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EMERGENCY DRUGS FOR CARDIAC DISORDERS EMERGENCY DRUGS FOR SHOCK
EMERGENCY DRUGS FOR NEUROSURGICAL DISORDERS
EMERGENCY DRUGS FOR HYPERTENSIVE
anastomoses SE: Respiratory distress. pregnancy.NITROGLYCERIN A: Dilates coronary arteries and improves blood flow. renal disease. SE: Hypotension. I: A narcotic agent used to treat CHEST PAIN associated with an AMI. Urinary retention. CI: Hypersensitivity. uncorrected hypovolemia. narrow-angle glaucoma. Tachycardia. . Hypotension ATROPINE SULFATE A: To increase heart rate by inhibiting the action of the vagus nerve. Anxiety. ischemia. I: Treatment for significant BRADYCARDIA (slow heart rate) & some types of HEART BLOCK (AV block at nodal level). hypotension. SE: Cardiac dysrrythmias. epilepsy. MORPHINE SULFATE A: Dilates venous vessels. Tachycardia. CI: Hypersensitivity. tachycardia. I: Treatment of choice for ANGINA PECTORIS (chest pain) & MYOCARDIAL INFARCTION (heart attack). CI: Hypersensitivity. Thirst. reduces the workload on the heart. Myocardial Restlessness. Mydriasis.
CI: Simultaneous use of calcium channel blockers and beta-blockers. CI: With poison. Bradycardia. with refractory hemodynamically significant VERAPAMIL ( Isoptin ) A: It slows conduction (negative chronotropic) through the heart and has negative inotropic and vasodilating effects. clients with sick sinus syndrome. preexisting heart block or sick sinus syndrome in the client without a pacemaker.ISOPROTERENOL A: To increase heart rate I: Given to client BRADYCARDIA. I: Treatment of NARROW COMPLAEX PAROXYSMAL SUPRAVENTRICULAR TACHCARDIA (PSVT) is alternative to adenosine in clients with normal blood pressure and adequate left ventricular function. except those with functioning pacemakers. Wolff-Parkinson-White syndrome and heart failure. interrupts dysrhythmia-producing reentry pathways. second. Ventricular ectopy. Chest pain. . & restores normal rhythm in clients with PSVT. Flushing. ADENOSINE A: Slows impulse conduction through the heart’s atrioventricular node.or drug-related tachycardia.and third-degree heart block. SE: Transient. I: First-line drug of choice to treat PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA (PSVT).
ventricular tachycardia and ventricular fibrillation. hearing impairment. Wolff-Parkinson-White syndrome and heart failure. CI: Simultaneous use of calcium channel blockers and beta-blockers. muscle twitching and . pulse less. second. preexisting heart block or sick sinus syndrome in the client without a pacemaker. hemodynamically stable ventricular tachycardia. cardiac conduction defects. Treat VENTRICULAR DYSRHYTMIAS (irregular heart beats). I: Drug of choice for PREMATURE VENTRICULAR CONTRACTIONS. Bradycardia. ventricular rate control in atrial fibrillation and for pharmacologic treatment of atrial fibrillation. LIDOCAINE A: Decreases automaticity. CI: Severe sinus-node dysfunction. drowsiness. CAUTION: Liver disease. Elderly.or third-degree AV block. PSVT refractory to adenosine. CI: Hypersensitivity advanced atrioventricular block.DILTIAZEM ( Cardizel ) A: To slow the ventricular response rate in arterial fibrillation or flutter. and VENTRICULAR FIBRILLATION. increases electrical threshold of ventricle. AMIODARONE A: It has alpha. and calcium channels. Heart failure. potassium. I: Treatment of LIFE-THREATENING DYSRHYTHMIAS & CARDIAC ARREST. SE: Lidocaine toxicity such as confusion. VENTTRICULAR TACHYCARDIA. I: Treat PSVT.and beta-adrenergic blocking effects and acts on sodium. myocardial depression. SE: Hypotension. hypersensitivity.
. Rhythm disturbances. & RAPID SUORAVENTRICULAR DYSRHYTHMIAS unresponsive to adenosine. CARDIAC ARREST associated with HYPOMAGNESEMIA (low serum magnesium level). PVCs. I: For VENTRICUALR TACHYCARDIA. REFRACTORY VENTRICULAR FIBRILLATION.PROCAINAMIDE A: An antidysrhythmic agent. CI: Patients with heart block or myocardial damage. CI: Clients with torsades de pointes. an unusual polymorphic ventricular tachycardia often associated with prolonged Q-T interval. MAGNESIUM SULFATE A: May decrease acetylcholine released by nerve impulses. Indicated for clients with REFRACTORY VENTRICULAR TACHYCARDIA. but anticonvulsant mechanism is unknown. Heart block. and LIFE-THREATENING VENTRICULAR DYSRHYTHMIAS from digitalis toxicity. SE: Severe hypotension. Cardiac arrest. I: Drug of choice for the treatment of TORSADES DE POINTES.
