Dallas Paramedic Drug List

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created 3 years ago by jmart316
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Drugs for Dallas Paramedic Class for National Registry
updated 3 years ago by jmart316
Grade levels:
Professional
Subjects:
medical
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1

Diazepam (Valium)

Dose

5-10 mg, max 10 IV/IM

2

Diazepam (Valium)

Indication

Contra

Indication: Active siezures, status epilepticus, premedication

Contra: alcohol or sedatie drug use, head injury

3

Midazolam (versed)

Dose

2.5-5 mg may repeat once IV/IN

4

Midazolam (versed)

Indication

Contra

Indication: active seizures, status epilepticus, sedation prior to cardioversion/pacing

Contra: hypersensitivity, acute narrow glaucoma

5

Morphine

Dose

2-4 mg q 3-5 min to hypotension or respiratory depression

6

Morphine

Indication

Contra

Indication: Pain and anxiety, chest pain unrelieved by nitro

Contra: BP less than 90, traumatic brain injury, respiratory depression

7

Nitrostat

Dose

1 spray .4mg, 1 tablet SL .4mg

8

Nitrostat

Indication

Contra

Indication: Chest pain of cardiac origin, pulmonary edema assoc. w/ CHF

Contra: sys BP less than 90, ICP, ED drugs, extreme brady/tachy

9

Adenosine (Adenocard)

Dose

1st - 6mg

2nd - 12mg

3rd - 12mg

fast IV, followed with flush

10

Adenosine (Adenocard)

Indication

Contra

Indication: SVT, AV node overfiring

Contra: hypersensitivity, drug induced tachy, bradycardia

11

Lidocaine

Dose

CA - 1-1.5 mg/kg q 5-10 min, max of 3 mg

ROSC - 1-4 mg/min

12

Lidocaine

Indication

Contra

Indication: CA from VT/VF, maint. infusion @ ROSC assoc. w/ VT/VF

Contra: 2nd/3rd heart attack, stokes-adams syndrome, prophylactic use in AMI

13

Phenergan (Promethazine)

Dose

..12.5 mg to a max of 25

14

Phenergan (Promethazine)

Indication

Contra

Indication: persistent vomiting, GI problems, allergic reactions

Contra: hypersensitivity, comatose states, altered LOC

15

Alcaine (Proparacaine)

Dose

1-2 drops q 5 min, max of 3 doses

16

Alcaine (Proparacaine)

Indication

Contra

Indication: burns to the eyes or corneal abrasion

Contra: trauma/lacerations to they eyes, foreign body allergies to caine drugs

17

Sodium Bicarbonate

Dose

1 mEq/kg

18

Sodium Bicarbonate

Indication

Contra

Indication: TCA OD, hyperkalemia or acidosis, prolonged CPR, DKA, Rhabdomyolysis, compartment syndrome

Contra: alkolosis, PE, Ab pain w/ unknown origins, hypocalcemia

19

Succinylcholine

Dose

Relax: .3-1.1 mg/kg

RSI: 1-1.5 mg/kg

20

Succinylcholine

Indication

Contra

Indication: to facilitate intubation

Contra: burn inj. w/i 12 hours, inability to control airway, acute rhabdomyolysis

21

Verapamil (Ca Channel Blocker)

Dose

initial 2.5 -5 mg, repeat 5-10mg bolus q 15 min

22

Verapamil (Ca Channel Blocker)

Indication

Contra

Indication: SVT, Aflutter w/ RVR, Afib, Atrial Tach, unstable angina

Contra: hypersensitivity, bradycardia

23

Zofran

Dose

2 mg to a max of 4 mg

24

Zofran

Indication:

Contra

Indication: Prevention of N/V

Contra: hypersensitivity, pedi less than 2 yrs old, do not give phenergan and zofran to same pt

25

Levophed

Dose

8-12 mcg/min

26

Levophed

Indication

Contra

Indication: neurogenic, cardiogenic and septic shock, BP less than 70

Contra: hypovolemia

27

Glucagon

Dose

1 mg IM or IN

CA Ch blocker or Beta blocker OD - 1 mg IV/IO up to 3 mg

28

Glucagon

indication

contra

indication: hypoglycemia (IN/IM), beta blocker OD, Ca Ch Blocker toxicity

29

Lasix

Dose

1 mg/kg over 2 min, if already on lasix give twice their daily dose

30

Lasix

indication

contra

indication: acute pulmonary edema

contra: hypersensitivity, hypovolemia/dehydration

31

Ketamine

Dose

RSI - 1 mg/kg IV may repeat every 5-10 min

Sedation - 1 mg/kg IV or 4 mg/kg IM

32

Ketamine

indication

contra

indication: anestesia prior to RSI, chemical sedation for psychiatric/behavioral issues

contra: hypersensitivity

33

Albuterol (Proventil) (Ventolin)

