EMT Drug Cards
Weight Conversion
To convert lbs to kgs: Lbs/2.2=Kg Divide weight in lbs by half then subtract 10%
GENERIC NAME: Topical Hemostatic Agent TRADE NAME: INDICATION(S): CONTRAINDICATIONS(S):
ACTION: ROUTE: Topical SIDE EFFECTS: DOSE: PRECAUTIONS:
GENERIC NAME: Activated Charcoal TRADE NAME: Actidose INDICATION(S): Acute ingested poisoning. Binds, or absorbs, various chemical agents and drugs from the GI tract. CONTRAINDICATIONS(S): An airway that cannot be controlled; ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol, methanol.
ACTION: Adsorbent ROUTE: PO/Oral SIDE EFFECTS: Constipation, diarrhea, temporary, darkening of the stool, vomiting DOSE: Adult: 50 gms Pediatric: 1g/kg, max 25 gms PRECAUTIONS: Administer only after emesis or in those cases where emesis is contraindicated.
GENERIC NAME: Activated Charcoal (with sorbitol) TRADE NAME: Actidose & Sorbitol INDICATION(S): Promotes GI Motility. Binds, or absorbs, various chemical agents and drugs from the GI tract. CONTRAINDICATIONS(S): An airway that cannot be controlled; ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol, methanol.
ACTION: Adsorbent ROUTE: PO/Oral SIDE EFFECTS: Constipation, diarrhea, temporary, darkening of the stool, vomiting DOSE: Adult: 50 gms Pediatric: 1g/kg, max 25 gms PRECAUTIONS: Administer only after emesis or in those cases where emesis is contraindicated.
GENERIC NAME: Acetaminophen TRADE NAME: Tylenol, Anacin-3 INDICATION(S): For pain and fever control CONTRAINDICATIONS(S): Hypersensitivity, children <3yo
ACTION: Analgesic and Antipyretic ROUTE: PO/Oral SIDE EFFECTS: When used appropriately, side effects with acetaminophen are rare. The most serious side effect is liver damage due to large doses DOSE: DOSAGE/ROUTE: Adult: 1000mg Pediatric: 10mg/kg PRECAUTIONS: Pts w/hepatic (liver) disease, alcoholism, malnutrition, thrombocytopenia, children <12yo w/arthritic conditions.
GENERIC NAME: Acetylsalicylic Acid TRADE NAME: Aspirin, Bayer, St Joseph Children's INDICATION(S): An anti-platelet drug for use in cardiac chest pain CONTRAINDICATIONS(S): Hypersensitivity to salicylates, active ulcer disease, asthma
ACTION: Analgesic, antipyretic, platelet inhibitor, anti-inflammatory ROUTE: PO/Oral SIDE EFFECTS: Nausea, vomiting, heartburn, bleeding, bronchopasm and wheezing if patient is allergic DOSE: Adult: 4 chewable baby aspirin (81mg each) Pediatric: Not indicated PRECAUTIONS: Allergies to other NSAIDs, bleeding disorders, children or teens with chicken pox or influenza-like symptoms. Side effects: N/V, heartburn, bleeding, bronchospasm and wheezing if patient is allergic.
GENERIC NAME: Diphenhydramine TRADE NAME: Benadryl INDICATION(S): Anaphylaxis and allergic reactions CONTRAINDICATIONS(S): Asthma and other lower respiratory disease
ACTION: Antihistamine ROUTE: PO/Oral SIDE EFFECTS: Sedation, tiredness sleepiness, dizziness, disturbed coordination, drying and thickening of oral and other respiratory secretions and stomach distress. DOSE: Adult: 50Mg Pediatric: 1Mg PRECAUTIONS: May induce hypo-tension, headache, palpitations, tachycardia, sedation, drowsiness, and/or disturbed coordination. EMT Basics can administer Diphenhydramine in oral over-the-counter form as allowed by protocol and medical control.
