Adverse Reactions Flashcards
Albuterol sulfate
Tachycardia
Palpitations
Dysrhythmias
Amiodarone
Severe Hypotension
Bradycardia
Aspirin
None
Atropine Sulfate
Anticholinergic toxidrome in overdose, think “blind as a bat, mad as a Hatter, dry as a bone, red as a beet”
Calcium Gluconate
Side effects:
Extravasation may cause tissue necrosis
In the setting of digoxin toxicity, may worsen cardiovascular function
Cyanokit
None
Dextrose
None
Diphenhydramine
Drowsiness
dilated pupils
dry mouth and throat
flushing
DuoDote
None
Epinephrine
Tachycardia and tackydysrhythmia
Hypertension
anxiety
may precipitate angina pectoris
Fentanyl
Side effects:
Respiratory depression, including apnea: may occur suddenly, and more commonly in children and the elderly
Hypotension, especially when used in combination with other sedative such as alcohol or benzodiazepines
Can increase intercranial pressure
Chest wall rigidity has been reported with rapid administration
Pediatric patients may develop apnea without manifesting significant mental status changes
Glucagon
Tachycardia
headache
nausea and vomiting
Haloperidol
None
Ipratropium Bromide
Palpitations
tremors
dry mouth
Ketamine
Laryngospasm: prepare to provide respiratory support. always institute cardiac monitoring, pulse oximetry and continuous waveform Capnography. Establish IV or IO access, check blood glucose. Establish and maintain physical restraint.
Emergence reaction: presents as anxiety, agitation, apparent hallucinations or nightmares as ketamine is wearing off. For severe reactions, consider benzodiazepine.
Nausea and vomiting: always have suction available. Give anti-emetic as needed.
Hypersalivation: suction is usually sufficient. If profound hypersalivation causing airway difficulty, administer atropine 0.5 mg IV
