Paramedic Pharmacology NREMT Latest Update Already Passed

Paramedic Pharmacology NREMT Latest Update Already Passed Epinephrine class/action catecholamine/adrenergic/sympathetic agonist - stimulates alpha and beta receptors Epinephrine 1:10,000 indications cardiac arrest Epinephrine side effects tachydysrhythmia hypertension early labor headache nervousness decreased LOC palpations anxiety dizziness Epinephrine 1:10,000 dose 0.5-1 mg IV/IO pediatric = 0.01 mg/kg (0.1 mL/kg) Epinephrine 1:1,000 indications Severe allergic reaction status asthmaticus laryngeal/lingual edema Epinephrine 1:1,000 Contraindications pre-existing tachydysrhythmia hypertension significant cardiac history pregnancy Epinephrine 1:1,000 dose 0.3 mg IM Pediatrics = 0.01 mg/kg (0.01 mL/kg) max 0.3 mg (0.3 mL) Croup = 5 mg (5 mL) nebulized with 2.5-3 mL NS Morphine class/action Narcotic analgesic - decreases pain perception and anxiety Morphine indications moderate to severe pain Morphine Contraindications head injury decreased mental status multiple trauma COPD compromised respirations hypotension allergy to morphine/codeine/percodan Morphine side effects Respiratory depression/arrest Decreased LOC Hypotension Increased vagal tone (slowed heart rate) N/V Pinpoint pupils Increased cerebral blood flow Urticaria Morphine precautions continuous patient monitoring: pulse oximetry ECG capnography vital signs respiratory effort *rapid administration increases side effects Morphine Dose Analgesia = 0.1 mg/kg (5-10 mg) slow IV, repeat 0.05 mg/kg after 10-15 mins as needed ACS = 2 mg slow IV Pulmonary edema = 2-5 mg slow IV Pediatrics = 0.1 mg/kg slow IV *can also give IO/IM Lorazepam/