EPINEPHRINE A: A catecholamine with alpha. To improve PERFUMOSION OF THE HEART & BRAIN in CARDIAC ARREST STATES.and beta-adrenergic effects. that is. CI: Responsive clients who have coronary artery disease (CAD). VASOPRESSIN A: It increases coronary artery perfusion during cardiopulmonary resuscitation (CPR) & to exhibit vasopressors effects. I: Indicated to clients with PROFOUND BRADYCARDIA & HYPOTENSION. . I: Treatment for VENTRICULAR FIBRILLATION that is refractory to defibrillation. clients with CAD who are not in cardiac arrest. & VENTRIBULAR FIBRILLATION. ASYSTOLE. PULSELESS VENTRICULAR TACHYCARDIA.
4 mg-meterd dose. CO2. CI: Hypoventilation. at 2- . NITROGLYCERIN SL: 0. NaCl.3-0. up to 3 sprays in 15 MORPHINE SULFATE ATROPINE SULFATE ISOPROTERENOL IV: 1mg diluted in 250 ml of 5% dextrose water or normal saline. Hypocalcaemia.SODIUM BICARBONATE A: Reverses metabolic acidosis neutralizes gastric acid. I: Treat the METABOLIC ACIDOSIS that may accompany CARDIAC ARREST & the HYPERKALEMIA & ACIDOTIC STATES to specific drug overdose situations. severe kidney insufficiency. raises blood pH. which form water.4 mg Translingual aerosol spray: 0.
repeat DILTIAZEM ( Cardizel ) IV: 0.35 mg/kg AMIODARONE Adult IV with pulse: 150 mg over 10 min.25mg/kg.5 mg/min over 18 h Cardiac arrest: 300 mg diluted in 20-30 ml D5W rapidly followed by continuous infusion as above. may repeat VERAPAMIL ( Isoptin ) IV: age & weight dependent dosages.ADENOSINE Adult IV: initially 6 mg then 12mg in 1-2 min if needed. then continuous infusion 1 mg/min for 6 h. repeat in 15 min at 0.2 g/d . max: 2. should not exceed 5mg. then 0.
Give IV/IO in EPINEPHRINE IV/IO: 0.LIDOCAINE Adult IV/IO: 1-1.5 mg/kg q 5-10 min up to 3 mg/kg (max) ETT*: 2-4 mg/kg Child IV/IO: initially 1 mg/kg. may repear0.5-1 mg.5 mg/kg. maintenance 20-50 mcg/kg/min is PROCAINAMIDE MAGNESIUM SULFATE Dilute 1-2 g (2-4 ml of a 50% solution) in 10 ml of D5W. may be repeated q 3-5 min VASOPRESSIN .
EDEMA & INCREASED INTRACRANIAL Pregnancy. I: Treat CEREBRAL PRESSURE. severe dehydration. I: An option to clients with TRAUMATIC SPINAL CORD INJURIES. CI: Hypersensitivity. SE: Temporary volume expansion. current intracranial bleeding.SODIUM BICARBONATE MANNITOL A: Inhibition of reabsorption of electrolytes and water by affecting pressure of glomerular filtrate. CI: Hypersensitivity. penetrating trauma to the spinal cord. METHYLPREDNISOLONE A: Reverses increased capillary permeability. Pregnancy and uncontrolled DM. . HIV infection. spinal cord injury more than 8 hour old. breastfeeding. severe infection. CAUTION: Hypo/Hpernatremia.
I: Clients who have taken an OVERDOSE OF OPIATE DRUGS.MANNITOL Adult IV: initially 1 g/kg of 20%-25% solution as a bolus High METHYLPREDNISOLONE IV bolus dose: 30 mg/kg in 100 ml NSS. SE: No major side effects but ccan precipitate withdrawal symptoms and rarely cause anaphylaxis. then 5. those experiencing RESPIRATORY or CARDIOVASCULAR DEPRESSION from therapeutic doses of opiates given in health care setting. CI: Respiratory depression due to non-opioid drugs. & those brought to emergency department in a COMA of UNKNOWN ETIOLOGY.4 mg/kg/h (23 h) or 48 h NALOXONE ( Narcan ) A: May displace opiod analgesics from their receptors to reverse it effects. .
