Sander's Paramedic Textbook 5th
edition - Drugs
Albuterol period - ANS-2-6 hours after inhalation
Albuterol Indications - ANS-Bronchospasms in sufferers with reversible obstructive airway
disorder
prevention of exercise brought about bronchospasm
anaphylaxis
hyperkalemia
Albuterol is a - ANS-sympathomimetic, bronchodilator, beta-2 agonist
Albuterol onset - ANS-five-eight mins after inhalation
Dexamethasone dose - ANS-Adult: numerous .6mg/kg max of 16mg IV
Ped: 1 dose of .6mg/kg PO (max 16mg)
Dexamethasone length - ANS-24-72hrs
Dexamethasone is a - ANS-Glucocorticoid
Dexamethasone onset - ANS-four-8 hrs after parenteal admin
Diphenhydramine (Benadryl) is a - ANS-1st technology antihistamine and anticholinergic
used to treat bloodless and allergic reaction symptoms, movement illness, EPS and PD (also
good for dystonia)
Diphenhydramine Adverse reactions - ANS-Sedation,
hypotension,
seizures,
thickening of pulmonary secretions (asthma patients),
paradoxical excitation in pediatric patients
palpitations
dry mouth and throat
Diphenhydramine contrainidcations - ANS-Patients taking non-selective MAO inhibitors
Hypersensitivity
narrow angle glaucoma
Newborns and nursing moms
Diphenhydramine dose - ANS-Adult: 1mg/kg (max 50mg) IM/PO or slow IV
Ped: 1mg/kg (max 25mg) IM/PO/IV
,Diphenhydramine drug interactions - ANS-- CNS depressants and alcohol may additionally
have additive outcomes
- MAO inhibitors may also prolong and intensify anticholinergic outcomes of antihistamines
Diphenhydramine length - ANS-6-12hrs
Diphenhydramine onset - ANS-max impact in 1-3hrs
Epi contraindications - ANS-Hypersensitivity (no longer real problem. Just titrate to effect)
Hypovolemic surprise (restore the hassle first!)
Dilated cardiomyopathy
Epi dose for anaphylaxis - ANS-Adult: .3-.Five ML subcu. Repeat in five-15min
Pediatric: .01mg/kg IM up to .3mg repeat 15
Epi dose for bradycardia or hypo - ANS-2-10mcg/min infusion: titrate to response
Pediatric: .01mg/kg
continuous infusions: .1-1mcg/kg according to min. Higher dose may be effective
All ET doses: .1mg/kg (.1mg/kg of 1mg/ml answer
Epi dose for pulseless arrest - ANS-Adult: IV/IO 1mg push each three-5min
Ped: IV/IO .01mg/kg every 3-5 min. Max 1mg
Peds ET: .1mg/kg of 1mg/mL answer every five minutes till IV/IO is hooked up
Epi dose for stridor or bronchospasm - ANS-Anaphylaxis: 5ml nebulized
Bronchiolitis: 3mg in 3mL
Croup: .5mg (5mL of .1mg/mL) nebulized
Epi warning signs - ANS-Anaphylaxis
Cardiac Arrest
Pulseless electrical pastime
VF and pulseless VT unresponsive to preliminary defib
Symptomatic bradycardia
Severe hypotension w/brady while pacing and atropine fail
Bronchial bronchial asthma
Epi special attention - ANS-Pregnacy C
Don't use prefilled syringes
May increase myocardial oxygen demand
Safe for anaphylaxis if given effectively
Epinephrine duration - ANS-IM: five-10min
Epinephrine is a - ANS-sympathomimetic
(however if you didn't realize that by means of now, you are in problem)
, Epinephrine onset - ANS-Subcutaneously: five-10min
IV/ET 1-2min
Etomidate does - ANS-Adult: .2-.6mg/kg over 30-60 2d (1 dose)
pediatric (>10yrs): .2-4mg/kg (Max dose 20mg)
Etomidate period - ANS-five-10min
Etomidate is a - ANS-Nonbarbiturate hypnotic, anesthetic
Etomidate onset - ANS-<1min
Fentanyl negative reactions - ANS-Respiratory depression
Bradycardia
Hypotension or hypertension Nausea and vomiting
Chest wall muscle pressure
Fentanyl aka Sublimaze is a - ANS-Opioid analgesic
Fentanyl contraindications - ANS-Respiratory depression
Hypotension
Head injury
Cardiac dysrhythmias
Myasthenia gravis
Hypersensitivity to different opiates (relative)
Fentanyl description - ANS-Fentanyl (like other opioids) combines with receptor websites in
the brain to produce effective analgesic results. This drug regularly is given in aggregate with
benzodiazepines for conscious sedation.
Fentanyl dosage for pain - ANS-Adult: 1 mcg/kg IV, intranasal (IN), or IM (max initial dose a
hundred mcg); alternatively, use zero.05-0.1 mg (50-a hundred mcg) gradual IV over 1-2
mins q 1- 2 hours prn to control pain
Child: 1-2 mcg/kg
Fentanyl drug interactions - ANS-Effects can be improved when this drug is given with other
CNS depressants or skeletal muscle relaxants.
