Butte College Paramedic Drugs Dosages

Front 1

Morphine Sulfate

Back 1

IVP: 2-20mg at 2/min

IM/SQ: 5-20mg

for 3-5hours

Hint 1

I: resp distress w/ crackles
mod to severe pain
CI:Resp dep,ALOC,head injury/multisystem trauma, unknown pain, HOTN

Front 2

Furosemide (Lasix)

Back 2

IVP: 40-80mg at 10-20/min

for 3-5hours

Hint 2

CI: hypovolemia, pregnancy
I:CHF/pulmonary edema

A: PVasoD & (diuretic)

Front 3

Aspirin

Back 3

325mg chewed

for 24hours

Hint 3

Hx of ulcer/liver disease, bleeding disorders

Front 4

Epi
(Asthma)

Back 4

SQ: .3-.5mg

Front 5

Epi
(Ped symptomatic bradycardia)
(DOC)

Back 5

IVP/IO:
.01mg/kg MR q3-5 until dysrythmia resolves

Front 6

Epi
(symptomatic bradycardia)

Back 6

2-10mcg/min

Hint 6

mix 1mg/250ml for 4mcg/ml

or [1/2]

Front 7

Adenosine

Back 7

IVP/IO: 6mg fast, 20ml NS, (1-2min) MR 12mg x2 q1-2min

consider Verapamil next (for SVT w/ narrow QRS)

for < 10 seconds

Hint 7

not for AFib/Flut,VTach.

CI: sss, 2or3 HB, persantine, tegretol, theophylline.

AE: HOTN, CP, transient PAC/PVCs, brady/asyt, SOB

Front 8

Epi
(cardiopulmonary arrest)

Back 8

IVP: 1mg (1:10,000) q3-5min as needed (in pulseless rhythm)

ET: 2mg (1:1000) to 10ml NS

Hint 8

coronary & cerebral pefusion

Front 9

Albuterol
(inhaler & nebulizer)

Back 9

1-2 90mcg

2.5mg in 2-4ml NS with 6-8O2 over 5-15 min

for 4-6 hours

Hint 9

I:
-bronchospasm w/ pulmonary edema, COPD, near drowning [compartment syndrome]
-asthma

Front 10

Atropine Sulfate
(bradycardia)

Back 10

IVP: .5mg q3-5 (max 3)

ET:2x
2-5 for 20min

Hint 10

dilates bronchioles and dec. resp secretions.

Front 11

Atropine Sulfate
(asystole/PEA<60!)

Back 11

IVP: 1.0mg q3-5 (max 3mg [max.04mg/kg] or rate>60)

ET: 2x

2-5 for 20min

Front 12

Atropine Sulfate
(organophosphate poisoning)

Back 12

IVP: 2-3mg q5 (until asymptomatic or toxic)

ET: 3-4mg q5

If S&Sx coninue after 5 min --> 2Pam Cl

Hint 12

Hot, Blind, Dry, Red, Mad

Front 13

D50W

Back 13

IVP: 25g/50ml NS MRx1 (aspirate)

Front 14

Diazepam (Valium)

Back 14

titrate 2.5-10mg at 5mg/min (max 20)

(rectal option)

for 15min-1hr

Hint 14

CI: H.E.I.R
HOTN, ETOH, ICP, Resp.Dep

I: seizures/status epilepticus
sedation b4 cardiovn or TCP
acute anxiety

Front 15

Dopamine (inotropin)

Back 15

'dose' mcg/kg/min
'renal' 1-5
'cardiac' 5-10
'vasopressor' 10-20

titrate to BP of 90-100 or perfusion (max 20mcg/kg/min)

onset 5min for 5-10min

Hint 15

I: cardiogenic/distributive shock

CI: tachyarrhythmias

Front 16

Glucagon
+ route(s), I, CI

Back 16

IM/SQ: 1mg

1min

Hint 16

I: "<75mg/dl"
Beta-blocker OD

CI: CVA w/ unkn BG

Front 17

Glucose (oral)

Back 17

10-20g swallowed or bottle
MR in 10min

Front 18

Naloxone

Back 18

IM/SQ/IVP: .4-2mg. MR PRN.
(rethink after 10mg)
titrate to respiratory status

Hint 18

consider b4 tube

Front 19

NTG

Back 19

.4mg

I: pulmonary edema
hypotensive crisis

onset 1-3min for 20-30min

Hint 19

CI: ICP,HOTN

Front 20

Verapamil

Back 20

IVP: 2.5-5mg slow. MR 5-10mg q15-30 (max 30)

>70, 2-4mg slower

CI:WPW, SSS, wide complex tach, heart fail/block/beta-block

Hint 20

AFib/Flutt w/ rapid V response

(after adenosine) SVT w/ narrow QRS

Front 21

Midazolam (Versed)
(cardioversion)

Back 21

IV: .5mg/3-5min (max 2)
NorCal: 2mg/2min MRx1 after 10min(max4)
1mg if Resp. Dep. or >60y/o

