Adult Drug Indications

Question 1

Adenosine Triphosphate

Answer 1

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.

Question 2

Albuterol

Answer 2

Albuterol inhaler is indicated for relief of bronchospasm in patients with reversible obstructive airway disease including asthma.

Question 3

Amiodarone

Answer 3

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.

Question 4

Aspirin

Answer 4

Aspirin is indicated in the acute M.I. setting to prevent further clotting.

Question 5

Atropine

Answer 5

• 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

Question 6

Atrovent

Answer 6

Bronchial asthma, reversible bronchospasm associated with chronic bronchitis and emphysema.

Question 7

Calcium Chloride

Answer 7

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.

Question 8

Cardizem

Answer 8

• Atrial Fibrillation or Atrial Flutter with rapid ventricular response.
• Paroxysmal Supraventricular Tachycardia. Unless contraindicated, vagal maneuvers should be attempted prior to administration of Diltiazem.

Question 9

Dextrose

Answer 9

Hypoglycemia; coma of unknown origin.

Question 10

Diphenhydramine Hydrochloride

Answer 10

• 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.

Question 11

Dopamine

Answer 11

Indicated in cardiogenic shock and hemodynamically significant hypotension.

Question 12

Epinephrine1:1000

Answer 12

• Asthma.
• Anaphylaxis.
• Acute bronchial spasms associated with asthma, COPD or croup.
• Angioneurotic edema.
• Asystole, V-Fib, pulseless VT, PEA

Question 13

Epinephrine 1:10,000

Answer 13

Asystole, ventricular fibrillation unresponsive to defibrillation; PEA. Other pediatric indications hypotension in patients with circulatory instability, bradycardia (before Atropine).

Question 14

Fentanyl

Answer 14

• For relief of moderate to severe pain
• Pain from acute myocardial infarction
• Pain associated with isolated extremity fracture, renal colic or burns

Question 15

Glucagon

Answer 15

• 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.

Question 16

Magnesium Sulfate

Answer 16

• 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

Question 17

Narcan

Answer 17

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)

Question 18

Nitroglycerin

Answer 18

• Chest pain or discomfort associated with suspected AMI or Angina Pectoris.
• Pulmonary edema with hypertension.

Question 19

Nitrous Oxide

Answer 19

Moderate to severe pain as in trauma, acute MI, burns, renal colic and labor.

Question 20

Oral Glucose

Answer 20

Conscious hypoglycemic states

Question 21

Sodium Bicarbonate 8.4% and 4.2%

Answer 21

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.

Question 22

Tetracaine

Answer 22

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.

Question 23

Versed

Answer 23

Sedation for siezures and postmedication for longer term sedation as needed.