1
Albuterol (Proventil, Ventolin)
Special Considerations
- Antagonized by beta-blockers (e.g., Inderal, Metoprolol) May precipitate angina pectoris and dysrhythmias.
- Should only be administered by inhalation methodology in pre-hospital management.
- Pregnancy Safety: Category C
2
Epinephrine (1:1000, 1:10,000)
Special Considerations
- Pregnancy Safety: Category C
3
Hydrocortisone sodium succinate (Cortef, Solu-Cortef)
Special Consideration
- Protect medication from heat.
- Toxicity and side effects with long-term use.
4
Ipratropium bromide (Atrovent)
Special Considerations
- Pregnancy Safety: Category B
5
Magnesium sulfate
Special Considerations
- IV calcium gluconate or calcium chloride should be available as antagonist if needed.
- Use with caution in patients with renal failure.
- Being used for acute MI patients in some systems under Medical Direction.
- Pregnancy safety: Recommended that drug not be given in the 2 hours before delivery, if possible.
6
Methylprednisolone sodium succinate (Solu-Medrol)
Special Consideration
- Protect medication from heat.
- Toxicity and side effects with long-term use.
7
Racemic epinephrine / racepinephrine (micronEFRIN, S2)
Special Considerations
- Excessive use may cause bronchospasm.
- May have a strong rebound effect after drug wears off.
- Pregnancy Safety: Category C