Mass State EMT Drug Information

allergic reaction epinepherine (adult)

• route

• indications

• contraindications

• dose

• max dose

• IM

• 18+, severe respiratory distress, anaphylactic signs

• over 65 YO (contact medical control)

• under 55: 0.15 mg; over 55: 0.3 mg

• 2, 5 mins apart

allergic reaction epinepherine (pedi)

• route

• indications

• contraindications

• dose

• max dose

• IM

• -18; one of the following:

  • skin or mucosal involvement with one of the following:

    • respiratory compromise

    • decreased BP/evidence of end-organ hypoperfusion

  • two or more of these occuring rapidly after exposre to likely antigen

    • skin or mucosal involvement

    • respiratory compromise

    • decreased SBP or evidence of end-organ hypoperfusion

    • persistent GI symptoms

  • decreased BP after exposure to a known allergen

• less than 6 months (contact medical control)

• under 55: 0.15 mg; over 55: 0.3 mg

• 2

nebulizer albuterol

• route

• indications

• contraindications

• dose

• max dose

• inhalation

• first assist with inhaler if not maxed out; history of RAD; current Rx for rescue inhaler

• unable to inhale; under 6 months; history of cardiac disease

• (P) 1.25mg/3mL; (A) 2.5mg/3mL

• 1 dose (contact medical control for ther 2nd dose)

glucose

• route

• indications

• contraindications

• dose

• max dose

• PO

• BGL < 70 mg/dL and AMS

• unconscious / unable to swallow or stroke symptoms

• Pt less than 44lbs: ½ tube ; Pt greater than 44 lbs: 1 tube

  • 2 max, 10 mins apart

naloxone

• route

• indications

• contraindications

• dose

• max dose

• IN

• suspected opioid overdose and resp distress

• nasal/facial trauma ; pt. breathing adequately

• 4-8 mg

• 16 mg (3-5 mins apart and BVM btwn doses)

aspirin

• route

• indications

• contraindications

• dose

• max dose

• PO

• chest pain (nontraumatic) + indication of MI

• allergic, GI bleed, unable to swallow

• 324 mg

• 1 dose

nitroglycerin ***TEMS DOES NOT CARRY

• route

• indications

• contraindications

• dose

• max dose

• sublingual

• chest pain

• hypotension, ED drugs within last 48 hrs

• 1 tablet / spray

• 3; 5 mins apart (INCLUDES DOSES THAT PT. GIVES THEMSLEVES)

ibuprofen

• route

• indications

• contraindications

• dose

• max dose

• PO

• pt. > 40 kg or > 14 YO and pain control

• allergy, head injury, chest pain, abdominal pain, potential for bleeding, ulcer, renal injury, pt. will need surgery, pregnancy

• 600 mg

• upto 4 doses (2400 mg)

acetaminophen

• route

• indications

• contraindications

• dose

• max dose

• PO

• pt. > 40 kg or > 14 YO and pain control

• allergy, liver failure, intoxication

• 650-1000 mg

• Pt with healthy liver: up to 4000 mg (4 doses) in 24 hours; Pt with failing liver: up to 2000 mg (2 doses)

diphenhydramine (benadryl)

• route

• indications

• contraindications

• dose

• max dose

• PO

• mild allergic reaction

• allergy to benadryl

• 1 mg/kg up to 50mg

• 1 dose max

t/f: you can give the patient a second dose of ibuprofen, acetominophen, and benadryl if you only gave the patient 1 dose of them

true

severe respiratory distress epinepherine (adult)

• indications

• contraindications

same indications and contraindications as nebulizer albuterol

HAVE to contact med control

severe respiratory distress epinepherine (pedi)

• indications

• contraindications

• dose

• max dose

• 6+ months - 18 YO, history RAD, bronchospasm AND Px for inhaler, SpO2 less than 92% on O2, pt. respiratory arrest or approaching (using BVM)

• ALL indications not met

• same dosage as norma,

• 1 dose, contact med control if additional dosages needed