Paramedic Drug Cards - Indications & Contraindications

Front 1

Tetracaine

Back 1

Indications: Ophthalmic Anesthesia, Ophthalmic Burns

Contraindications: Sensitivity

Front 2

Diphenhydramine

Back 2

Indications: Anaphylaxis (with Epi), Allergic Reactions, Dystonic Reactions due to Phenothiazines.
Contraindications: Asthma, COPD, Enlarged Prostate, Glaucoma, Pregnancy, Sensitivity

Front 3

Furosemide

Back 3

Indications: CHF, Pulmonary Edema
Contraindications: Dehydration, Hypovolemia, Pts Taking Lithium, Pregnancy, Sensitivity

Front 4

Succinylcholine

Back 4

Indications: Facilitate Intubation, Terminate Laryngospasm, Muscle Relaxation
Contraindications: Inability to Control Airway and/or Support Ventilations, Increased Intraocular Pressure, Penetrating Eye Injury, Sensitivity

Front 5

Metoprolol

Back 5

Indications: AMI-STEMI
Contraindications: Heart Rate under 70, BP over 100 systolic, Heart Blocks, Cardiogenic Shock, Cardiac Failure, SSS

Front 6

Promethazine

Back 6

Indications: Analgesic Potentiation, Motion Sickness, N/V, Sedation
Contraindications: Comatose States, Pts With Large Amounts of Depressants, Sensitivity

Front 7

Sodium Bicarbonate

Back 7

Indications: Intubated pt with continued long arrest interval, Known Bicarbonate-Responsive Acidoses, ROSC, TCA OD
Contraindications: Chloride Loss From Vomiting and GI Suction, Hypocalcemia, Hypokalemia, Metabolic / Respiratory Alkalosis

Front 8

Naloxone

Back 8

Indications: Alcoholic Coma, Coma of Unknown Origin, Narcotics ODs.
Contraindications: none.

Front 9

Procainamide

Back 9

Indications: PVCs, VFib, VTach Refractory to Lidocaine, Wide Complex Tachycardia
Contraindications: Bradycardia, Complete AV Block, Severe Conduction Disorders, Sensitivity

Front 10

Norepinephrine

Back 10

Indications: Cardiogenic Shock, Hypotension Refractory to Other Sympathomimetics, Neurogenic Shock
Contraindications: Hypercarbia, Hypotension Secondary to Hypovolemia, Hypoxia, Pts Taking Antidepressants, Sodium Bicarbonate Administration

Front 11

Calcium Chloride

Back 11

Indications: Hyperkalemia, Hypermagnesemia, Hypocalcemia, Calcium Channel Blocker OD, Magnesium Sulfate OD
Contraindications: Digitalis, Hypercalcemia, NaC2, VFib during Resuscitation

Front 12

Dopamine

Back 12

Indications: Cardiogenic Shock, Hypotension Secondary to Post-Resuscitation Bradycardia, Hypovolemic Shock
Contraindications: Hypovolemic Shock without Fluid Resuscitation, Uncorrected Tachycardia or VFib

Front 13

Epinephrine

Back 13

Indications: Asthma, Anaphylaxis, COPD
Contraindications: None in Cardiac Arrest or Anaphylaxis; HTN, Angina, Hyperthyroidism, Concomitant Sympathomimetics

Front 14

Labetalol

Back 14

Indications: HTN, ICP
Contraindications: Asthma, CHF, 2nd and 3rd Degree Heart Block, Bradycardia, Cardiogenic Shock, Sensitivity

Front 15

Thiamine

Back 15

Indications: Beriberi, Coma of Unknown Origin, Chronic Alcoholism with Coma, DT's, Wernicke's Encephalopathy
Contraindications: None.

Front 16

Dextrose 50%

Back 16

Indications: Hypoglycemia
Contraindications: Intracranial and Intraspinal Hemorrhage, Delirium Tremens, Solution not clear, Seals not intact.

Front 17

Oral Glucose

Back 17

Indications: AMS (conscious), Hx of Diabetes Controlled by Medication
Contraindications: Unable to Protect Airway

Front 18

Terbutaline

Back 18

Indications: Bronchial Asthma, Bronchospasm with COPD, Preterm Labor
Contraindications: Tachydysrhythmias, Sensitivity

Front 19

Morphine

Back 19

Indications: Cardiac Chest Pain, Pulmonary Edema, Severe Pain

Front 20

Diazepam

Back 20

Indications: Anxiety, Skeletal Muscle Contraction, Alcohol Withdrawal, Seizures
Contraindications: Children under 6 months, Glaucoma, CNS depression, Alcohol Intoxication, Sensitivity, Seizures Caused by Anticholinergics

Front 21

Nitroglycerin Sublingual

Back 21

Indications: CHF, Hypertension, Ischemic Chest Pain
Contraindications: Cerebral Hemorrhage, Head Injury, Hypersensitivity, Hypotension, Nitrates within 24-48 Hours

Front 22

Nitroglycerin Paste

Back 22

Indications: CHF, Hypertension, Ischemic Chest Pain
Contraindications: Cerebral Hemorrhage, Head Injury, Hypersensitivity, Hypotension, Nitrates within 24-48 Hours

Front 23

Bumetanide

Back 23

Indications: CHF, Edema, HTN
Contraindications: Anuria, Dehydration, Sensitivity to Drug or Sulfonamides