GENERIC NAME: Glucose TRADE NAME: Glucose, Insta-Glucose INDICATION(S): Low blood glucose (hypoglycemia) CONTRAINDICATIONS(S): Decreased level of consciousness, nausea, vomiting
ACTION: Carbohydrate ROUTE: PO/Oral SIDE EFFECTS: None when given properly; may be aspirated by the patient without a gag reflex DOSE: Adult: One tube or packet; repeat based on BGL Pediatric: One tube or packet; repeat based on BGL - minimum age 3 yrs PRECAUTIONS: assure pt has control of swallowing and airway.
GENERIC NAME: Pralidoxime (SMAT III) TRADE NAME: 2-PAM INDICATION(S): Antidote for Nerve Agents or Organophosphate poisoning. CONTRAINDICATIONS(S): Carbamate insecticides (Sevin), inorganic phosphates, and organophosphates having no anticholienesterase activity, asthma, peptic ulcer disease, severe cardiac disease or patients receiving aminophylline, theophylline, morphine, succinlycholine, reserpine, or phenothiazines.
ACTION: Cholinesterase re-activator ROUTE: Intramuscular Injection SIDE EFFECTS: Blurred or double vision, difficulty in focusing eyes, difficulty in speaking, difficult or rapid breathing, dizziness, fast heartbeat muscle stiffness or weakness, pain at place of injection (after injection into a muscle) DOSE: Adult: 600 mg Pediatric: Per medical control only PRECAUTIONS: All EMS personnel may self-administer or administer to a patient, by protocol and under medical direction, nerve agent kits containing Atropine and Pralidoxime through an auto injector system
GENERIC NAME: Ibuprofen TRADE NAME: Advil, Motrin, Excedrin IB INDICATION(S): Reduce fever and relieve minor to moderate pain CONTRAINDICATIONS(S): Allergies to aspirin or other NSAIDs; patients with history of GI bleeding (ulcers); renal insufficiency; patients currently taking anticoagulants such as Coumadin
ACTION: NSAID (Nonsteroidal anti-inflammatory drugs) ROUTE: PO/Oral SIDE EFFECTS: The most common side effects from Ibuprofen are rash, ringing in the ears, headaches, dizziness, drowsiness, abdominal pain, nausea, diarrhea, constipation and heartburn. NSAIDs reduce the ability of blood to clot and therefore increase bleeding after injury DOSE: Adult: 400-800 mg PO Pediatric: 10 mg/kg PO PRECAUTIONS: Hypertension, cardiac decompensation
GENERIC NAME: Naloxone TRADE NAME: Narcan INDICATION(S): Narcotic and synthetic narcotic overdose, coma of unknown origin CONTRAINDICATIONS(S): Hypersensitivity to the drug, non-narcotic-induced respiratory depression
ACTION: Narcotic antagonist ROUTE: Nasally SIDE EFFECTS: Abrupt reversal of narcotic depression may result in nausea, vomiting, sweating, tachycardia, increased blood pressure, tremulousness, seizures and cardiac arrest DOSE: Adult: 0.5-2 mg nasally via atomizer Pediatric: 0.1 mg/kg nasally via atomizer (max 2 mg), repeated in 5 minutes if no effect PRECAUTIONS: Possible dependency. EMT administration of Naloxone is limited to the intra-nasal route (spray).
GENERIC NAME: Oxygen TRADE NAME: O2 INDICATION(S): Hypoxia or anticipated hypoxia, or in any medical or trauma patient to improve respiratory efficiency. CONTRAINDICATIONS(S): There are no contraindications to oxygen therapy
ACTION: Oxidizing agent ROUTE: Inhalation SIDE EFFECTS: DOSE: Adult: 1-6 LPM via NC; 10-15 LPM via NRB; 15 LPM via BVM Pediatric: 1-6 LPM via NC; 10-15 LPM via NRB; 15 LPM via BVM PRECAUTIONS: COPD and very prolonged administration of high concentrations in the newborn
GENERIC NAME: Atropine TRADE NAME: Atropen INDICATION(S): Anticholinergic drug used in bradycardias or asystole. Organophosphate poisoning (insecticides, pesticides, cyanide, mustard gas, Sarin) CONTRAINDICATIONS(S): None in an emergency setting
ACTION: Parasympatholytic (increases heart rate) ROUTE: Intramuscular Injection SIDE EFFECTS: Dry mouth, blurred vision, urinary retention, tachycardia, constipation, decreased sweating DOSE: Adult: Asystole - 1 mg IV. Repeat in 3-5 minutes up to 3mg. Bradycardia - .05 - 1.0 mg IV every 3-5 minutes up to 3mg. Organophosphate - 1-2 mg IM/IV. Pediatric: Asystole - 0.02 mg IV, IO. (Min 0.1, max 1.0). May repeat in 3-5 minutes. Bradycardia - .As Asytole. Organophosphate - 0.02 mg/kg IV or IO PRECAUTIONS: AMI, glaucoma. Note: All EMS personnel may self-administer or administer to a patient, by protocol and under medical direction, nerve agent kits containing Atropine and Pralidoxime through an auto-injector system.
