Activated Charcoal
(Actidose, EZ- Char)
Action:
Chemical attaches to the surface of the charcoal and becomes trapped
Dose:
25-50g PO or NG
Package:
50g in 240ml bottle
Adenosine
(Adenocard)
Action:
Slows the conduction of electrical impulses at the AV node
Dose:
6mg rapid IVP followed by 20ml flush; repeat at 12mg rapid IVP followed by 20ml NS flush; 2 minute intervals between doses if patient does not convert; may also be admini
Albuterol
(Proventil, Ventolin)
Action:
Binds and stimulates beta2 receptors resulting in relaxation of bronchial smooth muscle
Dose:
2.5mg UND; may repeat as needed
Package:
2.5mg/3ml fish
Amioderone
(Cordarone)
Action:
Acts directly on the myocardium to delay repolarization and increase the duration of the action potential
Dose:
Ventricular Fibrillation and Pulseless Ventricular Tachycardia:
300mg IV/IO; may be repeated one time at 150mg in 3-5min
St
Aspirin
(Acetylsalicylic Acid, ASA)
Action:
Prevents platelet aggregation
Dose:
324mg PO
Package:
81mg chewable tablets
Atenolol
(Tenormin)
Action:
Decreases heart rate,myocardial contractility resulting in decrease in cardiac oxygen consumption. Inhibits bronchial dilation
Dose:
5mg IV/IO over 5 minutes; may repeat in 10 minutes
Package:
5mg/10ml vial
Atropine Sulfate
Action:
Competes reversibility with acetylcholine at the site of the muscarinic receptor. Reduces vagal tone and thus increases at the SA node and increases AV conduction
Dose:
Symptomatic bradycardia
.5mg IV/IO 3-5 minutes to max of 3mg
Organophosphate p
Calcium chloride 10%
Action:
Increases cardiac contractile (positive into tropic effect)
Dose:
500-1000mg IV/IO over 5-10 minutes
Packaged:
1g/10ml prefilled syringe
Dextrose 50%
Action:
Increases blood glucose concentration
Dose:
25g IV/IO/PR
Package:
25g/50ml prefilled syringe
Diazepam
(Valium)
Action:
Binds to the benzodiazepine receptor and enhances the effects of GABA
Dose:
Anxiety:
2-5mg Slow IVP or IM
Seizure:
5-10mg slow IV/IO can repeat in 10-15min
Max 30mg
Sedation:
5-15mg slow IV/IO
Package:
10mg/2ml carpuject
Dilatiazem
(Cardizem)
Action:
Blocks calcium from moving into the heart muscle which prolongs the conduction of electrical impulses through the AV node
Dose:
.25mg/kg IV/IO over 2 minutes; can repeat at 0.35mg/kg IO/IV over 2 minutes
Package:
25mg/5ml vial
Diphenhydramine
(Benadryl)
Action:
Binds and blocks H1 histamine receptors
Dose:
25-50mg IV/IO/IM
Package:
50mg/ml vial
Droperidol
(Inapsine)
Action:
Droperidol is a neuroleptic (tranquilizing) agent with marked tranquilization and sedation activity. It allays apprehension and provides a state of mental detachment and indifference while maintaining a state of reflex alertness
Dose:
C
Dopamine
(Intropin)
Action:
Stimulates alpha and beta adrenaline receptors
Dose:
2-20mcg/kg/min IV/IO titrated to effect. Starting does is 5mcg/kg/min
Package:
400mg/250ml premixed bag
Epinephrine
(Adrenaline)
Action:
Binds strongly with both alpha and beta receptors producing increased blood pressure, increased heart rate, bronchodilation
Dose:
Anaphylaxis or Asthma:
.3-.5mg 1:000 SQ/IM or 1:10,000 IV
Cardiac Arrest:
1mg IV/IO every 3-5 minutes
Br
Etomidate
(Amidate)
Action:
Unknown, Appears to have GABA- like effects
Dose:
.3mg/kg slow IV/IO; typical adult dose is 20mg
