PosplLal

ºCrash CarL" Ŵ MlCu
?aLska CarLaaena
!uan Morales
©ecLlves
AIter this presentation the students
will be able to:
W eIine the term crash cart.
W Understand the purpose oI
crash cart.
W IdentiIy the content oI crash
cart, their use and the nursing
consideration Ior all the:
W Medications
W Supplies
eIinition crash cart
W A crash cart or code cart is a special mobile storage unit with drawers
used in health care Iacilities and emergency rooms that contain the
necessary medications and equipment to respond to a cardiopulmonary
arrest.
9urpose of Lhe Crash CarL
W %he purpose oI the crash cart is to have a portable liIe saving unit that
contains all the medications, equipment and supplies necessary to initiate a
treatment in emergency and liIe threatening situations on all health care
Iacilities.
lassiIication
Action
Indication
ontraindication
Side eIIect
Nursing onsideration
Med|cat|ons |nc|uded |n the Crash Cart
I|rst L|ne drugs
W ygen
W Epinephrine
W Atropine SulIate
Ant|arrhythm|c Agents
W idocaine (Xylocaine)
W Procainamide (Ponestyl)
W Bretylium (Bretylol)
W Verapamil (alan)
W iltiazem (ardizem)
W Adenosine (Adenocard)
W Aminoradone (ordaron)
MedlcaLlons lncluded ln Lhe Crash CarL
M|sce||aneous
W Maaneslum SulfaLe
W Sodlum 8lcaronaLe
W Calclum Chlorlde
W Calclum CluconaLe
W uexLrose 30Ʒ
5econd L|ne Drugs
W -oreplnephrlne (Levophed)
W uopamlne (lnLropln)
W uouLamlne (uouLrex)
W lsoproLenerol (lsuprel)
MedlcaLlons lncluded ln Lhe Crash CarL
Vasod||ators/ Ant|hypertens|ve
W -lLroalvcerlne (1rldll)
Ant|Ŵd|uret|c
W Iasopressln
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Lp|nephr|ne (1ť10000)
W C|ass|f|cat|on
8eLa2 Adreneralc AaonlsLs
W Act|on
SLlmulaLes eLa recepLors ln lunaŦ
8elaxes ronchlal smooLh muscleŦ
lncreases vlLal capaclLv
lncreases 89ţ P8ţ 98
uecreases alrwav reslsLanceŦ
W Ind|cat|on
AsLhma
8ronchlLls
Lmphvsema
All cardlac arresLţ anaphvlaxls
used for svmpLomaLlc radvcardlaŦ
8ellef of ronchospasm occurrlna durlna anesLhesla
LxerclsedŴlnduced ronchospasm
W 5|de Lffects/Adverse keact|ons
nervousnessţ Lremorţ verLlaoţ palnţ wldened pulse
pressureţ hvperLenslonţ nausea
headache
W Contra|nd|cat|ons
JlLh analeŴclosure alaucomaţ shock (oLher Lhan
anaphvlacLlc shock)ţ oraanlc raln damaaeţ cardlac
dllaLlonţ arrhvLhmlasţ coronarv lnsufflclencvţ or
cereral arLerloscleroslsŦ Also conLralndlcaLed ln
paLlenL recelvlna aeneral anesLhesla wlLh haloaenaLed
hvdrocarons or cvclopropane and ln paLlenLs ln laor
(mav delav second sLaae)
ln con©uncLlon wlLh local anesLheslaţ eplnephrlne ls
conLralndlcaLed for use ln flnaerţ Loesţ earsţ noseţ and
aenlLallaŦ
ln preananL womanţ drua ls conLralndlcaLedŦ
ln reasL feedlna do noL use Lhe drua or sLop reasL
feedlnaŦ
W Nurs|ng Management
MonlLor I$SŦ and check for cardlac dvsrrhvLhmlas
urua lncreases rlaldlLv and Lremor ln paLlenLs wlLh
9arklnson's dlsease
Lplnephrlne Lherapv lnLerferes wlLh LesLs for urlnarv
caLecholamlne
Avold lM use of parenLeral suspenslon lnLo uLLocksŦ
Cas aanarene mav occur
Massaae slLe afLer lM ln©ecLlon Lo counLeracL posslle
vasoconsLrlcLlonŦ
serve paLlenL closelv for adverse reacLlonsŦ -oLlfv
docLor lf adverse reacLlon develop
lf lood pressure lncreases sharplvţ rapldŴacLlna
vasodllaLors such as nlLraLes or alpha lockers can e
alven Lo counLeracL
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Atrop|ne 5u|fate (4mg/mL)
W C|ass|f|cat|on
AnLlchollneralc
W Ind|cat|on
9reŴop meds$preŴanesLheLlc meds
1o resLore cardlac raLe and arLerlal pressure durlna
anesLhesla when vaaal
1o lessen Lhe dearee of AŴI hearL lock
1o overcome severe caroLld slnus reflex
AnLldoLe for chollneralc LoxlclLv
W 5|de effects
C-Sť resLlessnessţ aLaxlaţ dlsorlenLaLlonţ
halluclnaLlonsţ dellrlumţ comaţ lnsomnlaţ aalLaLlonţ
confuslonŦ
CIť Lachvcardlaţ analnaţ arrhvLhmlasţ flushlnaŦ
LL-1ť phoLopholaţ lurred vlslonţ mvdrlaslsŦ
Clť drv mouLhţ consLlpaLlonţ vomlLlnaŦ
Cuť urlne reLenLlonŦ
PemaLoloalcť leukocvLosls
Lherť anaphvlaxls
W Adverse effects
C-Sť headacheţ exclLemenLŦ
