Page 1 NREMT Paramedic Drugs
ACETAMINOPHEN Class: Anti-pyretic
Indications: Fever
Contraindications: Liver failure; hypersensitivity; exceed max dose
Side effects: Liver toxicity
Adult Dose: 1 g q 6 hours; max 4 g in 24 hours
Pediatric Dose: 15 mg/kg q 6 hours
Special info: Tylenol
ACTIVATED CHARCOAL Class: Chemical adsorbent
Indications: Oral poisonings/medication overdoses; can be used after evacuation
of poisons
Contraindications: Comatose pt; ingestion of caustic, corrosive, or petroleum
distillates; simultaneous administration of other oral medications
Side effects: may induce nausea/vomiting, constipation, black stool
Adult Dose: 1-2 g/kg PO or via NGT
Pediatric Dose: 1-2 g/kg PO or via NGT
Special info: Doesn't adsorb cyanide, lithium, iron, lead, or arsenic
NREMT Paramedic Drugs 1
,Page 2 NREMT Paramedic Drugs
ADENOSINE TRADE NAME: Adenocard
CLASS: Antiarrhythmic
ACTIONS: Slows (decreases) AV conduction
INDICATIONS: Symptomatic PSVT, including Wolff-Parkinson-White Syndrome
(WPW)
PHARMACOKINETICS:
Onset: 20 - 35 seconds
Peak Effect: 20 - 35 seconds
Duration: 30 - 120 seconds
Half Life: 10 seconds
CONTRAINDICATIONS: Second or third degree heart block, sick-sinus
syndrome, known
hypersensitivity to the drug, dysrhythmias other than PSVT, reactive airway
diseases like asthmea.
PRECAUTIONS: Arrhythmias, including blocks, are common at the time of
cardioversion.
Use with caution in patients with asthma.
SIDE EFFECTS:
CNS: Dizziness, near syncope, syncope
CV: PVCs, PACs, sinus tachycardia, sinus bradycardia, AV blocks, chest pain, facial
flushing,
headache
Resp: SOB, bronchoconstriction
NREMT Paramedic Drugs 2
, Page 3 NREMT Paramedic Drugs
GI/GU: Nausea
DOSAGE:
ADULT: 6 mg rapid IV bolus over 1-2s; after 1-2 minutes, 12-mg dose over 1-2
seconds.
PEDIATRIC: Initial dose: 0.1mg/kg; max 1st does = 6mg; Rapid IV bolus w/5cc flush
ROUTES: IV with 20cc flush
NREMT Paramedic Drugs 3
ACETAMINOPHEN Class: Anti-pyretic
Indications: Fever
Contraindications: Liver failure; hypersensitivity; exceed max dose
Side effects: Liver toxicity
Adult Dose: 1 g q 6 hours; max 4 g in 24 hours
Pediatric Dose: 15 mg/kg q 6 hours
Special info: Tylenol
ACTIVATED CHARCOAL Class: Chemical adsorbent
Indications: Oral poisonings/medication overdoses; can be used after evacuation
of poisons
Contraindications: Comatose pt; ingestion of caustic, corrosive, or petroleum
distillates; simultaneous administration of other oral medications
Side effects: may induce nausea/vomiting, constipation, black stool
Adult Dose: 1-2 g/kg PO or via NGT
Pediatric Dose: 1-2 g/kg PO or via NGT
Special info: Doesn't adsorb cyanide, lithium, iron, lead, or arsenic
NREMT Paramedic Drugs 1
,Page 2 NREMT Paramedic Drugs
ADENOSINE TRADE NAME: Adenocard
CLASS: Antiarrhythmic
ACTIONS: Slows (decreases) AV conduction
INDICATIONS: Symptomatic PSVT, including Wolff-Parkinson-White Syndrome
(WPW)
PHARMACOKINETICS:
Onset: 20 - 35 seconds
Peak Effect: 20 - 35 seconds
Duration: 30 - 120 seconds
Half Life: 10 seconds
CONTRAINDICATIONS: Second or third degree heart block, sick-sinus
syndrome, known
hypersensitivity to the drug, dysrhythmias other than PSVT, reactive airway
diseases like asthmea.
PRECAUTIONS: Arrhythmias, including blocks, are common at the time of
cardioversion.
Use with caution in patients with asthma.
SIDE EFFECTS:
CNS: Dizziness, near syncope, syncope
CV: PVCs, PACs, sinus tachycardia, sinus bradycardia, AV blocks, chest pain, facial
flushing,
headache
Resp: SOB, bronchoconstriction
NREMT Paramedic Drugs 2
, Page 3 NREMT Paramedic Drugs
GI/GU: Nausea
DOSAGE:
ADULT: 6 mg rapid IV bolus over 1-2s; after 1-2 minutes, 12-mg dose over 1-2
seconds.
PEDIATRIC: Initial dose: 0.1mg/kg; max 1st does = 6mg; Rapid IV bolus w/5cc flush
ROUTES: IV with 20cc flush
NREMT Paramedic Drugs 3
