| 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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