Dose

1st - 2.5 mg in 3 mL

2nd - same

3rd - same

34

Albuterol (Proventil) (Ventolin)

indication

contra

indication: bronchospasms from asthma or COPD

contra: pregnancy except in life threatening situations

35

Oral Glucose

Dose

25 - 50 g

36

Oral Glucose

indication

contra

indication: Alt LOC caused by hypoglycemia

contra: no gag reflex, unable to protect airway

37

Fentanyl

Dose

1-2 mcg/kg max 200 mcg

38

Fentanyl

indication

contra

indication: pain control, sedation for RSI & PAI

contra: respiratory depression, hypotension, N/V

39

EPI 1:1000

Dose

asthma/allergy - 0.3 mg subQ/IM

brady - 2-10 mcg/min

40

EPI 1:1000

indication

contra

indication: asthmatic, bronchoconstriction, allergic/anaphylaxis, profound brady

contra: hypersensitivity, hypovvolemic shock, coronary insufficiency

41

Dopamine (Inotropin)

Dose

2-20 mcg/kg/min effects start at 5-10 mcg/kg/min

42

Dopamine (Inotropin)

indication

contra

indication: non-hypovolemic hypotension, symptomatic brady if atropine is ineffective

contra: hypovolemic shock, tachydysrhythmias, Vfib

43

Diphenhydramine (Benadryl)

Dose

25-50 mg

44

Diphenhydramine (Benadryl)

indication

contra

indication: anaphylaxis, mod/severe allergic reactions

contra: MAOI's, newborns and nursing mothers

45

Dextrose 50

Dose

25 g IV

46

Dextrose 50

indication

contra

indication: hypoglycemia

contra: none in hypoglycemia, use caution when dealing with head injuries

47

Cardizem (Dilatarem)

Dose

1st - .25 mg/kg

2nd - .35 mg/kg

IV push over 2 min

48

Cardizem (Dilatarem)

indication

contra

indication: Afib or Aflutter w/ RVR, PSVT unresponsive to adenosine

contra: sys BP less than 90, dia BP less than 60, wide complex tach

49

Calcium Gluconate

Dose

15 - 30 ml in 30% solution

50

Calcium Gluconate

indication

contra

indication: hyperkalemia, hypocalemia, Ca Ch Blocker OD, black widow bite

contra: cardiac arrest, hypercalemia

51

Calcium Chloride

Dose

10-15 mg/kg

52

Calcium Chloride

indication

contra

indication: hyperkalemia, hypocalcemia, magnesium OD, Ca Ch blocker OD

contra: hypercalemia, digitalis

53

Aspirin (acetysacicylate acid)

Dose

324 mg

54

Aspirin (acetysacicylate acid)

indication

contra

indication: cardiac chest pain

contra: aspirin allergy, GI bleed, hemorrhagic stroke

55

Ipratropium Bromide (Atrovent)

Dose

.5 mg in 2.5 mL

56

Ipratropium Bromide (Atrovent)

indication:

contra:

indication: bronchospasms that didn't improve with first dose of albuterol

contra: sensitivity to atropine, bronchospasms due to anaphylaxis reaction

57

Solumedrol

Dose

60-125 mg IV/IO

58

Solumedrol

indication

contra

indication: bronchospasm assoc. with asthma and COPD

contra: allergies, hypersensitivity

59

Amiodarone HCL (Cordarone)

Dose

VTach/Vfib w/o pulse

1st - 300 mg IV/IO

2nd - 150 mg IV/IO

Vtach w/ pulse

150 mg over 10 min IV

60

Amiodarone HCL (Cordarone))

indication

contra

indication: VTach/ Vfib

contra: cardiogenic shock, brady

61

Magnesium Sulfate

Dose

Eclampsia, torsades, asthma - 1-2 g over 10 min

CA - 1-2 g IV push

62

Magnesium Sulfate

indication

contra

indication: eclamptic seizure, ventricular dysrhythmias, torsades, digitoxin toxicity, asthma

Contra: heart block, myocardial damage

63

Etomidate

Dose

0.3 mg/kg max of 40 mg

64

Etomidate

indication

contra

indication: induction agent before admin of neuromuscular blocking agent

contra: hypersensitivity, labor/delivery

65

Atropine

Dose

sym brady - .5 mg IV q 3-5 min, max 3 mg

poisoning - 2-5 mg q 15 min until secretions stop

66

Atropine

indication

contra

indication: symptomatic brady, organophosphate poisoning

contra: hypothermic bradycardia

67

EPI 1:10,000

Dose

CA - 1 mg IV q 3-5 min

AR - 0.3 mg may repeat no more than once

68

EPI 1:10,000

indication

contra

indication: CA, anaphylaxis

contra: hypersensitivity, hypovolemic shock, coronary insufficiency

69

Nitrous Oxide

(nitronox)

Dose

self dose

70

Nitrous Oxide

(nitronox)

indication

contra

indication: A&O pt w/ pain

contra: decompression sickness, COPD, chest trauma, ab distention, altered LOC

71

Narcan (Naloxone)

Dose

0.4 mg to a max of 2 mg

72

Narcan (Naloxone)

indication

contra

indication: opiate OD

contra: hypersensitivity