CIť palplLaLlons
Clť LhlrsLţ nausea
W Contra|nd|cat|ons
PvpersenslLlvlLv
JlLh acuLe anale closure alaucomaţ osLrucLlve
uropaLhvţ osLrucLlve dlsease of Cl LracLţ paralvLlc
lleusţ Loxlc meaacolonţ lnLesLlnal aLonvţ unsLale CI
sLaLus ln acuLe hemorrhaaeţ asLhmaţ or mvasLhenla
aravlsŦ
9reananL womenŦ
W Nurs|ng Management
MonlLor ISŦ
8eporL lncrease P8
MonlLor for consLlpaLlonţ ollaurlaŦ
lnsLrucL Lo Lake 30 mlnuLes efore meals
LaL foods hlah ln fler and drlnk plenLv fluldsŦ
Can cause phoLophola
lnsLrucL cllenL noL Lo drlve a moLor vehlcle or
parLlclpaLe ln acLlvlLles requlrlna alerLnessŦ
Advlse Lo use hard candvţ lce chlpsţ eLcŦ for drv mouLhŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W L|doca|ne (ky|oca|ne)
W 100 mg bo|us
W 1 gm
W C|ass|f|cat|on
CI druasť AnLlarrhvLhmlcs
AnesLheLlc
W Act|on
lncreases elecLrlcal sLlmulaLlon of venLrlcle and PlsŴ
9urkln©e svsLem v dlrecL acLlon on Llssuesţ resulLlna Lo
decrease depolarlzaLlonţ auLomaLlclLv and exclLalllLv
ln venLrlcles durlna dlasLollc phase
W Ind|cat|on
AnesLhesla
ArrhvLhmlas
ConLrol of SLaLus LpllepLlcus refracLorv Lo oLher
LreaLmenLs
W 5|de Lffects and Adverse keact|ons
Cl dlsLurancesţ radvcardlaţ hvpoLenslonţ convulslonţ
numness of Lonaueţ muscle LwlLchlnaţ resLlessnessţ
nervousnessţ dlzzlnessţ LlnnlLusţ lurred vlslonţ feLal
lnLoxlcaLlonţ llahL headednessţ drowslnessţ
apprehenslonţ euphorlaţ vomlLlnaţ sensaLlon of heaLţ
resplraLorv arresL and CI collapse
W Contra|nd|cat|ons
PvpersenslLlvlLv
PearL lock
Pvpovolemla
Adams sLroke svndromes
lnfecLlon aL slLe of ln©ecLlon
W Nurs|ng Management
Assess pL efore and afLer Lherapv
9Ls lnfuslon musL e on cardlac monlLor
MonlLor LCCţ lf C1 or C8S lncreases v 30Ʒ or moreţ
wlLhhold Lhe drua
MonlLor 89ţ check for reound P9- afLer 1Ŵ2 hrs
Assess resplraLorv sLaLusţ oxvaenaLlon and pulse
deflclLs
Assess renal and llver funcLlon
MonlLor C-S svmpLoms
MonlLor lood levels
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Þroca|nam|de (Þronesty|)
W 1 gm
W C|ass|f|cat|on
AnLlarrhvLhmlcs
W Act|on
8locks open -a channels and prolona Lhe
cardlac acLlon poLenLlalŦ 1hls resulLs ln slowed
conducLlon and ulLlmaLelv Lhe decreased raLe
of rlse of Lhe acLlon poLenLlal mav resulL on
Lhe wldenlna of C8S on LCC
W Ind|cat|on
SupravenLrlcular and venLrlcular arrhvLhmlasŦ
1reaLmenL of JolfŴ9arklnsonŴJhlLe Svndrome
W 5|de Lffects and Adverse keact|ons
Severe hvpoLenslonţ venLrlcular flrlllaLlon
and asvsLoleŦ
urua lnduced SLL svndromeţ lood dlsordersţ
feverţ mvocardlal depresslonţ hearL fallureţ
aarunulocvLoslsţ psvchoslsţ analoedemaţ
hepaLomeaalvţ skln lrrlLaLlonţ
hvperaammaaloullnemlaţ Cl and C-S effecLsŦ
W Contra|nd|cat|ons
PearL lock
PearL fallure
PvpoLenslon
MvesLhenla aravls
ulaoxln LoxlclLv
LacLaLlon
W Nurs|ng Management
Assess cardlovascular sLaLus efore LherapvŦ
Assess pulmonarvţ hepaLlc and LhvroldŦ
funcLlon efore and durlna LherapvŦ
MonlLor fluld and elecLrolvLesţ lƎţ kţ -a and
ClŦ
MonlLor LCCţ 89Ŧ
Assess vlslonŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W 8rety||um (8reyto|) (500mg/10mL)
W C|ass|f|cat|on
AnLldvsrhvLhmlc
W Act|on
8reLvlol produces a prompL lncrease ln venLrlcular
flrlllaLlon Lhresholdţ perhaps Lhrouah posLaanallonlc
adreneralc lockadeŦ lL causes an lnlLlal release of
noreplnephrlne from posLaanallonlc nerve LermlnalsŦ
AL presenLţ lLs use ls reserved for paLlenLs who fall Lo
respond Lo lldocalne or oLher flrsLŴllne
anLldvsrhvLhmlcsŦ
W Ind|cat|on
lndlcaLed ln Lhe prophvlaxls and Lherapv of venLrlcular
flrlllaLlonŦ
lndlcaLed ln Lhe LreaLmenL of llfeŴLhreaLenlna
venLrlcular arrhvLhmlasŦ
W 5|de effect/ Adverse effect
PvpoLenslon PvpoLenslon and posLural hvpoLenslon
-ausea and vomlLlna
IerLlaoţ dlzzlnessţ llahLŴheadedness and svncope
8radvcardlaţ lncreased frequencv of premaLure
venLrlcular conLracLlonsţ LranslLorv hvperLenslonţ
lnlLlal lncrease ln arrhvLhmlasţ preclplLaLlon of analnal
aLLacksţ and sensaLlon of susLernal pressureŦ
8enal dvsfuncLlonţ dlarrheaţ adomlnal palnţ hlccupsţ
