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Unformatted text preview: PARAMEDIC PHARMACOLOGY REVISED: 6-23-08 1. Due to the overwhelming nature of pharmacology, you will be required to learn approximately 5-6 drugs per week with a quiz each week on the group. After completion of all groups you will be given a final pharmacology test. 2. There are many drugs on the EMT-P formulary, many of which you may never use. You are required to have a basic understanding of all EMT-P drugs and an in depth comprehension of drugs specific to your area. Information has been compiled from current texts and ACLS. Your county protocols may vary. 3. The concept of pharmacology is very overwhelming initially; however, you will find that it becomes much easier once practical application begins. GROUP 1 GROUP 2 GROUP 3 GROUP 4 adenosine bretylium diazepam epinephrine albuteral calcium chloride digitalis flumazenil aminophylline charcoal diphenhydramine furosemide aspirin cyanide antidote dobutamine glucagon atropine dexemethasone dopamine heparin ketorolac dextrose 50% metoclopramide ipecac GROUP 5 GROUP 6 GROUP 7 GROUP 8 isoetharine magnesium sulfate nalbuphine nipride isoproterenol mannitol naloxone norepinephrine labetalol meperidine nifedipine oxytocin lidocaine metaproterenol nitroglycerin phenobarbital lorazepam morphine sulphate nitrous oxide phenytoin GROUP 9 GROUP 10 GROUP 11 GROUP 12 procainamide succinylcholine amiodarone haloperidol promethazine terbutaline clonidine ipratropium propanolol thiamine diltiazem midazolam racemic epinephrine TPA droperidol pralidoxime sodium bicarbonate verapamil etomidate methylene blue GROUP 13 GROUP 14 Group 15 Group 16 procaine milrinone norcuron heparin, low molecular weight ACE Inhibitors KCL oxymetazoline nalmefene DPT fentanyl proparacaine plavix antibiotics insulin vasopressin bismuth subsalicylate histamine 2 blockers metoprolol glycoprotein IIb/IIIa Inhibitors immunizations geodon acetaminophen ibuprofen Ketamine Zofran TESTING TO BEGIN ______________________ AND TO BE CONDUCTED ON THE LAST CLASS OF EACH WEEK. (Weekends omitted). ADENOSINE TRADE NAME Adenocard GENERIC NAME Adenosine CATEGORY Antidysrhythmic ACTIONS Slows conduction thru AV breaking circus electrical patterns Chemical cardioversion INDICATIONS Supraventricular Tachycardia (SVT, PSVT) CONTRAINDICATIONS 2 nd or 3 rd degree heart block, sick sinus syndrome SIDE EFFECTS Chest pain, flushing, headache, SOB, dizzy, nausea, cardiac arrest ROUTES IVP DOSAGE ADULTS: 6 mg rapid IVP followed by 20ml NS flush; repeat 12 mg rapid IVP followed by flush within 1-2 minutes of initial dose. A 3 rd dose may be given PEDS: 0.1mg/kg initially. Repeat at 0.2 mg/kg CLINICAL CONSIDERATIONS Short half life (5 seconds). Must push rapidly thru proximal IV port followed by NS flush. Does not convert A-fib, A-flutter, or V-Tach. Reduce initial adult dose to 3 mg in pts taking dipyridamole, carbamazepine, or with transplanted hearts. Higher doses may be required for pts taking theophylline, caffeine, or theobromine....
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- Winter '11