GI perforation.FLUMAZENIL A: Inhibits the activity at the benzodiazepine receptor. hemorrhage. CI: Hypersensitivity. Additional doses of 0. may be repeated at . anatomically-broken GI tract. ACTIVATED CHARCOAL I: To PREVENT ABSORPTION OF TOXINS INTO THE BODY .2 mg over 15 sec.3-0. I: Reversal agent RESPIRATORY DEPRESSANT & SEDATIVE EFFECTS OF BENZODIAZEPINE MEDICATIONS. SE: Vomiting. CI: Intestinal obstruction. NALOXONE FLUMAZENIL IV: initial dose 0.5 mg over 30 sec every 1 min as indicated. For re-sedation.
SE: Tachycardia. I: Enhances the force of MYOCARDIAL CONTRACTION & INCREASE HEART RATE. SE: Myocardial ischemia. DOBUTAMINE A: Causes mild vasodilation. CI: Patients with phaechromocytoma or hyperthyroidism.ACTIVATED CHARCOAL DOPAMINE A: Causes vasoconstriction. Nausea . Dysrhythmias. Myocardial ischemia. Dysrhythmias. I: To treat HYPOTENSION IN SHOCK STATES not caused by HYPOVOLEMIA. Nausea & Vomiting. Headache. Tachycardia. CI: Patients with marked obstruction of cardiac ejection such as idiopathic hypertrophic subaortic stenosis.
Threatened abortion during the 1st or 2nd trimester. & COPD. I: Treatment of ANAPHYLACTIC SHOCK.NOREPINEPHRINE A: A catecholamine with extremely potent vasoconstrictor actions. CI: Not be used to teat hypotension in hypovolemic clients. I: Used in SHOCK STATES. ASTHMA. I: Reverse bronchoconstiction in ANAPHYLACTIC SHOCK. EPINEPHRINE A: Causes bronhodilation and vasoconstriction. . Fear. lactation. CI: Hypersensitivity. SE: Excitability. Anxiety. & Restlessness ALBUTEROL A: Causes bronchodilation.
DIPHENHYDRAMINE HYDROCHLORIDE A: Decreases allergic response by blocking histamine. DEXTROSE 50% I: To treat INSULIN-INDUCED HYPOGLYCEMIA or INSULIN SHOCK SE: Phlebitis . I: Effective for treating the HISTAMINE-INDUCED TISSUE SWELLING & PRURITUS common to severe allergic reactions. SE: Drowsiness. CI: Hypersensitivity. Vertigo. Confusion. Sedation. History of sleep apnea. Excitability. Hypotension.
CI: Phaeochromocytoma. hypersensitivity DOPAMINE Adult IV: drip 2-20 mcg/kg/min (>10 mcg/kg/min may be ordered if DOBUTAMINE NOREPINEPHRINE ALBUTEROL .GLUCAGON A: A hormone produced from pancreas that elevates blood sugar by stimulating glycogen breakdown I: Treatment of SEVERE INSULIN-INDUCED HYPOGLYCEMIA or INSULIN SHOCK .
I: Indicated for the acute management of clinically significant HYPERTENSION in the prescence of ISCHEMIC & HEMMORHAGIC STROKE. CI: Clients with bronchial asthma or COPD. severe bradycardia & apparent heart failure.DIPHENHYDRAMINE HYDROCHLORIDE DEXTROSE 50% Adult IV: 50 ml GLUCAGON LABETALOL A: Inhibits the effects of the sympathetic nervous system. . as well as for HYPERTENSIVE CRISIS.
& Electrolyte disturbances. Dehydration.NITROPRUSSIDE SODIUM A: It is immediate direct arterial and venous vasodilation. . SE: Hypovolemia. CI: Hypersensitivity. compensatory hypertension. I: For ACUTE PULMONARY EDEMA from LEFT VENTRICULAR DYSFUNCTION & HYPERTENSIVE CRISIS. FUROSEMIDE A: Inhibits sodium & chloride reabsorption from the ascending loop of Henle and the proximal & distal tubules.. I: To reduce ARTERIAL BLOOD PRESSURE in HYPERTENSIVE EMERGENCIES CI: Hypersensitivity.
MORPHINE SULFATE A: Produces venous bronchodilation that decreases cardiac preload. CI: Hypersensitivity.25-5 mcg/kg/min. epilepsy. anastomoses. LABETALOL IV: initial push 10-20 mg over 2 min. SE: Respiratory distress. I: For ACUTE PULMONARY EDEMA. begin at 0. Hypotension.25 mcg/kg/min & titrate to FUROSEMIDE . pregnancy. repeated or doubled q 10 min up NITROPRUSSIDE SODIUM Adult IV: drip 0.
MORPHINE SULFATE .
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