Clark County EMS Formulary
Terms
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ACETYLSALICYLIC ACID (Aspirin)
FORM:
CLASS:
ACTION:
DOSE: -
81mg chewable tablet
Nonsteroidal anti-inflammatory (NSAID)
Platelet inhibition
Adult: 4 chewable tabs total(324mg)
Peds: Not recommended -
ACETYLSALICYLIC ACID (Aspirin)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
By mouth - chew & swallow
None
Allergy to aspirin, NSAIDS or currently taking Coumadin
(Warfarin sodium) -
ACTIVATED CHARCOAL (Actidose)
FORM:
CLASS:
ACTION:
DOSE: -
25 grams in 4 ounces
Adsorbant
Inhibits gastrointestinal absorption of toxic substances
Adult: 50 grams as a suspension in water
Peds: 1 gm/kg as a suspension in water, not to exceed adult dose.
min. dose 10 gm -
ACTIVATED CHARCOAL (Actidose)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
Swallowed with water
May cause nausea and vomiting
Altered mental status; ingestion of acids, alkalis or petroleum distillates; inability to swallow, previous administration of an emetic -
ADENOSINE (Adenocard)
FORM:
CLASS:
ACTION:
DOSE: -
6 mg/2ml
Antiarrhythmic
Slows conduction through the AV node & can interupt re-entry pathways
Adult: 6 mg; 2nd dose: 12 mg if the first dose was unsucessful within 12 minutes
Peds: 0.1 mg/kg, not to exceed 6 mg; 2nd dose 0.2 mg/kg not to exceed 12mg, if the first dose is unsucessful within 1-2 mins. -
ADENOSINE (Adenocard)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
Rapid IV Push
Facial flushing, headache, sweating, palpatations, and chest pain.
2nd or 3rd degree AV block or sick sinus syndrome unless patient witha functional artificial pacemaker. Atrial Flutter & Atrial Fibrillation. Repeat doses of Adenosine are not indicated if the dysrhythmia reoccurs after conversion. Alternate pharmalogical therapy may be necessary. -
ALBUTEROL (Proventil)
FORM:
CLASS:
ACTION:
DOSE: -
2.5 mg/3ml unit dose
Sympathomemetic
Bronchodilator
Adult: 2.5 mg in 3.0 ml(0.083% solution) for nebulizer.Continue treatments until clinical conditions improve.
Peds: Same as Adult dose. -
ALBUTEROL (Proventil)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
Inhalation by oxygen nebulization
Tachycardia, Palpatations, anxiousness, & headache
Hypersensitivity to this drug -
AMIODARONE (Cordarone)
FORM:
CLASS:
ACTION:
DOSE: -
150 mg/3 ml
Antiarrhythmic
Supresses ventricular ectopy; Increases ventricular fibrillation threshold
Adult: 300 mg
Peds: 5 mg/kg -
AMIODARONE (Cordarone)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
IV or IO
Seizures, respiratory depression, dizziness, restlessness, confusion, tinnitus, blurred vision, numbness, muscle twitching, hypotension, bradycardia, heart block, nausea and vomiting.