Package:
20mg/10ml vial
40mg/20ml Prefilled syringe
Fentanyl
(Sublimaze)
Action:
Binds to opiate receptors producing analgesia and euphoria
Dose:
1mcg/kg IV/IO/IM
25-50mcg IV/IO/IM titration to effect
Package:
100mcg/2ml vial or carpujet
Furosemide
(Lasix)
Action:
Inhibits the absorption of the sodium and chlorine ions and water in the loop of Henley as well as the convoluted tubule
Dose:
40mg IV/IO or double the patients daily dose up to 160mg
give at a rate of 20mg/min
Package:
40mg/4ml vial or pr
Glucagon
(GlucaGen)
Action:
Converts glycogen to glucose
Dose:
Hypoglycemia:
1mg (unit) IV/IO/IM/SQ
Beta-blocker OD:
2-5mg IV/IO over 1 minute
Package:
1mg/ml vial with prefilled syringe (must be reconstituted)
Glucose
Action:
Provides a quickly absorbed form of glucose to increase blood glucose levels
Dose:
15-30g PO (buccaneers preferred)
Packaged:
15, 30, or 45g tubes
Haloperidol
(Haldol)
Action:
Selectively blocks postsynaptic dopamine receptors
Dose:
2.5-5mg IV/IO/IM up to a max of 10mg
Package:
5mg/ml vial
Ipratropium Bromide
(Atrovent)
Action:
Antagonizes the acetylcholine receptor on bronchial smooth muscle
Dose:
.5mg UDN
Package:
.5mg/2.5ml fish
Ketamine
(Ketalar)
Action:
Produces a state of anesthesia while maintaining airway reflexes, heart rate, and blood pressure
Dose:
2mg/kg IV/IO or
10mg/kg IM
Package:
100mg/5ml vial
Ketorolac
(Toradol)
Action:
Inhibits the production of the prostaglandins in inflamed tissue
Dose:
30mg IV/IO or
60mg IM
Action:
30mg/ml vial
Lidocaine 2%
(Xylocaine)
Action:
Blocks sodium channels increasing the recovery period after repolarization. Suppresses automatically in the his-purkinje system and depolarization of the ventricles.
Dose:
RSI:
1.5mg/kg IV/IO; give 2-3min prior to intubation
EZ-IO:
20-
Lorazepam
(Ativan)
Action:
Binds to the benzodiazepine receptor and enhances the effects of the brain chemical GABA
Dose:
2mg IV/IO diluted in NS over 2 minutes
2mg IM/IN
Package:
2mg/ml vial
Magnesium Sulfate 10%
Action:
Controls seizures by blocking peripheral neuromuscular transmission. Peripheral vasodilator and an inhibitor of platelet function
Dose:
Torsades, VF, V-Tach, hypomagnesemia:
1-2g IV/IO over 2min
Torsades with pulse:
1-2g IV/IO over 5-60min
Eclamps
Meperidine
(Demerol)
Action:
Binds to opiate receptors producing analgesia and euphoria
Dose:
50-100mg IV/IO/IM/SQ
Package:
100mg/ml carpujet
Methylpredisolone
(Soul-medrol)
Action:
Reduces inflammation by multiple mechanisms
Dose:
125mg IV/IO
Package:
125mg/2ml act-o-vial
Metoprolol
(Lopressor)
Action:
Inhibits the strength of the hearts contraction and heart rate. Dilation of bronchial smooth muscle
Dose:
5mg IV/IO over 5min. Can repeat every 5min to max of 15mg
Package:
5mg/5ml vial
Midazolam
(Versed)
Action:
Binds to the benzodiazepine receptor and enhances the effects of GABA
Dose:
2.5-10mg IV/IO/IM/IN
Package:
5mg/ml vial
Morphine Sulphate
Action:
Binds with opioid receptors. Reduces stimulation of the sympathetic nervous system. Reduces heart rate, cardiac work, and myocardial oxygen consumption
Dose:
.1mg/kg IV/IO
2-10mg IV/IO/IM/SQ
Package:
10mg/ml vial or carpuject
Naloxone
(Narcan)
Action:
Binds the opioid receptor and blocks the effect of narcotics
Dose:
.4-2mg IV/IO/IM/SQ
Package:
.4mg/ml vial
2mg/2ml prefilled syringe