First Line Drugs

Front 1

aspirin

Back 1

324mg PO (4) baby aspirin at 81mg each

Front 2

Adenosine

Back 2

6mg RIVP over 1-3 seconds with 10-20 NSS flush, Reassess patient and rhythm in 1-2 minutes, if no response, repeat dose of 12 and 12mg. for SVT unresponsive to vagal maneuver

Front 3

Diltiazem ( Cardizem )

Back 3

SIVP 0.25mg/kg over 2 minutes. repeat dose 0.35mg/kg over 2-5 minutes. For atrial fibrilation, atrial flutter, and atrial bradycardia

Front 4

Atropine

Back 4

BRADYDYSRHYTHMIAS IVP 0/5mg RIVP every 3-5 minutes while awaiting extrenal pacing to a max dose of 3mg or 0.04mg/kg

Front 5

Atropine

Back 5

ASYSTOLE & PEA with a rate of less than 60bpm- 1mg RIVP every 3-5 minutes to a max dose of 3mg or 0.04mg/kg

Front 6

Atropine

Back 6

PESTICIDE POISONING- 2mg IVP or IM every 5-15 minutes until the patient is asymptomatic. NO MAX DOSE

Front 7

Epinephrine

Back 7

CARDIAC ARREST- IVP 1:10000 1 mg every 3-5 minutes as long as the patient remains in a pulseless rhythm

Front 8

Epinephrine

Back 8

ANAPHYLAXIS/ASTHMA - IVP 0.1-0.5mg of 1:1000 SIVP over 1.5-5 minutes

Front 9

Morphine sulfate

Back 9

For chest pain associated with suspecitrate to effectted MI. Moderate to severe chest pain SIVP2-5mg, titrate to effect.

Front 10

Fentanyl ( Sublimaze )

Back 10

Relief of pain ; musculoskeletal injuries, burns, kidney stones, A.C.S, allergy to morphine. Fentanyl is 100 times more potent than morphine. 0.5-1mcg/kg (50-100mcg) SIVP over 2-3 minutes IV or IM. May repeat half dose every 5 minutes to a max dose of 3mcg/kg

Front 11

Nolaxone( Narcan )

Back 11

For narcotic overdose, repiratory depression- 0.4mg IV. Max dose 2mg IV or IM

Front 12

Nolaxone ( Narcan )

Back 12

RESPIRATORY OR CARDIAC ARREST - 1-2mg IV or IO. MAy repeat every 2-3 minutes as needed or 2-4mg ET diluted with NSS to a volume of 10ML.

Front 13

Ondansetron ( Zofran )

Back 13

Treatment or prevention of nausea and vomiting. 4mg IV or dissolving oral tablet. SIVP over 2-5 minutes.

Front 14

Lidocaine ( Xylocaine )

Back 14

Ventricular ectopy ( malignant PVC's ) V-Tach, V-Fib, wide complex tachycardia of unknown etiology, post cardioversion, anesthesia before IO. SIVP 1.0-1.5mg/kg at 50g/min. Repeat dose 0.5-0.75 mg/kg in 5-10 minutes. Max dose 3 mg/kg/min

Front 15

Lidocaine ( Xylocaine )

Back 15

POST CARDIOVERSION - 1 mg/kg or half the initial dose SIVP at 50 mg/min to a max dose of 3 mg/kg/min. Consider IVPB infusion.

Front 16

Amiodarone

Back 16

For persistent or recurrent V-Fib and V-Tach. Wide complex tachycardia of unknown etiology

Front 17

Amiodarone

Back 17

CARDIAC ARREST - 300 mg diluted in 20-30cc NSS. Consider repeating half dose of 150 mg in 3-5 minutes

Front 18

Amiodarone

Back 18

V-Tach - 150 mg infused over 10 minutes. May repeat infusion as needed.

Front 19

Amiodarone

Back 19

POST RESUSITATION - 150 mg over 10 minutes unless 150 mg repeat dose was already given during the cardiac arrest

Front 20

Dopamine ( Intropin )

Back 20

For vasodilatory shock and cardiogenic shock. IVPB concentration of 400mg/250cc of D5W or NSS. Start at 2-5 mcg/kg/min, titrate to a systolic pressure of 90-100 and or signs and symptoms of adequate perfusion. DO NOT exceed 20 mcg/kg/min.

Front 21

Diazepam ( Valium )

Back 21

For active motor seizures, sedation prior to cardioversion and pacing, severe anxiety, alcohol withdrawal.

Front 22

Diazepam ( Valium )

Back 22

SEIZURES - 5-10 mg SIVP over 1-3 minutes. DO NOT exceed 5 mg/min. titrate to desired effect. May repaet in 2-5 minutes.

Front 23

Diazepam ( Valium )

Back 23

SEDATION - 2-10 mg SIVP over 1-5 minutes. Titrate to desired effect.

Front 24

Diazepam ( Valium )

Back 24

ANXIETY - 2-10 mg SIVP or IM over 1-5 minutes

Front 25

Midazolam ( Versed )

Back 25

For acute anxiety and amnetic sedation prior to cardioversion or intubation. 1.0-2.5 mg SIVP over 2-3 minutes or 5.0 mg deep IM

Front 26

Lorazepam ( Ativan )

Back 26

For active motor seizures, sedation prior to painful procedures and anxiety. 1-2 mg SIVP over 2-5 minutes or IM. Titrate to effect, may repeat every 5 minutes to a max dose of 8 mg.

Front 27

Etomidate ( Amidate )

Back 27

fOR CON

Front 28

Etomidate ( Amidate )

Back 28

for conscious sedation prior to uncomfortable procedures, sedation assisted intubation S.A.I 0.2-0.6 mg/kg SIVP over 30-60 seconds. pa state protocol for SAI- 15-30 mg ( 0.3 mg/kg ) dose should not exceed 30 mg

Front 29

Diphenhydramine ( Benadryl )

Back 29

Antihistamine/ For alergic rractions, anaphylaxis. 25-50 mg SIVP at 25 mg/min

Front 30

D50 ( D50W )

Back 30

hyperglycemic agent used for diabetic emergencies ( Hypoglycemia ) 12.5-25 grams 1/2 to 1 preload

Front 31

Glucagon

Back 31

Hormone, hypperglycemic agent. For known or suspected hypoglycemia when unable to administer dextrose through a patent IV site. 1 mg Im, may repeat in 10 minutes

Front 32

Albuterol ( proventil HFA )

Back 32

Bronchodilator. For reversible bronchospasm associated with; asthma, emphysema, chronic bronchitis, toxic inhalation, allergic reaction, near drowning. Nebulizer - 2.5 mg in 3ml of NSS. run at 4-10 LPM o2

Front 33

Nitroglycerin ( Nitro-Stat, Nitro-Bid

Back 33

vasodilator. For chest pain of suspected myocardial origin, A.C.S ( acute Coronary Syndrome ), CHF

Front 34

Niroglycerin ( Nitro-stat Nitro-Bid )

Back 34

CHEST PAIN AND ACS - 0.4mg sublingula every 5 minutes, 3 times

Front 35

Nitroglycerin ( Nitro-Stat, Nitro-Bid )

Back 35

CONGESTIVE HEART FAILURE - 0.4 mg sulingula initially, then repeat every 3-5 minutes based on blood pressure
3 nitro if SBP >180
2 nitro if SBP 140-180
1 nitroP 100-140