ervLhemaLous macular rashţ flushlnaţ hvperLhermlaţ
confuslonţ paranold psvchoslsţ emoLlonal llalllLvţ
leLharavţ aenerallzed Lendernessţ anxleLvţ shorLness of
reaLhţ dlaphoreslsţ nasal sLufflness and mlld
con©uncLlvlLlsŦ
PvperLhermla
W Contra|nd|cat|ons
1here are no conLralndlcaLlons Lo use ln LreaLmenL of
venLrlcular flrlllaLlon or llfeŴLhreaLenlna refracLorv
venLrlcular arrhvLhmlasŦ
W Nurs|ng Management
Assess and noLlfv Lhe docLor lf Lhe paLlenLƌs medlcal
hlsLorv lncludeť anv alleralesţ kldnev dlseaseţ hearL
dlseaseţ locked lood vessels (aorLlc sLenosls)ţ luna
prolems (pulmonarv hvperLenslon) ecause Lhe
medlcaLlon ls conLralndlcaLed wlLh Lhls condlLlons
1o avold dlzzlness and llahLheadednessţ Lhe paLlenL
should remaln lvlna down orţ lf necessarvţ aeL up
slowlv when rlslna from a seaLed or lvlna poslLlonŦ
1hls medlcaLlon should e avold durlna preanancv
unless ls clearlv neededŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Verapam|| (Ca|anţ Isopt|n) (5mg/2mL)
W C|ass|f|cat|on
AnLlŴanalnal
AnLlŴarrhvLhmlcs
AnLlŴhvperLenslve
Iascular headache suppressanLs
W Act|on
lnhllLs calclum LransporL lnLo mvocardlal smooLh
muscle cells
uecreases SA and AI conducLlon and prolonas AI
node refracLorv perlod ln conducLlon Llssue
W Ind|cat|on
PvperLenslon
Analna 9ecLorls
SupravenLrlcular ArrhvLhmla
ALrlal fluLLer$flrlllaLlon
W 5|de Lffects and Adverse keact|ons
C-Sť anormal dreamsţ anxleLvţ confuslonţ
dlzzlness and headache
LL-1ť lurred vlslonţ eplsLaxls and LlnnlLus
CIť arrhvLhmlaţ CPlţ chesL palnţ radvcardlaţ
hvpoLenslon and palplLaLlons
Cuť dvsurlaţ nocLurla and polvurla
Clť anormal llver funcLlonţ anorexlaţ
consLlpaLlonţ dlarrheaţ nausea and vomlLlna
W Contra|nd|cat|ons
PvpersenslLlvlLv
Slck slnus svndrome
2nd or 3rd dearee AI lock
CPl
Cardloaenlc shock
ConcurrenL lI eLaŴlocker
W Nurs|ng Management
MonlLor 89 and pulse efore Lherapvţ durlna
LlLraLlon and Lherapv
MonlLor LCCţ lƎţ serum poLasslum and welahLŦ
Assess for CPl
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W D||t|azem(Card|zem) (50mg/10mL)
W C|ass|f|cat|on
AnLlŴanalnals
AnLlarrhvLhmlcs
AnLlhvperLenslve
Ca channel locker
W Act|on
lnhllLs calclum LransporL lnLo mvocardlal smooLh
muscle cells
SvsLemlc and coronarv vasodllaLlon
W Ind|cat|on
PvperLenslon
Analna 9ecLorls
SupravenLrlcular ArrhvLhmla
ALrlal fluLLer$flrlllaLlon
W 5|de Lffects and Adverse and keact|ons
C-Sť anormal dreamsţ anxleLvţ confuslonţ
dlzzlness and headache
LL-1ť lurred vlslonţ eplsLaxls and LlnnlLus
CIť arrhvLhmlaţ CPlţ chesL palnţ radvcardlaţ
hvpoLenslon and palplLaLlons
Cuť dvsurlaţ nocLurla and polvurla
Clť anormal llver funcLlonţ anorexlaţ
consLlpaLlonţ dlarrheaţ nausea and vomlLlna
W Contra|nd|cat|ons
PvpersenslLlvlLv
Slck slnus svndrome
2nd or 3rd dearee AI lock
CPl
Cardloaenlc shock
ConcurrenL lI eLaŴlocker
W Nurs|ng Management
MonlLor 89 and pulse efore Lherapvţ durlna
LlLraLlon and Lherapv
MonlLor lƎ and welahL
Assess for CPl
8ouLlne serum ulaoxln monlLorlna
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Adenos|ne (Adenocard) (6mg/2mL)
W C|ass|f|cat|on
-ucleoslde
W Ind|cat|on
1o converL paroxvsmal
supravenLlcular Lachvcardla (9SI1) Lo
slnus rhvLhm
W Act|on
A naLurallv occurrlna nucleoslde LhaL
acLs on Lhe AI node Lo slow
conducLlon and lnhllL reenLrv
paLhwavsŦ Also useful ln LreaLlna
9SI1sţ lncludlna Lhose wlLh accessorv
vpass LracLs (JolffŴ9arklnsonŴJhlLe
svndrome)
W Adverse keact|on
C-Sť dlzzlnessţ llahLŴ headednessţ
numnessţ Llnallna ln armsţ
headacheŦ
CIť faclal flushlnaŦ
Clť nauseaŦ
8esplraLorvť dvspneaţ shorLness of
reaLhţ chesL pressureŦ
W Contra|nd|cat|on
ConLralndlcaLed ln paLlenLs hvpersenslLlvlLv
Lo druasŦ
ConLralndlcaLed ln Lhose wlLh second or
LhlrdŴdearee hearL lock or slnus node
dlsease (such as slck slnus svndrome and
svmpLomaLlc radvcardla)ţ excepL Lhose
wlLh a peacemakerŦ
use cauLlouslv ln paLlenLs wlLh asLhmaţ
emphvsemaţ or ronchlLls ecause
ronchoconsLrlcLlon mav occurŦ
W Nurs|ng Management
ALLk1ť v decreaslna conducLlon Lhrouah
