Term
Trade: Tylenol
Generic: acetaminophen |
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Definition
Indications: pain, fever
Dosage: 325-1000mg PO one time, do NOT exceed 3000mg in 24 hrs
Desired Effects: pain relief, fever relief
Side Effects: nausea, stomach pain
Elimination: liver
Contraindications: liver disease, liver failure, allergy, renal insufficiency, aspirin-sensitive asthma |
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Term
Trade: Proventil
Generic: albuterol |
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Definition
Indications: bronchospasm, active wheezing with allergic reaction/COPD/asthma
Dosage: 2.5mg/3ml nebule nebulized up to 3 times
Desired Effects: bronchodilation
Side Effects: tachycardia, tremors, headache
Elimination: inhalation
Contraindications: allergy, caution with tachycardia |
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Term
Trade: Bayer
Generic: aspirin |
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Definition
Indications: cardiac chest pain
Dosage: 160-324mg PO chewable
Desired Effects: anti-platelet
Side Effects: blood thinner
Elimination: liver
Contraindications: active GI bleed, allergy |
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Term
Trade: Atropen
Generic: atropine injector |
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Definition
Indications: organophosphate poisoning, anticholinergic for SLUDGE s/s
Dosage: 2mg IM q.5 mins or 0.4mg/ml IM auto injector
Desired Effects: secretion drying, antidote of poisoning
Side Effects: headache, dizziness, N/V, tremor
Elimination: liver
Contraindications: allergy, cardiac arrhythmias, tachycardia, narrow angle glaucoma |
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Term
Trade: DuoDote, Nerve Agent Antidote Kit
Generic: atropine & pralidoxime |
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Definition
Indications: organophosphate poisoning, s/s of SLUDGEM
Dosage: prepackage IM autoinjector
Desired Effects: antidote for poisoning s/s
Side Effects: headache, dizziness, fatigue, tremors, flushing
Elimination: kidneys
Contraindications: allergy, tachycardia, cardiac arrhythmias |
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Term
Trade: Diastat
Generic: diazepam rectal gel |
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Definition
Indications: seizure
Dosage: patient prescribed rectally
Desired Effects: stopped seizure
Side Effects: drowsiness, dizziness, headache, N/V
Elimination: liver
Contraindications: allergy, alcohol intoxication, myasthenia gravis, narrow angle glaucoma, liver/renal impairment |
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Term
Trade: Epi-pen
Generic: epinephrine |
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Definition
Indications: anaphylactic reaction
Dosage: under 66ib 0.15mg/3ml, over 66ib 0.3mg/3ml IM q.3 mins
Desired Effects: allergic reaction reversal
Side Effects: headache, tremors, dizziness, pain at injection site
Elimination: liver
Contraindications: allergy, closed angle glaucoma |
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Term
Trade: Dextrose
Generic: oral glucose, D10 |
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Definition
Indications: conscious hypoglycemic state
Dosage: premixed 1 oral glucose tube, premixed dextrose 10% IV until BGL is at least 60
Desired Effects: increased blood sugar to normal, normal mental status
Side Effects: bad taste in mouth, headache, possible hyperglycemia
Elimination: kidneys
Contraindications: allergy, hyperglycemia |
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Term
Trade: Motrin & Advil
Generic: ibuprofen |
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Definition
Indications: muscle pain
Dosage: 400-600mg PO q6hr
Desired Effects: less inflammation/pain
Side Effects: GI upset
Elimination: liver
Contraindications: caution w/ renal disease, dehydration, pregnant woman |
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Term
Trade: DuoNeb, Atrovent
Generic: ipratriopium-bromide & albuterol |
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Definition
Indications: shortness of breath, asthma/COPD exacerbation with wheezing
Dosage: 0.5mg ipratropium/2.5mg albuterol solution every 3-5 mins up to 3x
Desired Effects: reversal of bronchospasm
Side Effects: tachycardia, tremors, headache
Elimination: inhalation
Contraindications: allergy |
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Term
Trade: Narcan
Generic: naloxone |
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Definition
Indications: narcotic overdose, respiratory depression
Dosage: 4mg/0.5ml prefilled nasal spray, 0.4-2.0mg IV/IM
Desired Effects: improved mental status
Side Effects: N/V/D, stomach pain, tremors, irritability, runny nose, sneezing
Elimination: liver
Contraindications: allergy |
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Term
Trade: Nitrostat, Nitrobid
Generic: nitroglycerin |
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Definition
Indications: chest pain
Dosage: 0.4mg SL, up to 3x every 5 mins
Desired Effects: chest pain decrease
Side Effects: hypotension, bradycardia, dizziness
Elimination: liver
Contraindications: allergy, increased ICP, systolic BP <100, use of viagra 24hrs prior |
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Term
Trade: 2-pam
Generic: pralidoxime autoinjector |
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Definition
Indications: nerve agent antidote, organophosphate overdose
Dosage: autoinjector, 600mg
Desired Effects: reverse muscle weakness/paralysis of nerve agent poisoning
Side Effects: dizziness, N/V, tachycardia, hypertension
Elimination: liver
Contraindications: renal dysfunction |
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Term
Trade: GlucaGen
Generic: glucagon |
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Definition
Indications: hypoglycemia in a pt with no IV access
Dosage: 1mg IM
Desired Effects: covert glycogen stores in liver to glucose
Side Effects: tachycardia, N/V, hyperglycemia
Elimination: liver
Contraindications: allergy, pheochromocytoma |
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Term
Trade: SoluCortef
Generic: hydrocortisone (ASSIST only) |
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Definition
Indications: adrenal insufficiency with s/s of trauma/shock
Dosage: 100mg IM adult (paramedic)
Desired Effects: cortisol production
Side Effects: insomnia, acne, dizziness, N/V
Elimination: liver
Contraindications: allergy |
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Term
Trade: Cyanokit
Generic: hydroxycobalamin |
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Definition
Indications: smoke inhalation, cyanide poisoning
Dosage: premixed vial 5g/200ml over 15 mins
Desired Effects: reverses cyanide poisoning by helping the body convert cyanide to a form that can be excreted in urine
Side Effects: skin redness, N/V, rash, headache
Elimination: kidneys
Contraindications: allergy |
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Term
Trade: Xylocaine
Generic: lidocaine (IO only) |
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Definition
Indications: IO pre-analgesia
Dosage: 1-2.5ml (20-50mg) 2% injection
Desired Effects: pain relief
Side Effects: skin irritation, redness, edema
Elimination: liver
Contraindications: allergy |
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Term
Trade: Nitronox
Generic: nitrous oxide |
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Definition
Indications: pain
Dosage: patient dependent as they hold the mask
Desired Effects: non-narcotic analgesic
Side Effects: drowsiness, dizziness, headache
Elimination: inhalation
Contraindications: abdominal pain, pneumothorax, head injury |
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Term
Trade: Zofran
Generic: ondansetron |
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Definition
Indications: nausea/vomiting
Dosage: 4mg PO
Desired Effects: less nausea/vomiting
Side Effects: headache, diarrhea, dizziness
Elimination: liver
Contraindications: allergy |
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Term
Trade: Actidose, Ez-Char
Generic: activated charcoal |
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Definition
Indications: poisoning, overdose
Dosage: 25-50mg PO
Desired Effects: binds & deactivates poison and eliminates through GI system
Side Effects: constipation, dark stools
Elimination: liver
Contraindications: ingestion of acids, metals, iron |
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