Paramedic Drug Cards

Propranolol

Michael Egan
  • Trade: Inderal 
  • Class: Beta Blocker 
  • MOA: Nonselective Beta antagonist that binds with both the beta1 and beta 2 receptors. Inhibits the strength of the hearts contractions, as well as decreases heart rate resulting in decreased cardiac O2 consumption
  • Indication: Angina, reentry SVT, Atrial Fibrillation, Atrial Flutter. 
  • Contraindication: Cardiogenic shock, Heart failure, AV block, bradycardia, pulmonary edema, sick sinus syndrome.
  • Side effects:  Bradycardia, AV block, Bronchospasm, hypotension. 
  • Dosing:

Adult: 

1-3mg IV/IO Slow IVP

Pediatric: 

0.01 to 0.1mg/kg slow IVP