Epinephrine Auto Injector

generic

adrenaline

Brand

Epi-Pen

indications

severe allergic reaction
prescribed & medical direction approves

contraindications

No medical deirection, or not prescribed to patient

form

IM medication, liquid

dose

0.3 mg adult,

route

im - thigh laterally 10 sec

actions

constricts blood vessels, relaxes air way

linked diseases

allergic reactions, take other Epi-Pen for use en route

side effects

heart rate blood pressure,

Pedi Dose

Use pediatric Epi-Pen /0.015

Asprin

generic

asprin

Brand

indications

chest pain/discomfort believed to be cardiac

contraindications

No medical direction/ children/ Documented Allergy To ASA/ bleeding disorders

form

tablet

dose

81mg/tablet  162mg/2 tablets max

route

oral  - chewed

actions

thins blood, clot formation in mi patient

linked diseases

patient's suspected of having acute myocardial infarction

side effects

allergic reaction or tinitis (ringing in the ears)

pedi dose

never give asa to children

Prescribed Inhaler

generic

albuterol

Brand

Ventolin, Provental

indications

severe difficulty breathing due to exacerbated respiratory disease/ Medical direction/ Prescribed inhaler/ check date

contraindications

not breathing/unresponsive

form

aerosol spray

dose

1 - 2 puffs

route

inhalation

actions

enlarges constricted bronchial tubes

linked diseases

asthma, emphysema, chronic bronchitis

side effects

heart rate, jitteriness, dizziness

Pedi dose

per labeled direction. up to 4 puffs with spacer over 10 min.

Nitroglycerin

generic

nitroglycerin

Brand

Nitro stat, Nitrolingual

indications

chest pain believed to be cardiac in origin, pt alert & responsive

contraindications

patient not alert & responsive, systolic <100, used viagra in last 24 hours

form

aerosol spray  or tablet

dose

0.4 mg=1 dose spray or tablet
max 3 doses x5mins  max dose = 1.2mg

route

sublingual

actions

relaxes coronary blood vessels, work load on heart

linked diseases

coronary artery disease, angina, hx of heart attack

side effect

lowers bp (hypotension=systolic of 90), headache

Pedi Dose

Safe doses have not been established for PO use.

Activated Charcoal

generic

activated charcoal

Brand

Liquid char, Actidose, Super char, Instachar

indications

poisoning or od of swallowed substance

contraindications

not alert & conscious, unable to swallow

form

suspension

dose

25gm. tube/ dose is 20 - 50 grams

route

oral

actions

binds to poison, prevents them from being absorbed

linked diseases

poisoning, overdose

side effect

black stools & vomiting

Pedi Dose

by weight and age, 10-25 grams PO 1 gram per kilogram

Oxygen

generic

oxygen

Brand

oxygen

indications

pt whose medical or traumatic event causes him to by hypoxic or in danger of becoming hypoxic

contraindications

none in emergency situations, May cause drying of mucosa

form

gas

dose

16L BVM,  2-6L nasal cannula, 10-15 nonrebreather

route

inhalation

actions

improved perfusion, saturates blood with oxygen

linked diseases

any medical or traumatic injury w/ hypoxia

side effect

none

Pedi Dose

as above, as tolerated.

Valium, (Rectal Gel)

generic

diezapam rectal gel

Brand

indications

Seizure activity, When Oral intake is contraindicated

contraindications

Documented allergy to the drug

form

Gel, For rectal administration

Dose

adult as adjunct to other medication 0.2 mg/kg

route

Per rectum

actions

sedates the nervous system, stops seizure activity

linked diseases

epilepsy

Side effects

Over sedation, ataxia

Pedi dose

0.5 to 0.2 mg/kg dose is smaller as the patient gets older