Professional Documents
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Albuterol
Aspirin
Dextrose 50%
Epinephrine
Glucagon
Naloxone
Nitroglycerin
Nitropaste
Nitrous Oxide
Oral Glucose
Oxygen
Lactated Ringers
5% Dextrose in Water (D5W)
0.9% Sodium Chloride (normal saline)
Ipratropium Bromide*
Diphenhydramine*
Methylprednisolone*
Ondansetron*
Generic/Brand Name
Class
Mechanism of Action
Indications
Contraindications
Adverse Reactions
Drug Interactions
How Supplied
Route(s)
Dosage/Administration (adults/peds)
Duration of Action
Special Considerations
Sources
Text book
Protocol book
Drug book (PDR-Physicians Drug Reference, Nursing drug book, Paramedic drug books)
Just the basics. DONT GET TOO CRAZY WITH DETAILS!!
There may be many different indications and dosages out there. Use what is applicable to EMS.
You will find that in your text and protocol books.
Example
Albuterol (Proventil/Ventolin)
Class: Sympathomimetic, bronchodilator
Mechanism of Action: Beta 2 agonist causing smooth muscle relaxation in bronchial tree and peripheral
vasculature
Indications: Brochospasm in COPD/Asthma/allergic reactions, hyperkalemia
Contraindications: Tachydysrhythimias, known hypersensitivity
Adverse Reactions: Tremors, dizziness, tachycardia, palpitations, nervousness, nausea, vomiting,
hyperglycemia, increased BP
Drug Interactions: Beta blockers are antagonistic, may potentiate hypokalemia
How Supplied: 2.5 mg/3mL 0.5% solution or 90 mcg MDI
Route(s): Inhalation (nebulizer or MDI)
Dosage/Administration (adults/peds):
Adult: 2.5 mg solution in nebulizer over 10 minutes or 1-2 puffs/inhalations 90-180 mcg.
Peds same dosing
Duration of Action Onset 5-10 minutes, Peak: 30-120 mins Duration 3-4 hours
Special Considerations: Less effective in people taking beta-blockers