Medications
- acetaminophen
- adenosine
- albuterol
- amiodarone
- aspirin
- atropine
- calcium choloride
- dextrose
- diphenhydramine
- epinephrine
- epinephrine
racemic
- fentanyl
- glucagon
- glucose
- ipratopium
- ketorolac
- ketamine
- lidocaine
- magnesium sulfate
- methylprednisolone
- midazolam
- naloxone
- nitroglycerin
- norepinephrine
- ondansetron
- prednisone
- sodium bicarbonate
- tranexamic acid(TXA)
Pain
Fever
Minimal
DO NOT GIVE if known sensitvity
Asthma
Hyperkalemia
Tremors
Anxiety
Rare:
Tachycardia
Hypertension
Dysrhythmias
Tachy-dysrhythmias especially VT or VF
Hypotension
Bradycardia
In the non-arrest situaion, 150 mg must be administered slowly over 10 minutes.
Chest pain/discomfort supected to be of cardiac origin
Tinnitus
Nausea
Vomiting
GI bleeding
DO NOT GIVE:
If known hypersensitivity to aspirin.
Hypocalcemia
Calcium channel blocker overdose
Hyperkalemia
Possible heart block
VF
USE WITH CAUTION:
Patient is on digitalis
Renal failure
DO NOT MIX WITH:
Sodium bicarbonate
destrsose 10%
dextrose 25%
dextrose 50%
Hypoglycemia
Impaired neurologic recovery following stroke or cardiac arrest
Tissue necrosis if infiltrates
Should not be used in cardiac arrest or in ischemic CVA unless documented hypoglycemia.
epinephrine 1:10,000 (1 mg in 10 ml)
epinephrine 1:1,000 (1 mg in 1 ml)
Hypoglycemia
Beta blocker overdose
Nauseau
Vomiting
Hypersensitivity
Additonal carbohydrates needed for patient after awakening.
Hypoglycemia
Nauseau
Vomiting
Hypersensitivity
Additonal carbohydrates needed for patient after awakening.
Pregnant pts. experiencing severe pre-eclampsia or eclampsia
Alcoholic patient with prolonged seizures
Refractory VF/VT
Decreased muscle strength which may lead to hypoventilation, esp. if patient is also taking depressant medications.
May occasionally lead to A-V block &/or respiratory arrest.
Calcium chloride may reverse these effects.
NOT INDICATED IN:
Patients with heart block
patients with significant heart disease
Narcotic overdose
Vomiting
Acute withdrawal
Ventricular dysrhythmias
Titrate to improve respirations only.
Do not fully arouse addicted patient.
Angina
Chest pain of suspected cardiac origin
Pulmonary edema
Hypotension
Headache
Dizziness
Flushing
DO NOT USE:
Systolic BP < 90
Increased ICP
USE WITH CAUTION:
Acute MI
Hypotension unresponsive to fluid resuscitation
Tachycardia
Hypertension
Extravasation can cause tissue necrosis
Can cause prolonged hypertension
USE EXTREME CAUTION IN PATIENTS RECEIVING:
Monoamine oxidase inhibitors (MAOI)
TCA medications
Nausea
Vomiting
Constipation
Headache
Lightheadedness
Minimal sedation, if at all
Metabolic acidosis in cardiac arrest
Ventricular arrythmias secondary to tricyclic overdose
Hyperkalemia
Alkalosis
Hypervolemia
Hypokalemia
Tetany
Hyperventilate patient after administration.
DO NOT USE:
During first 10 minutes of cardiac arrest.
USE WITH CAUTION:
CHF
Renal disease
Toxemia
Cirrhosis
DO NOT MIX WITH:
Epinephrine
Calcium
Epistaxis (topical only)
Hypotension
Seizures
IV use only permitted by authorized providers