Drug Indications Flashcards

1
Q

Acetaminophen

A

-Mild to moderate pain
-Fever

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2
Q

Adenosine

A

-Hemodynamically stable supraventricular tachycardia (SVT) refractory to vagal maneuvers -Hemodynamically stable regular wide-complex tachycardia

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3
Q

Albuterol

A
  • Asthma/COPD/RAD
  • Allergic reaction/ Anaphylaxis
  • Moderate/Severe Hyperkalemia
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4
Q

Alteplase

A
  • Acute MI
  • PE
  • Ischemic stroke
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5
Q

Amiodarone

A
  • Cardiac Arrest (VF, Pulseless VT)
  • Stable Wide Complex Tachycardia
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6
Q

Aspirin

A

Acute Coronary Syndromes (ACS)

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7
Q

Atropine

A

-Symptomatic braycardia
-Premed for RSI with Bradycardia
-Organophosphate poisoning

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8
Q

Calcium Chloride

A
  • Hypocalcemia
  • Hyperkalemia
  • Hypermagnesemia
  • Beta-blocker toxicity
  • Calcium channel blocker toxicity
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9
Q

Calcium Gluconate

A
  • Hypocalcemia
  • Hydrofluoric Acid burns
  • Hyperkalemia
  • Hypermagnesemia
  • Beta-blocker toxicity
  • Calcium channel blocker toxicity
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10
Q

Cefazolin

A
  • Open fracture
  • Amputation proximal to hand/foot
  • Major soft tissue injury (exposed tendon or bone, large deep tissue laceration/avulsion,evisceration, major open crush injury, largely visible contaminated wounds excluding road rash)
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11
Q

Dexamethasone

A

Severe anaphylaxis, asthma, COPD, urticaria, croup

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12
Q

Dextrose 10%

A

Hypoglycemia

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13
Q

Diazepam

A

-Post intubation sedation
-Anxiolytic
-Alcohol Withdrawl
-Seizure
-Sedation

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14
Q

Diltiazem

A
  • Atrial fibrillation and atrial flutter with rapid ventricular response
  • SVT refractory to adenosine
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15
Q

Diphenhydramine

A
  • Allergy/Anaphylaxis
  • Dystonia
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16
Q

Dobutamine

A

Cardiogenic shock
CHF

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17
Q

Dopamine

A

Cardiogenic shock
? Symptomatic bradycardia
? Septic shock following fluid resuscitation

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18
Q

Droperidol

A

antiemetic

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19
Q

Epinephrine

A
  • Cardiac arrest
  • Anaphylaxis
  • Severe bronchospasm
  • Symptomatic bradycardia
  • Non-hypovolemic shock
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20
Q

Etomidate

A

Induction for RSI

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21
Q

Fentanyl

A

-Pain Management
-Chest Pain/suspected ACS
-Premedication for RSI
-Post-intubation sedation

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22
Q

Flumazenil

A

Respiratory depression and sedaEon associated with benzodiazepine overdose

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23
Q

Furosemide

A

CHF and pulmonary edema caused by hypervolemia

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24
Q

Glucagon

A
  • Hypoglycemia where IV access cannot be obtained
  • Beta-blocker overdose
  • Calcium channel blocker overdose
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25
Q

Haloperidol

A

-Acute psychotic episode
-Chemical restraint/extreme agitation/combativeness

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26
Q

Heparin

A

Prophylaxis and treatment of thromboembolic disorders (DVT, PE)

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27
Q

Hydrocortisone

A
  • Shock due to adrenal insufficiency
  • Anaphylaxis
  • Asthma
  • COPD
28
Q