GENERIC NAME: Epinephrine TRADE NAME: Adrenalin, EpiPen INDICATION(S): Severe allergic reactions CONTRAINDICATIONS(S): Hypersensitivity to sympathomimetic amines, narrow angle glaucoma, hemorrhagic, traumatic, or cardiac shock; coronary insufficiency; dysrhythmias; organic brain or heart disease; or during labor.
ACTION: Sympathomimetic ROUTE: Injected SIDE EFFECTS: Increased heart rate, pallor, dizziness, chest pain, headache, nausea, vomiting, excitability, anxiety. DOSE: Adult: 0.3 mg of 1: 1,000 if age <50 years 0.15 mg of 1: 1,000 if age >50 years Pediatric: 0.15 mg of 1: 1,000 PRECAUTIONS: Elderly, debilitated patients, hypertension, diabetes, hyperthyroidism, parkinson's disease, tuberculosis, asthma, emphysema, and in children <6 yo. EMT-Basics give Epinephrine through an auto-injector pen (Epi-Pen or Epr-Jr).
GENERIC NAME: Albuterol TRADE NAME: Proventil, Ventolin INDICATION(S): Bronchospasm and asthma in COPD CONTRAINDICATIONS(S): Hypersensitivity to the drug, history of cardiac disease, heart rate >150 in adults, heart rate >200 in pediatrics
ACTION: Sympathomimetic bronchodilator ROUTE: Inhalation/MDI (Meter Dosed Inhaler) SIDE EFFECTS: Increased pulse rate (tachycardia), anxiety, nausea, cough, wheezing, tremors and/ or dizziness DOSE: Adult: 2.5-5.0 mg (3cc) via nebulizer continuously, x3 doses, if no history of cardiac disease and heart rate<150 Pediatric: 2.5mg (3cc) via nebulizer continuously, x3 doses, if no history of cardiac disease and heart rate<200 PRECAUTIONS: Vitals sings and breath sounds must be monitored, use caution with elderly, cardiac, or hypertensive patients.
GENERIC NAME: Oxymetazoline TRADE NAME: Afrin INDICATION(S): Epistaxis (nose bleed), nasal intubation CONTRAINDICATIONS(S): Significant hypertension
ACTION: Vasocontrictor ROUTE: Nasally SIDE EFFECTS: Sneezing or burning, stinging, dryness, or irritation of the nose. These side effects are usually mild and temporary DOSE: Adult: 2 sprays in affected nostril Pediatric: 1-2 sprays in affected nostril PRECAUTIONS: None
GENERIC NAME: Nitroglycerine TRADE NAME: Nitrostat INDICATION(S): Chest pain associated with angina and acute myocardial infarction CONTRAINDICATIONS(S): hypersensitivity, tolerance to nitrates, severe anemia, head trauma, hypotension, increased ICP, patient taking sildenafil (Viagra), glaucoma, and shock
ACTION: Vasodilator ROUTE: Sublingual SIDE EFFECTS: Hypotension (lowers blood pressure), head ache, pulse rate changes DOSE: Adult: 1 tablet or spray (0.4 mg) SL every 5 minutes until pain free or 3 doses---if SBP <100, contact medical control Pediatric: Not indicated PRECAUTIONS: May induce headache that is sometimes severe.