Hypersensitivity to the drug, cardiogenic shock, high grade AV block, marked sinus bradycardia or bradycardia with ventricular escape beats. -
ATROPINE SULFATE
FORM:
CLASS:
ACTION:
DOSE: -
1 mg/10 ml
Parasympathetic blocker
Cholingeric blocking agent; Increases rate of SA node discharge; Increases conduction through AV node
Adult: 0.5 - 1.0 mg every 3-5 minutes to a maximum dose of 0.04 mg/kg
Peds: 0.02 mg/kg may repeat once in 5 minsutes. Minimum dose 0.1 mg;
maximum dose .04 mg/kg -
ATROPINE SULFATE
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
IV or IO. ETT dose: 2 to 2.5 times IV dose
None
None -
BRONCHODILATOR METERED DOSE INHALER
FORM:
CLASS:
ACTION:
DOSE: -
Dependent on medication (e.g. Proventil, Alupent, Ventolin)
Sympathomimetic
Bronchodilator
Adult: Administer as prescribed
Peds: Administer as prescribed -
BRONCHDILATOR METERED DOSE INHALER
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
Inhalation
Tachycardia, palpatations, anxiousness & headache
Hypersensitivity to this drug -
CALCIUM CHLORIDE
FORM:
CLASS:
ACTION:
DOSE: -
1 g/10 ml
Electrolyte
Increases myocardial contractility, Increases myocardial excitability; Decreases heart rate
Adult: 10 ml(1.0 gram) of 10% solution
Peds: 20 mg/kg (0.2 mg/kg of 10% soultion) -
CALCIUM CHLORIDE
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
Slow IV Push
None
Patients receiving digitalis -
DIAZEPAM (Valium)
FORM:
CLASS:
ACTION:
DOSE: -
10 mg/2 ml
Antianxiety / Anticonvulsant
CNS Depressant
Adult: 5 mg initial dose. 5 mg repeat doses, titrating for effect
Peds: IV/IO Dose:0.3 mg/kg to a maximum dose of 10 mg
Rectal Dose: 0.5 mg/kg via #8 french pediatric feeding tube or tuberculin syringe to a maximum dose of 10 mg -
DIAZEPAM (Valium)
ROUTE:
SIDE EFFECT:
CONTRINDICATIONS: -
Adult: Slow IVP over 2 minutes.
Peds: The most rapid available route is rectal then IV or IO
Drowsiness, slurred speech, transient hypotension, blurred vision,nausea & vomiting, respiratory depression
Hypersensitivity to this drug, hypotension -
DIPHENHYDRAMINE HYDROCHLORIDE
(Benadryl)
FORM:
CLASS:
ACTION:
DOSE: -
50 mg/ml
Antihistamine
Blocks histamine receptors;
Has some sedative effects; Anticholinergic
Adult: 50 mg
Peds: 1 mg/kg, not to exceed 50 mg -
DIPHENHYDRAMINE HYDRACHLORIDE
(Benadryl)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
IV or deep IM
Sedation,Palpitations, dcreased blood pressure, headache, dries (thickens) bronchial secretions, blurred vision
Hypersensitivity to this drug -
DOPAMINE HYDRPCHLORIDE (Intropin)
FORM:
CLASS:
ACTION:
DOSE: -
40O mg/5 ml (400mg/250ml Pre mix bag)
Sympathomimetic
Positive inotrope with dose-related vascular effects
Adult: 5-20 mcg/kg/min
Peds: Not recommended for use in children -
DOPAMINE HYDROCHLORIDE (Intropin)
ROUTE:
SIDE EFFECTS:
CONTRAINDICATIONS: -
IV
Ventricular tachycardia, ectopic beats, nausea and vomiting,dyspnea, hypertension and extreme vasoconstriction may occur with high infusion rates, and hypotension may occur in low infusion rates
Hypovolemic shock -
EPINEPHRINE
FORM:
CLASS:
ACTION:
DOSE: -
1 mg/1 ml(1:1000), 1 mg/ 10 ml (1:10,000)
Sympathomimetic
Bronchodilation; Positive Chronotrope, Positive Inotrope
Adult: 0.5 - 1.0 mg
Peds: Cardiac Arrest: 0.01 mg/kg; Anaphylaxis: 0.01 mg/kg; Croup: 3-5 mg (3-5 ml)
1:1000 via nebulizer -
EPINEPHRINE
ROUTE:
SIDE EFFECTS:
RELITIVE CONTRAINDICATIONS: -
IV, IM, SQ, IO, ETT Dose: 2-2.5 times IV Dose.
Palpitation due to tachycardia or ectopic beats, may produce arrhythmia if cardiac arrest present, elevation of blood pressure, headache, anxiousness
Underlying cardiovascular disease / angina, hypertension, pregnancy, patient over 40 years of age, hypothyroidism