La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.
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2011 Regional Protocol Required-Optional Regional Drug/Medications
• Yellow Highlight= 2011 Change-Addition •
R = those medications for a Licensed ALS EMS Agency O = Optional Medications not required for ALS EMS Agency licensure. Inclusion of the medications at the direction of the EMS Agency Medical Director Service _______________________________ Vehicle #_________ Date Inspected ________________ Medication Code Expired Med. Date Acetaminophen Activated Charcoal Adenosine Or Adenocard Albuterol Or Proventil, or Ventolin, Amiodarone Cordarone, or Pacerone Atropine Bacteriostatic 0.9% Sodium Chloride Calcium Chloride Captopril Benzocaine (topical) Dexamethasone Decadron Diazapam or Lorazepam or Or Valium, or Zetran or Versed or Ayivan or Midazolam Novo-Lorazopam Diltiazem Or Cardizem, or Dilacor, or Tiazac Diphenhydramine Or Benadryl Dobutamine Or Dobutrex Dopamine Or Intropin And Glucose (oral) Enalapril Epinephrine (1: 1,000) Or Adrenaline Epinephrine ( 1: 10,000) Or Adrenaline Furosemide Glucagon Or Gluca Gen Heparin Lock Flush Or Saline Lock Flush Hydrocortisone Solu-Cortef, Sodium Succinate Intravenous Electrolyte Solution Or (NaCl), or (0.9%NSS)
• Sodium Chloride Ipratropium Bromide Lidocaine Or Xylocaine Magnesium Sulfate Or Magnesium Methylprednisolone Or A-Metha Pred, or Solu Medrol Naloxone Or Narcan Nitroglycerin Spray, Paste, or Or Nito-Bid, or Nitogard or Nitrostat , or Nitroglycerin Sublingual Tablets Nitrol, or Nitro Quick, or Nitro –Dur Nitroglycerin for infusion MUST HAVE IV PUMP Nitrous Oxide Ondansetron Or Zofran Oxytocin Or Pitocin, or Syntocinon Pralidoxime CL IN MARK I KIT “the bottom line is patient care” Suite 101, 16271 Conneaut Lake Road, Meadville, PA 16335 814-337-5380, 814-337-0871 Fax, www.emmco.org Procainamide Or Procan, or Procanbid, or Promine, or Pronestyl Sodium Bicarbonate Sodium Bicarbonate 4.2% (Pediatric Mix) Preferred Sodium Thiosulfate Sterile Water (for injection) Tetracaine (topical or drops) Terbutaline Verapamil Calan, or Isoptin, or Verelan For Ambulance Licensure (effective immediately) ALS EMS Agencies may carry either / or Fentanyl Citrate Or Sublimaze Morphine Sulfate Or Morphine, or Roxanol, or Duramorph, or Astramorph Medications Approved for Inter-facility Transports ONLY Abcixinab Aggrastat (Infusion) Or Tirofiban Antimicrobials Bretylium Infusion Dilaudid Eptifibatide (Infusion) Integrilin Ipratropium Bromide Isoproterenol Levalbuterol Potassium Total Parenteral Nutrition
Code (R) Must be carried by all licensed ALS EMS Agencies Code (O) May be carried by licensed ALS EMS Agencies if approved by EMS Agency Medical Director Code (I) May be carried by licensed ALS EMS Agencies when doing an inter-facility transport only. Must be picked up at hospital at the time of the inter-facility transport
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2 Runsonrun M Robaldo 5 SANADOR snabbt till ledningen där han omedelbart blev 3 Her Birthday L Santos Resultat 21/10 uppvaktad. Blev rejält utmanad över upploppet och såg 4 Hurry Harry J Gustafsson dessutom slagen ut en bit men kämpade väl och vann med 5 My Pal Al M Rodriguez minsta möjliga marginal. 6 MARGAUX bra iväg och direkt molnigt, 14 5 Montgomery J J