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NC EMT-Basic Drug Cards 2011
NC EMT-Basic Drug Cards 2011
13
Medical
06/14/2011

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Cards

Term
ALBUTEROL
Definition
TRADE NAME: Proventil, Ventolin

INDICATIONS: Bronchospasm and asthma in COPD

CONTRADINCATIONS: Hypersensitivity to the drug, history of cardiac disease, heart rate >150 in adults, heart rate >200 in pediatrics

SIDE EFFECTS: Increased pulse rate (tachycardia), anxiety, nausea, cough, wheezing, tremors and/ or dizziness

DOSAGE/ROUTE: Adult: 2.5-5.0 mg (3cc) via nebulizer continuously, x3 doses, if no history of cardiac disease and heart rate<150
Pediatric: 2.5mg (3cc) via nebulizer continuously, x3 doses, if no history of cardiac disease and heart rate<200


ACETAMINOPHEN

TRADE NAME: Tylenol, Anacin-3

INDICATIONS: For pain and fever control

CONTRADINCATIONS: Hypersensitivity, children under 3 years

SIDE EFFECTS: When used appropriately, side effects with acetaminophen are rare. The most serious side effect is liver damage due to large doses

DOSAGE/ROUTE: Adult: 1000mg PO
Pediatric: 10mg/kg PO
Term
ASPIRIN (Acetylsalicylic Acid)
Definition
TRADE NAME: Alka-Seltzer, Bayer, Emperin, St Joseph Children’s

INDICATIONS: Chest pain suggestive of an MI

CONTRADINCATIONS: Hypersensitivity to salicylates, active ulcer disease, asthma

SIDE EFFECTS: Nausea, vomiting, heartburn, bleeding, bronchopasm and wheezing if patient is allergic

DOSAGE/ROUTE: Adult: chewable baby asperin (81mg each) PO
Pediatric: Not indicated
Term
ATROPINE
Definition
TRADE NAME:

INDICATIONS: Organophosphate poisoning (insecticides, pesticides, cyanide, mustard gas, Sarin)

CONTRADINCATIONS: None in an emergency setting

SIDE EFFECTS: Dry mouth, blurred vision, urinary retention, tachycardia, constipation, decreased sweating

DOSAGE/ROUTE: Adult: 1 to 2 mg IM otherwise as directed by medical control
Pediatric: Per medical control only

NOTE: All EMS personnel may self-administer or administer to a patient, by protocol and under medical direction, nerve agent kits containing Atropine and Pralidoxime through an auto-injector system.
Term
ACTIVATED CHARCOAL
Definition
TRADE NAME: Actidose

INDICATIONS: Acute ingested poisoning

CONTRADINCATIONS: An airway that cannot be controlled; ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol, menthanol.

SIDE EFFECTS: Constipation, diarrhea, temporary, darkening of the stool, vomiting

DOSAGE/ROUTE: Adult: 50 gms PO
Pediatric: 1g/kg PO, max 25 gms
Term
DIPHENHYDRAMINE
Definition
TRADE NAME: Benadryl

INDICATIONS: Anaphylaxis and allergic reactions

CONTRADINCATIONS: Asthma and other lower respiratory disease

SIDE EFFECTS: Diphenhydramine can commonly cause sedation, tiredness sleepiness, dizziness, disturbed coordination, drying and thickening of oral and other respiratory secretions and stomach distress.

DOSAGE/ROUTE: Adult: 50Mg PO
Pediatric: NO PO dose indicated

NOTE: EMT Basics can administer Diphenhydramine in oral over-the-counter form as allowed by protocol and medical control
Term
EPINEPHERINE
Definition
TRADE NAME: Adrenalin

INDICATIONS: Severe allergic reactions

CONTRADINCATIONS: Hypersensitivity to sympathomimetic amines, narrow angle glaucoma, hemorrhagic, traumatic, or cardiac shock; coronary insufficiency; dysrhythmias; organic brain or heart disease; or during labor.

SIDE EFFECTS: Increased heart rate, pallor, dizziness, chest pain, headache, nausea, vomiting, excitability, anxiety.

