Emergency Agents

EMERGENCY AGENTS OXYGEN – kept @ O2 sat of 95 % or  and 12-15 L/min except for COPD

Cardiac Drugs NITROGLYCERINE – 3 tab q 5 mins MORPHINE SO4 – 0.4 – 2 mg q 2 mins ATROPINE SO4 -  HR, antidote for organophosphate poisoning ISOPROTERENOL -  HR, used if dopa and epi has no effect on brady ADENOSINE – Rx for PSVT (sudden uncontrolled rhythm). Place client on mild reverse T-burg to avoid BP VERAPAMIL – for tachy (>150 bpm). Give IV Ca for toxicity DILTIAZEM – Rx for PSVT LIDOCAINE – Rx for ventricular dysrhythmia. WOF toxicity confusion, drowsiness, m. twitching, myocardial depression and seizures AMIODARONE – Rx for dysrhythmia, can cause hypo and brady PROCAINAMIDE – given if lidocaine fails to effect MG SO4 – for refractory vtac and cardiac arrest, torsades des pointes. WOF hypotension EPINEPHRINE – for brady, not administered in same site with Na Bicarbs. A bronchodilator VASOPRESSIN – Rx for vent fibrillation NA HCO3 – for metabolic acidosis

Neurosurgical Disorders MANNITOL – for cerebral edema,  ICP, and renal impairment METHYLPREDNISOLONE – improve motor and sensory fxn after spinal cord injuries (6 wks – 6 mo)

Poisoning NALOXONE – opium toxicity FLUMAZENIL – benzodiazepines overdose IPECAC SYRUP – non-corrosive poison ACTIVATED CHARCOAL – via NGT

Shock DOPAMINE -  HR, not administered c Na HCO3 DOBUTAMINE -  HR,  CO NOREPINEPHRINE – vasoconstrictor,  BP EPINEPHRINE – Rx of anaphylactic shock, bronchospasm and hypotension ALBUTEROL – bronchodilator for asthma, AS and COPD DIPHENHYDRAMINE HCL – anti-histamine DEXTROSE 50% - Rx for insulin induced hypoglycemia GLUCAGON – alternative for D 50:50 Hypertensive Crisis and Pulmonary Edema (diastolic pressure > 110120 mmHg) NA NITROPRUSSIDE - ↓arterial BP, inactivated by light FUROSEMIDE – for pulmonary edema and HPN MORPHINE SO4 - ↓cardiac preload, Rx acute pulmonary edema