Rx Injectable Medication Kit

Nubain 20 mg/ml, 10 ml multiuse vial (pain)
Lidocaine 1%, 10 ml multiuse vial (local anesthetic)
Decadron 4 mg/ml, 5 ml multiuse vial (steroid), 1 vial per trip for allergy.
3 vials per climber at risk for acute mountain sickness
Rocephin 500 gm vials (antibiotic)
Vistaril 50 mg/ml, 10 ml multiuse vial (many uses)

nubain

NALBUPHINE (NUBAIN) 20 MG/ML, 10 ML VIAL

A strong, synthetic narcotic analgesic, this is available only by pre scription but it is not a controlled narcotic. It is equal to morphine in strength. Normal adult dose is 10 mg (0.5 ml) given intramuscularly every 3 to 6 hours. The maximum dose is 20 mg (1 ml) every 3 hours. Can be mixed with 25 to 50 mg of Vistaril in the same syringe for increased analgesia in severe pain problems.

lido

LIDOCAINE 1%, 10 ML VIAL

Injection for numbing wounds. Maximum amount to be used in a wound in an adult should be 15 ml. This fluid is also used to mix Rocephin. See the package insert that comes with Rocephin.

decadron

DEXAMETHASONE (DECADRON) 4 MG/ML, 5 ML VIAL

For use in allergic reactions, give 4 mg daily for 5 days IM. For acute mountain sickness, give 4 mg (1 ml) every 6 hours until well below the altitude where symptoms started. See pages 151 and 266.

rocephin

CEFTRAXONE (ROCEPHIN) (500 MG VIAL)

A broad-spectrum antibiotic of the cephalosporin class, the inject able medication has a wide range of bactericidal activities, including for pneumonia and bronchitis, skin infections, urinary tract and kid ney infections, gonorrhea, pelvic infection, bone and joint infections, intra-abdominal infections, and some types of meningitis. Each vial will require 0.9 ml of lidocaine 1% to mix the contents. The reconsti tuted medication is stable at room temperature for 3 days.

vistaril

HYDROXYZINE (VISTRAL) (50MG/ML, 10 ML VIAL)

A brand name of hydroxyzine hydrochloride, uses and dosages are the same as indicated for Atarax in the Rx Oral/Topical Medication Module (page 287). Obviously, in the treatment of profound vomiting, injections of medication will work better than oral administration.
This solution can be mixed in the same syringe as the Nubain for administration as one injection.