Indications Flashcards
Adenosine
- SVT
- Fast narrow complex >160 in stable pt
Albuterol
Respiratory distress with bronchospasms
- Asthma
- Allergic reaction/anaphylaxis
- Pneumonia
- COPD
Amiodarone
- V-tach with pulse
- Pulseless V-Tach or V-Fib
Aspirin
Chest pain of suspected cardiac origin
Atropine Sulfate
- Symptomatic bradycardia
- Organophosphate overdose
Brethine
-Obstructive SOB; Asthmas, bronchitis, emphysema (When refractory to albuterol and atrovent)
Calcium Gluconate
Adult pulseless arrest associated with any of the following conditions:
-known hyperkalemia
-renal failure with or without hemodialysis history
-calcium channel blocker
(NOT indicated for routine treatment of pulseless arrest)
Cardizem
- Rapid A-Fib (>170)
- Rapid A-Flutter (>170)
- Multifocal atrial tachycardia
- SVT refractory to Adenosine
Detrose 50%
- Documented hypoglycemia
- Coma of unknown origin
- Seizures of unknown origin
Diazepam
- Seizure activity
- Procedures (cardioversion)
- Extreme anxiety
Diphenhydramine
- Allergic reaction/anaphylaxis
- Acute dystonia (muscle contractions)
Dopamine
If unable to control pressure in;
- Cardiogenic shock
- Symptomatic bradycardia refractory to atropine
- Distributive shock (excessive vasodilation)
Epi 1:1000
- Asthma refractory to Albuterol
- Allergic reaction with SOB
- Symptomatic bradycardia refractory to atropine
Epi 1:10,000
Pulseless;
- V-tach/fib
- PEA
- Asystole
Anaphylaxis (shock)
Etomidate
- RSI
- Procedures
Fentanyl
- Pain control
- Undiagnosed ABD pain
- Isolated trauma
- Myocardial infaction
Flumazenil
- Provider caused overdose
- Reverse sedation of Benzodiazepine
Furosemide
Cardiac pulmonary edema
Glucagon
- Hypoglycemia with no vascular access
- Esophageal spasm
- Beta blocker overdose
Haloperidol
Chemical restraint
Ipratroprium
Obstructed SOB;
- Asthmas
- Bronchitis
- Emphysema
- Pneumonia
Lidocane
- V-tach with pulse
- Pulseless V-tach or V-fib
- Local anesthetic for relief of pain during IO fluid administration
Lorazepam
- Seizures
- Procedures
- Extreme anxiety
Magnesium Sulfate
- Seizures of eclampsia
- Refractory bronchoconstriction (status asthmaticus not responsive to beta-adrenegic drugs)
- Torsades de pointes
Mannitol
Increased ICP
Metoclopramide
Nausea
Metoprolol
- Hypertension crisis
- Peri infarct
- Chemically inducted tachycardia
Midazolam
- Seizures
- Procedures
- Extreme anxiety
Morphine Sulfate
- Isolated injuries
- Chest pain of cardiac origin
Naloxone
- Known/suspected opioid overdose
- Pinpoint non-responsive pupils
- Unconscious unresponsive
Nitroglycerine
- Angina or anginal equivalent discomfort
- Cardiac Pulmonary edema
Opthaine
Foreign body sensation in the eye
Oxytocin
Uncontrollable post partum hemorrhage, after all productions of conception have expelled
Procainamide
- V-tach with a pulse
- A-fib with WPW
Promethazine
Nausea
Racemic Epinephrine
- Croup; refractory to other treatments
Sodium Bicarbonate
- Suspected Metabolic Acidosis
- Cardiac arrest >20min
- Hyperkalemia w/ QRS widening
- Tricyclic overdose w/ QRS widening
Methylprednisone Sodium
- Obstructive SOB
- Allergic reaction / Anaphylaxis
Succinylcholine
RSI
Thiamine
- Dehydration / Malnourishment
- Chronic alcoholism
Vecuronium Bromide
- RSI
- Post intubation, keep them sedated
Verapamil
- SVT refractory to adenosine
- A-fib / A-flutter >170bpm
Zofran
Nausea
Ketamine
- Adult patient with signs of excited delirium
- Sedative agent for RSI
