Adult Drug Indications Flashcards
Adenosine Triphosphate
Adenocard is indicated for supraventricular tachycardia (PSVT), including that associated with accessory bypass tracts (Wolf-Parkinson-White Syndrome). When appropriate vagal maneuvers should be attempted prior and post Adenocard administration if needed.
Albuterol
Albuterol inhaler is indicated for relief of bronchospasm in patients with reversible obstructive airway disease including asthma.
Amiodarone
Indicated for initiation of treatment and prophylaxis of frequently recurring ventricular fibrillation, atrial fibrillation and hemodynamically unstable ventricular tachycardia in patient refractory to other therapy. Amiodarone may also be used to treat supraventricular tachycardia.
Aspirin
Aspirin is indicated in the acute M.I. setting to prevent further clotting.
Atropine
- Sinus Bradycardia accompanied by hemodynamic compromise, (e.g. hypotension; confusion; frequent PVC’s; pales, cold, clammy skin). In infants (
- Pretreatment in pediatric intubations to prevent bradycardia
Atrovent
Bronchial asthma, reversible bronchospasm associated with chronic bronchitis and emphysema.
Calcium Chloride
Calcium chloride is indicated during resuscitation for the treatment of hypocalcemia and calcium channel blocker toxicity (e.g. Verapamil or Cardizem overdose) and magnesium sulfate overdose. It also protects the heart from hyperkalemia as may occur in patients with end-stage renal disease.
Cardizem
- Atrial Fibrillation or Atrial Flutter with rapid ventricular response.
- Paroxysmal Supraventricular Tachycardia. Unless contraindicated, vagal maneuvers should be attempted prior to administration of Diltiazem.
Dextrose
Hypoglycemia; coma of unknown origin.
Diphenhydramine Hydrochloride
- Allergy symptoms, anaphylaxis (as an adjunct to epinephrine).
- Sedation of violent patient after giving Haldol IM.
- Dystonic reactions from phenothiazine overdose (e.g. Haldol, Compazine, Thorazine, and Stelazine).
- Rhinitis.
- Anti-parkinsonism.
- Nighttime sedation.
- Motion sickness.
Dopamine
Indicated in cardiogenic shock and hemodynamically significant hypotension.
Epinephrine1:1000
- Asthma.
- Anaphylaxis.
- Acute bronchial spasms associated with asthma, COPD or croup.
- Angioneurotic edema.
- Asystole, V-Fib, pulseless VT, PEA
Epinephrine 1:10,000
Asystole, ventricular fibrillation unresponsive to defibrillation; PEA. Other pediatric indications hypotension in patients with circulatory instability, bradycardia (before Atropine).
Fentanyl
- For relief of moderate to severe pain
- Pain from acute myocardial infarction
- Pain associated with isolated extremity fracture, renal colic or burns
Glucagon
- Glucagon is indicated for the treatment of hypoglycemia when an IV cannot be established and oral glucose is contraindicated.
- Possibly effective in symptomatic beta blocker overdose.
Magnesium Sulfate
- Parenteral anticonvulsant for the prevention and control of seizures in severe toxemia of pregnancy.
- Torsades de pointes.
- Suspected hypomagnesemic state (eg. chronic alcoholism and chronic use of diuretics).
- Refractory ventricular fibrillation.
- Asthma Refracory to other treatment
Narcan
Naloxone is indicated for the complete or partial reversal of opiate narcotic depressionand respiratory depression secondary to opiate narcotics or related drugs:
- Codeine - Morphine - Methadone - Lomotil - Pentazocine (Talwin) - Propoxyphene (Darvon) - Percodan - Fentanyl (Sublimaze) (Known on the street as white china). Naloxone can also be used for suspected acute opiate overdosage.
Narcotic agonist:
- Morphine Sulfate Heroin
- Hydromorphone (Dilaudid) Methadone
- Meperidine (Demerol) Paregoric
- Fentanyl citrate (Sublimaze) Oxycodone (Percodan, Percocet)
- Codeine Propoxyphene (Darvon, Darvocet)
Narcotic agonist and antagonist Butorphanol tartrate (Stadol)
- Pentazocine (Talwin)
- Nalbuphone (Nubain)
Nitroglycerin
- Chest pain or discomfort associated with suspected AMI or Angina Pectoris.
- Pulmonary edema with hypertension.
Nitrous Oxide
Moderate to severe pain as in trauma, acute MI, burns, renal colic and labor.
Oral Glucose
Conscious hypoglycemic states
Sodium Bicarbonate 8.4% and 4.2%
Metabolic acidosis due to:
- Salicylate (Aspirin) overdose. - Barbiturate overdose. - Tricyclic antidepressant overdose. - Hyperkalemia. - Severe ketoacidosis. - Cardiac arrest. - Shock. - Physostigmine toxicity. - Methanol toxicity. - Ethylene glycol toxicity.
Tetracaine
Tetracaine is intended for use in the patient who is unable to cooperate with you in adequately flushing the eye(s) due to discomfort or pain.
Versed
Sedation for siezures and postmedication for longer term sedation as needed.
