Flight paramedic drugs Questions And
Answers
CYANOKIT Administration when exposed to cyanide, either from fire, or Nipride
infusion without protective bag. Symptoms of cyanide toxicity include tachycardia and
hypertension with presence of toxicity pathology.
DANTROLENE Antidote for malignant hyperthermia Symptom onset after paralytic is
administered (inhaled anesthetics or Anectine). S/S include increasing ETCO2, increased HR,
increased temperature.
DDAVP (DESMOPRESSIN) Treats Diabetes Insipidus by working on the hypothalamus.
Therapeutic levels is present with patient has a decrease in urine output back to 30-50 ml/hr for
adults
DEMEROL Administered for pain management Not utilized with most RSI protocols
DIAZOXIDE Treats hypertension, not normally used. Potent vasodilator
DILANTIN (PHENYTOIN) Second line seizure therapy when benzodiazepines are not
controlling seizures Also given for prophylactic seizure treatment in TBI patients
, Flight paramedic drugs Questions And
Answers
DOBUTAMINE Vasopressor therapy Seen with cardiogenic shock patients as it increases
SV
DOPAMINE Administered for hypotension Caution with patients with increased lactate or
cardiac dysfunction as Dopamine causes a large increase in oxvgen demand due to increased HR.
EPINEPHRINE Know ACLS indications Administered for catecholamine dependent
patients that are hypotensive prior to RSI. Administered for hypotension Administered as a push
dose pressor for hypotensive adults: Take 1cc of 1:10,000 Epi and mix with 9cc NS Administer
0.5-2mL per dose which is 5-20mcg. If need more than 3 push dose pressor administrations
consider Epinephrine infusion at 2-10mcg/min
ETOMIDATE Sedative for RSI administration at 0.3mg/kg Can only utilize once, due to
adrenal suppression. Contraindicated in septic patients or anyone with adrenal insufficiency.
FENTANYL Administered for pain management and post RSI to assist with discomfort. If
patient is intubated, needs to be administered with sedation as well.
Answers
CYANOKIT Administration when exposed to cyanide, either from fire, or Nipride
infusion without protective bag. Symptoms of cyanide toxicity include tachycardia and
hypertension with presence of toxicity pathology.
DANTROLENE Antidote for malignant hyperthermia Symptom onset after paralytic is
administered (inhaled anesthetics or Anectine). S/S include increasing ETCO2, increased HR,
increased temperature.
DDAVP (DESMOPRESSIN) Treats Diabetes Insipidus by working on the hypothalamus.
Therapeutic levels is present with patient has a decrease in urine output back to 30-50 ml/hr for
adults
DEMEROL Administered for pain management Not utilized with most RSI protocols
DIAZOXIDE Treats hypertension, not normally used. Potent vasodilator
DILANTIN (PHENYTOIN) Second line seizure therapy when benzodiazepines are not
controlling seizures Also given for prophylactic seizure treatment in TBI patients
, Flight paramedic drugs Questions And
Answers
DOBUTAMINE Vasopressor therapy Seen with cardiogenic shock patients as it increases
SV
DOPAMINE Administered for hypotension Caution with patients with increased lactate or
cardiac dysfunction as Dopamine causes a large increase in oxvgen demand due to increased HR.
EPINEPHRINE Know ACLS indications Administered for catecholamine dependent
patients that are hypotensive prior to RSI. Administered for hypotension Administered as a push
dose pressor for hypotensive adults: Take 1cc of 1:10,000 Epi and mix with 9cc NS Administer
0.5-2mL per dose which is 5-20mcg. If need more than 3 push dose pressor administrations
consider Epinephrine infusion at 2-10mcg/min
ETOMIDATE Sedative for RSI administration at 0.3mg/kg Can only utilize once, due to
adrenal suppression. Contraindicated in septic patients or anyone with adrenal insufficiency.
FENTANYL Administered for pain management and post RSI to assist with discomfort. If
patient is intubated, needs to be administered with sedation as well.