Lhe AI nodeţ drua mav produce flrsLŴţ
secondŴor LhlrdŴdearee hearL lockŦ
9aLlenLs who develop hlahŴlevel hearL lock
afLer a slnale dose shouldn'L recelve
addlLlonal dosesŦ
ALLk1ť new arrhvLhmlasţ lncludlna hearL
lock and LranslenL asvsLoleţ mav developŤ
monlLor cardlac rhvLhm and LreaL as
lndlcaLedŦ
lf soluLlon ls coldţ crvsLals mav formŤ aenLlv
warm soluLlon Lo room LemperaLureŦ uon'L
use soluLlons LhaL aren'L clearŦ
urua lacks preservaLlvesŦ ulscard unused
porLlonŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Magnes|um su|fate (50Ʒ(500mg/mL))
W C|ass|f|cat|on
AnLlconvulsanL
W Ind|cat|on
1reaLmenL of hvpomaanesaemla accompanled v
slans of LeLanv
ConLrol of P1-
LncephalopaLhv Ǝ convulslons
9revenLlon Ǝ conLrol of convulslons ln paLlenLs w$
preeclampsla or eclampsla
9revenLlon of hvpomaanesaemla ln paLlenLs recelvlna
19-
W Act|on
Mav decrease aceLvlchollne released v nerve
lmpulsesţ uL lLs anLlconvulsanL mechanlsm ls
unknown
W Adverse keact|ons
flushlnaţ sweaLlnaţ hvpoLenslonţ muscular
weaknessţ sedaLlon Ǝ confuslon
decreased deep Lendon reflexes
respŦ paralvsls
W Contra|nd|cat|ons
PearL lock or mvocardlal damaae
W Nurs|ng Management
MonlLor Lhe followlnať lŦIŦť 8apld admlnlsLraLlonť
LCC monlLorlnaţ vlLal slansţ deep Lendon reflexesŤ
maaneslumţ calclumţ and poLasslum levelsŤ renal
funcLlon durlna admlnlsLraLlonŦ
sLeLrlcsť 9aLlenL sLaLus lncludlna vlLal slansţ
oxvaen saLuraLlonţ deep Lendon reflexesţ level of
consclousnessţ feLal hearL raLeţ maLernal uLerlne
acLlvlLvŦ
ralť 8enal funcLlonŤ maaneslum levelsŤ owel
movemenLsŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W 5od|um 8|carbonate
W 8Ŧ4Ʒ 50mLq/50mL
W Þed|atr|c 4Ŧ2Ʒ 50 mLq|
W C|ass|f|cat|on
Alkallnlzers
W Ind|cat|on
MeLaollc acldosls
SvsLemlc or urlnarv alkallnlzaLlon
AnLacld
Cardlac arresL
W Act|on
8esLores ufferlna capaclLv of Lhe odv and
neuLrallzes excess acld
W Adverse keact|on
1eLanvţ edemaţ aasLrlc dlsLenLlonţ elchlnaţ
flaLulenceţ hvpokalemlaţ meLaollc alkaloslsţ
hvpernaLremlaţ chemlcal cellullLes ecause of
alkallnlLvţ palnţ lrrlLaLlonţ Llssue necroslsţ
ulceraLlon or slouahlna aL Lhe slLe of
lnfllLraLlon
W Contra|nd|cat|ons
ConLralndlcaLed ln paLlenLs wlLh meLaollc or
resplraLorv alkaloslsŤ
9aLlenLs who are loslna chlorldes from vomlLlna or
conLlnuous Cl sucLlonŤ
9aLlenLs Laklna dlureLlcs known Lo produce
hvpochloremla alkaloslsŤ and
9aLlenLs wlLh hvpocalcemla ln whlch alkalosls mav
produce LeLanvţ hvperLenslonţ selzuresţ or hearL
fallureŦ
ral sodlum lcaronaLe ls conLralndlcaLed ln paLlenLs
wlLh acuLe lnaesLlon of sLrona mlneral acldsŦ
W Nurs|ng Management
uo noL Lake drua wlLh mllk Lo avold hvpercalcemlaţ
anormallv hlah alkallnlLv ln Llssues and fluldsţ or
kldnev sLonesŦ
uo noL alve Lo paLlenLs wlLh meLaollc or resplraLorv
alkaloslsţ and ln Lhose wlLh hvpocalcemla ln whlch
alkalosls mav produce LeLanvţ hvperLenslonţ selzuresţ
or hearL fallureŦ
MonlLor for alkalosls v oLalnlna lood pPţ 9a2ţ
9C2ţ and elecLrolvLe levels
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Ca|c|um Ch|or|de (10Ʒ 100mg/mL)
W C|ass|f|cat|on
LlecLrolvLes
W Ind|cat|on
Pvperkalemla
Pvpocalcemla
Pvpermaanesla
W Act|on
lncrease Lhe force of cardlac conLracLlllLvţ v
lnlLlaLlna mvoflrll
shorLenlnaŦ
ln normallv funcLlonlna hearLs calclum wlll
produce poslLlve lnoLroplc
and vasoconsLrlcLlve effecLs and lncrease
svsLemlc arLerlal lood
pressureŦ
ln anormallv funcLlonlna hearLs calclum wlll
produce poslLlve
lnoLroplc effecLs mav lncrease or decrease
svsLemlc vascular
reslsLanceŦ
lL also appears Lo lncrease venLrlcular
auLomaLlclLvŦ
W Adverse effect
MeLalllc LasLe
8urnlna
PeaL waves
8radvcardla (mav cause asvsLole)
PvpoLenslon
9erlpheral vasodllaLaLlon
Cardlac arrhvLhmlas
lncreased dlalLalls LoxlclLv
LxLravasaLlons wlLh necroslsţ slouahlna and ascess
formaLlon
Iasospasm ln coronarv and cereral arLerlesŦ
-$I
W Contra|nd|cat|ons
Pvpercalcemla
ulalLalls LoxlclLv
Il durlna resusclLaLlon
W Nurs|ng Management
Pave paLlenL remaln recumenL for a shorL Llme afLer lI
ln©ecLlonŦ
AdmlnlsLer lnLo venLrlcular cavlLv durlna cardlac
resusclLaLlon noL ln Lhe mvocardlum
1each Lhe paLlenL Lo reporL loss of appeLlLeţ nauseaţ
vomlLlnaţ adomlnal palnţ consLlpaLlonţ drv mouLhţ LhlrsLţ
lncreased voldlnaŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Dextrose 50Ʒ (500mL)
W C|ass|f|cat|on
lnLravenous Ǝ Lher SLerlle SoluLlons
W Ind|cat|on
Pvpoalvcemla
Coma$selzure of unknown eLloloav
W Act|onť
A slmple waLer solule suaar LhaL mlnlmlzes
alvconeoaenesls and promoLes anaollsm ln
paLlenLs whose oral calorlc lnLake ls llmlLed
W Adverse keact|ons
Local palnţ veln lrrlLaLlonţ LhromophlelLls Ǝ
Llssue necrosls ln Lhe evenL of exLravasaLlonsŦ
lluld Ǝ elecLrolvLe lmalance (ea hvpokalemlaţ
hvpomaanesemla Ǝ hvpophosphaLemla)Ť edema
or waLer lnLoxlcaLlon
W Contra|nd|cat|ons
lnLracranlal hemorrhaae
lncreased lnLracranlal pressure
W Nurs|ng Measuresť
MonlLor lnfuslon raLe frequenLlvŤ lf
slans of fluld overloadţ Lurn off lI
drlpŦ lnfuslon mav resulL ln fluld
overloadŦ
Check lI slLe frequenLlv and lf
lnfllLraLlon ls noLedţ Lurn off lI drlpŦ
JaLch ouL for slans of fluld overload
(dlsLended neck velns (!Iu)ţ rapld
resplraLlonsţ shallow Lldal volumeţ
flne ausculLaLor cracklesţ dvspneaţ
and perlpheral edema)
JaLch ouL for slans of lnfllLraLlon
(swelllna and paln around lI slLe)Ŧ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Norep|nephr|ne (Levophed) (1mg/mL)
W C|ass|f|cat|on
SvmpaLhomlmeLlc
Adreneralc
W Act|on
Cause lncrease conLracLlllLv and hearL
raLe v acLlna on eLa recepLor ln hearLŤ
also acLs on alpha recepLor causlna
vasoconsLrlcLlon ln lood vesselŦ
W Ind|cat|on
Cardloaenlc shock
-euroaenlc shock
lnoLroplc supporL
Pemodlnamlcallv slanlflcanL hvpoLenslon
refracLorv Lo oLher svmpaLheLlc nerves
W 5|de Lffects
C-Sť Peadacheţ anxleLvţ dlzzlnessţ cereral
hemorrhaae
CIť Lachvcardlaţ hvperLenslon
Clť -auseaţ vomlLlna
Cuť decrease urlne ouLpuL
8LS9ť uvspnea
S?S1ť Anaphvlaxls
W Contra|nd|cat|ons
PvpoLenslve paLlenL wlLh hvpovolemla
W Nurs|ng Management
LCC durlna admlnlsLraLlon conLlnuouslv
MonlLor 89 and pulse q 2Ŵ3 mlnuLes afLer
parenLeral rouLe
l$ raLlo
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Dopam|ne (Introp|n)
W 400mgs/VIAL
W 200 mg/10mL
W C|ass|f|cat|on
Adreneralc druas
W Act|on
SLlmulaLes dopamlneralc and alpha and
eLa recepLors of Lhe svmpaLheLlc nervous
svsLem resulLlna ln poslLlve lnoLroplc effecL
and lncreased C
W Ind|cat|on
1o LreaL shock and correcL hemodvnamlc
lmalances
1o correcL hvpoLenslon
1o lmprove perfuslon of vlLal oraans
1o lncrease C
W 5|de Lffects
C-Sť headache an anxleLv
CIť Lachvcardlaţ analnaţ palplLaLlons and
vasoconsLrlcLlon
Clť nausea and vomlLlna
W Contra|nd|cat|ons
PvpersenslLlvlLv
JlLh uncorrecLed LachvarrhvLhmla's
9heochromocvLoma
IenLrlcular llrlllaLlon
W Nurs|ng Management
MosL paLlenLs recelved less Lhan 20 mca$ka$mln
uruas lsn'L susLlLuLe for lood or fluld volume
deflclL
uurlna lnfuslonţ monlLor LCCţ 89ţ Cţ 98 and
color and Lemp of Lhe llms
uo noL confuse dopamlne Lo douLamlne
Check urlne ouLpuL ofLen
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Dobutam|ne (Dobutrex)
W 250 mgs/20 mL
W 250mgs/VIAL
W C|ass|f|cat|on
Adreneralc druas
W Act|on
SLlmulaLes hearL eLa recepLors Lo lncrease
mvocardlal conLracLlllLv and SI
W Ind|cat|on
1o lncrease C
1reaLmenL of cardlac decomposlLlon
W 5|de Lffects
C-Sť headache
CIť P9-ţ Lachvcardlaţ palplLaLlons and
vasoconsLrlcLlon
Clť nausea and vomlLlna
W Contra|nd|cat|ons
PvpersenslLlvlLv
use cauLlouslv ln paLlenLs wlLh hlsLorv of P9- and
AMl
W Nurs|ng Management
8efore sLarLlna Lherapvţ alve a plasma volume
expander Lo correcL hvpovolemla and a cardlac
alvcoslde
MonlLor LCCţ 89ţ pulmonarv arLerv wedae
pressure and C
MonlLor elecLrolvLe levels
uon'L confuse douLamlne Lo dopamlne
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Isoprotenero| (Isupre|) 0Ŧ2mg/mL
W C|ass|f|cat|on
SvmpaLhomlmeLlc
W Act|on
SLlmulaLes eLa1Ŵ and eLa2ŴrecepLors resulLlna ln
relaxaLlon of ronchlalţ Clţ and uLerlne smooLh
