Class 11 Csus Paramedic Drugs

Front 1

ATROPINE

Generic Name

Back 1

Atropine sulfate

Front 2

Atropine

Trade Name

Back 2

Atropine

Front 3

Atropine

Classification

Back 3

Antiarrhythmic
Anticholinergic
Antidote

Front 4

Atropine

Indications

Back 4

<Hemodynamically significant bradycardia
<Asystole
<Organophosphate poisioning or nerve agent
<PEA with slow complex rate

Front 5

Atropine

Contraindications

Back 5

<Hypersensitivity to the drug
<Glaucoma
<Obstructive disease of the GI or GU tracts

Front 6

Atropine

Adverse effects

Back 6

Postural hypotension
Blurred vision
Dryness of the mouth,
GI reflux,
Nausea/vomitting,
Paraltic ileus,
Tachyarrhythmias
Urinary retention

Front 7

Atropine

How supplied

Back 7

.1mg/ml total of 10ml to equal 1mg of atropine, multidose vial 20 ml with .4mg/ml to total of 8mg

Front 8

Atropine

Adult Dosage

Back 8

Adult: Bradycardia, .5mg to 1mg. IV every three to five minutes as needed up to total of 3mg. In asystole give 1mg. IV, repeat every 3 to 5 minutes up to a total of 3mg.

Front 9

Atropine

Peds Dosage

Back 9

Bradycardia/aysystole give .02mg/kg IV/IO/ET up to .5mg for child or 1.0mg for adolescent. (MIN Dose .1mg) May be repeated once in 5 minutes.

Front 10

Atropine

Organophosphate Poisioning Dosage

Back 10

2mg repeat until BP and HR are stable.

Front 11

Atropine

Precautions

Back 11

Use caution in presence of myocardial ischemia and hypoxia. Avoid in hypothermic bradycardia. Usually not effective in second degree block type II and third degree blocks with wide QRS complexes. Antacids decrease absorption of med.

Front 12

Epinephrine

Generic Name

Back 12

Epinephrine Hydrochloride

Front 13

Epinephrine

Trade Name

Back 13

Adrenalin

Front 14

Epinephrine

Classification

Back 14

Sympathomimetic
Cardiac stimulant
Bronchodilator
Antiallergic
vaspressor.

Front 15

Epinephrine

Action

Back 15

<Stimulates alpha and beta-adrenergic receptors with the sympathetic nervous system.
< A potent cardiac stimulant, it stregthens the myocardial contraction and increase cardiac rate.
<Increases myocardial and cerebral blood flow during CPR
EPI strengthens the heart to contract harder and faster. Vasoconstriction effect that causes more blood flow during COR for the heart and brain.

Front 16

Epinephrine

Indications

Back 16

Cardiac Arrest
VF
Pulseless VT
Asystole
PEA
Anaphylaxis
Asthma (COPD)

Front 17

Epinephrine

Contraindications

Back 17

Angle-Closure glaucoma
Shock
Organic brain damage
Cerebral Arteriosclerosis
Labor and Delivery

Front 18

Epinephrine

Adverse Effects

Back 18

Nervousness, tremor, headace, agitation, dizziness, weakness, cerebral hemorrhage, palpitations, hypertension, tachycardia, anginal pain, nausea/vomiting and dyspnea

Front 19

Epinephrine

How Supplied

Back 19

Prefilled syringe .1mg/ml (1:10000) total of 10cc= 1mg

Multidose vial 1mg/ml (1:1000) total of 10cc

Front 20

Epinephrine

Adult Dosage

Back 20

Cardiac Arrest: 1mg (10 ml of 1:10000) every 3-5 mins during resuscitation. Tracheal route: 2 mg diluted in Saline
Anaphylaxis: 0.3-0.5mg (1-1000) IM or SQ
0.3-0.5mg (1:10000) IV if hypotension or poor perfusion
Asthma:Severe bronchoconstriction 0.3-0.5 mg SQ(1:1000)

Front 21

Epinephrine

Peds Dosage

Back 21

Cardiac arrest: (1:10000) Give 0.01mg/kg up to 1mg IV,IO

Anaphylaxis:(1:1000)0.01mg/kg SQ or IM up to 0.3mg if patient was exposed to commonly recognized allergen and has respiratory distress or hypotension

Front 22

Epinephrine

Precautions

Back 22

High does do not improve survival or neurologic outcome and may contribute to postresuscitation myocardial dysfunction. Raising blood pressure and increasing heart rate may cause myocardial ischemi, angina and increased myocardial oxygen demand. Higher does maybe required to treat poison/drug induced shock. Do not use concurrently with Brevibloc. The effects of the maybe potentiated by tricyclic antidepressants.

Front 23

Amiodarone

Generic Name

Back 23

Amiodarone Hydrochloride

Front 24

Amiodarone

Trade Name

Back 24

Cardarone

Front 25

Amiodarone

Classification

Back 25

Antiarrhythmic

Front 26

Amiodarone

Actions

Back 26

>Block sodium channels at rapid pacing frequencies
>decreases sinus rate
>increases PR and QT intervals
>After IV use, Amiodarone relaxes vascular smooth muscle
>Reduces peripheral vascular resistance (afterload)

Front 27

Amiodarone

Indications

Back 27

>VF and Pulseless VT refractory to Defib
>Stable VT and unstable VT refractory to cardioversion
>Conversion of atrial arrhythmias after rate control

Front 28

Amiodarone

Contraindications

Back 28

>Hypersensitivity
>Cardiogenic shock
>bradycardia
>AV blocks
>Liver disease

Front 29

Amiodarone

Adverse effects

Back 29

Cough and progressive dyspnea, worsening of arrhythmias, symptomatic bradycardia, sinus arrest, SA node dysfunction, CHF edema, hypotension, cardiac conduction abnormalities, cardiac arrest, abnormal involuntary movements, headache, N/V, abdominal pain, flushing and shock

Front 30

Amiodarone

How supplied

Back 30

Injection: 50 mg/ml vial

Front 31

Amiodarone

Adult Dosage

Back 31

>Pulseless VF/VT: 300 mg IV
Consider repeat 150 in 3-5 mins
Post resuscitation maintenance dose: 1mg/min IV/IO 6 hrs
>Wide complex tachycardia(stable): 150mg rapid infusion (15 mg/min) over first 10 min.
May repeat 150 mg rapid infusion IV every 10 minutes as needed.
MAX DOSE: 2g IV/IO over 24 hours

Front 32

Amiodarone

Ped Dose

Back 32

Pulseless VF/VT: 5mg/kg IV/IO bolus. Perfusing VT: 5mg/kg IV/IO over 20-60 min

MAX DOSE: 15mg/kg per IV per day

Front 33

Amiodarone

Precautions

Back 33

May produce vasodilation and hypotension. May have negative inotropic effects. My prolong QT interval. Use with caution if renal failure is present