mg (IV/IO) or 30mg (IM)
* Pediatric: 0.5 mg/kg (IM/IV/IO)

25
Q

Lidocaine

A

Class–1B Antidysrhythmic
Ventricular Fibrillation and Pulseless Ventricular Tachycardia:
* Adult: 1 – 1.5 mg (IV/IO)
* Pediatric: 1 mg/kg (IV/IO) Max Dose of 100 mg.

Wide Complex Tachycardias (With Pulse):
* Adult: 0.5 – 0.75 mg/kg (IV/IO)
* Pediatric: 1 mg/kg (IV/IO)

26
Q

Magnesium Sulfate

A

Electrolyte; Anticonvulsant; Antidysrhythmic
Torsade de Pointes:
* Adult: 2g (IV/IO)
* Pediatrics: 25-50 mg/kg (IV/IO) - Max Dose of 2g

Eclamptic Seizures:
* 1g/min (IV/IO) Until Seizure Stops - Maximum Dose 4g

Severe Asthma Exacerbations:
* 2g (IV/IO) Infusion

27
Q

Methylprednisolone (Solu-Medrol)

A

Synthetic Glucocorticoid Steroid
Asthma/Anaphylaxis/COPD
* Adult: 40 – 125 mg (IV)
* Pediatric: 2 mg/kg (IV)

28
Q

Midazolam (Versed)

A

Benzodiazepine
* Adult: 5mg (IV/IO/IM/IN)
* Pediatric: 0.15 mg/kg (IV/IO/IM/IN)

May Repeat After 5 Minutes

29
Q

Morphine Sulfate

A

Opioid (Narcotic) Analgesic
* 0.1 mg/kg (IV)
* Maximum Dose of 10 mg
* May Repeat Every 5 Minutes until a 20 mg Max Dose

30
Q

Naloxone HCl (Narcan)

A

Opioid Antagonist
* 2mg (Intranasal)
* 0.4 - 2mg (IV/IO/IM/IN)

31
Q

Nitroglycerine (Nitrostat)

A

Vasodilator (Nitrate)
Chest Pain:
* 0.4 mg (SL) - Every 5 minutes

Congestive Heart Failure (ALS):
* 1-2 Inches Topical (Transdermal Paper/Tape)

32
Q

Nitrous Oxide (N2O2)

A

Analgesic; Anesthetic Gas
* Blend to Mixture of 50% with Oxygen.
* Self-Administered by Patient until Desired Effect is achieved.

33
Q

Normal Saline (0.9% NaCl)

A

Isotonic Crystalloid Solution
* Adult Compensated Fluid Bolus: 500cc (Over 10-20 Minutes)
* Adult Decompensated Fluid Bolus: 1000cc (Maximum Rate)
* Peds Fluid Bolus: 20 cc/kg IV

34
Q

Ondansetron (Zofran)

A

Serotonin 5-HT3 Receptor Antagonist; Antiemetic
* 4mg (Slow IVP/IM/IO/PO)

35
Q

Oxygen

A

Diatomic Elemental Gas
* Nasal Cannula: 1-6 LPM
* Nebulizer: 6-8 LPM
* Simple Face Mask: 6-10 LPM
* Non-Rebreather Mask: 12-15 LPM
* BVM: 10-25 LPM
* CPAP: 15-25 LPM

36
Q

Oxytocin (Pitosin)

A

Synthetic Hormone (Exogenous)
Postpartum hemorrhage
* 10 – 20 units diluted in a 1000 mL Saline Solution - Wide Open

37
Q

Sodium Bicarbonate

A

Alkalizing Agent
* 1 mEq/kg (IV/IO)

38
Q

Terbutaline (Brethine)

A

Beta-II Adrenergic Agonist
* 0.25 mg (Sub-Q) {May Repeat Dose once after 15 Minutes}

39
Q

Thiamine

A

Vitamin (B1)
* Adult: 100mg (IV/IO)

40
Q

Tranexamic Acid (TXA)

A

Antifibrinolytic
* Adult: 1 G (IV/IO)
* Diluted and Administered over 10 Minutes

HACC 46th Medic School (5 decks)

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