Drug list Cagle 2009

DRUG NAME	CLASS	THERAPEUTIC EFFECTS	INDICATIONS	CONTRAINDICATIONS	SIDE EFFECTS	DOSE
Adenosine Adenocard	Atrial Antidysrythmic	Slows SVT, decreases electrical conduction through the AV node	Narrow complex SVT and WPW	2nd & 3rd AV block , sick sinus syndrome	chest pain, hypotension, SOB	6 mg rapid IVP, followed by 20 ml flush, elevate arm repeat @ 12 mg times 2 ( 6-12-12 )
Amiodarone Cordarone	Vent. Antidysrhythmic	Used in place of Lidocaine for VT and VF ( alters the NA and K in the cardiac cells)	VF and VT refractory SVT	Bradycardia, hypotension, cardiogenic shock	Bradycardia , hypotension	300mg IVP, repeat @ 150 mg for pulseless arrest, 150 mg for wide complex tach over 10 min. Mix infusion 900 mg /500 ml run 1 mg /min for first 6 hours then 0.5 mg for next 18 hrs.
Aspirin N/A	Antiplatelet	Decreases platelet aggregation	Suspected MI	GI bleed, hemorragic stroke	Irritation, N/V	1-4, 81 mg or 1, 325 mg chewable tabs
Atenolol Tenormin	Beta Blocker	Blocks beta receptors from being stimulated	Hypertension and tachycardia	Bradycardia,	Bradycardia , hypotension	5 mg slow IVP over 5 min , Repeat in 10 min.
Atropine Sulfate N/A	Parasympathetic Blocker	Blocks parasympathetic system from being stimulated ( blocks the 10th cranial nerve- vagus nerve)	Symptomatic Bradycardia, asystole, PEA	Tachycardia	Tachycardia, Paradoxical Bradycardia	0.5-1 mg IV for symptomatic Bradycardia, 1 mg IV or ET for PEA or Asystole NOT to exceed 0.04 mg/kg ( 3 mg or 3 doses)
Digoxin Lanoxin	Atrial Antidysrhythmic	Increases vagal tone, decreases SA node rate, increases contractility	CHF	V-fib, V-tach	Blurred vision, seizures	10-15 mcg/kg NOT a Field Drug
Diltiazem Cardizem	Calcium Channel Blocker	Slows conduction through the AV node. Slows the Ventricular Rate	AF, Atrial Flutter with RVR	AMI, Heart blocks, Hypotension	Chest pain, hypotension, Bradycardia	0.25mg/kg slow IVP over 2 mins , may be repeated in 15 mins, @ 0.35 mg/kg
Dopamine Intropin	Sympathetic Agent	Increases the rate and force of cardiac contractions,( has alpha and beta effects)	Hemodynamically significant hypotension in the absence of hypovolemia, cardiogenic shock	V-fib , Tachydyshrythmias	Hypertension, Heart Ischemia	2-20 mcg/kg/min, mixed 400mg/250ml or 800mg/500ml= 1600mcg/ml concentration
Epinephrine Adrenaline	Sympathetic Agent	Used to restore electrical activity in asystole, lowers fibrillation threshold	VF, VT, PEA and Asystole	None for arrest	Tachycardia, Hypertension, VT, V-Fib	1mg of 1:10,000 IV, IO, ET q 3-5 min.for any pulseless arrest NO MAX DOSE
Furosemide Lasix	Loop Diuretic	Potent Diuretic works in the loop of Henley	Pulmonary edema	electrolyte depletion, dehydration	electrolyte disturbances	20-40mg IVP slow
Isoproterenol Isuprel	Pure Beta Agent	Pure beta agent , increases the heart rate	Symptomatic Bradycardia refractory to Atropine and TCP	V-tach, V-fib, ischemic heart disease, cardiac arrest	Angina and Hypotension	1 mg in 250ml run @ 2-10mch/min or titrate to effect Very potent
Lidocaine Xylocaine	Vent. Antidysrhythmic	Raises fibrillation threshold , decreases ventricular automaticity	PVC,VT, VF	2nd & 3rd AV block , hypersensitivity	Bradycardia, Blurred vision, Confusion	1-1.5 mg/kg IV, IO, or ET not to exceed 3mg/kg for cardiac arrest, VF, Pulseless VT, Infuse @ 2-4 mg/min, Mix 1G/250ml or 2G/500ml, 0.5-0.75mg/kg for wide complex tach(sick heart)
Magnesium Sulfate N/A	Electrolyte	Relaxes smooth muscle	Refractory VT ( Torsades de Pointe/ polymorphic VT )	heart blocks, resp. depression	hypotension, resp. arrest	1-2G in 50-100 ml of NS run of 5-60 min IV
Metoprolol Lopressor	Beta Blocker	Blocks beta receptors from being stimulated	Suspected AMI, hypertension	High level blocks and CHF	Bradycardia, hypotension	5 mg slow IVP @ 5 min intervals, Max 15 mg
Midazolam Versed	Benzodiazepine	Conscious sedation	Elective intubations, cardioversions	CNS and Resp. depression	hypotension, resp. depression	1-2.5 mg slow IVP
Morphine Sulfate N/A	Analgesic	Potent analgesic	MI pain, and pulmonary edema	head injury, hypotension, resp. depression	syncope, euphoria, resp. depression	2-4mg slow IVP max 10 mg in field Titrate to effect
Naloxone Narcan	Narcotic Antagonist	reverses the side effects of narcotic overdose	Narcotic overdose	None	Tachycardia, Hypertension	0.4-0.8 mg any route , Max 10 mg in the field
Nitroglycerine N/A	Vasodilator	Dilates arterioles and veins, decreases preload and afterload	Ischemic Chest Pain	Hypotension, Recent CVA, Viagra use	hypotension, H/A, postural syncope	0.3-0.4 mg SL tabs or spray
Oxygen N/A	Atmospheric Gas	Reverses hypoxia	Hypoxia, CP, Cardiac arrest	None	None	2-15 L by NC or Mask
Procainamide Pronestyl	Vent. Antidysrhythmic	Used when pt is refractory to Lidocaine	PVC,VT, VF, PSVT	2nd &3rd AV block, Torsades, Digitalis Toxicity	Hypotension, Bradycardia, AV block	30-50 mg/min in cardiac arrest, Max 17mg/kg or 1G, Infusion 1 G /250ml runs @ 1-4 mg/min
Sodium Bicarbonate N/A	Buffer Agent	Reverses acidosis	Long arrest interval ( over 10 mins)	CHF, alkalosis	Metabolic Alkalosis	1mEq, repeat @ 0.5 mEq in 10 mins.
Vasopressin Pitressin	Antidiuretic Hormone	Stimulates smooth muscles, used as alternative to Epinephrine	VT, PEA and Asystole	Responsive pt.with CAD	Chest Pain, Tremors	40 units one time dose
Verapamil Isoptin	Calcium Channel Blocker	Decreases artrial automaticity and AV conduction Velocity	AF, Atrial Flutter with RVR	Sinus brady, 2nd & 3rd AV block , V-tach	N/V, Complete heart block	2.5-5 mg slow IV over 2 min, repeat 5-10 mg in 10-15 min

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