mfd new meds

Download MFD New Meds

Post on 07-May-2015

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This program provides a overview of new medication used by Madison Fire Department Paramedic System

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  • 1.NEW MFD Meds

2. New MFD Medications

  • ETOMIDATE (AMIDATE)
  • FENTANYL (SUBLIMAZE)
  • HALOPERIDOL LACTATE (HALDOL)
  • HYDROXOCOBALAMIN (CYANOKIT)
  • METHYLPREDNISOLONE (SOLU-MEDROL)
  • ONDANSETRON (ZEMURON, ZOLFRAN)
  • ROCURONIUM (ZEMURON)
  • THIAMINE (BETAXIN, B 1 )
  • VECURONIUM (NORCURON)

3. ETOMIDATE(AMIDATE)

  • CLASS
    • Nonbarbiturate hypnotic, anesthetic
  • DESCRIPTION
    • Etomidate is a short-acting drug that acts at the level of the reticular activating system to produce anesthesia.Etomidate may be administered for conscious sedation to relieve apprehension or impair memory before cardioversion. To facilitate Rapid Sequence intubation.
  • ONSET AND DURATION
    • Onset: Within 30 sec
    • Duration: 3-5 min
  • INDICATIONS
    • Premedication Rapid Sequence intubation
    • Premedication for cardioversion
  • CONTRAINDICATIONS
    • Hypersensitivity to Etomidate

4. ETOMIDATE(AMIDATE)

  • ADVERSE REACTIONS
    • Nausea and vomiting
    • Dysrhythmias
    • Breathing difficulties
    • Hypotension
    • Involuntary muscle movement (jerking)
    • Pain at the injection site
  • DRUG INTERACTIONS
    • Effects may be enhanced when given with other central nervous system depressants.
  • HOW SUPPLIED
    • 2 mg/mL (40 mg) Preloaded Syringe

5. ETOMIDATE(AMIDATE)

  • DOSAGE AND ADMINISTRATION
    • RSI
      • Adult : 0.3 mg/kg IV over 30-60 sec (max 20mg) - Second dose same as first
      • Pediatric : 0.3 mg/kg - Second dose same as first
    • Sedation
      • Adult : 0.1 mg/kg IV over 30-60 sec (max 20mg)
      • Pediatric : 0.1 mg/kg
  • SPECIAL CONSIDERATIONS
    • Pregnancy safety: Category C
    • Etomidate can suppress adrenal gland production of steroid hormones, which can cause temporary gland failure.

6. FENTANYL(SUBLIMAZE)

  • CLASS
    • Opioid analgesic
  • DESCRIPTION
    • Fentanyl (like other opoids) combines with receptor sites in the brain to produce potent analgesic effects.The drug often is given in combination with benzodiazepines for conscious sedation.
  • ONSET AND DURATION
    • Onset: