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PS Pharm

Stack #65045

DrugDescriptionindication(s)contraindication(s)Routes & dosages
Droperidol (inapsine) Butyrophenone derivative, structurally & pharmacologically related to Haloperidol treatment of nausea & vomiting in patients refractory to first line antiemetics, antipsychotic & tranquilizer treatment of nausea & vomiting in patients refractory to first line antiemetics, antipsychotic & tranquilizer treatment of nausea & vomiting in patients refractory to first line antiemetics, antipsychotic & tranquilizer
Haloperidol (haldol) major tranquilizer acute psychotic episodes should not be used in cases where other drugs, especially sedatives are used, Should not be used to treat dysphoria caused by Talwin 2 to 5 mg IM GIVEN IM ONLY
Diazepam (Valium) Benzodiazepine used as a sedative, hypnotic & anticonvulsant acute anxiety states, premed for cardioversion, skeletal muscle relaxant, major motor seizures & status epilepticus history of hypersensitivity 2 to 5 mg IV or IM -anxiety 5 to 15 mg IV - cardioversion 5 to 10 mg IV - seizures
Hydroxyzine (vistaril, Atarax) antianxiety & sedative agent w/sedative properties, frequently used in emergency medicine potentates the effects of narcotics & synthetic narcotics, nausea & vomiting, anxiety reactions history of hypersensitivity 50 to 100 mg IV - anxiety, 25 to 50 mg IV-antiemetic IV only
Labetalol (Trandate, Normodyne Nonselective B blocker & selective A blocker Acute management of hypertensive crisis High dose up to 100mg is sometimes given. IV or IM, IV preferred in prehospital setting 20mg/2 min slow IV injection, supine BP before, 5 & 10 min after admin, 40 mg can be given evey 10 min until desired Bp is reached or until 300 mg has been given
Lorazapam (Ativan) Benzodiazepine used as a sedative, hypnotic & anticonvulsant major motor seizures, acute anxiety states, premed for cardioversion, status epilepticus history of hypersensitivity 0.5 to 2.0 mg IV, 1.0 to 4.0 mg IM, may be given rectally
Phenobarbitol (Luminal) Barbituate, used as a sedative & anticonvulsant major motor seizures, acute anxiety states & status epilepticus history of hypersensitivity 100 to 250 mg IV slowly - status epilepticus
Phenytoin (Dilantin) Long acting anticonvulsant & antidysrhthmic that depresses spontaneous ventricular depolarization major motor seizures, status epilepticus, major life threatening dysrhthmias resulting from Digitalis toxicity, or tricyclic antidepressant overdose, ventricular dysrhthmias in settings of acute MI's should be first treated w/ Lidocaine Hypersensitivity to drug in cases of braycardia & high grade heart block. Patients who chronically use drug for seizures, until blood levels have been determined Loading dose is 10 to 15 mg/kg, administered no faster than 50 mg/min, Dilute w/normal saline (using d5W may result in precipitation of drug) ADMIN IV ONLY
Fosphenytoin (Cerebryz) Prodrug- converts to Phenytoin after parenteral administration. Can be given IM if IV access is not available Major motor seizures, unlabeled antidysrhthmic, digitalis induced Hypersensitivity to Phenytoin, seizures caused my hypoglycemia, bradycardia, complete /partial heart block IV loading dose 15 to 20 mg (PE)/ kg admin at a rate of 100 to 150 mg/min, IV maintenance dose of 4 to 6 mg(PE)/kg per day. IM is possible if IV access can not be attained
Methylprednisolone (Solu-medrol) Intermediate -acting corticosteroid related to natural hormones secreted by adrenal cortex spinal cord injury, anaphylaxix, asthma & exacerbation of COPD No major contraindicators in prehospital setting Spinal cord= 30 mg/kg IV over 15 min. Followed 45 minutes later by maintance infusion of 5.4mg/kg/hour for 24 - 48 hours. Asthma, COPD, Allergic reactions =80 to 125 mg IV or IM
Mannitol (Osmotrol) 6-Carbon sugar compound, osmotic diuretic Acute cerebral edema & blood transfusion reactions pts w/acute pulmonary edema: severe pulmonary congestion. Patients profoundly hypovolemic 1.5 to 2.0 gr/kg slow IV, IV infusion eliminates the chances of causing circulatory overload or CHF
Dexamethasone (Decadron, Hexadrol) Synthetic steroid chemically related to natural adrenal cortex hormones Cerebral edema, anaphylaxis, asthma & exacebation of COPD No major contraindicators in prehospital setting Varies from Doc to Doc, Usual range 4 to 24 mg: 12 MG-IV common.
Created by: dbrus1