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Drug Indications
Indications
Question | Answer |
---|---|
Oxygen | CP,ischemia,hypoxia,cardiac arrest |
Epinephrine (1:10,000) | Asystole,V-fib,pulseless V-tach,PEA,Severe anaphylaxis |
Dopamine (Inotropin) | Cardiogenic,Neurogenic,and septic shock,Hypotension (post arrest),syptomatic brady,heart blocks,CHF |
Norepinephrine (Levophed) | Cardiogenic,Neurogenic and septic shock,Poison and drug indused hypotension,b/p support |
Vasopressin | V-fib,pulseless V-tach,PEA,control bleeding w/esophageal varicies,distributive shock |
Propranolol (inderal) | SVT,prevent V-tach,A-fib,A-flutter w/RVR,MAT,prevent angina,HTN |
Metoprolol (lopressor) | HTN,angina,prevent MI,CHF,tachycardia after vagal maneuver n adenosine,rate control in A-fib/flutter.MAT |
Atenolol (Tenormin) | HTN,Angina,prevent MI,stable tachy,rate control in A-fib/flutter |
Lidocaine (xylocaine) | V-fib/pulseless V-tach if amiodarone not available,stable V-tach,post arrest ventricular irritability |
Procainamide (pronestyl) | Stable pulsing V-Tach,SVT,conversion of A-fib w/RVR in WPW,Ventricular irritability post arrest |
Amiodarone (cordarone) | V-fib,pulseless V-tach,stable V-tach,rate control for A-fib/a-flutter in pts w/CHF |
Magnesium Sulfate (cardiac) | Hypomagnesemia,torsades de pointes,Hypokalemia,V-fib,pulseless V-tach,Severe asthma attack |
Adenosine (adenocard) | convert stable PSVT to NSR,convert WPW,convert junctional tachy,unstable narrow tachy and wide complex tachy |
Calcium Chloride | Hyperkalemia,hypocalcemia,hypermagnesemia,calcium channel blocker,antidote for betablocking toxicity,prevents hypotensive effects of CCB agents (verapimil/diltiazem) |
Verapamil (ispotin,calan) | SVT/junctional tachy(after adenosine),A-fib/A-flutter w/RVR,Angina,HTN |
Diltiazem (cartizem) | stable supraventricular dysrhythmia,RVR in A-fib/flutter/MAT |
Atropine Sulfate | Symptomatic brady/heart blocks (1st/2nd type I),organophosphate poisoning,nerve gas poisoning (sarin,somin) |
Digoxin (lanoxin) | Control ventricular rate in A-fib/flutter,PSVT,CHF,cardiogenic shock |
Aspirin | mild to mod pain,reduce risk of TIA,CP,reduce inflammation |
Retaplase (retavase) | Acute MI,reduce mortality associated w/AMI |
Sodium Bicarbonate | Metabolic acidosis,poisonings,rhabdomyolysis,hyperkalemia,overdose w/barbituates,tricylic antidepressants,asa,lithium,cocaine,DKA, |
Morphine Sulfate | relieve pain and anxiety,traumatic injury,pulmonary edema |
Fentanyl (sublimaze) | pain control,sedation for invasive airway procedures (RSI) |
Nitrous Oxide | mod to severe pain,Anxiety,apprehension |
Furosemide (lasix) | Edema,cerebral edema,hypertensive emergencies |
Nitroglycerin (nitrostat) | Angina,CP w/MI,pulmonary edema,HTN emergencies w/acute coronary syndrome or CHF |
Labetalol (trandate normodyne) | Hypertensive emergencies |
Albuterol (proventil) | relief of bronchospasms,asthma,bronchitis,emphysema,reduces mucous secretions |
Epinephrine (1:1,000) | Acute asthma attacks,exacerbations of COPD,mild anaphylaxis,symptomatic brady |
Methylprednisolone (solu-medrol) | Acute spinal cord trauma,Anaphylaxis,unresponsive asthma,septic shock,adrenal insufficiency |
Dexamethasone (decadron) | Allergy reactions,asthma,reduce swelling in CNS,endocrine,rheumatic,hematological disorders,septic shock,chronic inflammation |
Racemic Epinephrine (micro nefrin) | Bronchial asthma,bronchospasm,croup,laryngeal edema |
50% Dextrose (D50W) | acute alcholism w/coma(deliver thiamine prior),hypoglycemia,coma of unknown,status epilepticus of unknown,hyperkalemia-w/insulin |
Thiamine | coma of unknown,alcoholic pts w/ams,deficiency |
Glucagon | Altered LOC when hypoglycemia is suspected,Beta blocker and calcium channel blocker toxicity |
Diazepam (valium) | Status epilepticus,pre-cardioversion or pacing,severe anxiety,skeletal muscle spasm relaxation,acute alcohol withdrawl |
Magnesium Sulfate (non-cardiac) | Eclampsia,preterm labor (uterine relaxation),bronchodilator-after B2 agonist and anticholinergic agents have been used |
Activated Charcoal | Poisoning,overdose,following emesis,when emesis is contraindicated |
Diphenhydramine (benadryl) | Anaphylactic shock,allergic reactions,acute dystonic(movement disorder),motion sickness |
Naloxone (Narcan) | Narcotic overdose,coma unknown and alcohol related |
Promethazine (phenergan) | Nausea/vomitting,motion sickness,pre/post operative,potentiate the effects of analgesics,allergic reactions |