DRUG

DOSE

ROUTE

INDICATIONS

CONTRAINDIC ATIONS CHF Severely impaired to renal function. Hypernatremia, Fluid retention

Mechanis m of ACTION Sodium is the major cation of the bodys extracellula r fluid. It plays crucial role in maintaining the fluid and electrolyte balance.

SIDE EFFECT Temporary burning, stinging, dryness in the nose, runny nose, and sneezing may occur.

NURSING CONSIDERATI ONS

Salinase Nasal Spray

Symptomatic relief of allergic rhinitis ex. sneez ing, runny & itchy nose, watery eyes; allergic conjunctivitis; skin symptoms of allergy itch& r ash.

DRUG

DO SE

ROUTE Neb thru inhalati on

INDICATION S Temporary relief of bronchospas m, acute asthmatic attack, mucosal congestion, hypersensitiv ity and anaphylactic reactions, syncope due to heart block or carotid sinus hypersensitiv ity, and to restore cardiac rhythm in cardiac arrest

CONTRAINDIC ATIONS Pre existing hypertension

Mechanism of ACTION

SIDE EFFECT Special Senses: Nasal burning or stinging, dryness of nasal mucosa, sneezing, rebound congestion. Transient stinging or burning of eyes, lacrimation, brow ache, head ache, rebound conjunctival hyperemia ,allergy, iritis; with prolonged use: melanin-like deposits on lids, conjunctiva, and cornea; corneal edema; loss of lashes (reversible); maculopathy withce ntral scotoma in phakic patients(reversible)

Epinephri ne

Naturally occurring catecholamine Occlusive obtained from vascular animal adrenal disease glands; also prepared Angle closure synthetically. Act glaucoma (eye s directly on both drops) alpha and beta receptors; the Hypersensitivit most potent y activator of alpha receptors. Cardiac Strengthens arrhythmias myocardial or tachycardia contraction; incre ases systolic but When used in may decrease addition to diastolic local anesthetic blood pressure; increases cardiac Procedures rate and cardiac involving output. digits ,ears, nose, penis or scrotum

NURSING CONSIDERATI ONS Monitor BP, pulse, respirations, and urinary output and observe patient losely following IV administration. Epinephrine may widen pulse pressure . If disturbances in cardiac rhythm occur, with hold epinephrine and notify physician immediately. Keep physician nformed of anychanges in intake-output ratio

DRUG 0.9% NaCl (Normal Saline, NSS) Classificatio n: Isotonic crystalloid solution

DOSE

ROUTE Neb thru inhalation

INDICATIO NS Fluid replacement for hypotension s *IV lock & KVO for all Patients *solution for mixing IVPB drug infusions.

CONTRAINDIC ATIONS None in the prehospital setting

Mechanis m of ACTION Provides fluid & electrolytes

SIDE EFFECT Pulmonary Edema , Hypothermi a

NURSING CONSIDERATI ONS

DRUG

DOSE

ROUTE

INDICATIO NS

CONTRAINDIC ATIONS

Mechanism of ACTION

SIDE EFFECT

NURSING CONSIDERATI ONS

Generic Name: Ampicilin Brand Name: Vatacil Classificati on: Antibiotic (Penicillin)

500mg

IV

Treatment of infections caused by susceptibl e strains of the designate d organisms

Patients with allergic reaction to penicillin. Patients with hypersensitivi ty to drugs and patients with viruses belonging to herpes-group.

Inhibits cellwall synthesis during bacterial multiplicatio n

SkinRashes Nausea Vomiting Diarrhea Abdominal pain Loss of appetite

Before giving the drug ask the patient about allergic reactions to penicillin or a negative history of penicillin allergy. Watch for signs and symptoms for hypersensitivi ty.

DRUG

DOSE

ROUTE

INDICATIO NS

CONTRAINDIC ATIONS

Mechanism of ACTION

SIDE EFFECT

NURSING CONSIDERATI ONS

Brand name: Alnix Generic name: cetirizine dihydrochlror ide

2.5 mL

Oral

Treatment of chronic urticaria, pruritus, allergic rhinitis, & allergic conjunctivit is.

Hypersensitivi ty. Pregnancy & lactation.

Relief of symptoms associated with allergic allergic rhinitis and conjunctivit is such as sneezing; runny, itchy nose; and itchy, watery eyes.

Somnolenc e, fatigue, dries mouth, pharyngitis , dizziness, headache, abdominal pain, coughing, diarrhea, epistaxis, bronchospasm, sore throat, nausea & vomiting.

Do not use this product together with alcohol, other cough, cold or allergy medicines, or any other medicines that cause drowsiness, sleepiness, and relaxation because of the possibility for increased toxicity.