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        
         
         
         
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