BLS Medication Reference - Massachusetts, Bunker Hill Community College

Acetaminophen Indications, Dosage, route

Pain management - adults only, 650-1000mg, PO

Acetaminophen contraindictions

Liver failure, unable to take oral medications

Albuterol Indications, Dosage, Route

S/Sx asthma, 2.5mg (adults), 1.25 metered dose (kids), nebulizer

Albuterol Contraindications

No S/Sx bronchoconstriction, congestive heart failure w/o CPAP

Aspirin Indications, Dosage, Route

Acute cardiac syndrome, 81mg x 4, PO

Aspirin Contraindictions

Major trauma, pediatrics, unable to take oral medication

Activated Charcoal Indications, Dosage, Route

Oral poisoning, 1-2 g/kg, Oral

Activated Charcoal Contraindications

Ingestion time > 25 min ago, caustic (acidic, alkaline) ingestion

Diphenhydramine Indications & Dosage

Allergic reaction, 25-50mg (adult), 1mg/kg

Epinephrine Indications & Dosage

Anaphylaxis, 0.3mg (adult), 0.15mg (kid)

Epinephrine Contraindications

No S/Sx shock

Diphenhydramine Contraindications

Unconscious/unable to swallow, no S/Sx of distress, kids<2y/o

Glucagon Indications, Dosage, Route

Hypoglycemia, 1mg (adult & kid >44lb), 0.5mg (kid < 44lb), IM/IN

Glucagon Contraindications

Blood glucose > 70 mg/dl

Ibuprofen Indication, Dosage, Route

Pain management, 600mg, adult only, PO

Ibuprofen Contraindication

Unable to take oral medication, head injury, chest pain, abdominal pain/injury, ulcer, renal injury, likely to need surgery, pregnancyO

Oxygen Indications

Hypoxia/shock/SOB/ACS

Oxygen contraindications

SPo2 > 94% - reconsider

Oral Glucose Indications, Dosage, Route

Hypoglycemia, 1-2 tubes (adult), 1 tube (kid > 44lb), ½ tube (kid < 44lb), PO

Oral Glucose Contraindications

Unconcious/unable to take orally

Nitroglycerin Indications, Dosage, Route

ACS/angina, 0.4mg (3x max.), SL

Nitroglycerin contraindications

No Rx, SBP < 120, trauma, erectile dysfunction medications

Naloxone Indications, Dosage, Route

Opioid overdose, 0.4-8mg (16mg max), IN/IM

Naloxone Contraindications

No S/Sx opioid overdose

Potential O2 administration routes

Nasal canulla, non-rebreather mask, bag-valve-mask, small-volume nebulizer

Ipratropium Bromide Indications, Dosage, Route

S/Sx of asthma, 500mcg (adult), 250 mg (kid) in tandem with albuterol , SVN