Hint 21

CI:SPERC

Front 22

Midazolam (Versed)
(seizure/status epilepticus)

Back 22

slow IVP: .1mg/kg at 1mg/min (max 10mg/dose)

MRx1 after 10min if needed (seizure reoccurs)

Hint 22

CI: SPERC

Front 23

Epi
(allergic rxn)

Back 23

SQ: .3-.5mg MRx2

Hint 23

for 20min

Front 24

Epi
(anaphylaxis)

Back 24

IVP:.3-.5mg/90sec. MR q10min.
ET:2x

Hint 24

for 3-5min

Front 25

Lidocaine (Xylocaine)
- V ectopy/VTach w/ pulses
/post cvn

Back 25

IVP: 1-1.5 mg/kg at 50mg/min. MR 1/2(i) q5-10min (max 3mg/kg)

ET:2mg/kg to 10mL NS. MRx1

If not responsive (to V ectopy) try Mag Sulfate or Procainamide

Hint 25

CI: II or 3 HB
bradycardia

Front 26

Lidocaine (Xylocaine)
VFib/Pulseless VTach

Back 26

IVP: 1-1.5 mg/kg fast. If no cvn (after defibrilation), MR 1/2(i) q5-10min (max 3mg/kg)

ET:2mg/kg to 10mL NS. (no repeat)

Hint 26

for 15min

Front 27

Lidocaine (Xylocaine)
Maintenance Infusion

Back 27

give 2-4mg/min

2mg/min= 1mg/kg bolus, + 30ugtts/min
3:2:45
4:3:60

Hint 27

Mix 1g/250mL(microdrip)

Front 28

Potassium Chloride
KCl (IFT's)

Back 28

mixture of 20-40mEq/L for Norcal
at prescribed rate

Hint 28

CI: severe renal disease, acute dehydration

Front 29

Sodium Bicarbonate

Back 29

Cardiac Arrest:
IVP: 1mEq/kg. MR 1/2(i) q10
Tricyclic OD (NorCal):
BHO (mix 50mEq/L)

Hint 29

I: prolonged cardiopulmonary arrest; symp tricyclic OD

No: CaCl, DA, Epi, Mag Sulfate, Verapamil

Front 30

(activated) charcoal

Back 30

PO/gastric tube: 50-100g in water (unless Sorbitol).

CI: corrosives, CN, heavy metal, petroleum, iron

Hint 30

most effective w/in 30min
(shake; drink w/o assistance; (-)milk)

caution in acetaminophen OD>24hrs

Front 31

Amyl Nitrite Inhalants

Back 31

1 ampoule (.3ml)/15-30 sec.
MR w/in 5 min.

Flammable
S&Sx of OD: SCUPE

SOB,Circumoral Cyanosis,Unusual weakness,Pulse -weak and fast, Extreme head pressure

Hint 31

HG --> Met --> cyanMet

AE: mild headache, lightheadedness.

Front 32

Diphenhydramine

Back 32

IVP: 25-50mg at 25/min
IM: 25-50mg

Hint 32

I: extrapyRAMidal/dystonic rxn
(allergic rxn, anaphylaxis)

CI: HAP
HOTN, asthma attack, pregnant/nursing

Front 33

Sodium Thiosulfate

Back 33

IVP:12.5g at 2.5-5ml/min

Hint 33

For CN -->thiocyanate (after Amyl Nitrite).

Front 34

Pralidoxime Chloride (2-Pam Cl)

Back 34

asymptomatic "exposure"= 0
mild = 1
moderate = 2 (1, MRx1 in 5-10)
severe = 3

autoinjector is 600mg. squat.

Hint 34

Nerve Agent/ Organophosphate with SLUDGEM.

Front 35

Neosynephrine Spray

Back 35

.5ml of.5 sol'n in nostrils.

alpha-agonist b4 Nasal intubation

Hint 35

CI: severe HTN, intra-cardiac conduction blocks

Front 36

Magnesium Sulfate

Back 36

Torsades/refractory VF/VT
IV: 1-2g at 1/min, then 1-4g/hr

OB
IVP: 4g/20min, then 2g/hr [10g/100ml sol'n)

Hint 36

I: eclampsia, Torsades, refractory VF/VT, TRICYCLIC OD - Ve not responsive to lidocaine.

CI: DREHH
Digitalis; Resp depression; Evidence of dialysis, cardiac, fluid overload; HOTN; Heart Blocks/recent MI

CaCl antidote for resp depression

Front 37

Procainamide

Back 37

I: -PVCs/recurrent VT (after lido)
-A & V dysrhythmias

IVPB: 20mg/min until :
0 wide 17 HO

Hint 37

CI: 2 or 3 HB
torsades
dig toxicity

Front 38

Tricyclic OD drugs

Back 38

Mag Sulfate, Bicarb (50mEq/L)

Front 39

Calcium Chloride

Back 39

IVP: 2-4mg/kg. MR q10;
NorCal 1-4g

for 1hr

Hint 39

cardiac arrest w/:
Ca blocker toxicity
hyperkalemia (renal)