muscleţ lncreased hearL raLe and conLracLlllLvţ
vasodllaLlon of perlpheral vasculaLure
W Ind|cat|on
Pemodlnamlcallv slanlflcanL radvcardla refracLlve Lo
oLher LherapvŦ
W 5|de Lffects
Cardlovascularť Analnaţ flushlnaţ hvperŴ$hvpoLenslonţ
pallorţ palplLaLlonţ paradoxlcal radvcardla (wlLh LllL
Lale LesLlna)ţ premaLure venLrlcular eaLsţ SLokesŴ
Adams aLLacksţ LachvarrhvLhmlaţ venLrlcular
arrhvLhmla
CenLral nervous svsLemť ulzzlnessţ headacheţ
nervousnessţ resLlessnessţ SLokesŴAdams selzure
Lndocrlne Ǝ meLaollcť Pvpokalemlaţ serum alucose
lncreased
CasLrolnLesLlnalť -auseaţ vomlLlna
-euromuscular Ǝ skeleLalť 1remorţ weakness
cularť 8lurred vlslon
8esplraLorvť uvspneaţ pulmonarv edema
Mlscellaneousť ulaphoresls
W Contra|nd|cat|ons
Il$I1
PvpoLenslon
lschemla PearL ulsease
Cardlac arresL
W Nurs|ng Management
MonlLor LCCţ hearL raLeţ resplraLorv raLeţ arLerlal
lood aasţ arLerlal lood pressureţ CI9Ť serum alucoseţ
serum poLasslumţ serum maaneslum
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Amr|none (Inocar)
W C|ass|f|cat|on
Calclum Channel 8lockers
CardloLonlc AaenLs
9hosphodlesLerase lnhllLor
IasodllaLor AaenLs
W Act|on
lncreases cardlac conLracLlllLvţ vasodllaLorŦ AcLs v
lnhllLlna Lhe reakdown of oLh cAM9 and cCM9 v Lhe
phosphodlesLerase (9uL3) enzvme
W Ind|cat|ons
nlv for LreaLmenL of Lhe followlna documenLed llfeŴ
LhreaLenlna recurrenL venLrlcular arrhvLhmlas LhaL do noL
respond Lo oLher anLlarrhvLhmlcs or when alLernaLlve
aaenLs are noL LoleraLedť 8ecurrenL venLrlcular
flrlllaLlonţ recurrenL hemodvnamlcallv unsLale
venLrlcular LachvcardlaŦ Serlous and even faLal LoxlclLv
has een reporLed wlLh Lhls druaŤ use alLernaLlve aaenLs
flrsLŤ verv closelv monlLor paLlenL recelvlna Lhls druaŦ
unlaeled usesť 1reaLmenL of refracLorv susLalned or
paroxvsmal aLrlal flrlllaLlon and paroxvsmal
supravenLrlcular LachvcardlaŤ LreaLmenL of svmpLomaLlc
aLrlal fluLLerŦ
W 5|de effects/ Adverse effect
CN5ť Mololseţ fotlooeţ Jlzzloessţ ttemotsţ otoxloţ
paresLheslasţ lack of coordlnaLlon
CVť Card|ac arrhythm|asţ CPlţ card|ac arrestţ ½oteosloo
LLN1ť otoeol mlctoJe½oslts (phoLopholaţ drv evesţ halosţ
lurred vlslon)Ť ophLhalmlc anormallLles lncludlna
permanenL llndness
Lndocr|neť ½ottolJlsmor ½etttolJlsm
Iť -ooseoţ vomltlooţ oootexloţ coostl½otlooţ obootmol llvet
fooctloo testsţ ||ver tox|c|ty
kesp|ratoryť Þu|monary tox|c|tyŸpneumonlLlsţ lnfllLraLes
(shorLness of reaLhţ couahţ ralesţ wheezes)
therť 9otoseosltlvltţ analoedema
Contra|nd|cat|ons
9aLlenLs wlLh hlsLorv of hvpersenslLlvlLv Lo Lhe drua
W Nurs|ng Management
MonlLor cardlac rhvLhm conLlnuouslvŦ
MonlLor for an exLended perlod when dosaae ad©usLmenLs
are madeŦ
MonlLor for safe and effecLlve serum levels (0Ŧ3Ŷ2Ŧ3
mca$mL)Ŧ
uoses of dlaoxlnţ qulnldlneţ procalnamldeţ phenvLolnţ and
warfarln mav need Lo e reduced oneŴLhlrd Lo oneŴhalf
when amlodarone ls sLarLedŦ
Clve drua wlLh meals Lo decrease Cl prolemsŦ
Arranae for ophLhalmoloalc examsŤ reevaluaLe aL anv slan of
opLlc neuropaLhvŦ
Arranae for perlodlc chesL xŴrav Lo evaluaLe pulmonarv
sLaLus (everv 3Ŷ6 mo)Ŧ
Arranae for reaular perlodlc lood LesLs for llver enzvmesţ
Lhvrold hormone levelsŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Nytrog|ycer|n (1r|d||)
W 50mg/ VIAL
W 250 mgs/ 10 mL
W C|ass|f|cat|on
AnLlanalnal
-lLraLe
IasodllaLor
Coronarv
W Act|on
8elaxes Lhe vascular smooLh svsLem
8educes mvocardlal oxvaen consumpLlon
8educes lefL venLrlcular workload
8educes arLerlal 89
8educes venous reLurn
W Ind|cat|on
Analna pecLorls
CPl assoclaLed wlLh AMl
Cardlac load reduclna aaenL
PvperLenslve Crlsls
W 5|de effects
C-Sť headacheţ Lhrolnaţ dlzzlnessţ weaknessŦ
Clť nauseaţ vomlLlna
Sklnť 8ash
W Adverse keact|ons
CIť orLhosLaLlc hvpoLenslonţ flushlnaţ falnLlnaŦ
LL-1ť sullnaual urnlnaŦ
Sklnť CuLaneous vasodllaLlonţ conLacL dermaLlLls
(paLch)
W Contra|nd|cat|ons
ConLralndlcaLed ln paLlenLs hvpersenslLlve Lo nlLraLes
JlLh earlv MlŦ (SŦLŦ form)ţ severe anemlaţ lncrease lC9
analeŴclosure alaucomaţ lI nlLroalvcerlne ls conLralndlcaLed
