2011 Statewide Protocol Required-Optional Regional Drug/Medications
• Yellow Highlight= 2011 Change-Addition •
R = those medications for a Licensed ALS EMS Agency O = Optional Medications not required for ALS EMS Agency licensure. Inclusion of the medications at the direction of the EMS Agency Medical Director Service _______________________________ Vehicle #_________ Date Inspected ________________ Medication Code Expired Med. Date Acetaminophen Adenosine Or Adenocard Albuterol, or Alupent, or Or Proventil, or Ventolin, or Metaproteranol, Ipratropium/Albuterol combination or Atrovent/Albuterol Amiodarone Cordarone, or Pacerone Aspirin (Baby) Atropine Bacteriostatic 0.9% Sodium Chloride Calcium Chloride Captopril Benzocaine (topical) Dexamethasone Decadron Diazapam or Lorazepam or Or Valium, or Zetran or Versed or Ayivan or Midazolam Novo-Lorazopam Diltiazem Or Cardizem, or Dilacor, or Tiazac Diphenhydramine Or Benadryl Dobutamine Or Dobutrex Dopamine Or Intropin And Glucose (oral) Enalapril Epinephrine (1: 1,000) Or Adrenaline Epinephrine ( 1: 10,000) Or Adrenaline Fentanyl Citrate Or Sublimaze Furosemide Glucagon Or Gluca Gen Heparin Lock Flush Or Saline Lock Flush Hydrocortisone Solu-Cortef, Sodium Succinate Intravenous Electolyte Solution Or (NaCl), or (0.9%NSS)
• Sodium Chloride Ipratropium Bromide Lidocaine Or Xylocaine Magnesium Sulfate Or Magnesium Methylprednisolone Or A-Metha Pred, or Solu Medrol Morphine Sulfate Or Morphine, or Roxanol, or Duramorph, or Astramorph Naloxone Or Narcan Nitroglycerin Spray, Paste, or Or Nito-Bid, or Nitogard or Nitrostat , or Nitroglycerin Sublingual Tablets Nitrol, or Nitro Quick, or Nitro –Dur Nitroglycerin for infusion MUST HAVE IV PUMP Ondansetron Or Zofran “the bottom line is patient care” Suite 101, 16271 Conneaut Lake Road, Meadville, PA 16335 814-337-5380, 814-337-0871 Fax, www.emmco.org Oxytocin Or Pitocin, or Syntocinon Pralidoxime CL IN MARK I KIT Procainamide Or Procan, or Procanbid, or Promine, or Pronestyl Sodium Bicarbonate Sodium Bicarbonate 4.2% (Pediatric Mix) Preferred Sodium Thiosulfate Tetracaine (topical or drops) Verapamil Calan, or Isoptin, or Verelan Medications Approved for Inter-facility Transports ONLY Abcixinab Aggrastat (Infusion) Or Tirofiban Bretylium Infusion Dilaudid Eptifibatide Integrilin (Infusion) Ipratropium Bromide Isoproterenol Levalbuterol Nitroglycern (Infusion) Or Tridil Potassium Reopro (Infusion)
Code (R) Must be carried by all licensed ALS EMS Agencies Code (O) May be carried by licensed ALS EMS Agencies if approved by EMS Agency Medical Director Code (I) May be carried by licensed ALS EMS Agencies when doing an inter-facility transport only. Must be picked up at hospital at the time of the inter-facility transport
Gastroenterology, PA Gatorade miralax prep Colon Prep Instructions At any pharmacy over the counter, purchase 1 bottle of Miralax(238gm) and 4 Bisacodyl(Dulcolax) tablets The day before your procedure Date:___________________________________ 1. Start a clear liquid diet 24 hours before your procedure. No solid food until after your colonoscopy. 2. Drink at least
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