Page 310 - ATP-P 11th Ed
P. 310

•   Sepsis/Septic Shock Protocol
        •   Smoke Inhalation Protocol
        Dextrose – See Glutose ™

              ®
        Diamox  – See Acetazolamide
                      ®
        Diazepam (Valium )
              GROUNDING medication for personnel on flight status
        Description: General CNS depressant (anticonvulsant/sedative). Benzodiazepine class
        Indications:
        •   Acute anxiety
        •   Seizures
        •   Status epilepticus
        •   Relaxation of skeletal muscle
   SECTION 3  ganophosphates. NOTE: Successful treatment of convulsions from organophosphate
        •   Drug of choice for treatment of convulsions associated with chemical agents or or-
          or chemical exposure may require mass quantities and repeated administration of diaz-
          epam (Valium).
        •   Has NO analgesic or anesthetic properties
                                                  ®
        •   Overdose may be reversed with flumazenil (Romazicon )
        Dose:
        •   Status epilepticus: 5–10mg IV slow push
        •   Acute anxiety: 5–15mg IV slow push
        •   Relaxation of skeletal muscle: 5–15mg IV slow push
        •   Chemical warfare: 10–15mg IV slow push
          °   Auto injection diazepam should be used for seizures induced by chemicals
             K9 Dose: 15–30mg (0.5–1mg/kg) IV or rectally per standard 30kg dog
        Contraindications:
        •   ↓ BP
        •   Acute narrow angle glaucoma
        •       Has additive effect with other respiratory depressants (morphine, promethazine
          [Phenergan ] and alcohol). Be prepared to perform BLS.
                  ®
        Pregnancy Category D
        Side-effects:
        •   ↓ BP
        •   ↓ Respirations
        •   Drowsiness
        •   Venous irritation


          300  SECTION 3   RECOMMENDED DRUG LIST (RDL)
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