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New Lopressor protocol


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23 replies to this topic

#1 FL_Medic

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Posted 19 January 2007 - 02:53 PM

Our service has just updated our guidelines to include lopressor in our Acute Coronary Syndrome protocol.
Is anyone else doing this?
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#2 EmergencyMedicalTigger

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Posted 20 January 2007 - 12:15 AM

I've never heard of Lopressor being used in a prehospital setting. I've seen it used in the ER but don't recall the exact amount of time it took for the meds to take effect. Is it really worth it to carry this drug on the ambulance considering the possible side effects and the extensive list of common drugs it can interact? What are your thoughts are carrying/using Lopressor?
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#3 Ridryder 911

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Posted 20 January 2007 - 12:20 AM

Out new medical director is proposing us to carry it. The standard dosage IV is 5mg q 5 minutes up to 15 mg .. of course one has to be sure not bottom out the pressor or bradycardia...

R/r 911
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#4 FL_Medic

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Posted 20 January 2007 - 01:14 PM

I've never heard of Lopressor being used in a prehospital setting. I've seen it used in the ER but don't recall the exact amount of time it took for the meds to take effect. Is it really worth it to carry this drug on the ambulance considering the possible side effects and the extensive list of common drugs it can interact? What are your thoughts are carrying/using Lopressor?


Our medical direcor is a pretty smart guy and has alot of confidence in our medics. I am researching it now, but honestly if he thinks we should carry it he is probably right. Our agency sets standards throughout the country and our protocols are constantly being reviewed by our peers and complimented for being progressive. This could be a mistake, but I think it will probably be another advancement that we will start seeing other agencies mimic. Anything that decreases o2 demand during an MI is a good thing... and decreasing the HR is the best way of decreasing the workload. This is the drug that can do that, we have decreased o2 demand by vasodilation, now we are gonna hit the HR, I am for it.... so far.
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#5 p3medic

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Posted 20 January 2007 - 04:08 PM

we carry it here, have for several years now, we use it in AMI and rate control for AF.....5mg q 5 min to a max of 15mg....
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