Common Emergency Drugs
Common Emergency Drugs
Aminophylline
-Anti Asthma, COPD. Emplysema, bronchitis, bronchiectasis, bronchodilators; xanthine derivative (classification)
Apresoline (Hydralazine)
Anti hypertensive drug; direct vasodilator (classification); for preeclampsia
Phytomenadione (Aquamephyton)
Vitamin K, to stop bleeding, for clot formation.
Atropine Sulfate
Antispasmodic, for severe gastric pain; anticholinergic; for insecticide or mushroom poisoning
Nifedipine (calcibloc)
Anti hypertensive; calcium channel blocker; SE: headache; may be SL or oral
Nicardepine (Cardepine)
Anti hypertensive, cardiac drugs: calcium channel blocker
Adenosine (cardiovert)
Anti tachycardiac drug, cardiac drugs: for paroxysnal supraventricular tachycardia
Dexamethasone (Decadron)
Gluco corticosteroid, anti inflammatory, anti allergy
Meperidine (Demerol)
Narcotic analgesic, for chest pain, for OR Pre op Meds; opiate agonist; SE: sedation
Distilled H2o
Use as diluents
Midazolam (Dormicum)
Sedative, hypnotics, restlessness, anti insomniac, pre op meds; benzodiazepine
D 50/50
Dextrose, 50 H2o/50 glucose. For hypoglycemia. By BCG or HGT
Verapamil (isoptin)
A cardiac drug, anti hypertensive; calcium channel blocker
KY jelly
Lubricant
Digoxin (Lanoxin)
(+) inotropic med, a cardiac glycoside, diuretic w/ congestive heart failure
Furosemide (Lasix)
A diuretic, w/ congestive heart failure, lower circulatory heart volume (500L) normal. Loop diuretic
Magnesium SO4
Prophylactic meds, anti seizure, anti convulsant, given to hypomagnesimea, given to pregnant w/ PIH to prevent Seizure SE: respiratory depression and loss of DTR
Morphine SO4
Most powerful narcotic, moderate severe pain, opiate agonist, the main stay drug for MI Infarc. SE: sedation; hypotension: Nausea/vomiting; bradycardia; constipation
Pyrecitam (Nootrophil)
Neurotonic, CVA activate neuro (brain)
Phenergan
Anti emetic, pre op med, anti histamine Promethazine- generic name Combination with DEMEROL
Potassium Chloride
Essential mineral to our body, needed in our muscle (cardiac muscle), given w/ hypokalemia, to treat hypernatremia, one of the fluids given to lethal metabolic acidosis.
Sodium Bicarb
w/ severe diarrhea, antacids are buffers control acids.
Lidocane (xylocaine)
Anti arrythmic drug, a cardiac drug, anesthesia used in catheterization.
Metoprolol (Neobloc)
blocker
Methydopa (Aldomet) central acting 2 agonist, for preeclampsia MANNITOL osmotic Diuretic - for brain decompression Terbutaline (Bricanyl)- sympathomimetic, Beta agonist bronchodilator, for asthma Salbutamol (ventolin)- same as Terbutaline SE: tachycardia Budesonide (Budecort)- Steroid bronchodilator
Emergency IV:
1. 2. 3. 4. D5LR for hypokalemia, hyponatremia (electrolyte imbalance) D5NSS for hyponatremia D5IMB increase potassium concentration (for hypokalemia) D5NM has more potassium increase (for hypokalemia) COLLOIDS DEXTRAN, PLASMANATE, HETASTARCH PLASMA EXPANDER for early shock
5.
Drug/chemical
Acetaminophen (Tylenol) Warfarin/Aspirin Heparin MgSO4 KEROSENE/Petroleum products Lead Mercury Insecticide/Pesticide Insecticide/Mushroom Insulin
Antidotes
Acetylcysteine (mucomyst) Vitamin K Protomine sulfate Calcium gluconate Activated Charcoal EDTA/Edetate Dimercaprol Pyridostigmine Atropine Glucagon
EMERGENCY IVF
D5LR- for hypokalemia, hyponatremia, hypovolemia (electrolyte and fluid imbalance) D5NSS- same as D5LR, PNSS- best for diabetics, main line for Blood Transfusion, and during CPR D5IMB and D5NM- more K concentration
PLASMA EXPANDER
DEXTRAN, PLASMANATE, HETASTARCH Used for early SHOCK