redcrossemt
Forum Asst. Chief
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I see Versed on the list... don't see Ativan. Why? At least Versed+Ativan? Ativan for agitation/sedation, and Versed for sedation for cardioversion.
Why Pepcid?
Why D5W, LR, and NSS. What population gets what?
And why D10? I've got D10 for infants... D50 for adults.
Ativan (lorazepam) is a good drug, but if I had to pick one, I would choose midazolam (Versed). It has a MUCH shorter duration, and can be used for sedation, anxiety, agitation, or anything else you would use Ativan for.
Pepcid (famotidine) is an H2-receptor antagonist that has shown some promise in anaphylaxis with concurrent use of an H1 blocker (diphenhydramine/promethazine). Most hospitals (at least around here) treating severe anaphylaxis will give H1 and H2 blockers post-epi, as well as a steroid - usually prednisone here.
Regarding D10, I guess we could carry all three, but honestly I'm fine mixing it if we only have one dose. Carry D10 for adults may add substantially to the weight and volume of our kit.