Emt medicine

Narcan

Class: Narcotic antagonist

Mechanism:

Binds to opiate receptors and displaces the narcotics

Indications: Respiratory depression caused by narcotics/synthetic narcotics

Contraindications: Hypersensitivity

Dosage:

2-4 mg I

Oral Glcose

Class: Monosaccharide Carbohydrate

Mechanism: Provides a prompt increase in circulating blood sugar

Indications: Hypoglycemia

Contraindications: Unable to protect their airway

Dosage:

15-45gg OO

Aspirin

Class: Anti-platelet aggregation agent

Mechanism: Prevents platelets from sticking together (inhibits COX)

Indications: Chest pain suggestive of AMI

Contraindications: Hypersensitivity Active bleeding disorders

Dosage:

324 mg PO (4 x 81 mg tablets)

Nitroglycerin

Class: Vasodilator

Mechanism: Reduces myocardial workload and myocardial 02 demand

Indications: Chest pain associated with angina Chest pain associated with AMI

Contraindications: ED meds in the past 24 hrs SystolicBP<100mmHg Acute head injury

0.4 mg SL (tablet or spray)

Dosage:

Albuterol

Class: Bagonist Sympathomimetic Mechanism: Relaxes bronchial smooth muscle, decreasing airway resistance

Indications: Bronchial spasms (asthma/COPD exacerbation)

Contraindications: Hypersensitivity

Dosage:

2.5 mg via nebulizer at 8 liters per minute

Epinephrine (epi) 1:1,000

Class: Sympathomimetic

Mechanism: ,-contractility B,-bronchodilation a,- peripheral vasoconstriction

Indication: None during anaphylaxis *

Dosage: Adults- 0.3 mg IM Pediatric- 0.15 mg IM