Emergency Drugs Flashcards
Requirements for an Emergency drug
short onset
administered that facilitates rapid onset
- used in hospital for transpo & dispensing of emergency medicines.
- conveniently positioned throughout hospitals
E-Cart
Crash cart
Code cart
Where are medications intubation located in e-cart?
usually at top of cart for easy access
Where are Intravenous lines located in e-cart?
In a separate drawer from materials needed to maintain IV
Where are procedure drawer located in e-cart?
bottom drawer where pre-packed kits are here.
Most important emergency drug used for anaphylactic reaction.
Epinephrine
Properties for Epinephrine?
- Potent bronchodilator
- Reverse bronchospasm
- It elevates blood pressure
- stimulates myocardium increasing heart rate
What does epinephrine do with edema?
Epinephrine prevents fruther edema from developing that could lead to airways obstruction.
Recommendation dose for Epinephrine
Minimally one preloaded SELF-INJECTING SYRINGE (preferably 2) or two 1 ml AMPULES of epinephrine 1:1000
Used for non-life threathening allergy.
Injectible Histamine-Blocker
Diphenhydramine HCL
Recommendation dose for Injectible Histamine-Blocker/ Diphenhydramine HCL
two 1 mL ampules or
vial 50mg/mL (for diphenhydramine)
Used for acture episodes of Angina Pectoris or 1st ever chest pain for the patient.
Nitroglycerin
Contraindication of Nitroglycerin
Low blood pressure: light-headed, dizziness, systolic bp LESS THAN 100 mmHg.
Recommendation dose for Nitroglycerin
1 metered-dose inhaler or
1 bottle of sublingual tablets
(usually 0.4mg per tablet or puff.)
Usef for mgt. of bronchospasm (acute asthmatic attack)
Bronchodilator or Albuterol
Recommendation dose for Bronchodilator or Albuterol
1 albuterol metered-dose inhaler
SPACER should be available to aid adminis from albuterol MDI in children and some adults.
Used for suspected myocardial infarction. used to limit enlargement of blood clot occuring in a coronary artery.
Aspirin
Recommendation dose for Aspirin
1 or 2 packets of chewable 325 mg non-enteric coated aspirin
Used for hypoglycemia
Antihypoglycemic aids
Contraindication for antihypoglycemic aids
Depressed conciousness or unconciousness
Place a liquid or gel antihypoglycemic aid into the mouth of an unconcious person. True or False.
False. Never do that! It will contraindicate.
Recommendation dose for Antihypoglycemic aids
one tube of glucose gel and
one 12-ounce bottle of orange juice/non-diet soft drink
Indicated for sinus rhythm of PSVT (paroxysymal supraventricular tachycardia) and associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome)
Adenosine
Dose of Adenosine
6mg/2ml prefilled syringe
12mg/4ml prefilled syringe
Used for Bronchospasm associated with Asthma and COPD
Aminophylline
OTC drug used for mgt. of angina pectoris and cyanide poisoning
Amyl Nitrite
Used for muscarinic poisoning and bradycardia.
Atropine Sulfate
Used for suspected hyperkalaemic cardiac arrest, severe hyperkalaemia, calcium channel blocker toxicity, hypotension associated with magnesium infusion administration.
Calcium Gluconate
Used for irregular heartbeat (Chronic Atrial Fibrillation)
Digoxin
Indicated in adults and pediatrics for the treatment of edema associated with congestive heart failure, cirrhosis of the liver and renal disease, including the nephrotic syndrome
Furosemide
An anti-coagulant that as an emergency drug it is used for atrial fibrillation with embolization and treatment of acute and chronic consumption coagulopathies.
Heparin
a corticosteroid used for anaphylaxis
Hydrocortisone
An overdriving pacing in cases of intermittent torsades de pointes when magnesium is ineffective and intractable bradycardia.
Isoproterenol
Used for adults and pedia patients as a source of electrolytes, calories and water for hydration.
Lactated Ringer’s Solution
For sustained ventricular tachycardia
Lidocaine
Used for immediate control of life-threatening convulsions in the treatment of severe toxemias
Magnesium Sulfate
Used for reducing swelling and pressure in the eye or around the brain
Mannitol
Used for prevention and treatment of acute hypotension due to hemorrhage, shock associated with brain damage due to trauma/ tumor.
Metaraminol Bitartrate
Used to reverse opioid overdose.
Nalorphone Hydrochloride
Used to treate high blood pressure and to control angina.
Nicardipine
Indicated for severe cardiogenic shock, neurogenic shock, inotropic support and hemodynamically significant hypotension with low total peripheral resistance.
Norepinephrine
Indicated for adults and pedia patients as a source of electrolyes and water for hydration.
0.9% sodium chloride
Utilized for sterile irrigation of body cavities, tissue or wounds, indwelling urethral catherers, surgical drainage tubes and for washing, rinsing or soaking surgical dressings, instruments and laboratory specimens. It can also be used as a diluent or vehicle for drugs used for irrigation.
Normal Saline for Irrigation
Used as an anticonvulsant for seizure control and medically induced comas
Pentobarbital
A long-acting barbiturate used for the mgt. of acute seizures associated with status epilepticus, eclampsia, meningitis, tetanus, and etc.
Phenobarbital
Indicated for hypotension caused by shock or anesthesia. An opthalmic solution to dilate pupils and induce vasoconstriction.
Phenylephrine
Used to restore the normal clotting factor of patients with anti-coagulant induced hypoprothrombinemia deficiency that limits absorption of vitamin K.
Phytonadione
Used internally for relieving respiratory distress. An antidote in poisoning by CNS depressants, especially barbiturates.
Picrotoxin
Indicated for anticoagulant overdose such as heparin and nadroparin
Protamine Sulfate
Usef for asthmatic bronchospasm
Salbutamol
Used as an IV fluid replacement
Saline for injection
Used to prevent and treat wheezing, shortness of breath and chest tightness caused by asthma, chronic bronchitis and emphysema
Terbutaline
Treatment of paroxysmal spuraventricular tachycardia prophylaxis
Verapamil Hydrochloride
Used as a diluent for parenteral injections. Vehicle for reconstitution.
Water for injection
