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
acetaminophen
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Pain- Fever
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- Minimal
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-
DO NOT GIVE if known sensitvity
adenosine
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- PSVT
- Monomorphic (regular) VT
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- Dypsnea
- Chest pain
- Atrial tachy-dysrhytmias
- Nausea
- Throat tightness
- AV block
- Asystole
| |
-
DO NOT GIVE
- AV block
- Sick sinus syndrome
- Atrial flutter
- Atrial fib
- VT
- Known Wolff-Parkinson-White
albuterol
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- Asthma
- Hyperkalemia
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- Tremors
- Anxiety
Rare:
- Tachycardia
- Hypertension
- Dysrhythmias
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-
USE WITH CAUTION
- Cardiac disorder
- Hyperthyroidism
- Hypertension
amiodarone
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- Tachy-dysrhythmias especially VT or VF
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- Hypotension
- Bradycardia
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- In the non-arrest situaion, 150 mg must be administered slowly over 10 minutes.
aspirin
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- Chest pain/discomfort supected to be of cardiac origin
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- Tinnitus
- Nausea
- Vomiting
- GI bleeding
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DO NOT GIVE:
- If known hypersensitivity to aspirin.
atropine
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- Brady-dysrhytmias
- Organophosphate poisoning
- Nerve agent poisoning
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- Dilated pupils
- Headache
- Dry mouth
- Tachycardia
- PVC's
| |
DO NOT GIVE:
- Tachydysrhythmias
USE WITH CAUTION:
- Pregnancy
- CHF
- Hyperthyroidism
- COPD
- Hepatic disease
calcium chloride
| |
- Hypocalcemia
- Calcium channel blocker overdose
- Hyperkalemia
| |
- Possible heart block
- VF
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USE WITH CAUTION:
- Patient is on digitalis
- Renal failure
DO NOT MIX WITH:
- Sodium bicarbonate
destrsose 10%
dextrose 25%
dextrose 50%
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.
diphenhydramine
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- Allergic reaction
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- Dizzy
- Drowsy
- Hypotension
- Dry mouth
- Tachycardia
- Dilated pupils
- Blurred vision
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DO NOT USE:
- Acute asthma
USE WITH CAUTION:
- Renal disease
- Cardiac disease
- Hypertension
- Asthma
- Seizure
epinephrine 1:10,000 (1 mg in 10 ml)
epinephrine 1:1,000 (1 mg in 1 ml)
epinephrine 1:1,000 (1 mg in 1 ml)
| |
- Cardiac arrest
- Anaphylaxis
- Asthma
- Can be made into a vasopressor drip.
| |
- Tremors
- Tachycardia
- Dysrhythmias
- Hypertension
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USE WITH CAUTION:
- Angina
- Hypertension
- Hyperthyroidism
NO CONTRA-INDICATIONS IN CARDIAC ARREST
racemic epinephrine
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- Croup
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- Tremors
- Tachycardia
- Palpitations
- Nausea
- Vomiting
- Hypertension
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USE WITH CAUTION:
- Known cardiac problems
- Hypertension
fentanyl
| |
- Pain
| |
- Hypotension
- Sedation
- Vomiting
- Bradycardia
- Respiratory depression
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USE CAUTION IF:
- Hypotensive
- Signficant head injury
- Depressant use (e.g. EtOH)
glucagon
| |
- Hypoglycemia
- Beta blocker overdose
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- Nauseau
- Vomiting
- Hypersensitivity
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- Additonal carbohydrates needed for patient after awakening.
oral glucose
| |
- Hypoglycemia
| |
- Nauseau
- Vomiting
- Hypersensitivity
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- Additonal carbohydrates needed for patient after awakening.
ipratroprium
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- Respiratory distress
- Wheezing
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- Cough
- Headache
- Dizziness
- Palpitations
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- Always administered with albuterol.
- Do not give more than three (3) 0.5 mg doses
ketorolac
| |
- Pain
| |
- Headache
- Dizziness
- Nausea
| |
DO NOT USE:
- Renal insufficiency
- PUD
- GI bleed
- 1st trimester pregnancy
- Allergy to NSAIDS
- Head bleed
ketamine
| |
- Excited delirium
- Agitation
- Post intubation sedation
- breakthrough pain
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- Apnea
- Laryngospasm
- Vomiting
- Tachycardia
- Hypertension
| |
- Relative contraindication with known coronary artery disease.
- Head injury is not a contraindication.
lidocaine
| |
- Pain from IO infusion
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- Drowsiness
- Confusion
- Seizures
- Hypotension
- Heart blocks
| |
DO NOT USE:
- Heart rate < 60
- Heart block
USE WITH CAUTION:
- Renal disease
- Liver disease
- CHF
- Patients > 60 years old
magnesium sulfate 50%
| |
- 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
methylprednisolone
methylprednisolone
| |
- Difficulty breathing
- Asthma
- COPD
- Allergic reaction
| |
- Nausea
- Sweating
- Dizziness
- Sleep problems
| |
- Hypersensitvity
- Caution in patients with GI bleeding
midazolam
| |
- Seizures
- Chemical restraint
| |
- Respiratory depression
- Respiratory arrest
| |
- Hypersensitivity
- Acute narrow angle glaucoma
- Shock
- Hypotension
- Head injury
- Drug use
- Alcohol use
naloxone
| |
- Narcotic overdose
| |
- Vomiting
- Acute withdrawal
- Ventricular dysrhythmias
| |
- Titrate to improve respirations only.
- Do not fully arouse addicted patient.
nitroglycerin
| |
- 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
norephinephrine
| |
- Hypotension unresponsive to fluid resuscitation
| |
- Tachycardia
- Hypertension
- Extravasation can cause tissue necrosis
| |
- Can cause prolonged hypertension
- Monoamine oxidase inhibitors (MAOI)
- TCA medications
USE EXTREME CAUTION IN PATIENTS RECEIVING:
ondansetron
| |
- Nausea
- Vomiting
| |
- Constipation
- Headache
- Lightheadedness
| |
- Minimal sedation, if at all
prednisone
| |
- Difficulty breathing
- Asthma
- COPD
- Allergic reaction
| |
- Nausea
- Sweating
- Dizziness
- Sleep problems
| |
- Hypersensitvity
- Caution in patients with GI bleeding
sodium bicarbonate
| |
- 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