Emergency Medications

MEDICATION	INDICATIONS	MECHANISM OF ACTION	DOSE	MONITORING
ADENOSINE
ADRENALINE	Cardiac Arrest Anaphylaxis Acute Asthmatic Attacks	α-adrenergic vasoconstriction (can also reduce bleeding and mydriasis) β₂-adrenergic bronchial relaxation	1ml – 1mg Onset: 3-5 Min (quick) Cardiac Arrest: every 3-5 Min If Anaphylaxis: 0.5mg IM Infusion: SS – 5ml+45ml NS DS: 10ml + 40ml NS	Proper Labelling BP and Pulse Rate q5min After giving: flush it immediately with 3-5ml of NS Watch Rhythm carefully
AMIODARONE
ATROPINE
CALCIUM GLUCONATE
CHLORPHENIRAMINE	Allergic Reactions Allergic Rhinitis Urticaria Cold Symptoms	Antihistamine	1ml – 22.75mg Max dose: 40mg/day taken only for a short time	Signs and symptoms of CNS depression Nausea, vomiting, and constipation
DEXAMETHASONE
DOBUTAMINE
DOPAMINE
FUROSEMIDE
HYDROCORTISONE
LIDOCAINE
METOPROLOL
MIDAZOLAM
NORADRENALINE
SODIUM BICARBONATE	Metabolic Acidosis Salicylates Poisoning	Alkalinizer Reverse Acidosis	10ml – 7.5% If severe Acidosis: 50 ordered means 5 ampules have to administer	In infusion ongoing: check for ABG q4h Check for serum electrolytes Assess Respiratory status and pulse Rate if abnormal notify
TRAMADOL