Fentanyl length - ANS-30-60 min
Fentanyl for cease of life care - ANS-25 mcg in 2 mL NS nebulized
Fentanyl for RSI - ANS-2-5 mcg/kg IV/IO
Fentanyl warning signs - ANS-Pain control
Sedation for invasive airway techniques (eg, rapid-sequence induction)
Fentanyl onset - ANS-IV: 1-2 minutes
edition - Drugs
Albuterol period - ANS-2-6 hours after inhalation
Albuterol Indications - ANS-Bronchospasms in sufferers with reversible obstructive airway
disorder
prevention of exercise brought about bronchospasm
anaphylaxis
hyperkalemia
Albuterol is a - ANS-sympathomimetic, bronchodilator, beta-2 agonist
Albuterol onset - ANS-five-eight mins after inhalation
Dexamethasone dose - ANS-Adult: numerous .6mg/kg max of 16mg IV
Ped: 1 dose of .6mg/kg PO (max 16mg)
Dexamethasone length - ANS-24-72hrs
Dexamethasone is a - ANS-Glucocorticoid
Dexamethasone onset - ANS-four-8 hrs after parenteal admin
Diphenhydramine (Benadryl) is a - ANS-1st technology antihistamine and anticholinergic
used to treat bloodless and allergic reaction symptoms, movement illness, EPS and PD (also
good for dystonia)
Diphenhydramine Adverse reactions - ANS-Sedation,
hypotension,
seizures,
thickening of pulmonary secretions (asthma patients),
paradoxical excitation in pediatric patients
palpitations
dry mouth and throat
Diphenhydramine contrainidcations - ANS-Patients taking non-selective MAO inhibitors
Hypersensitivity
narrow angle glaucoma
Newborns and nursing moms
Diphenhydramine dose - ANS-Adult: 1mg/kg (max 50mg) IM/PO or slow IV
Ped: 1mg/kg (max 25mg) IM/PO/IV
,Diphenhydramine drug interactions - ANS-- CNS depressants and alcohol may additionally
have additive outcomes
- MAO inhibitors may also prolong and intensify anticholinergic outcomes of antihistamines
Diphenhydramine length - ANS-6-12hrs
Diphenhydramine onset - ANS-max impact in 1-3hrs
Epi contraindications - ANS-Hypersensitivity (no longer real problem. Just titrate to effect)
Hypovolemic surprise (restore the hassle first!)
Dilated cardiomyopathy
Epi dose for anaphylaxis - ANS-Adult: .3-.Five ML subcu. Repeat in five-15min
Pediatric: .01mg/kg IM up to .3mg repeat 15
Epi dose for bradycardia or hypo - ANS-2-10mcg/min infusion: titrate to response
Pediatric: .01mg/kg
continuous infusions: .1-1mcg/kg according to min. Higher dose may be effective
All ET doses: .1mg/kg (.1mg/kg of 1mg/ml answer
Epi dose for pulseless arrest - ANS-Adult: IV/IO 1mg push each three-5min
Ped: IV/IO .01mg/kg every 3-5 min. Max 1mg
Peds ET: .1mg/kg of 1mg/mL answer every five minutes till IV/IO is hooked up
Epi dose for stridor or bronchospasm - ANS-Anaphylaxis: 5ml nebulized
Bronchiolitis: 3mg in 3mL
Croup: .5mg (5mL of .1mg/mL) nebulized
Epi warning signs - ANS-Anaphylaxis
Cardiac Arrest
Pulseless electrical pastime
VF and pulseless VT unresponsive to preliminary defib
Symptomatic bradycardia
Severe hypotension w/brady while pacing and atropine fail
Bronchial bronchial asthma
Epi special attention - ANS-Pregnacy C
Don't use prefilled syringes
May increase myocardial oxygen demand
Safe for anaphylaxis if given effectively
Epinephrine duration - ANS-IM: five-10min
Epinephrine is a - ANS-sympathomimetic
(however if you didn't realize that by means of now, you are in problem)
, Epinephrine onset - ANS-Subcutaneously: five-10min
IV/ET 1-2min
Etomidate does - ANS-Adult: .2-.6mg/kg over 30-60 2d (1 dose)
pediatric (>10yrs): .2-4mg/kg (Max dose 20mg)
Etomidate period - ANS-five-10min
Etomidate is a - ANS-Nonbarbiturate hypnotic, anesthetic
Etomidate onset - ANS-<1min
Fentanyl negative reactions - ANS-Respiratory depression
Bradycardia
Hypotension or hypertension Nausea and vomiting
Chest wall muscle pressure
Fentanyl aka Sublimaze is a - ANS-Opioid analgesic
Fentanyl contraindications - ANS-Respiratory depression
Hypotension
Head injury
Cardiac dysrhythmias
Myasthenia gravis
Hypersensitivity to different opiates (relative)
Fentanyl description - ANS-Fentanyl (like other opioids) combines with receptor websites in
the brain to produce effective analgesic results. This drug regularly is given in aggregate with
benzodiazepines for conscious sedation.
Fentanyl dosage for pain - ANS-Adult: 1 mcg/kg IV, intranasal (IN), or IM (max initial dose a
hundred mcg); alternatively, use zero.05-0.1 mg (50-a hundred mcg) gradual IV over 1-2
mins q 1- 2 hours prn to control pain
Child: 1-2 mcg/kg
Fentanyl drug interactions - ANS-Effects can be improved when this drug is given with other
CNS depressants or skeletal muscle relaxants.
Fentanyl length - ANS-30-60 min
Fentanyl for cease of life care - ANS-25 mcg in 2 mL NS nebulized
Fentanyl for RSI - ANS-2-5 mcg/kg IV/IO
Fentanyl warning signs - ANS-Pain control
Sedation for invasive airway techniques (eg, rapid-sequence induction)
Fentanyl onset - ANS-IV: 1-2 minutes
