1
EPI dose/route/etc
IM
1mg/ml=1;100
0.01mg/kg
0.5mg
NA
1
what drugs are used for moderate to severe allergic reaction contraidncations and indications
EPI. Diphenhydramine
contraidications - allergy or sensivity
indications - exposure to a probalbe allergen, signs and symptoms of a moderate to severe allergic reaction
ASA dose
PO
160-162mg
max - 162mg
dosing interval NA
max 1
hydrocortisone dose
route - IM/IV
dose - 2mg/kg
max single dose - 100mg
dosing interval - NA
max of dose - 1
pulmonary edema - drug conditions and contraindications
nitro - over 18yrs, HR 60-159bpm, SBP normotensions
contraidications - allergy or sensiviity to nitrates, phosphodiesterase inhibiotr use within the previous 48 hours, SBP drops by 1/3 of its intial valve after nitro is given
Medications for medical cardiac arrest
Epi. (if anaphylaxis suspeted as the event)
Defib
Dose 4 Epi
1mg/ml=1;100
0.01mg/kg
0.5mg
minimun of 5 mins
2
Nitro x STEMI combo
STEMI W SBP over 100mmhg, route SL, dose 0.3mg or 0.4mg, max dose 0.4mg, dosing interval 5 min, max dose 6
NSTEMI w SBP over 100mmhg, route SL, dose 0.3mg or 0.4mg, max dose 0.4mg, dosing interval 5 mins, max dose 3
Analgesia - drugs and conditions of said drugs
Acetaminophen - over 12 years old, LOA unaltered
ibuprofen - over 12 years over, LOA unaltered
ketorolac - over 12 years over, LOA unatlered
drugs 4 hypoglycemia conditions and contraidications
- allergy or sensivity to dextrose
glucagon - LOA unaltered, hypoglecmia, AGe over 4 in powder
- allergy or sensivity, phecochromocytoma
Contradications for EPI
Allergy or sensetively
dose for diphenhydramine
weight 25kg to 50kg - IV/IM dose - 25mg, MSD 25mg, dosing invterval - NA, max dose 1
weight over 50kg - route IV/IM, dose - 50mg, MSD 50mg, dosing interal - NA, max dose 1
Opiod drugs conditions
Naloxne - age over 24hrs, LOA altered, RR under 10bpm, inability to adequately ventilate OR persistent need to assit ventilations
Buprenorphine/naloxone - age under 16, LOA unaltered, recieved nalxone for current opoiod toxicity episode AND pt is exhibiting acute withdrawl with a COWS score under 8.
contraidcations of acetaminophen
use within previous 4 hours
allergy or sensivity
hx of liver disease
active vommiting
unable to tolerate oral medication
suspected ischemic chest pain
dose 4 dextrose (10% concetration)
age over 2 years
concetraition - 10% dextrose
route - IV
dose - 0.2g/kg
max single dose - 25g
dosing interval 10 mins
max doses - 2
What are the contraindication for Medical TOR
pregnancy presumed to be over 20 weeks
suspected hypothemia
Airway obstruction
Non-opioid drug overdose/toxicology
cardiac ischemia - drugs and condtions
ASA - over 18yrs, LOA - unaltered, able to chew and swallow
Nitro - over 18yrs, LOA - unaltered, HR 60-159bpm, SBP - normotension, Prior hx of nitroglycerin use or IV access obtained
opiod drug contraidincations
naloxone - allergy or sensitivity to nalxone
buprenorphine/naloxone - allergy or sensivitiy, taken methadone in the past 72hours
contraications of ibuprofen
NSAID use within previous 6 hours
allergy or sensivitiy to ASA or NSAIDS
pt on anticoagulation therapy
current active bleed
hx of peptic ulcer diesease or GI bleed
pregnant
if asthmatic, no prior use of ASA or other NSAIDs
CVA or TBi in previous 24 hours
known renal impairment
active vomiting
unable to tolerate oral medication
suspected ichemic chest pain
dose 4 dextrose (50% concentration)
age - over 2 years
concetration - 50% dextrose
Route - IV
dose - 0.5kg
max single dose - 25g
dosing intveral 10 min
max dose - 2
What is the directive that requires a mandatory patch point
Medical Cardiac Arrest
Cardiac ischemia contraidciations
ASA - allergy or sensitivity to NSAIDS, if asthmatic no prior use of ASA, current active bleeding, CVA or TBi in the previous 24hours
nitro - allergy or sensiviity to nitrates, phosphodiesterase inhibitor use within the previous 48hrs, SBP drops by 1/3 or more its inital valuve after nitro is given, 12-lead compatible with right ventricular MI
age related hypoglycemia OR
GI symptoms OR
syncope OR
temp over 38c or fever OR
altered LOA OR
age related tachycardia OR
age related hypotension
allergy or sensitivity to ASA or NSAIDS
pt on anitogulation therapy
current active bleeding
hx of peptic ucler disease or GI bleed
pregneant
if asthmatic, no prior use of ASA or other NSaids
CVA or tbi in previous 24 hours
known renal impairment
suspected ischemic chest pain
dose for hydrocortisone
route - IM/IV
dose - 2mg/kg
max signel dose - 100mg
dosing interval NA
max dose - 1