Page 166 - PJ MED OPS Handbook 8th Ed

WARNING DO NOT use solutions containing epinephrine on or near the fingers, toes, nose, ears,
or penis.

• Indications: local anesthetic: minor surgical procedures, fracture hematoma block; duration
of anesthesia is 30 to 60 minutes
• Dose (Local anesthesia): To desired effect. Maximum single adult dose is 4.5mg/kg or 300mg
(30mL of 1% or 15mL of the 2% solution contains 300mg lidocaine)
Contraindications: 2nd or 3rd degree AV block, hypotension
• Side-effects: tinnitus; edema
• Adverse Reactions: dermatologic reactions, anaphylaxis, seizures, cardiac arrhythmia

®
Loperamide HCl (Imodium )
Aviation personnel are grounded until medical condition is not a factor and free of side-
effects for 24 hours.
• Description: antidiarrheal (opioid)
• Indications: for use in acute, non-invasive diarrhea only
• Dose: 2 capsules (4mg) first dose, then 1 capsule (2mg) after every unformed stool, not to
exceed 16mg (8 capsules) in 24 hours
Contraindications: bloody diarrhea in children under 12
• Side-effects: abdominal pain/distention, severe constipation
• Adverse reactions: hypersensitivity

Meclizine (Verticalm)
GROUNDING medication for personnel on flight status
• Description: antiemetic
• Indications: vertigo, prevent motion sickness
• Dose: 25–50mg PO
Contraindications: allergy
• Side-effects: cough, difficulty swallowing, dizziness, drowsiness, fast heartbeat, skin rash,
malaise, hives, itching

Meloxicam (Mobic )
®
• Description: NSAID
• Indications: mild to moderate pain relief, inflammation, fever
• Dose: 7.5mg or 15mg daily, maximum daily oral dose is 15mg
Contraindications: allergy to NSAID class of drugs or aspirin, pregnancy
• Side-effects: anaphylactic reactions including shock; face edema, fatigue, fever, hot flushes,
malaise, syncope, weight decrease, weight increase, dyspepsia, gastric upset

NOTE: Meloxicam is the only approved anti-inflammatory med on deployment and opera-
tions because it does not interfere with platelet function like other NSAIDs.

164 n Pararescue Medical Operations Handbook / 8th Edition