Indications Flashcards
Albuterol sulfate
Bronchospasm
Amiodarone
Cardiac Arrest Pt with shock refractory VF/VT
For recurrent VF/VT following successful cardioversion of VF/VT
Wide complex tachycardia not requiring immediate cardioversion due to hemodynamic instability
Aspirin
Suspected acute coronary syndrome
Atropine sulfate
Symptomatic bradycardia
To improve conduction in 2nd° and 3rd° heart block or pacemaker failure
Organophosphate poisoning
Calcium gluconate
Adult pulseless arrest associated with any of the following clinical conditions:
. Known hyperkalemia
. Renal failure with/without hemodialysis history
. calcium channel blocker overdose
Not indicated for routine treatment of pulseless arrest
Adult or pediatric calcium channel blocker overdose with hypotension, bradycardia.
Cyanokit
Suspected moderate or severe exposure to carbon monoxide, cyanide, or combination of both.
Dextrose
hypoglycemia
Unconscious or altered mental status patient with unknown etiology
Diphenhydramine
Allergic Reaction
Dystonic medication reactions or restlessness
DuoDote
Suspected nerve agent exposure accompanied with signs and symptoms of nerve agent poisoning
Epinephrine
Pulseless Arrest
Severe allergic/anaphylactic reaction
Airway obstruction secondary to croup or epiglottitis
Severe asthma
Bradycardia with poor perfusion
Medical hypotension/shock refractory to fluid resuscitation
Fentanyl
Moderate to severe pain
Treatment of shivering after therapeutic induced hypothermia
(The object of pain management is not the removal of all pain, but rather, to make the patient’s pain tolerable enough to allow for adequate assessment, treatment and transport)
Glucagon
Altered level of consciousness where hypoglycemia is suspected and IV access is unavailable
Hypotension, bradycardia from beta blocker or calcium channel blocker overdose
Haloperidol
Sedation of severely agitated combative patient
Ipratropium Bromide (Atrovent)
Bronchospasm
Ketamine
Adult patient for signs of excited delirium where the safety of patient and/or providers is of substantial concern
Magnesium sulfate
Torsades de pointes associated with prolonged QT interval
Severe bronchial spasm on responsive to continuous Albuterol, ipratropium, and IM epinephrine.
Pregnancy > 20 weeks gestational age with evidence of eclampsia or preeclampsia:
. Pre-eclampsia: hypertension >180 mmHg systolic or >120 mmHg diastolic, localized edema, headache and/or altered mental status
. Eclampsia: preeclampsia + seizures
Methylprednisolone (solu-medrol)
Anaphylaxis
severe asthma
COPD
Midazolam (versed)
Status Epilepticus
Sedation of the severely agitated/combative patient
Sedation for cardioversion or transcutaneous pacing (TCP)
Chemical sedation post intubation in the awake patient. Strongly considered use after successful ET tube placement confirmation via capnography.
Morphine sulfate
Pain management
cardiogenic pulmonary edema
Naloxone (Narcan)
For reversal of suspected opioid – induced CNS and respiratory depression.
Coma Of unknown origin.
Seizure of unknown etiology (rule out narcotic overdose, specifically proproxyphene)
Nitroglycerin
Pain or discomfort due to suspected acute coronary syndrome
Pulmonary edema due to congestive heart failure
Ondansetron (Zofran)
Nausea and vomiting
Oxygen
Suspected hypoxemia or respiratory distress from any cause
Acute chest or abdominal pain
Hypotension/shock states from any cause
Trauma
Suspected carbon monoxide poisoning
Obstetrical Complications, childbirth
Phenylephrine (intranasal) (neosephine)
Prior to nasotracheal intubation to induce vasoconstriction of the nasal mucosa.
Nose Bleed
