Indications Flashcards
acetaminophen
Pain (adult)
Fever (pediatric)
activated charcoal
Poisonings and overdoses
(including after patient has evacuated poisons)
adenosine
Stable, regular, narrow-complex SVT
Narrow-complex reentry tachycardia
Diagnostically for stable, regular, monomorphic wide-complex tachycardia
Considered for unstable narrow-complex reentry tachycardia (while preparing for
cardioversion)
albuterol
Bronchospasm
Hyperkalemia
Inhaled airway/respiratory irritants
amiodorone
● V-fib and pulseless v-tach in cardiac arrest after defibrillation and epinephrine
● Stable, regular narrow-complex tachycardia (if the rhythm persists despite vagal
maneuvers or adenosine, or the tachycardia is recurrent)
● A-Fib with RVR without preexcitation
● A-Fib with RVR and A-Flutter refractory to first-line treatments
● Stable wide-complex tachycardia
● Unstable V-Tach refractory to cardioversion
● Polymorphic V-tach with a normal QT interval
aspirin
New-onset chest discomfort suggestive of ACS
atropine sulfate
Hemodynamically unstable bradycardia
Acetylcholinesterase inhibitor poisonings
RSI in pediatrics
calcium chloride
Hypocalcemia
Hyperkalemia/magnesemia
Overdose: beta blocker, calcium channel blocker
calcium gluconate
● Hypocalcemia
● Hyperkalemia/magnesemia
● Overdose: beta blocker, calcium channel blocker
● Topical use in hydrofluoric acid burns
dexamethasone
● Anaphylaxis
● Asthma exacerbation
● Acute mountain sickness (AMS)
● High altitude cerebral edema (HACE)
● Blunt spinal cord injury
● Croup
● Elevated ICP
● Shock management
dextrose
● Hypoglycemia
● Acutely altered mental status secondary to suspected hypoglycemia
● Coma or seizure of unknown origin
● Status epilepticus
● Pre-treatment for crush injury
diazepam
● Uncontrolled shivering associated with hyperthermia
● Active seizures
● Chemical restraint (pediatric)
● Acetylcholinesterase inhibitor poisoning
diltiazem
● Stable narrow-complex tachycardia that is refractory to vagal maneuvers or adenosine
● A-Fib with RVR or A-Flutter without preexcitation
diphenhydramine hydrochloride
● Symptomatic allergic reaction
● Adjunct to epinephrine in anaphylaxis
● Dystonic/extrapyramidal symptoms secondary to phenothiazines
● Nausea/vomiting
● Chemical restraint
dopamine hydrochloride
● Hypotension with low cardiac output states, such as cardiogenic or septic shock
● Hypotension post-ROSC
● Symptomatic bradycardia
● Crush injury
epinephrine
● Cardiac arrest
● Bradycardia
● Shock
● Anaphylaxis
● Severe allergic reactions
● Severe refractory wheezing
● Croup/bronchiolitis
etomidate
● Premedication for RSI, transcutaneous pacing, or synchronized cardioversion
fentanyl citrate
● Pain management
● Anesthesia adjunct
flumazenil
● Respiratory depression secondary to benzodiazepine overdose
furosemide
● Heart failure
● Pulmonary edema
● Hypertensive crisis
glucagon
● Altered mental status when hypoglycemia is suspected
● Symptomatic bradycardia from beta blocker or calcium channel blocker OD
glucose, oral
Conscious patients with suspected hypoglycemia
haloperidol
● Acute psychosis
● Agitated or violent behavior
hydromorphone
Pain management
hydroxocobalamin
Cyanide poisoning
ibuprofen
Pain management
Fever
ipratropium bromide
Persistent bronchospasm
COPD exacerbation
Toxic inhalation (in conjunction with albuterol)
ketamine
Procedural sedation
Agitated or violent behavior
Pain management
ketorolac tromethamine
Pain management
Febrile seizures (pediatric)
labetolol
Moderate hypertension (SBP 160-179, DBP 100-109)
Severe hypertention (SBP @ least 180, DBP @ least 110)
lidocaine hydrochloride
V-Fib and pulseless V-Tach
● Stable pulsing V-Tach
● Stable polymorphic V-Tach with normal baseline QT interval (when ischemia is
treated and electrolyte imbalance is corrected)
● Stable polymorphic V-Tach with baseline QT interval prolongation (if Torsades
de Pointes is suspected)
● PVCs in MI or myocardial contusion, to prevent R-on-T
● Pain control in conscious IO
● Increased ICP during intubation
lorazepam
●Uncontrolled shivering associated with hyperthermia/heat exposure
● Active seizures
● Chemical restraint
● Anxiety/sedation (procedural sedation for intubation, cardioversion and TCP)
● Acute alcohol withdrawal symptoms
magnesium sulfate
● Torsades de Pointes
● Recurrent or refractory V-Tach (pulsing and pulseless) and V-Fib
● Post-infarct, to decrease dysrhythmias
● Severe bronchoconstriction with impending respiratory failure
● Status asthmaticus
● Maternal seizure: after 20 weeks of pregnancy OR postpartum
mannitol
●ICP reduction in neurologic emergencies (i.e., cerebral edema)
●Promote diuresis for excretion of toxic substances and metabolites
methylprednisolon sodium succinate
●Anaphylaxis
●Severe Allergic Reaction
●Asthma that is refractory to other treatments
midazolam hydrochloride
●Uncontrolled shivering associated with hyperthermia/heat exposure
● Active seizures
● Chemical restraint
● Sedation for cardioversion, TCP and intubation
●Poisoning/overdose (stimulants)
morphine sulfate
Pain management
naloxone hydrochloride
Opioid-induced respiratory depression
nitroglycerin
●Ischemic chest pain
●Acute and symptomatic hypertension
●Heart failure
●Pulmonary edema
norepinephrine bitartrate
●Neurogenic shock
●Hypotension refractory to fluid resuscitation
ondansetron hydrochloride
Nausea and vomiting
oxygen
Dyspnea, shortness of breath, hypoxia, etc
oxytocin
Postpartum hemorrhage refractory to fundal massage
phenylephrine
●Epistaxis
●Reduce bleeding during NT intubation
pralidoxime
Organophosphate and nerve gas poisoning
procainamide hydrochloride
●Stable monomorphic V-Tach with normal QT interval
● Stable wide-complex tachycardia of unknown origin
● V-Fib and pulseless V-Tach
● Reentry SVT uncontrolled by vagal maneuvers and adenosine if BP is stable
● A-Fib with a rapid ventricular rate in patients with WPW
promethazine hydrochloride
Nausea and vomiting
rocuronium
Paralytic for RSI
sodium bicarbonate
● Cardiac arrest due to suspected hyperkalemia or TCA overdose
● QRS prolongation in known or suspected TCA overdose
● Crush syndrome
● Severe hyperkalemia
succinylcholine chloride
Paralytic for RSI
terbutaline sulfate
Premature labor contractions
Asthma/COPD/Bronchospasm
thiamine hydrochloride
Administration of dextrose or glucagon in the alcoholic or malnourished patient
tranexamic acid
● Blunt or penetrating trauma with hemodynamic compromise
● Bleeding
vecuronium bromide
Paralytic in RSI
verapamil hydrochloride
● Stable narrow-complex tachycardia (if the rhythm persists despite vagal maneuvers and /or adenosine, or if the tachycardia is recurrent)
● A-Fib with RVR or A-Flutter without preexcitation
