Maryland EMT Drug Chart

EMT DRUG CHART 2017

Drug cart is derived from current MIEMSS standards. One of our students used a large poster board for reference and it was easier than flipping through pages.

“P”= Patient      Hx= History

 

 

Drug Name Indications Adverse Effects Contraindications Precautions
Acetaminophen

4-160/mg  5ml

“P” over 3yo

Mild-moderate pain

 

NONE Head injury   vomit

Hypotension

Acetaminophen w/in 4 hours

Under 3yo

Respiratory distress

Inability to swallow

“P” must be seen at hospital for compressive evaluation and definitive treatment
Epinephrine Auto Injector

0.3 Adult

.15 Pediatric

Moderate-severe allergic reaction with respiratory distress or

Mild with history

Pediatric with severe asthma

Tachycardia/palpations

Angina, headache, nausea, vomiting, dizzy, hypertensive, tremors, nervous, anxiety

NONE Consult before administering to cardiac and asthma “P”

 

Albuterol

2 doses = 4 puffs over 30 minutes

Signs and symptoms of respiratory distress, wheezing associated with asthma, bronchitis, chronic emphysema

{anaphylaxis}

Tachycardia/palpations

Angina, headache, nausea, vomiting, dizzy, hypertensive, tremors, nervous, anxiety, sore throat, sweating

No prescription Severe use can cause bronchospasm
O2

12-15 lpm (NRB)

2-6 lpm  nasal cannula

ALL MEDICAL and TRAUMA High concentration will reduce respiratory drive (COPD) NONE NEVER withhold O2 , caution with “P” with COPD

 

Activated Charcoal

1gram/kg

Poison by mouth Indirectly induce vomit AMS

“P” who received emetic

Oral Glucose

10-15 grams

AMS- known diabetic

Unconscious for no reason

NONE NONE Sublingual, additional dose after 10 minutes
Narcan

2mgIN

Reverse respiratory distress induced by opioid Opioid withdrawal “P” under 28 days “P” may need high dosage repeat if necessary. Nasal/atomizer

 

Aspirin

324mg

325 mg chewed

 

 

Chest pain

Myocardial infarction suspected

Heart burn nausea vomiting wheezing Hypersensitivity GI BLEED
Epi (1:1,000)

Vial 1mg in 1ml 1:1,000Preload .5mg in 5ml

Moderate –severe allergic Hx of severe reactions Tachycardia/palpations angina headache nausea nervous tremors anxiety None in presence of anaphylaxis Pregnant “P” consult
Nitroglycerin

3pills/spray SL

“P” prescribed chest pain Hypotension headache dizzy tachycardia BP 90 heart rate less than 60, NOT PRESCRIBED pulmonary  hypotension ed med Reassess BP before and after if Bp drops more than 20 medical consult

This chart will be updated when the list changes for the state of Maryland and it can be found on our site. We would like for you to recommend this site to any students that can benefit from it. 

PLEASE LIKE OUR PAGE AND POST…..Thank You

 

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