ln paLlenLs wlLh hvpovolemlaţ hvpoLenslonţ orLhosLaLlc
hvpoLenslonţ cardlac Lamponade resLrlcLlve
cardlomvopaLhvţ consLrlcLlve perlcardlLlsŦ
W Nurs|ng Intervent|ons
8ecord characLerlsLlcs and preclplLaLlna facLors of analnal
palnŦ
MonlLor 89 and aplcal pulse efore admlnlsLraLlon and
perlodlcallv afLer doseŦ
Pave cllenL slL or lle down lf Laklna drua for Lhe flrsL LlmeŦ
CllenL musL have conLlnulna LkC monlLorlna for lI
admlnlsLraLlon
CardloverLer$ deflrlllaLor musL noL e dlscharaed Lhrouah
paddle elecLrode overlvlna
-lLroŴ8ld olnLmenL or Lhe 1ransdermŴ-lLro 9aLchŦ AsslsL
wlLh amulaLlna lf dlzzvŦ
lnsLrucL Lo Lake aL flrsL slan of analnal palnŦ
Mav e repeaLed q 3 mlnuLes Lo maxŦ of 3 dosesŦ
lf Lhe cllenL doesn'L experlence rellefţ advlse Lo seek medlcal
asslsLance lmmedlaLelvŦ
keep ln a dark colored conLalner
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Ca|c|um |uconate
W C|ass|f|cat|onť
LlecLrolvLes
W Ind|cat|on/Dosageť
9 Pvpocalcaemla 10Ŵ30 mmol$davŦ lI Pvpocalcaemlc
LeLanv 2Ŧ23 mmol vla slow ln©ecLlonţ Lhen 38Ŵ77mL of
10Ʒ soln dlluLed and admlnlsLered as a conLlnuous lI
lnfuslonŦ AnLldoLe ln severe hvpermaanesaemlaŤ
Severe hvperkalemla 10mL of 10Ʒ soluLlonţ repeaL
everv 10 mlnuLes lf neededŦ
W Act|onť
replaces Calclum and malnLalns Calclum level
W Adverse keact|onsť
Cl lrrlLaLlonŤ sofLŴLlssue calclflcaLlonţ skln slouahlna or
necrosls afLer lM$SC ln©Ŧ Pvpercalcaemla characLerlzed
v anorexlaţ nauseaţ vomlLlnaţ consLlpaLlonţ
adomlnal palnţ muscle weaknessţ menLal
dlsLurancesţ polvdlpslaţ polvurlaţ nephrocalclnoslsţ
renal calcullŤ chalkv LasLeţ hoL flushes and perlpheral
vasodllaLlonŦ 9oLenLlallv laLalť Cardlac arrhvLhmlas
and comaŦ
W Nurs|ng Measuresť
Make sure prescrler speclfles form of calclum Lo e
alvenŤ crash carLs mav conLaln oLh calclum aluconaLe
and calclum chlorldeŦ
1ell paLlenL Lo Lake oral calclum 1 Lo 11$2 hours afLer
meals lf Cl upseL occursŦ
Clve lŦMŦ ln©ecLlon ln aluLeus realon ln adulLs and ln
laLeral Lhlah ln lnfanLsŦ use lŦMŦ rouLe onlv ln
emeraencles when no lŦIŦ rouLe ls avallale ecause of
lrrlLaLlon of Llssue v calclum salLsŦ
1ell paLlenL Lo Lake oral calclum wlLh a full alass of
waLerŦ
MonlLor calclum levels frequenLlvŦ Pvpercalcemla mav
resulL afLer larae doses ln chronlc renal fallureŦ 8eporL
anormallLlesŦ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Am|odarone
W C|ass|f|cat|onť
Cardlac uruas
W Ind|cat|onť
IenLrlcular and supravenLrlcular arrhvLhmlasŦ
W Act|onť
8locks poLasslum chlorlde leadlna Lo
prolonaaLlon of acLlon poLenLlal duraLlonŦ
W Adverse keact|onsť
8lueŴarev dlscoloraLlon of sklnţ
phoLosenslLlvlLvţ perlpheral neuropaLhvţ
paraesLheslaţ mvopaLhvţ aLaxlaţ Lremorţ
nauseaţ vomlLlnaţ meLalllc LasLeţ
hvpoLhvroldlsmţ hvperLhvroldlsmţ alopeclaţ
sleep dlsLurancesţ corneal mlcrodeposlLsţ hoL
flushesţ sweaLlnaŦ PearL lockţ radvcardlaţ
slnus arresLţ hepaLoxlclLvţ hearL fallureŦ
9oLenLlallv laLalť 9ulmonarv LoxlclLv lncludlna
pulmonarv flrosls and lnLersLlLlal
pneumonlLlsţ hepaLoxlclLvţ LhvroLoxlclLvŦ
IenLrlcular arrhvLhmlasţ pulmonarv alveollLlsţ
exaceraLlon of arrhvLhmlas and rare serlous
llver ln©urvŦ Cenerallv ln paLlenLs wlLh hlah
doses and havlna preexlsLlna anormallLles of
dlffuslon capaclLvŦ
W Nurs|ng Measuresť
MonlLor cardlac rhvLhm conLlnuouslvŦ
MonlLor for an exLended perlod when dosaae ad©usLmenLs are
madeŦ
MonlLor for safe and effecLlve serum levels (0Ŧ3Ŷ2Ŧ3 mca$mL)Ŧ
uoses of dlaoxlnţ qulnldlneţ procalnamldeţ phenvLolnţ and
warfarln mav need Lo e reduced oneŴLhlrd Lo oneŴhalf when
amlodarone ls sLarLedŦ
Clve drua wlLh meals Lo decrease Cl prolemsŦ
Arranae for ophLhalmoloalc examsŤ reevaluaLe aL anv slan of
opLlc neuropaLhvŦ
Arranae for reaular perlodlc lood LesLs for llver enzvmesţ
Lhvrold hormone levelsŦ
urua dosaae wlll e chanaed ln relaLlon Lo response of
arrhvLhmlasŤ vou wlll need Lo e hosplLallzed durlna lnlLlaLlon
of drua LherapvŤ vou wlll e closelv monlLored when dosaae ls
chanaedŦ
Pave reaular medlcal followŴupţ monlLorlna of cardlac rhvLhmţ
