Page 169 - PJ MED OPS Handbook 8th Ed

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Mupirocin Ointment 2% (Bactroban ), other antibiotic ointment
• Description: topical antibacterial
• Indications: topical skin infection
• Adult dose: apply small amount of antibiotic on the area 1 to 3 times/day
• Pediatric dose: same
Contraindications: open wounds
• Side-effects: burning, stinging, pain, itching at application site
OTHER NOTES: For external use only, avoid eyes and mucous membranes.

Naloxone HCl (Narcan )
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GROUNDING medication for personnel on flight status
• Description: narcotic antagonist
• Indications: known or suspected (pinpoint pupils) narcotic induced respiratory depression
• Adult dose: 0.4–2mg IV/IM
• Pediatric dose: 0.01mg/kg dose IM/IV/SQ q2–3min
Contraindications: known allergy to medication
• Side-effects: return of pain in trauma patients
• Adverse reactions: In narcotic dependent patient, withdrawal symptoms may be precipitated

NOTE: Duration is 20 to 40 minutes (< duration of action of morphine).
Repeat doses of may be necessary after 20 to 30 minutes.

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Nifedipine (Procardia )
GROUNDING medication for personnel on flight status
• Description: an anti-anginal drug, calcium channel blocker, works by relaxing blood vessels
so blood can flow more easily
• Indications: HAPE prophylaxis/treatment
• Contraindications: known allergy to medication, pregnancy
• Dose: 30mg (extended release) 1 tablet PO daily
• Side-effects: primarily vasodilatory in nature (hypotension), peripheral edema
When able, utilize under the guidance of medical control – although, in most patients, the
hypotensive effect of nifedipine is modest and well tolerated, occasional patients have had
excessive and poorly tolerated hypotension.
○ Only administer to patients with a strong radial pulse/not hypotensive

Nitroglycerin
GROUNDING for personnel on flying status
• Description: vasodilator
• Indications: cardiac chest pain (angina or MI)
• Dose: 0.4mg tablet sublingual (SL)

Chapter 9. Pararescue Drug Formulary n 167