Drugs (DR. DPT)

Acetaminophen

Drug: Acetaminophen

Route: Oral

Dose: Adults (1000mg), Peds (10-15 mg)

Patient: Indications (Pain and Fever), Contraindications (Liver Disease)

Time: No Repeats

Activated Charcoal

Drug: Activated Charcoal

Route: Oral

Dose: Adults (50g), Peds (1g/kg up to 25 g)

Patient: Indications (Ingested Poisons), Contraindications (AMS, unable to swallow or maintain airway, caustic substances)

Time: No Repeats

Albuterol (Beta2 Agonist)

Drug: Albuterol

Route: MDI/ Nebulizer (set O2 at 6-8L)

Dose: Adults (2.5 - 5.0 mg/ 3cc), Peds (1.25 - 2.5 mg/ 3cc)

Patient: Indications(Bronchospasm, Asthma, COPD w/wheezing, Rx), Contraindication(HR > 150 or >200 for pets, cardiac disease)

Time: Repeat 3x up to 15 mg (adult), 7.5 mg (peds)

Aspirin

Drug: Aspirin

Route: Oral (Chewed)

Dose: 4× 81mg tabs (324 mg total), peds not indicated

Patient: Indication (Chest Pain), Contraindications (Allergy to aspirin, Bleeding)

Time: No repeat

Atropine/Pralixodome (2-PAM)

Drug: 2-PAM

Route: IM Autoinjector in mid-lateral thigh delivers both drugs

Dose: DuoDote Kit: severe reaction 2.1 mg atropine; 600 mg pralidoxime

< 7 y/o: 1 Kit

8-14 y/o: 2 kits

> 14 y/o: 3 kits

Patient: Indications (Organophosphate Poisoning, Insecticides, nerve agent), Contraindications (None)

Time: 10-15 min until symptoms resolve

Calcium Gluconate paste/gel

Drug: Calcium Gluconate

Route: Dermal

Dose: Liberal application

Patient: Indications (Hydrofluoric acid exposure), Contraindications (None for hydrofluoric acid exposure)

Time: Repeat q15 min

Diphenhydramine

Drug: Diphenhydramine

Route: Oral

Dose: Adults (25-50mg), Peds (1mg/kg: liquid)

Patient: Indications (Allergic Reactions), Contraindications (None, do not give to only asthma)

Time: No Repeat

Epinephrine

Drug: Epinephrine

Route: IM by auto-injector or manual draw

Dose: Adults (0.3 - 0.5 mg), Peds (0.15 mg or .01mg/kg to 0.3mg max)

Patient: Indications (Anaphalaxis w/ at least 2 body system affected), Contraindications (Non is severe allergic reactions)

Time: Yes q5 min

Glucagon

Drug: Glucagon

Route: IM Deltoid

Dose: Adults (1-2 mg/kg), Peds (0.5 mg if < 25 kg or < 6 yrs old)

Patient: Indications (Hypoglycemia in unresponsive pt or pt cannon protect airway), Contraindications (None)

Time: Repeat q15 min

Glucose

Drug: Glucose

Route: Oral

Dose: Adult (15g), Peds (0.5g/kg) if BG < 70

Patient: Indications (AMS and known history of Diabetes), Contraindications (Unconciousness or inability to swallow)

Time: Repeat in 10-15 min

Ibuprofen

Drug: Ibuprofen

Route: Oral

Dose: Adults (400-600mg), Peds (10mg/kg)

Patient: Indications (Fever and Pain), Contraindications (Allergy to NSAIDs, History of GI Bleeding, renal insufficiency, anticoagulants

Time: No repeat

Isopropyl Alcohol

Drug: Isopropyl Alcohol

Route: Nasal (hold pad ½ inch from nostrils)

Dose: IPA pad

Patient: Indications (Nausea), Contraindications (Unresponsive)

Time: yes, PRN

Naloxone (Narcan)

Drug: Naloxone

Route: Nasal Atomizer

Dose: Adults (1-2mg/ml at 1mg/mL between nares), Peds, (0.1mg/kg)

Patient: Indications (Narcotic/ synthetic overdose), Contraindications (non-narcotic induced respiratory depression otherwise none)

Time: Yes

Afrin (Oxymetazoline)

Drug: Afrin

Route: Nasal Spray

Dose: Adults (2 sprays per nare), Peds (1-2 sprays)

Patient: Indications (Epistaxis or nosebleed), Contraindications (Hypertension)

Time: No Repeat

Nitroglycerine

Drug: Nitroglycerine

Route: Sublingual Tablets or Sprays

Dose: 0.4mg (1 spray/tablet)

Patient: Indications (Chest pain from Angina or MI, Pulmonary Edema), Contraindications (Head Trauma, ED medications, Systolic BP < 100 NC protocol)

Time: Repeat q5 min to 3x max

Nitrous Oxide (N20)

Drug: Nitrous Oxide

Route: Self administered by pt via demand mask. Pt must be alert, can hold to mask on, can follow commands

Dose: 50/50 preset blended mixture of nitrogen and oxygen

Patient: Indications (temporary relief from pain: especially. extremity injury, burns, kidney stones) Contraindications (AMS, facial trauma, COPD, prior hypoxia, pregnant, pneumothorax, bowel obstruction

Time: Dose self limited: pt reports relief or mask drops out of hand