Page 162 - PJ MED OPS Handbook 8th Ed

• Pediatric dose: same for children over 1
Contraindications: hypersensitivity, penetrating eye trauma, pregnancy
• Side-effects: stinging or blurring in eye
• Adverse reactions: corneal staining; tearing and photophobia
• Other notes: To instill in eye, tilt head back, place medication in conjunctival sac and close
eye(s). Apply light finger pressure on lacrimal sac for 1 minute following instillation. To avoid
bottle contamination, do not touch tip of container to any surface.

Glucose (Glutose ) or an energy gel
®
• Description: carbohydrate
• Indications: hypoglycemia <60mg/dL BGL, altered mental status caused by hypoglycemia,
hyperthermia, unexplained loss of consciousness, unexplained seizures
• Adult dose: full tube given in small doses (25–50g) oral
• Pediatric dose: 0.5g/kg in small doses
• Drug action: increases blood glucose level
• Onset: 1 minute
• Duration: depends on the degree of hypoglycemia
• Precautions: assure gag reflex is present
Contraindications: patients who are unable to protect their own airway or swallow, pregnancy

®
1% Hydrocortisone Cream (Cortaid )
• Description: Skin and mucous membrane agent – synthetic hormone; adrenal corticosteroid,
glucocorticoid, mineralocorticoid, anti-inflammatory
• Indications: reduce inflammation in various skin conditions
• Adult Dose: topically AAA qd-qid
• Pediatric Dose: same for children over 2
Contraindications: steroid hypersensitivity, viral or bacterial diseases of the skin, varicella or
vaccinia on surfaces with compromised circulation
• Side-effects: acne, impaired wound healing, petechiae, easy bruising, hypo/hyperpigmenta-
tion, increased sweating
• Adverse Reactions: anaphylactoid reaction, aggravation or masking of infections, skin thin-
ning and atrophy, ecchymosis, hirsutism, acneiform eruptions, subcutaneous fat atrophy, al-
lergic dermatitis, urticarial, angioneurotic edema
• Other Notes:
○ Estrogens potentiate effects
○ Immune response to vaccines may be decreased

®
Hydromorphone (Dilaudid )
Grounding for personnel on flight status
• Description: Opioid analgesic
• Indications: Moderate to severe pain from medical etiology (non-trauma pain) and burns,
alternative to ketamine for moderate to severe trauma pain
• Dose: 1mg IV/IO/IM; may repeat with 0.5mg q15–30min PRN

160 n Pararescue Medical Operations Handbook / 8th Edition