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ETMC other Drugs

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Drug
Trade Name
Indication
Contraindications
Dosage
Side Effects
Precations, 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)  
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Dexamethasone   Decadron, Hexadrol   cerebral edema           corticosteroid  
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Mannitol   Osmotrol   acute cerebral edemablood transfusion reactions           osmotic diuretic  
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Methylprednisolone   Solu-Medrol   spinal cord injury           corticosteroid  
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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)  
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Lorazepam   Ativan   anxietystress           anticonvulsant/sedative (benzodiazepine)  
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Midozolam   Versed   premedication for medical proceduresseizures,sedation   allergy; hypotension; respiratory deressioncoma         anticonvulsant/sedative, hypnotic, (benzodiazepine)  
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Phenytoin   Dilantin   major motor seizuresstatus epilepticusdysrhythmias caused by digitalis toxicity           anticonvulsant/antiarrhythmic  
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Fosphenytoin   Cerebryx              
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Phenobarbital   Luminal   major motor seizuresstatus epilepticusacute anxiety states            
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Pancuronium   Pavulon   temporary paralysis where ET is indicated & muscle tone, seizures, or laryngospasm prevents it            
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Dexamethasone   Decadron, Hexadrol   cerebral edemaanaphylaxisasthmaexacerbation of COPD            
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Succinylcholine   Anectine   temporary paralysis where ET is indicated & muscle tone or seizure activity prevent it         fasciculations   depolarizing neuromuscular blocker (short-acting)  
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Insulin   Humulin, Novolin, Iletin   Type I diebetes     5-10 Units     Regular (fast-acting)    
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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  
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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  
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