Drugs
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Oxygen | Should be given to all patients with acute chest pain that may be due to cardiac ischemia, suspected hypoxemia of any cause, and cardiopulmonary arrest.
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Epinephrine | Indicated in the management if cardiac arrest. The chance of successful defibrillation is enhanced by proper of administration of epinephrine and proper oxygenation.
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Isoproterenol | Produces and overall increase in heart rate and myocardial contractility. Is contraindicated in the routine treatment of cardiac arrest.
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Dopamine (Intropin) | Indicated for significant hypotension in the absence of hypovolemia. Should be used at the lowest dose that produces adequate perfusion of vital organs
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Beta Blockers: Propranolol, Metoprolol, Atenolol, and Esmolol | Reduce heart rate, blood pressure, myocardial contractility, and myocardial oxygen consumption. Treats angina pectoris and hypertension. Also useful in preventing atrial fibrillation, atrial flutter, and paroxysmal supraventricular tachycardia
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Lidocaine | choose for suppression of ventricular ectopy, including ventricular tachycardia and ventricular flutter
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Verapamil | Treats paroxysmal supraventricular tachycardia, slows ventricular response to atrial flutter and fibrillation.
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Digitalis | increases the force of cardiac contraction as well as cardiac output.
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Morphine Sulfate | for the pain and anxiety associated with acute myocardial infarction
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Nitroglycerin | a powerful smooth muscle relaxant effective in relieving angina pectoris and for both exertional and rest angina
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