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CCEMS Drugs > Drug Indications > Flashcards

Drug Indications Flashcards

1
Q

Acetaminophen (Tylenol)

A

Fever of any etiology

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2
Q

Adenosine (Adenocard)

A
  • Narrow-Complex Tachycardia (PSVT)

* Wide-Complex Tachycardia

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3
Q

Albuterol Sulfate (Proventil)

A

Albuterol may be administered for the relief of bronchospasm in adults and children with reversible obstructive airway disease and acute attacks of bronchospasm.

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4
Q

Amiodarone HCl (Cordarone)

A
  • VFIB/Pulseless VTACH
  • Wide Complex Tachycardia
  • Ventricular Ectopy
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5
Q

Anti-Diuretic Hormone (ADH) (Vasopressin)

A

Cardiac arrest where excessive cardiac stimulation is undesirable

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6
Q

Aspirin

A

Acute Coronary Syndromes

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7
Q

Atropine Sulfate

A
  • Sinus bradycardia when accompanied by PVC’s or hypotension
  • 2nd° or 3rd° AVB when accompanied by bradycardia.
  • Neurogenic shock when the patient’s heart rate is < 60.
  • Organophosphate poisoning
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8
Q

Calcium Chloride

A
  • Magnesium sulfate or calcium channel blocker overdose
  • Cardiac arrest in a patient with a history of renal failure or other suspected hyperkalemic state
  • Pain/muscle spasms associated with a black widow spider bite
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9
Q

50% Dextrose

A
  • Hypoglycemia
  • Unconsciousness of unknown origin
  • Seizure of unknown origin
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10
Q

Diazepam (Valium)

A
  • status epilepticus and severe, recurrent convulsive seizures
  • sedation prior to cardioversion or external pacing
  • airway management
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11
Q

Diltiazem (Cardizem)

A
  • Narrow-complex tachycardia refractory to Adenosine

* AFIB w/ RVR (>130 min)

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12
Q

Diphenhydramine (Benadryl)

A
  • anaphylactic shock and severe allergic reaction
  • oculogyric crisis due to extrapyramidal symptoms (EPS, Parkinson-like movement disorders-dystonia) caused by the use of Phenothiazines
  • motion sickness
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13
Q

Dopamine HCL (Intropin)

A

For management of blood pressure control (to ↑ cardiac output) in shock or shock-like states while maintaining good renal blood flow.

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14
Q

Epinephrine HCL (Adrenaline)

A
  • Anaphylaxis / severe allergic reaction
  • Cardiac Arrest
  • Hypotension (s/p cardiac arrest)
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15
Q

Etomidate (Amidate)

A

Induction of anesthesia prior to administration of a neuromuscular blockade

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16
Q

Fentanyl Citrate (Sublimaze)

A
  • Pain associated with orthopedic injuries, renal colic, Acute Coronary Syndromes, and burns;
  • As an adjunct to Airway Management
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17
Q

Fursoemide (Lasix)

A
  • Pulmonary edema associated with congestive heart failure

* Hypertension associated with pulmonary edema or SOB

18
Q

Glucagon (Glucagen)

A
  • Hypoglycemia – only when IV access and Dextrose administration are not possible
  • Symptomatic beta-blocker overdose with bradycardia and / or hypotension
19
Q

Heparin

A
  • ST-Elevation MI in the Cath Lab Procedure (5000 units/ml)

* Flush for implanted central catheters (100 units/ml)

20
Q

Hydromorphone (Dilaudid)

A
  • Pain associated with orthopedic injuries, and burns
  • Pain associated with Renal Colic
  • Alternative for airway management, sedation, or external pacing
  • Pain associated with an Acute Coronary Syndrome
21
Q

Ibuprofen (Motrin)

A

Fever above 100.5 F

22
Q

Ipratropium (Atrovent)

A

Acute bronchospasm refractory to Albuterol Sulfate

23
Q

Ketamine (Ketalar)

A
  • Excited Delirium

* Rapid Sequence Induction

24
Q

Ketorolac (Toradol)

A

Mild to moderate musculoskeletal pain

25
Q

Lidocaine HCL (Xylocaine, Lidocaine Jelly)

A
  • PVC’s when they:
    • occur in the context of myocardial ischemia (chest pain)
    • occur > 6/min.
    • occur in salvos (2 or more)
    • fall close to the T wave (R on T phenomenon)
    • are multi-focal
  • VFIB or VTACH
  • To prevent the recurrence of VFIB or VTACH after conversion
26
Q

Magnesium Sulfate

A
  • Refractory VFIB or VTACH
  • Torsade-de-Pointes
  • Toxemia of pregnancy
27
Q

Methylprednisolone (Solu-Medrol)

A
  • Anaphylactic shock / allergic reaction
  • Asthma
  • COPD
28
Q

Metoprolol (Lopressor)

A
  • First line medication for hypertension related to CVA, alternative medication for hypertensive crisis, when nitrates are contraindicated
  • STEMI patients going to the Cath Lab that are hypertensive (if continued hypertension after NTG administration)
29
Q

Midazolam (Versed)

A
  • Seizures
  • Post-intubation sedation
  • Chemical restraint
  • Excited Delirium
30
Q

Morphine Sulfate

A
  • Ischemic chest pain / anxiety
  • Pain associated with burns
  • Pain associated with orthopedic injuries
  • Sedation for airway management or external pacing if Valium is not sufficient or contraindicated
31
Q

Naloxone (Narcan)

A
  • Known narcotic overdose

* Unconsciousness of unknown etiology

32
Q

Nitroglycerin (Nitostat, Nitrolingual Spray)

A
  • Ischemic chest pain
  • Hypertensive crisis
  • Pulmonary edema
33
Q

Ondansetron HCL (Zofran)

A

Profound nausea and/or vomiting

34
Q

Oxytocin (Pitocin)

A

Oxytocin may be administered after the 3rd stage of labor (after delivery of the placenta) for the management of postpartum hemorrhage. In the field, oxytocin should be administered only after the placenta has been delivered

35
Q

Promethazime (Phenergan)

A

Profound nausea and/or vomiting

36
Q

Rocuronium (Zemuron)

A
  • To sustain neuromuscular paralysis after the patient has been intubated with an endotracheal tube.
  • May be used as primary agent for Rapid Sequence Induction if Succinylcholine is contraindicated.
37
Q

Sodium Bicarbonate

A
  • In cardiac arrest situations where the resuscitation time is prolonged (>10min) and the patient is intubated
  • Tricyclic antidepressant overdose where the patient is unconscious and the EKG shows QRS complex widening
  • Excited delirium with a temperature > 102°F
38
Q

Succinylcholine Chloride (Anectine)

A

To induce neuromuscular paralysis in order to facilitate endotracheal intubation in those patients requiring mechanical ventilation, improved oxygenation, protection of the airway, and in whom intubation would otherwise be impossible or very difficult.

39
Q

Tetracaine Ophthalmic Solution

A

For situations in which a rapid and short acting topical ophthalmic anesthetic is indicated. It is most often used in the field treatment of burns to the eyes.

40
Q

Thiamine

A

Beneficial for patients presenting with S/S of alcohol toxicity, Wernicke’s syndrome or Korsakoff’s psychosis. It should be administered prior to D50 and narcan in the unconscious patient of unknown etiology.

41
Q

Vecuronium (Norcuron)

A

To sustain neuromuscular paralysis after the patient has been intubated with an endotracheal tube.

CCEMS Drugs (3 decks)

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