Hydromorphone

A

Pain management

29
Q

Ibuprofen

A

-Pain management
-Fever

30
Q

Insulin

A

Diabetic ketoacidosis, hyperglycemia, hyperkalemia

31
Q

Ipratropium bromide

A

Asthma
COPD
RAD

32
Q

Ketamine

A

-Induction agent for RSI
-Excited delirium
-Pain management

33
Q

Ketorolac

A

Pain management

34
Q

Lactated Ringer’s

A
  • Fluid resuscitation
  • Sepsis
  • Acute pancreatitis
35
Q

Levalbuterol

A

Bronchospasm

36
Q

Lidocaine

A

Ventricular arrhythmia?s, pVT, monomorphic VT

37
Q

Lorazepam

A

-Post intubation sedation
-Anxiolytic
-Alcohol Withdrawl
-Seizure
-Sedation

38
Q

Magnesium Sulfate

A
  • Severe bronchospasm associated with asthma and COPD
  • Torsades de Pointes
  • Eclamptic seizures
  • Hypomagnesemia
  • VF/VT arrest refractory to amiodarone
  • Dysrhythmia due to digitalis toxicity
39
Q

Mannitol

A

Cerebral Edema/ICP

40
Q

Methylprednisolone

A
  • Anaphylaxis
  • Bronchoconstriction
  • Asthma
  • COPD
  • RAD
41
Q

Metoclopramide

A

-Nausea/Vomiting
-Migraine headache

42
Q

Metoprolol

A
  • Atrial fibrillation and atrial flutter with rapid ventricular response in patients taking ?-blockers.
  • Supraventricular tachycardia refractory to vagal maneuvers and adenosine
43
Q

Midazolam

A

-Post intubation sedation
-Anxiolytic
-Alcohol Withdrawl
-Seizure
-Sedation

44
Q

Morphine

A

Pain management

45
Q

Naloxone

A

Respiratory depression associated with opioid overdose

46
Q

Nitroglycerin

A

-ACS
-CHF/Pulmonary Edema

47
Q

Norepinephrine

A
  • Cardiogenic shock
  • Septic shock following fluid resuscitation
  • Neurogenic shock
48
Q

Normal Saline

A

Fluid resuscitation.

49
Q

Olanzipine

A
  • Acute psychosis
  • Alzheimer?s disease
50
Q

Ondansetron

A

Anti-Emetic used to control nausea and/or
vomiting

51
Q

Oxygen

A

-Hypoxia-Difficulty Breathing-SPO2 <94%

52
Q

Oxytocin

A

Post-partum hemorrhage

53
Q

Phenylephrine

A
  • Non-hypovolemic shock, especially distributive shocks
  • Hypotension in the peri-intubation period when
    using rapid sequence intubation
54
Q

Pralidoxime

A

Suspected organophosphate poisoining

55
Q

Procainamide

A
  • Cardiac Arrest (VF, Pulseless VT)
  • Stable Wide Complex Tachycardia
56
Q

Prochlorperazine

A

Nausea/Vomiting
Migraine headache

57
Q

Propofol

A

Induction of general anesthesia, Anesthesia maintenance
Sedation for mechanically ventilated patients,
Procedural sedation

58
Q

Racemic epinephrine

A

Croup, Laryngeal Edema

59
Q

Rocuronium

A

-Hypersensitivity
-Paralysis for RSI when Succinylcholine is contraindicated
-Continued paralysis of mechnically ventilated patient

60
Q

Sodium bicarbonate

A
  • Metabolic acidosis during cardiac arrest
  • Tricyclic antidepressant overdose
  • Hyperkalemia
  • Crush injuries
61
Q

Succinylcholine

A

paralysis for RSI

62
Q

Terbutaline

A

Bronchospasm, preterm labor

63
Q

Tetracaine

A
  • Pain control for chemical burn to eyes
  • Facilitate insertion of Morgan lens
64
Q

Tranexamic Acid

A

Hemorrhagic shock

65
Q

Vecuronium

A

-Paralysis for RSI
-Continuous paralysis for mechanically ventilated patient

66
Q

Whole blood

A

Standing Orders
-Signs of massive hemorrhage
-Traumatic injury (penetrating or blunt)
-Witnessed arrest from hemorrhage or suspected hemorrhage < 5 min prior to provider arrival and continuous CPR throughout downtime
-Postpartum and third trimester hemorrhage

With Direct Medical Orders:
-Rupturing aneurysm
-GI Bleeding
-Intra-abdominal bleeding

AND…one or more of the following:
-systolic BP <90mm Hg
-HR >120bpm
-Pediatric: obvious external blood loss and aged based considerations of hemorraghic shock
*CT Protocols