| Medic Medication |
Why I'm giving it is... |
What you might feel is... |
Adult/Pedi Doses (scc) |
| isuprel, isoproterenol | a synthetic SYMPATHOMIMETIC that inc co by inc myocardial contractility and hr. for bradycardia refrac to atropine when pacing is not available//severe status asthmaticus | CONTRAINDICATIONS for isuprel is cardiogenic shock.
PRECAUTIONS are tachydysrhythmias including those assoc with digitalis and ami. | brady: 2-10mcg/min titrated to cardiac rate
0.1 mcg/kg/min titrated to cardiac rate
asthmaticus: 1-2 sprays mdi |
| Adenosine | Antidysrhythmic-Slows conduction time through the AV node, Can restore Normal Sinus in patients with PSVT. Use when Vagual Maneuvers are unsuccessful. A-fib/A-flutter | Sudden jolt or discomfort in chest. Facial flushing, h/a, sweating, SOB, hypotension, head pressure, dizzy, tingling, numb, burning sensation, Metallic Taste, Nausea. | Adult: 6mg rapid IVP 10ml NS flush MR 12mg rapid IVP 10ml NS flush
Pedi: 0.1mg/kg max 6mg rapid IVP 10ml NS flush MR 0.2mg/kg max 12mg rapid IVP 10ml NS flush
|
| Albuterol | to decrease airway resistence, Bronchospasm/ constriction. | Relief of respiratory resistence. A boost in heart rate. | Adult: 5mg via hand held nebulizer
Pedi: 1.25mg in 3ml NS in hand held nebulizer (<6yrs) |
| Amiodarone | treats dysrhythmias, particularily a-fib. Effects directly on all cardiac tissues, May increase duration of action potential, and refractory period. decreases PVR. Increases coronary blood flow, blocks sympathetic stimulation. | peripheral neuropathy (numbness, tingling, weakness), n/v, headache. | Adult:
Pedi: |
| ASA (Aspirin) | To inhibit clot formation in the presence of chest pain suggestive of an acute MI or thrombotic stroke. | Stomach pain, N/V, or a ringing or buzzing in the ears. | Adult: 162mg PO
Pedi: Not Indicated |
| Atropine Sulfate | it blocks parasympathetic impulses and takes the brakes off increasing conduction and cardiac output. also blocks organophosphate poisoning by blocking muscarinic responses to Ach. | skin flushed, dry mouth, headache or blurred vision. | Adult: |
| Calcium Chloride | essential electolyte for many physiologic activities. Treats elevated potassium, decreased Ca, elevated magnesium, and Ca channel blocker toxicity. | Tingling sensation, heat wave sensation on skin or local pain at injection site. | |
| 50% Dextrose (D50W) | to treat hypoglycemia because it is the principal form of sugar (glucose), & will absorb immediately increasing blood sugar levels. | warmth, pain, or burning at site. | |
| Diazepam (Valium) | to stop seizure activity, to manage anxiety, or to sedate prior to cardioversion. because of its sedative-hypnotic properties. | drowsiness, amnesia, blurred vision, nausea, vivid dreams, slurred speech. | |
| Diphenhydramine (Benadryl) | to decrease the effects of allergic reaction and the extrapyramidal symptoms following an antipsychotic medication. | High incidences of drowsiness, and dry mouth. | |
| Dopamine | To increase end-organ perfusion in cardiogenic shock and in hemodynamically significant hypotension not resulting from hypovolemia. | n/v, anginal pain, palpitations, headache, and BP changes. | |
| Epinephrine | to restore cardiac rhythm in arrest by increasing rate and output while strengthing myocardial contraction or for treatment of allergic reactions by inhibiting histamine release and dilating bronchiole smooth muscle decreasing airway resistence. | sweating, restlessness, headache, n/v, weakness, and anxiety. | |
| Furosemide (Lasix) | rapid-acting loop diuretic and antihypertensive that treats acute pulmonary edema and CHF, its venodilating effects reduces cardiac preload, which decreases cardiac workload. | Dehydration, pain at site, n/v, weakness, and increased perspiration. | |
| Glucagon | to increase blood glucose levels without IV access. also reverses the effects of beta-blocker OD. | headache, nausea, and weakness may persist. | |
| Heparin | To prevent thrombus formation in acute MI | numbness and tingling, rash or itching at site, cyanosis or extremity pain, headache, chest pain, nasal congestion. | |
| Insulin | to reverse effects of hyperglycemia and diabetic coma or a maintenance dose based on blood-glucose levels. | Hunger, irritability, fatigue, profuse sweating, headache, and nausea. | |
| Lidocaine | to raise the threshold for ventricular dysrhythmias and to lower the threshold for defibrillation and cardioversion. | may produce sedative and analgesic effects. | |
| Magnesium Sulfate | essential electrolyte in many biochemical processes and is given to reverse refractory v-fib and pulseless v-tach such as torsades, it provides prophylaxis following acute MI, and manages seizures caused by Eclampsia. | Absence of reflexes, sedation, confusion, flushing, sweating, and extreme thirst. | |
| Midazolam (Versed) | Short-acting sedative used as a chemical restraint & to induce sedation and amnesia prior to cardioversion and other painful procedures. | retrograde amnesia, headache, euphoria, hiccups, chills, weakness. | |
| Morphine | analgesic and sedation or its hemodynamic properties make it useful in acute MI and Pulmonary edema by reducing venous return decreasing congestion and the size of the infarct. | sweating, euphoria, flushing, bradycardia, respiratory depression, and other sedation symptoms. | |
| Naloxone (Narcan) | to reverse the effects of narcotics or to manage a coma of unknown origin. | Withdrawal symptoms, n/v, tremors, combativeness. | |
| Nitroglycerin | to relieve chest pain by increasing coronary artery perfusion. also reduces preload in acute pulmonary edema. | headache lasting 5-20min, dizziness, and drymouth. | |
| Oxytocin (Pitocin) | To control postpartum hemorrhage | anxiety, ECG changes, n/v, & edema. | |
| Sodium Bicarbionate (NaHCO3) | To correct severe acidosis refractory to hyperventilation, known hyperkalemia. also to enhance excretion of drug OD (tricyclic antidepressants, barbiturates). | Dysrhythmias, site pain | |
