Indications Flashcards
Acetaminophen
• Mild to moderate pain
• Fever
Acetylsalicyclic acid
• Chest pain and/or signs and symptoms suggestive on the acute coronary syndrome
• Abnormal ECG waveforms suggestive of the acute coronary syndrome
Activated charcoal
• Oral poisonings
• Oral overdoses
Adenosine
• Supraventricular tachycardia
• Monomorphic wide-complex tachycardia
Albuterol sulfate
• Asthma
• Bronchospasm associated with chronic bronchitis and emphysema
• Hyperkalemia
Amiodarone
• Ventricular fibrillation
• Pulseless ventricular tachycardia
• Wide complex tachycardia
Atropine sulfate
• Hemodynamically significant bradycardia
• Organophosphate poisoning
• Carbamate poisoning
• Nerve agent exposure
Bumetanide
• Pulmonary edema
• Congestive heart failure
Calcium chloride
• Hyperkalemia
• Acute hypocalcemia
• Calcium channel blocker overdose
• Beta-blocker overdose
Calcium gluconate 2.5% topical gel
Contact with hydrofluoric acid
Calcium gluconate
• Hyperkalemia
• Beta-blocker overdose
• Calcium channel blocker overdose
Dexamethasone
• Asthma
• Chronic bronchitis
• Emphysema
• Other reactive airway conditions
•Anaphylaxis
Dextrose 50%
• Hypoglycemia
• Unconsciousness of unknown etiology
Diazepam
• Seizure activity
• Status epilepticus
• Procedural sedation for rapid sequence intubation and cardioversion
• Chemical restraint for agitated (excited) delirium
• Severe anxiety
Diltiazem
• Atrial fibrillation with rapid ventricular rate
• Atrial flutter with rapid ventricular rate
• Supraventricular tachycardia second-line to administration of adenosine
Diphenhydramine
• Allergic reaction
•Anaphylaxis
• Phenothiazine reaction with extrapyramidal symptoms
Dopamine
• Cardiogenic shock
• Hemodynamically significant bradycardia
• Hemodynamically significant hypotension
Epinephrine
• Cardia arrest with asystole, pulseless electrical activity, ventricular fibrillation and pulseless ventricular tachycardia
• Asthma
• Bronchospasm associated with chronic bronchitis and emphysema
• Allergic reaction
• Anaphylaxis
• Hemodynamically significant bradycardia
• Hemodynamically significant hypotension from a cause other than hypovolemia
Etomidate
Procedural sedation for rapid sequence intubation
Fentanyl
Pain management
Furosemide
• Pulmonary edema
• Congestive heart failure
Glucagon
•Hemodynamically significant hypoglycemia
• Beta-blocker overdose
Hydroxocobalamin
Cyanide poisoning by inhalation, ingestion and exposure
Ibuprofen
•Mild to moderate pain
• Fever
Ipratroprum bromide
• Asthma
• Bronchospasm associated with chronic bronchitis and emphysema
Ketamine
• Procedural sedation for rapid sequence intubation
• Chemical restraint for agitated (excited) delirium
• Pain management
Lidocaine
• Ventricular fibrillation
• Ventricular tachycardia
• Ventricular dysthymias
º Frequent premature wide-complexes and couplets
º Monomorphic wide-complex tachycardia
Lorazepam
• Seizure activity
• Status epilepticus
• Procedural sedation for intubation and cardioversion
• Chemical restraint for agitated (excited) delirium
• Severe anxiety
Magnesium sulfate
• Seizures caused by toxicity of pregnant (toxemia)
• Pregnancy induced hypertension (pre-eclampsia and eclampsia)
• Pre-term labor
• Torsades de pointes (polymorphic ventricular tachycardia)
• Ventricular fibrillation and pulseless ventricular tachycardia refractory to amiodarone or lidocaine
• Reactive airway conditions including bronchoconstriction and bronchospasm
Methylprednisolone
• Asthma
• Chronic bronchitis
• Emphysema
• Other reactive airway conditions
• Anaphylaxis
• Burns involving the airway
Midazolam
• Seizure activity
• Status epilepticus
• Procedural sedation for intubation and cardioversion
• Chemical restraint for agitated (excited) delirium
Morphine sulfate
• Pain management
• Chest pain and/or signs and symptoms suggestive of the acute coronary syndrome
• Acute cardiogenic pulmonary edema
Naloxone
• Narcotics and synthetic analgesic overdoses including:
º morphine (MS-Contin)
º heroin
º oxycodone (OxyContin)
º methadone
º codeine
º meperidine (Demerol)
º fentanyl (Sublimaze)
º hydrocodone (Vicodin)
º hydromorphone
• Unconsciousness of unknown etiology
Nitroglycerin
• Chest pain and signs/symptoms suggestive of the acute coronary syndrome
• Congestive heart failure with pulmonary edema
Nitrous oxide 50%
Pain management
Norepinephrine
Severe hypotension refractory to IV boluses caused by:
º Cardiogenic shock
º Septic shock
º Neurogenic shock
Ondansetron
Nausea and vomiting
Oral glucose
Hypoglycemia
Oxygen
• Hypoxia
• Suspected hypoxia where pulse oximetry indicated less than 94% with an unstable patient
Oxytocin
Postpartum hemorrhage
Phenylephrine nasal spray 0.5%
Administered prior to insertion of a nasotracheal tube
Pralidoxime chloride (2-Pam)
Organophosphate pesticide poisoning
Proparacaine ophthalmic solution 0.5%
Chemical exposure to the eyes requiring irrigation
Racemic epinephrine
• Croup
• Bronchospasm associated with asthma, chronic bronchitis, and bronchiolitis
Rocuronium
Induction of paralysis to facilitate rapid sequence intubation
Sodium bicarbonate 7.5% - 8.4%
• Pre-existing or known metabolic acidosis
• Acidosis refractory to effective ventilation
• Salicylate overdose
• Tricyclic antidepressant overdose
• Hyperkalemia
• Prolonged cardiac arrest
• Crush syndrome
Succinylcholine
Induction of paralysis to facilitate rapid sequence intubation
Tetracaine
Chemical exposure to the eyes requiring irrigation
Thiamine
• Delirium tremens
• Wernicke encephalopathy
• Korsakoff syndrome
• Unconsciousness of unknown etiology
• Alcoholism
• Malnutrition
Vasopressin
Cardiac arrest:
º ventricular fibrillation
º pulseless ventricular tachycardia
º asystole
º pulseless ventricular activity
Verapamil
• Atrial fibrillation with rapid ventricular rate
• Atrial flutter with rapid ventricular rate
• Supraventricular tachycardia
0.9% sodium chloride solution
normal saline solution (NS)
• Parenteral replacement of fluids and sodium chloride loss, including hypovolemia
• IV and IO access for drug administration
• Dilution of drugs for infusion
Lactated ringer’s solution
• Parenteral replacement of fluids and electrolyte loss, including hypovolemia
• IV and IO access for drug administration
• Trauma in pregnancy
• Burn injury
5% dextrose in water
D5W
• Parenteral maintenance of water and carbohydrate required by the clinical condition of the patient
• IV and IO access for drug administration
• Dilution of concentrated drugs for infusion