Drug Indications Flashcards
1
Q
Acetaminophen
A
-Mild to moderate pain
-Fever
2
Q
Adenosine
A
-Hemodynamically stable supraventricular tachycardia (SVT) refractory to vagal maneuvers -Hemodynamically stable regular wide-complex tachycardia
3
Q
Albuterol
A
- Asthma/COPD/RAD
- Allergic reaction/ Anaphylaxis
- Moderate/Severe Hyperkalemia
4
Q
Alteplase
A
- Acute MI
- PE
- Ischemic stroke
5
Q
Amiodarone
A
- Cardiac Arrest (VF, Pulseless VT)
- Stable Wide Complex Tachycardia
6
Q
Aspirin
A
Acute Coronary Syndromes (ACS)
7
Q
Atropine
A
-Symptomatic braycardia
-Premed for RSI with Bradycardia
-Organophosphate poisoning
8
Q
Calcium Chloride
A
- Hypocalcemia
- Hyperkalemia
- Hypermagnesemia
- Beta-blocker toxicity
- Calcium channel blocker toxicity
9
Q
Calcium Gluconate
A
- Hypocalcemia
- Hydrofluoric Acid burns
- Hyperkalemia
- Hypermagnesemia
- Beta-blocker toxicity
- Calcium channel blocker toxicity
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)
11
Q
Dexamethasone
A
Severe anaphylaxis, asthma, COPD, urticaria, croup
12
Q
Dextrose 10%
A
Hypoglycemia
13
Q
Diazepam
A
-Post intubation sedation
-Anxiolytic
-Alcohol Withdrawl
-Seizure
-Sedation
14
Q
Diltiazem
A
- Atrial fibrillation and atrial flutter with rapid ventricular response
- SVT refractory to adenosine
15
Q
Diphenhydramine
A
- Allergy/Anaphylaxis
- Dystonia
16
Q
Dobutamine
A
Cardiogenic shock
CHF
17
Q
Dopamine
A
Cardiogenic shock
? Symptomatic bradycardia
? Septic shock following fluid resuscitation
18
Q
Droperidol
A
antiemetic
19
Q
Epinephrine
A
- Cardiac arrest
- Anaphylaxis
- Severe bronchospasm
- Symptomatic bradycardia
- Non-hypovolemic shock
20
Q
Etomidate
A
Induction for RSI
21
Q
Fentanyl
A
-Pain Management
-Chest Pain/suspected ACS
-Premedication for RSI
-Post-intubation sedation
22
Q
Flumazenil
A
Respiratory depression and sedaEon associated with benzodiazepine overdose
23
Q
Furosemide
A
CHF and pulmonary edema caused by hypervolemia
24
Q
Glucagon
A
- Hypoglycemia where IV access cannot be obtained
- Beta-blocker overdose
- Calcium channel blocker overdose
25
Haloperidol
-Acute psychotic episode
-Chemical restraint/extreme agitation/combativeness
26
Heparin
Prophylaxis and treatment of thromboembolic disorders (DVT, PE)
27
Hydrocortisone
- Shock due to adrenal insufficiency
- Anaphylaxis
- Asthma
- COPD
28
Hydromorphone
Pain management
29
Ibuprofen
-Pain management
-Fever
30
Insulin
Diabetic ketoacidosis, hyperglycemia, hyperkalemia
31
Ipratropium bromide
Asthma
COPD
RAD
32
Ketamine
-Induction agent for RSI
-Excited delirium
-Pain management
33
Ketorolac
Pain management
34
Lactated Ringer's
- Fluid resuscitation
- Sepsis
- Acute pancreatitis
35
Levalbuterol
Bronchospasm
36
Lidocaine
Ventricular arrhythmia?s, pVT, monomorphic VT
37
Lorazepam
-Post intubation sedation
-Anxiolytic
-Alcohol Withdrawl
-Seizure
-Sedation
38
Magnesium Sulfate
- 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
Mannitol
Cerebral Edema/ICP
40
Methylprednisolone
- Anaphylaxis
- Bronchoconstriction
- Asthma
- COPD
- RAD
41
Metoclopramide
-Nausea/Vomiting
-Migraine headache
42
Metoprolol
- Atrial fibrillation and atrial flutter with rapid ventricular response in patients taking ?-blockers.
- Supraventricular tachycardia refractory to vagal maneuvers and adenosine
43
Midazolam
-Post intubation sedation
-Anxiolytic
-Alcohol Withdrawl
-Seizure
-Sedation
44
Morphine
Pain management
45
Naloxone
Respiratory depression associated with opioid overdose
46
Nitroglycerin
-ACS
-CHF/Pulmonary Edema
47
Norepinephrine
- Cardiogenic shock
- Septic shock following fluid resuscitation
- Neurogenic shock
48
Normal Saline
Fluid resuscitation.
49
Olanzipine
- Acute psychosis
- Alzheimer?s disease
50
Ondansetron
Anti-Emetic used to control nausea and/or
vomiting
51
Oxygen
-Hypoxia-Difficulty Breathing-SPO2 <94%
52
Oxytocin
Post-partum hemorrhage
53
Phenylephrine
- Non-hypovolemic shock, especially distributive shocks
- Hypotension in the peri-intubation period when
using rapid sequence intubation
54
Pralidoxime
Suspected organophosphate poisoining
55
Procainamide
- Cardiac Arrest (VF, Pulseless VT)
- Stable Wide Complex Tachycardia
56
Prochlorperazine
Nausea/Vomiting
Migraine headache
57
Propofol
Induction of general anesthesia, Anesthesia maintenance
Sedation for mechanically ventilated patients,
Procedural sedation
58
Racemic epinephrine
Croup, Laryngeal Edema
59
Rocuronium
-Hypersensitivity
-Paralysis for RSI when Succinylcholine is contraindicated
-Continued paralysis of mechnically ventilated patient
60
Sodium bicarbonate
- Metabolic acidosis during cardiac arrest
- Tricyclic antidepressant overdose
- Hyperkalemia
- Crush injuries
61
Succinylcholine
paralysis for RSI
62
Terbutaline
Bronchospasm, preterm labor
63
Tetracaine
- Pain control for chemical burn to eyes
- Facilitate insertion of Morgan lens
64
Tranexamic Acid
Hemorrhagic shock
65
Vecuronium
-Paralysis for RSI
-Continuous paralysis for mechanically ventilated patient
66
Whole blood
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
