Indications Flashcards
Acetaminophen/APAP (Indications)
• Mild to moderate pain
• Fever
Acetylsalicyclic acid/ASA (Indications)
• Chest pain and/or signs and symptoms suggestive of the acute coronary syndrome
• Abnormal ECG waveforms suggestive of the acute coronary syndrome
Activated charcoal (Indications)
• Oral poisonings
• Oral overdoses
Adenosine (Indications)
• Supraventricular tachycardia
• Monomorphic wide-complex tachycardia
Albuterol sulfate (Indications)
• Asthma
• Bronchospasm associated with chronic bronchitis and emphysema
• Hyperkalemia
Amiodarone (Indications)
• Ventricular fibrillation
• Pulseless ventricular tachycardia
• Wide complex tachycardia
Atropine sulfate (Indications)
• Hemodynamically significant bradycardia
• Organophosphate poisoning
• Carbamate poisoning
• Nerve agent poisoning
Bumetanide (Indications)
• Pulmonary edema
• Congestive heart failure
Calcium chloride (Indications)
• Hyperkalemia
• Acute hypocalcemia
• Calcium channel blocker overdose
• Beta-blocker overdose
Calcium gluconate 2.5% topical gel (Indications)
Contact with hydrofluoric acid
Calcium gluconate (Indications)
• Hyperkalemia
• Beta-blocker overdose
• Calcium channel blocker overdose
Dexamethasone (Indications)
• Asthma
• Chronic bronchitis
• Emphysema
• Other reactive airway conditions
• Anaphylaxis
Dextrose 50% (Indications)
• Hypoglycemia
• Unconsciousness of unknown etiology
Diazepam (Indications)
• Seizure activity
• Status epilepticus
• Procedural sedation for rapid sequence intubation and cardioversion
• Chemical restraint for agitated (excited) delirium
• Severe anxiety
Diltiazem (Indications)
• Atrial fibrillation with rapid ventricular rate
• Atrial flutter with rapid ventricular rate
• Supraventricular tachycardia second-line to administration of adenosine
Diphenhydramine (Indications)
• Allergic reactions
• Anaphylaxis
• Phenothiazine reaction with extrapyramidal symptoms
Dopamine (Indications)
• Cardiogenic shock
• Hemodynamically significant bradycardia
• Hemodynamically significant hypotension
Epinephrine (Indications)
• 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 (Indications)
Procedural sedation for rapid sequence intubation
Fentanyl (Indications)
Pain management
Furosemide (Indications)
• Pulmonary edema
•Congestive heart failure
Glucagon (Indications)
• Hemodynamically significant hypoglycemia
• Beta-blocker overdose
Hydrooxocobalamin (Indications)
Cyanide poisoning by inhalation, ingestion, and exposure.
Ipratropium bromide (Indications)
• Asthma
• Bronchospasm associated with chronic bronchitis and emphysema
Ketamine (Indications)
• Procedural sedations for rapid sequence intubation
• Chemical restraint for agitated (excited) delirium
• Pain management
Lidocaine (Indications)
• Ventricular fibrillation
• Ventricular tachycardia
• Ventricular dysthymias
º Frequent premature wide-complexes and couplets
º Monomorphic wide-complex tachycardia
Lorazepam (Indications)
• Seizure activity
• Status epilepticus
• Procedural sedation for intubation and cardioversion
• Chemical restraint for agitated (excited) delirium
• Severe anxiety
Magnesium sulfate (Indications)
• 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 (Indications)
• Asthma
• Chronic bronchitis
•Emphysema
• Other reactive airway conditions
• Anaphylaxis
• Burns involving the airway
Midazolam (Indications)
• Seizure activity
• Status epilepticus
• Procedural sedation for intubation and cardioversion
• Chemical restraint for agitated (excited) delirium
Morphine sulfate (Indications)
• Pain management
• Chest pain and/or signs and symptoms suggestive of the acute coronary syndrome
• Acute cardiogenic pulmonary edema
Naloxone (Indications)
• 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 (Indications)
• Chest pain and signs/symptoms suggestive of the acute coronary syndrome
• Congestive heart failure with pulmonary edema
Nitrous oxide 50% (Indications)
Pain management
Norepinephrine (Indications)
Severe hypotension refractory to IV boluses causes by cardiogenic shock, septic shock, and neurogenic shock
Ondansetron (Indications)
Nausea and vomiting
Oral glucose (Indications)
Hypoglycemia
Oxygen (Indications)
• Hypoxia
• Suspected hypoxia where pulse oximetry indicates less than 94% with an unstable patient
Oxytocin (Indications)
Postpartum hemorrhage
Phenylephrine nasal spray 0.5% (Indications)
Administered prior to insertion of a nasotracheal tube
Pralidoxime chloride (2-Pam) (Indications)
Organophosphate pesticide poisoning
Proparacaine ophthalmic solution 0.5% (Indications)
Chemical exposure to the eyes requiring irrigation
Racemic epinephrine (Indications)
• Croup
• Bronchospasm associated with asthma, chronic bronchitis, and bronchiolitis
Rocuronium (Indications)
Induction of paralysis to facilitate rapid sequence intubation
Sodium bicarbonate 7.5-8.4% (Indications)
• Pre-existing or known metabolic acidosis
• Acidosis refractory to effective ventilation
• Salicylate overdose
• Tricyclic antidepressant overdose
• Hyperkalemia
• Prolonged cardiac arrest
• Crush syndrome
Succinylcholine (Indications)
Induction of paralysis to facilitate rapid sequence intubation
Tetracaine (Indications)
Chemical exposure to the eyes requiring irrigation
Thiamine (vitamin B1) (Indications)
• Delirium tremens
• Wernicke encephalopathy
• Korsakoff syndrome
• Unconsciousness of unknown etiology
• Alcoholism
• Malnutrition
Vasopressin (Indications)
Cardiac arrest:
º ventricular fibrillation
º pulseless ventricular tachycardia
º asystole
º pulseless ventricular activity
Verapamil (Indications)
• Atrial fibrillation with rapid ventricular rate
• Atrial flutter with rapid ventricular rate
• Supraventricular tachycardia
Ibuprofen (Indications)
• Mild to moderate pain
• Fever
0.9% sodium chloride solution (Indications)
• 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 (Indications)
• Parenteral replacement of fluids and sodium chloride loss, including hypovolemia
• IV and IO access for drug administration
• Trauma in pregnancy
• Burn injury
5% dextrose in water (Indications)
• Parenteral maintenance of water and carbohydrate required by the clinical condition of the heart
• IV and IO access for drug administration
• Dilution of concentrated drugs for infusion