Page 309 - ATP-P 11th Ed

Indications:
• Emergency treatment of AMS, HACE, HAPE, when tactical conditions preclude de-
scent or acclimatization.
• Use of dexamethasone ↓ symptoms of AMS, but does not speed acclimatization.
• Use of dexamethasone does not preclude the need for an emergency descent. (Adminis-
ter dexamethasone every 6hr until descent is accomplished.)
• Inflammatory conditions
• Allergic conditions
Dose (Human): 4mg IV/IM/PO q6hr
K9 Dose: 0.1mg/kg IV, IM, or SC – not used in many cases, use judiciously
Contraindications:
• Use caution in patients with a history of:
° Diabetes
° Hypertension
° Ulcers
Pregnancy Category C
Side-effects: SECTION 3
• Delayed wound healing
• Acne
• Various skin eruptions
• Edema
Adverse effects usually dose related:
• Psychotic behavior
• Congestive heart failure
• Hypertension
• Cataracts
• Glaucoma
• Hypokalemia
• Hyperglycemia
• Carbohydrate intolerance
TMEP use:
• Altitude Illness Protocol
• Anaphylactic Reaction Protocol
• Asthma (Reactive Airway Disease) Protocol
• Contact Dermatitis Protocol
• Head and Neck Infection, Including Epiglottitis, Protocol
• K9 Anaphylaxis Protocol
• K9 High Altitude Sickness and Pulmonary Edema Protocol
• Meningitis Protocol

ATP-P Handbook 11th Edition 299