Paramedic Drug Cards

Activated Charcoal
Class: Adsorbent

Indications: Most oral poisonings and medication overdoses
Contraindications: Comatose pt’s + after injestion of corrosives, caustics

Dosage: Adult: 1-2 g/kg PO Pediatric: 1-2 g/kg PO

Adenosine ( Adenocard )
Class: Endogenous nucleotide

Indications: Conversion of PSVT to sinus rhythm
Contraindications: Second or Third degree block or sick sinus rhythm, atrial fib/flutter or V-tach

Dosage: Adult: 6mg over 1-3 seconds followed by 20 ml saline fluch and elevate extremity, if no response administer 12 mg over 1-3 seconds ( max dose 30 mg ) Pediatric: 0.1-0.2 mg/kg rapid IV ( max single does 12mg )

Special Considerations:( Pregnancy Saftey: Category 3)

Albuterol (Proventil, Ventolin)
Class: Sympathomimetic, bronchodilator

Indications: Treatment of bronchospasm in patients w/ reversible obstructive airway ( COPD/Asthma ). Prevention of exersize induced bronchospasm

Contraindications: Hypersensitivity , Tachycardia

Dosage: Adult: 2.5 mg via nebulizer over 10-15 mins , 1-2 inhalations if in a metered dose inhaler w/ 5 mins between inhalations Pediatric: .05 – 0.15 mg/kg . may repeat every 20 mins 3 times

Special Considerations: (Pregnancy Safety: Category C) + Antagonized by beta blockers, may precipitate angina