TCCC Medications Flashcards
What should be used for battlefield anesthesia in the patient with mild to moderate pain?
Tylenol (2 - 650mg tabs)
Meloxicam 15mg
What can be used for moderate to severe pain in the patient who is not in shock?
oral transmucosal fentanyl citrate (OTFC) 800 microunits
What can be sued for moderate to sever pain in the patient who is in shock or respiratory distress?
Ketamine (50mg IM/IN or 20mg IV)
How often can repeat doses of Ketamine be given via IM or IN?
q30min
How often can repeat doses of ketamine be given via IV or IO?
q20min
What is the end point of ketamine administration?
Control of pain or development of nystagumus
What should be documented prior to administering ketamine or opioids?
mental status using AVPU
What is the usual dose of IV Morphine?
5mg q10min
Over how much time should IV ketamine be given?
over 1 minute
What is the TCCC drug of choice for nausea?
Ondansetron 4mg ODT/IV/IO/IM
What are the morphine and fentanyl contraindications?
Hypovolemic shock
Respiratory distress
Unconsciousness
Severe Head injury
What antibiotic should be given to the casualty who can still tolerate PO medications?
Moxifloxacin 400mg PO
What class of medication is moxifloxacin?
Fluroquinolone
What antibiotic should be given to the casualty who cannot tolerate PO medications?
Ertapenem 1gm IM/IV
What is the brand name of Ertapenem?
Invanz
What medications are found in the combat wound pack?
Moxifloxacin 400mg tab
Meloxicam 15mg tab
Acetaminophen 1300mg caplets
What is the infusion time when administering Ertapenem via IV?
30 min infusion time in 10ml of 0.9% NaCl
What should be used to dilute Ertapenem if administering IM?
3.2cc lidocaine
What is the dose of tranexamic acid?
1gm
How is tranexamic acid administered?
in 100 ml of normal saline or LR, over 10 minutes via IV infusion
What fluid cannot be used to administer tranexamic acid?
Hextend
Tranexamic acid must be given within how many hours of a casualty’s injuries?
within 3 hours
What are some possible side effects of Tranexamic acid?
N/V/D
Visual disturbances
Increase in post injury blood clots
Hypotension if given too rapidly
How much intravascular expansion does 500ml of 6% hetastarch yield?
600-800ml
What is the max dose of Hextend?
1000ml
