[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-364412-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-364412-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","remsa-paramedic-program-drug-list-revised-4-25-2022","REMSA Paramedic Program Drug List - Revised 4-25-2022","","2022 REMSA Paramedic Program Drug List compiles 47 medications with revision date 4/25/2022. For each drug, it provides clinical classification, primary pharmacologic action, indications, contraindications, onset and duration, dosing routes and adult/pediatric regimens, and key side effects. The content also includes usage notes and important drug-specific cautions, such as antagonism between related drug classes and safety considerations for specific patient 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nucleoside.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},364412,1790502383,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & 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Adenosine (Adenocard)  \nAlbuterol (Proventil)  \nAmiodarone (Cordarone)  \nAspirin (Salicylate) Atropine Sulfate Calcium Chloride Dextrose 50%, 25%, 10% Diazepam (Valium)  \nDiltiazem (Cardizem)  \nDiphenhydramine (Benadryl) Dopamine (Intropin)  \nEpinephrine (Adrenalin)  \nEpinephrine, Racemic (Micronefrin) Etomidate (Amidate)  \nFentanyl (Sublimaze)  \nFurosemide (Lasix) Glucagon Haloperidol (Haldol)  \nHydroxocobalamin Ibuprofen Ipratropium (Atrovent)  \nKetamine (Ketalar)  \nLidocaine (Xylocaine)  \nLorazepam (Ativan)  \nMagnesium Sulfate Methylprednisolone (Solu-Medrol) Metoprolol (Lopressor)  \nMidazolam (Versed) Morphine Sulfate Naloxone (Narcan)  \nNitroglycerin (Nitro-Stat)  \nNitro-Paste (Nitro-Bid Ointment) Nitrous Oxide (Nitronox)  \nNorepinephrine (Levophed) Ondansetron (Zofran)  \nOral Glucose Oxygen Oxytocin (Pitocin)  \nPralidoxime (2-PAM)  \nPralidoxime (2-PAM) Rocuronium  \nSodium Bicarbonate Succinylcholine (Anectine)  \nThiamine (Betaxin)  \nTranexamic Acid (TXA)  \nAcetaminophen (APAP)  \nClass:  \nAnalgesic, antipyretic  \nAction:  \nIncreases pain threshold by inhibiting cyclooxygenase and reduces fever by acting on the hypothalamus. Has no anti-inflammatory properties or effect on platelets.  \nIndications:  \nFever, pain relief  \nContraindications:  \nHypersensitivity and use caution in patients with liver disease.  \nOnset/Duration:  \n• Onset: 10-30 min PO  \n• Duration: 3-4 hours PO  \nDose/route:  \n• Adult: 325-1000 mg PO every 4-6 hr  \n• Peds: 15 mg/kg PO/PR every 4-6 hr  \nSide Effects:  \nNausea/vomiting, hepatotoxicity  \nActivated Charcoal  \nClass:  \nAntidote, adsorbent  \nAction:  \nBinds to and adsorbs ingested toxins thereby inhibiting their GI absorption.  \nOnce the drug binds to the charcoal, the combined complex is excreted.  \nIndications:  \nAcute ingested poisonings that were ingested within the last hour  \nContraindications:  \nCyanide, mineral acids, caustic alkalis, iron, ethanol, methanol, corrosives, petroleum distillates.  \nOnset/Duration:  \n• Onset: Immediate  \n• Duration: Continual while in GI tract and reaches equilibrium once saturated  \nDose/Route:  \n• Adult: 1 g/kg PO/ NG  \n• Peds: 1-2 g/kg PO/ NG  \nSide Effects:  \nNausea, vomiting, abdominal cramping, constipation  \nAdenosine (Adenocard)  \nClass:  \nMisc. antidysrhythmic, endogenous nucleoside  \nAction:  \nDecreases electrical conduction through the AV node without causing negative inotropic effects.  \nIt also acts on the SA node and vagal nerve terminals to decrease HR.  \nIndications:  \nSupraventricular tachycardia (SVT/PSVT)  \nContraindications:  \nHypersensitivity, bradycardia, drug induced tachycardia, 2nd or 3rd degree heart blocks, A-Fib, A-Flutter, V-Tach, WPW with A-Fib/flutter.  \nOnset/Duration:  \n• Onset: Immediate  \n• Duration/half-life: 10 seconds  \nDose/Route:  \n• Adult: 6 mg rapid IV/IO push followed by 20 cc saline flush.  \no May repeat in 1-2 min at 12 mg rapid IV push followed by 20 cc saline flush. May repeat twice.  \n• Peds: 0 . 1mg/kg (max 6mg) IV/IO followed by 5-10 cc saline flush.  \no May repeat in 1-2 min at 0.2 mg/kg (max 12mg) IV/IO followed by 5-10 cc saline flush.  \nSide Effects:  \nDizziness, headache, shortness of breath, hypotension, flushing, palpitations, chest pain, nausea/vomiting  \nNote:  \nMethylxanthine classified stimulants (caffeine & theophylline) usage will antagonize adenosine  \nAlbuterol (Proventil)  \nClass:  \nSympathomimetic, bronchodilator, beta-2 agonist  \nAction:  \nSympathomimetic that is selective for Beta-2 adrenergic receptors.  \nRelaxes smooth muscles of the bronchial tree and peripheral vasculature by stimulating adrenergic receptors of sympathetic nervous system.  \nIndications:  \nAsthma, bronchospasms, reversible obstructive airway disease, anaphylaxis, hyperkalemia  \nContraindications:  \nHypersensitivity, caution with pts with cardiac dysrhythmias  \nOnset/Duration:  \n• Onset: 5-8 min  \n• Duration: 2-6 hou","cbCaip5mEKNF91M0","https://ap.wps.com/l/cbCaip5mEKNF91M0","pdf",341248,49,"English","# Drug list and revisions\n## Acetaminophen (APAP)\n## Activated Charcoal\n## Adenosine (Adenocard)\n## Albuterol (Proventil)\n## Amiodarone (Cordarone)\n## Aspirin (Salicylate)","[{\"question\":\"What information does the REMSA Paramedic Program Drug List include for each medication?\",\"answer\":\"It lists the drug’s class, action, indications, contraindications, onset/duration, dose/route (including adult and pediatric guidance where provided), and side effects, along with relevant notes and cautions.\"},{\"question\":\"When was this drug list revised?\",\"answer\":\"The document states it was revised on 4/25/2022.\"},{\"question\":\"What are examples of included medications and their categories?\",\"answer\":\"The list includes acetaminophen (APAP) as an analgesic/antipyretic, activated charcoal as an antidote/adsorbent, and adenosine as a misc. antidysrhythmic/endogenous nucleoside.\"}]","REMSA Paramedic Program Drug List - Revised 4-25-2022 | PDF",1790157480,123]