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Drug Indications

Indications

QuestionAnswer
Oxygen CP,ischemia,hypoxia,cardiac arrest
Epinephrine (1:10,000) Asystole,V-fib,pulseless V-tach,PEA,Severe anaphylaxis
Dopamine (Inotropin) Cardiogenic,Neurogenic,and septic shock,Hypotension (post arrest),syptomatic brady,heart blocks,CHF
Norepinephrine (Levophed) Cardiogenic,Neurogenic and septic shock,Poison and drug indused hypotension,b/p support
Vasopressin V-fib,pulseless V-tach,PEA,control bleeding w/esophageal varicies,distributive shock
Propranolol (inderal) SVT,prevent V-tach,A-fib,A-flutter w/RVR,MAT,prevent angina,HTN
Metoprolol (lopressor) HTN,angina,prevent MI,CHF,tachycardia after vagal maneuver n adenosine,rate control in A-fib/flutter.MAT
Atenolol (Tenormin) HTN,Angina,prevent MI,stable tachy,rate control in A-fib/flutter
Lidocaine (xylocaine) V-fib/pulseless V-tach if amiodarone not available,stable V-tach,post arrest ventricular irritability
Procainamide (pronestyl) Stable pulsing V-Tach,SVT,conversion of A-fib w/RVR in WPW,Ventricular irritability post arrest
Amiodarone (cordarone) V-fib,pulseless V-tach,stable V-tach,rate control for A-fib/a-flutter in pts w/CHF
Magnesium Sulfate (cardiac) Hypomagnesemia,torsades de pointes,Hypokalemia,V-fib,pulseless V-tach,Severe asthma attack
Adenosine (adenocard) convert stable PSVT to NSR,convert WPW,convert junctional tachy,unstable narrow tachy and wide complex tachy
Calcium Chloride Hyperkalemia,hypocalcemia,hypermagnesemia,calcium channel blocker,antidote for betablocking toxicity,prevents hypotensive effects of CCB agents (verapimil/diltiazem)
Verapamil (ispotin,calan) SVT/junctional tachy(after adenosine),A-fib/A-flutter w/RVR,Angina,HTN
Diltiazem (cartizem) stable supraventricular dysrhythmia,RVR in A-fib/flutter/MAT
Atropine Sulfate Symptomatic brady/heart blocks (1st/2nd type I),organophosphate poisoning,nerve gas poisoning (sarin,somin)
Digoxin (lanoxin) Control ventricular rate in A-fib/flutter,PSVT,CHF,cardiogenic shock
Aspirin mild to mod pain,reduce risk of TIA,CP,reduce inflammation
Retaplase (retavase) Acute MI,reduce mortality associated w/AMI
Sodium Bicarbonate Metabolic acidosis,poisonings,rhabdomyolysis,hyperkalemia,overdose w/barbituates,tricylic antidepressants,asa,lithium,cocaine,DKA,
Morphine Sulfate relieve pain and anxiety,traumatic injury,pulmonary edema
Fentanyl (sublimaze) pain control,sedation for invasive airway procedures (RSI)
Nitrous Oxide mod to severe pain,Anxiety,apprehension
Furosemide (lasix) Edema,cerebral edema,hypertensive emergencies
Nitroglycerin (nitrostat) Angina,CP w/MI,pulmonary edema,HTN emergencies w/acute coronary syndrome or CHF
Labetalol (trandate normodyne) Hypertensive emergencies
Albuterol (proventil) relief of bronchospasms,asthma,bronchitis,emphysema,reduces mucous secretions
Epinephrine (1:1,000) Acute asthma attacks,exacerbations of COPD,mild anaphylaxis,symptomatic brady
Methylprednisolone (solu-medrol) Acute spinal cord trauma,Anaphylaxis,unresponsive asthma,septic shock,adrenal insufficiency
Dexamethasone (decadron) Allergy reactions,asthma,reduce swelling in CNS,endocrine,rheumatic,hematological disorders,septic shock,chronic inflammation
Racemic Epinephrine (micro nefrin) Bronchial asthma,bronchospasm,croup,laryngeal edema
50% Dextrose (D50W) acute alcholism w/coma(deliver thiamine prior),hypoglycemia,coma of unknown,status epilepticus of unknown,hyperkalemia-w/insulin
Thiamine coma of unknown,alcoholic pts w/ams,deficiency
Glucagon Altered LOC when hypoglycemia is suspected,Beta blocker and calcium channel blocker toxicity
Diazepam (valium) Status epilepticus,pre-cardioversion or pacing,severe anxiety,skeletal muscle spasm relaxation,acute alcohol withdrawl
Magnesium Sulfate (non-cardiac) Eclampsia,preterm labor (uterine relaxation),bronchodilator-after B2 agonist and anticholinergic agents have been used
Activated Charcoal Poisoning,overdose,following emesis,when emesis is contraindicated
Diphenhydramine (benadryl) Anaphylactic shock,allergic reactions,acute dystonic(movement disorder),motion sickness
Naloxone (Narcan) Narcotic overdose,coma unknown and alcohol related
Promethazine (phenergan) Nausea/vomitting,motion sickness,pre/post operative,potentiate the effects of analgesics,allergic reactions
Created by: rebeccabelleth