DOSAGE/ROUTE: Adult: 0.3 mg of 1: 1,000 if age <50 years
0.15 mg of 1: 1,000 if age >50 years
Pediatric: 0.15 mg of 1: 1,000

NOTE: EMT-Basics give Epinephrine through an auto-injector pen (Epi-Pen or Epr-Jr).
Term
GLUCOSE, ORAL
Definition
TRADE NAME: Glutose, Insta-Glucose

INDICATIONS: Patients with altered mental status and known history of diabetes mellitus

CONTRADINCATIONS: Unconsciousness; known diabetic who has not taken insulin for days; patient who is unable to swallow

SIDE EFFECTS: None when given properly; may be aspirated by the patient without a gag reflex

DOSAGE/ROUTE: Adult: One tube or packet; repeat based on BGL
Pediatric: One tube or packet; repeat based on BGL – minimum age 3 yrs
Term
IBUPROFEN
Definition
TRADE NAME: Advil, Motrin, Nuprin, Excedrin IB

INDICATIONS: Reduce fever and relieve minor to moderate pain

CONTRADINCATIONS: Allergies to aspirin or other NSAIDs; patients with history of GI bleeding (ulcers); renal insufficiency; patients currently taking anticoagulants such as Coumadin

SIDE EFFECTS: The most common side effects from Ibuprofen are rash, ringing in the ears, headaches, dizziness, drowsiness, abdominal pain, nausea, diarrhea, constipation and heartburn. NSAIDs reduce the ability of blood to clot and therefore increase bleeding after injury

DOSAGE/ROUTE: Adult: 400-800 mg PO
Pediatric: 10 mg/kg PO
Term
NALOXONE
Definition
TRADE NAME: Narcan

INDICATIONS: Narcotic and synthetic narcotic overdose, coma of unknown origin

CONTRADINCATIONS: Hypersensitivity to the drug, non-narcotic-induced respiratory depression

SIDE EFFECTS: Abrupt reversal of narcotic depression may result in nauseas, vomiting, sweating, tachycardia, increased blood pressure, tremulousness, seizures and cardiac arrest

DOSAGE/ROUTE: Adult: 1-2 mg nasally via atomizer
Pediatric: 0.1 mg/kg nasally via atomizer (max 2 mg), repeated in 5 minutes if no effect

NOTE: EMT administration of Naloxone is limited to the intra-nasal route (spray).
Term
NASAL SPRAY
Definition
TRADE NAME: Afrin

INDICATIONS: Epistaxis (nose bleed), nasal intubation

CONTRADINCATIONS: Significant hypertension

SIDE EFFECTS: Sneezing or burning, stinging, dryness, or irritation of the nose. These side effects are usually mild and temporary

DOSAGE/ROUTE: Adult: 2 sprays in affected nostril
Pediatric: 1-2 sprays in affected nostril
Term
NITROGLYCERIN
Definition
TRADE NAME: Nitrostat

INDICATIONS: Chest pain associated with angina and acute myocardial infarction

CONTRADINCATIONS: Hypersensitivity, tolerance to nitrates, severe anemia, head trauma, hypotension, increased ICP, patient taking sildenafil (Viagra), glaucoma, and shock

SIDE EFFECTS: Hypotension (lowers blood pressure), head ache, pulse rate changes

DOSAGE/ROUTE: Adult: 1 tablet or spray (0.4 mg) SL every 5 minutes until pain free or 3 doses---if SBP <100, contact medical control
Pediatric: Not indicated

NOTE: EMT-Basic administration of nitroglycerin is restricted to patients who are under doctor’s orders with a prescription for the drug
Term
OXYGEN
Definition
INDICATIONS: Hypoxia or anticipated hypoxia, or in any medical or trauma patient to improve respiratory efficiency.

CONTRADINCATIONS: There are no contraindications to oxygen therapy

DOSAGE/ROUTE: Adult: 1-6 LPM via NC; 10-15 LPM via NRB; 15 LPM via BVM
Pediatric: 1-6 LPM via NC; 10-15 LPM via NRB; 15 LPM via BVM
Term
PRALIDOXIME
Definition
TRADE NAME: 2-PAM

INDICATIONS: Organophosphate poisoning

CONTRADINCATIONS: Carbamate insecticides (Sevin), inorganic phosphates, and organophosphates having no anticholienesterase activity, asthma, peptic ulcer disease, severe cardiac disease or patients receiving aminophylline, theophylline, morphine, succinlycholine, reserpine, or phenothiazines.

SIDE EFFECTS: Blurred or double vision, difficulty in focusing eyes, difficulty in speaking, difficult or rapid breathing, dizziness, fast heartbeat muscle stiffness or weakness, pain at place of injection (after injection into a muscle)

DOSAGE/ROUTE: Adult: 600 mg IM
Pediatric: Per medical control only

NOTE: All EMS personnel may self-administer or administer to a patient, by protocol and under medical direction, nerve agent kits containing Atropine and Pralidoxime through an auto injector system