Front 24

Albuterol

Back 24

Indications: Bronchospasm (Asthma/COPD), Burns, Chronic Bronchitis, Chronic Emphysema, Chronic Pneumonia
Contraindications: AMI, Angioedema, Cardiovascular Disorders (Arrhythmias / HTN), CHF, Pulmonary Edema, Symptomatic Tachycardias, Sensitivity

Front 25

Atropine

Back 25

Indications: Asystole, PEA, Nerve Agent Exposure / Organophosphate Poisoning, Symptomatic Bradycardia
Contraindications: AMI, GI Obstruction, Glaucoma, Myasthenia Gravis, Sensitivity to the Drug, Sensitivity to Belladonna, Sensitivity to Sulfates

Front 26

Aspirin

Back 26

Indications: AMI Symptoms, Angina, Cardiac Chest Pain, Fever, Inflammation
Contraindications: Active Ulcer Disease, Asthma, Bleeding Disorder, Bronchospasm, Children with Flu-Like Symptoms or Chicken Pox, GI Bleed, Hemorrhagic Stroke, Sensitivity

Front 27

Amiodarone

Back 27

Indications: Ventricular Arrythmias and Some Atrial Arrythmias
Contraindications: 2nd or 3rd Degree Heart Block, Bradycardia-Induced Syncope, Cardiogenic Shock, Hypotension, Sensitivity

Front 28

Methylprednisolone

Back 28

Indications: Anaphylaxis, Reactive Airway Disease
Contraindications: Diabetes, GI Bleed, Sensitivity

Front 29

Eptifibatide

Back 29

Indications: AMI-STEMI
Contraindications: Stroke, Dialysis, Other Anti-Platelets, Surgery, HTN, Bleeding Disorders, Sensitivity

Front 30

Adenosine

Back 30

Indications: PSVT or PSVT with WPW
Contraindications: AFib/Flutter, 2nd or 3rd Degree Heart Block, Bradycardia, Poisoning Induced Tachycardia, SSS, VTach, Sensitivity

Front 31

Acetaminophen

Back 31

Indications: Mild to Moderate Pain and Fever when Aspirin is not Tolerated.
Contraindications: Hypersensitivity.

Front 32

Odanestron

Back 32

Indications: N/V
Contraindications: Hypersensitivity

Front 33

Haloperidol

Back 33

Indications: Schizophrenia, Tourette's, Chemical Restraint
Contraindications: Pregnant Female, Unconscious Patients, Hypotensive Patients, Sensitivity

Front 34

Clopidogrel

Back 34

Indications: ACS, Chronic Coronary and Vascular Disease, Ischemic Stroke
Contraindications: History of ICH, GI Bleed or Trauma, Sensitivity

Front 35

Vasopressin

Back 35

Indications: VFib / Pulseless VTach, Slow or Stop GI Bleeding, Diabetes Insipidus
Contraindications: Sensitivity

Front 36

Ketamine

Back 36

Indications: General Anesthesia, Excited Delirium
Contraindications: Under 3 Months, Psychosis, Sensitivity, HTN

Front 37

Midazolam

Back 37

Indications: Anxiety, Premedication Prior to Cardioversion or RSI
Contraindications: Narrow Angle Glaucoma, Shock, Caution in Seizures from Anticholinergic OD, Sensitivity

Front 38

Diltiazem

Back 38

Indications: SVT, Angina
Contraindications: 2nd or 3rd Degree Heart Block, Hypotension, SSS, Wide-Complex Tachycardia, WPW, Sensitivity

Front 39

Ketorolac

Back 39

Indications: Moderately Severe Acute Pain
Contraindications: Hypersensitivity

Front 40

Lorazepam

Back 40

Indications: Seizures, Chemical Restraint
Contraindications: Pregnancy, Sensitivity, Caution in Seizures From Anticholinergic OD.

Front 41

Ibuprofen

Back 41

Indications: Fever, Mild to Moderate Pain
Contraindications: Active Peptic Ulcer Disease, Bleeding Conditions, Sensitivity

Front 42

Glucagon

Back 42

Indications: Hypoglycemia
Contraindications: Sensitivity

Front 43

Lidocaine

Back 43

Indications: Arrythmias, Closed Head Injury, CVA
Contraindications: Bradycardia, Idioventricular Rhythms, High Degree Heart Blocks, Sensitivity

Front 44

Magnesium Sulfate

Back 44

Indications: Pre-Eclampsia, Eclampsia, Torsades, Reactive Airway Disease
Contraindications: Sensitivity

Front 45

Heparin

Back 45

Indications: AMI-STEMI
Contraindications: Uncontrollable Bleeding, Sensitivity

Front 46

Vecuronium

Back 46

Indications: RSI
Contraindications: Sensitivity

Front 47

Fentanyl

Back 47

Indications: Acute Pain, RSI
Contraindications: Severe Hemorrhage, Shock, Sensitivity

Front 48

Flumazenil

Back 48

Indications: Benzodiazepine OD
Contraindications: Cyclic Antidepressant OD, Sensitivity

Front 49

Ipatropium Bromide

Back 49

Indications: Asthma, Bronchospasm
Contraindications: Use as a Primary Treatment, Sensitivity

Front 50

Etomidate

Back 50

Indications: Sedation Induction for Intubation
Contraindications: Sensitivity, Child Under 10