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ETMC Pharmacology

ETMC other Drugs

DrugTrade NameIndicationContraindicationsDosageSide EffectsPrecations, Other info.Class
Thiamine Vitamin B1 coma of unkown origin;coma involving alcohol;alcohol-induced B1 deficiency.delirium tremens none significant 100 mg IV or IM almost none give before Dextrose especially in Alchoholics Vitamin (B1)
Dexamethasone Decadron, Hexadrol cerebral edema corticosteroid
Mannitol Osmotrol acute cerebral edemablood transfusion reactions osmotic diuretic
Methylprednisolone Solu-Medrol spinal cord injury corticosteroid
Diazepam Valium major motor seizuresstatus epilepticuspremedication (e.g. cardio versionskeletal muscle relaxantacute anxiety states hypersensitivity (slow IVP)5-10 mg for seizures2-5 mg for acute anxiety hypotensiondrowsinessheadacheamnesiarespiratory depressionblurred visionnausea/vomiting incompatible with many other medsflush IV line well before using other medsshould not be used in conjunction with alchol and other CNS depressants anticonvulsant/sedative (benzodiazepine)
Lorazepam Ativan anxietystress anticonvulsant/sedative (benzodiazepine)
Midozolam Versed premedication for medical proceduresseizures,sedation allergy; hypotension; respiratory deressioncoma anticonvulsant/sedative, hypnotic, (benzodiazepine)
Phenytoin Dilantin major motor seizuresstatus epilepticusdysrhythmias caused by digitalis toxicity anticonvulsant/antiarrhythmic
Fosphenytoin Cerebryx
Phenobarbital Luminal major motor seizuresstatus epilepticusacute anxiety states
Pancuronium Pavulon temporary paralysis where ET is indicated & muscle tone, seizures, or laryngospasm prevents it
Dexamethasone Decadron, Hexadrol cerebral edemaanaphylaxisasthmaexacerbation of COPD
Succinylcholine Anectine temporary paralysis where ET is indicated & muscle tone or seizure activity prevent it fasciculations depolarizing neuromuscular blocker (short-acting)
Insulin Humulin, Novolin, Iletin Type I diebetes 5-10 Units Regular (fast-acting)
Glucagon Hypoglycemia Known sensitivity 1 mg IM ( can be given IV in smaller doses) only useful when adequate liver glycogen stores existNot recommended for pediatric patients hormone/anti-hypoglycemic
Dextrose D50W hypoglycemia (severe brain injury occurs if prolonged)Coma of unknown origin. none significant 25 grams (50 ml of 50% solution)pedi- 0.5 to 1.0 gm/kg (D25W)slow IV push tissue necrosis & Phlebitis blood glucose reading prior to giving.Use larger vein carbohydrate
Created by: Joemedic