What it do?
Hormone secreted by alpha cells of hte pancreas. it causes a breakdown of stored glycogen to glucose and inhibits glycogen synthesis. Has a positive inotropic action on the heart & decreases renal vascular resistance.
Glucagon
Bronchial Asthma, COPD exacerbation, cardiac arrest, OD induced heart block, hypotension,
Epinephrine
If I've got asthma or I'm nursing...dont give it to me
Diphenhydramine
Patients can develop a tolerance to it and need a higher dose. Headaches from cerebral vessel vasodilation. Once opened, it rapidly deteriorates.
Nitroglycerin
Naloxone
CNS depressant that acts on brain's opiate receptors. It increases peripheral venous capacitance and decreases venous return. It can also decrease your myocardial O2 demand
Morphine Sulfate
Known Hyperkalemia, severe acidosis refractory to hyperventilation, Tricyclic antidepressant OD, phenobarbital OD.
Sodium Bicarbonate
Narrow angle glaucoma, shock, depressed V/S, alcholic coma, hypersensitivity
Midazolam
This + anti-inflammatories may cause an increase in side effects; This + antacids = reduced blood levels because it reduces absorption.
Aspirin
5-HT3 receptor antagonist
Short acting narcotic pain reliever that alters repiratory rate and alveolar ventilation. These effects may last longer than the pain relief
Fentanyl
For anxiety disorders, alcohol withdrawal, muscle spasms, or seizures
Diazepam
Breast feeding, patients in cardiogenic shock, severe sinus node dysfunction that resulted in marked bradycardia, 2nd or 3rd degree AV block, symptomatic bradycardia, hypersensitivity to
Amiodarone
This can worsen bradycardia assoc with 2nd type 2 & 3rd AV blocks. If so, pacing should be attmeted prior to administration. For respiratory use: be cautious administering to elderly patients and those w/ cardiovascular disease or HTN.
Atropine
Non-opioid analgesic
Acetaminophen (Tylenol)
decreases conduction of the electrical impulses thru the AV node and interrupts AV entry pathways in PSVT. Sometimes called chemical cardioversion
Heart Failure, reentry SVT, ventricular rate control in atrial flutter and Afib
Digoxin
Hypovolemia, hypotension, hypersensitivity, hepatic coma, anuria, suspected electrolyte imbalance
Lasix
Increased ICP, wheezing, respiratory depression, apnea, prolonged paralysis, bradycardia, dysrhythmias, hyper/hypotension,
Vecuronium
Amyl Nitrate.
will also accept Nitro
analgesic gas compound that when inhaled, depresses the CNS causing pain relief, high O2 concentration increases O2 tension in the bloof reducing hypoxia
Nitrous Oxide
Eclamptic seizures, torsades de pointes, hypomagnesemia, VFib/pulseless Vtach refractory to amio, Digitalis toxicity dysrhythmias, severe status asthmaticus, severe bronchoconstriction w/ impending respiratory failure/
Magnesium Sulfate
Burns, crush injury, >72 y/o, skeletal muscle myopathies, inability to control airway or support ventilations w/ O2 and BVM, family or personal hx of malignant hyperthermia, rhabdomyolysis,
Succinylcholine
Can suppress adrenal gland production of steroid hormones & cortisol, which can cause gland failure. Decrease dose in older pts & pts w/ cardiac conditions. Carefully monitor V/S
Etomidate
Antiarrhythmic
Amiodarone, Adenosine, Lidocaine, Digoxin,