Page 154 - 2022 Ranger Medic Handbook

Rules of Drug Administration
Unless specifically noted, the drug dosages listed are for an adult.
ALWAYS DETERMINE IF THE PATIENT HAS ANY ALLERGIES TO MEDICATIONS BEFORE ADMINISTRATION
Reversals: For opioids, always have naloxone ready to administer. For benzodiazepines, always have flumazenil ready
to administer.
Antibiotics: If allergic to one class of medications, use alternate class of medications (cephalosporins/penicillins, tetra-
cyclines, quinolones, macrolides).
Right Patient Check for Contraindications
Right Indication Check for Potential Interactions
Right Drug Be Prepared for Potential Side-Effects
Right Dose Understand the Pharmacokinetics of Your Actions
Right Route
Right Time
Documentation: Document on casualty card or SF600 all drugs administered (type, dose, route) to include outcomes
or reactions.
SECTION 4

Safety in Pregnancy
FDA pregnancy categories A, B, C, D, and X have been replaced with the narrative sections and subsections below.
Safest to greatest risk categories are “drug of choice,” then “may use during pregnancy,” “caution advised,” “consider
alternative,” then “avoid use.”
Pregnancy (includes Labor and Delivery):
■ Pregnancy Exposure Registry
■ Risk Summary
■ Clinical Considerations
■ Data
Lactation (includes Nursing Mothers)
■ Risk Summary
■ Clinical Considerations
■ Data
Females and Males of Reproductive Potential
■ Pregnancy Testing
■ Contraception
■ Infertility

IV Fluid Rates in Drops Per Minute
mL/hr 50 75 80 100 125 150 175 200 250
10gtt 8 13 13 17 21 25 29 33 42
15gtt 12 19 20 25 31 37 44 50 62
60gtt 50 75 80 100 125 150 175 200 250

140 SECTION 4 RANGER MEDIC PHARMACOLOGY & FORMULARY