chesL xŴravţ eve examţ lood LesLsŦ
1hese slde effecLs mav occurť Chanaes ln vlslon (halosţ drv
evesţ senslLlvlLv Lo llahLŤ wear sunalassesţ monlLor llahL
exposure)Ť nauseaţ vomlLlnaţ loss of appeLlLe (Lake wlLh mealsŤ
eaL smallţ frequenL meals)Ť senslLlvlLv Lo Lhe sun (use a
sunscreen or proLecLlve cloLhlna when ouLdoors)Ť consLlpaLlon
(a laxaLlve mav e ordered)Ť Lremorsţ LwlLchlnaţ dlzzlnessţ loss
of coordlnaLlon (do noL drlveţ operaLe danaerous machlnervţ
or underLake Lasks LhaL requlre coordlnaLlon unLll drua effecLs
sLalllze and vour odv ad©usLs Lo lL)Ŧ
MedlcaLlon ClasslflcaLlonţ Mechanlsm of acLlonţ usesţ
conLralndlcaLlonţ slde effecLs and nurslna conslderaLlons
W Vasopress|n
W C|ass|f|cat|onť
AnLldlureLlc
W Act|on
lncreases cvcllc adenoslne monophosphaLe (cAM9)
whlch lncreases waLer permealllLv aL Lhe renal Luule
resulLlna ln decreased urlne volume and lncreased
osmolallLvŤ causes perlsLalsls v dlrecLlv sLlmulaLlna
Lhe smooLh muscle ln Lhe Cl LracLŤ dlrecL
vasoconsLrlcLor wlLhouL lnoLroplc or chronoLroplc
effecLs
W Adverse keact|ons
Cardlovascularť ArrhvLhmlaţ asvsLole (ƽ0Ŧ04
unlLs$mlnuLe)ţ lood pressure lncreasedţ cardlac
ouLpuL decreased (ƽ0Ŧ04 unlLs$mlnuLe)ţ chesL palnţ Mlţ
vasoconsLrlcLlon (wlLh hlaher doses)ţ venous
Lhromosls
CenLral nervous svsLemť 9oundlna ln headţ feverţ
verLlao
uermaLoloalcť lschemlc skln leslonsţ clrcumoral pallorţ
urLlcarla
CasLrolnLesLlnalť Adomlnal crampsţ flaLulenceţ
mesenLerlc lschemlaţ nauseaţ vomlLlna
CenlLourlnarvť uLerlne conLracLlon
-euromuscular Ǝ skeleLalť 1remor
8esplraLorvť 8ronchlal consLrlcLlon
W Ind|cat|ons
Ad©uncL ln Lhe LreaLmenL of Cl hemorrhaae and
esophaaeal varlcesŤ pulseless arresL (venLrlcular
Lachvcardla żI1Ž$venLrlcular flrlllaLlon żIlŽţ
asvsLole$pulseless elecLrlcal acLlvlLv ż9LAŽ)Ť
vasodllaLorv shock Ť donor manaaemenL ln ralnŴdead
paLlenLs Ŧ
W Contra|nd|cat|ons
PvpersenslLlvlLv Lo vasopressln or anv componenL of
Lhe formulaLlon
W Nurs|ng cons|derat|on
LvaluaLe paLlenL hlsLorv closelv for use cauLlonsŦ
Assess poLenLlal for lnLeracLlons wlLh oLher
pharmacoloalcal aaenLs paLlenL mav e Laklna (eaţ
concurrenL use LhaL wlll lock or enhance anLldlureLlc
response)Ŧ
Noteť uoslna and admlnlsLraLlon varv accordlna Lo
purpose for useŦ lŦIŦ requlres use of lnfuslon pump and
close monlLorlna Lo prevenL exLravasaLlon (mav cause
severe necrosls and aanarene)Ŧ
Assess resulLs of laoraLorv LesLsţ LherapeuLlc
effecLlvenessţ and adverse response (eaţ cardlac
sLaLusţ lood pressureţ C-S sLaLusţ fluld alanceţ slans
or svmpLoms of waLer lnLoxlcaLlonţ lnLranasal
lrrlLaLlon) on a reaular asls durlna LherapvŦ
1each paLlenL posslle slde effecLs$approprlaLe
lnLervenLlons and adverse svmpLoms Lo reporLŦ
Crash CarL
*** lL's lmporLanL Lo ensure LhaL unless
ls elna usedţ Lhls carL need Lo have a
securlLv sealŦ
Lqu|pment on top of
the crash cart
W 9orLale monlLor$deflrlllaLor
W AM8uŴS9u8
W Larvnaoscope seL
W AdulL 9roŴpads radlolucenL elecLrodes
W 9acer cale
W urlp sLand
W 2 Ŵ #11 lade
W Larvnaoscope
AdulL larvnaoscope wlLh lade
9edlaLrlc larvnaoscope wlLh lade
Lqu|pment basket on
top of the crash cart
W 3Ŵ Lonaue depressor
W 2 Ŷ SLerlle aauze
W 2 Ŷ 8erman Alrwavs
W 2Ŵ SLerlllzaLlon 9ouch
W 2 Ŷ SepLra 360 LlecLro Cel
W 1Ŵ lnLuaLlon SLvleL
W 3 Ŷ LndoLracheal Lues holder wlLh releasale
cale LleŦ
W 1 Ŷ -asal Cannula Lue
W 1 Ŷ Medlcal 8ecordlna CharL
Lqu|pment on s|de
of the crash cart
W xvaenť
W 9ressure reduclna valve
W 9ressure aauae
W -lpple adapLor
W xvaen Lulna connecLed Lo Lhe flow
meLer
W 3 packaae Ŵ LkC ConducLlve Adheslve
Lqu|pment on s|de
of the crash cart
W LndoLracheal Lues
W AdulLť 6Ŧ3ţ 7ţ 7Ŧ3ţ 8
1
sL
urawer on Lop of Lhe crash carL
Lqu|pment on Crash Cart
1st Drawer Ŷ Med|cat|ons
W Lplnephrlne 1ť10ţ000ţ (0Ŧ1 ma$mL)
3 lI !LC1
W uexLrose 30 Ʒ
2 lI !LC1
W Iasopressln 20 unlLs$AM9
4 IlALS
W ALroplne SulfaLe 0Ŧ4 ma$ Ml
1 lI !LC1
W Calclum CluconaLe 10 Ʒ
3 IlALS
W uopamlne
200 ma$10 Ml Ŵ 3 IlALS
W Adenoslne 6ma$2mL
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