Dose
Cordarone
amiodarone-
Cardiac Arrest - 300 mg IV/IO second dose 150 mg in 3-5 mins
VT with pulse - 150 mg in 250 ml D5W infused over 10 min (15mg/min) may be repeated q 10 min
aminophylline
causes relaxation of bronchial smooth muscles but does not act on the adrenergic receptors
Indication for epinephrine 1:1000,
1:10000
1:1000 - severe anaphylaxis, status asthmatics, severe reactive airway diseases
1:10000 - Cardiac arrest, severe anaphylaxis, severe reactive airway disease , symptomatic bradycardia ( refactory to Atropine)
Dimenhydrinate
antiemetic, antihistamine
metoclopramide
Maxeran, Metonia, Reglan.
Atropine sulfate
symptomatic bradycardia -
0.5mg IV/IO q 3-5 min to total max of 3 mg or 0.04mg/kg
Atropine Sulfate
acts by blocking acetylcholine at the postganglionic parasympathetic (primarily muscarinic) receptors, thus inhibiting parasympathetic stimulation. Has positive chronotropic affects and little inotropic
Contra/ Indication for adenosine
Indication - Narrow Complex supraventricular tachycardia refactory to vagal maneuvers.
regular and monomorphic wife-complex tachycardia through to be previously defined to be re-entry svt
Contra - Drug induced, sick sinus syndrome. allergy, 2nd or 3rd degree blocks
Anexate
Metoprolol
Lopressor, betaloc
Decadron
Dexamethasone -
4-24 mg SIVP (12 mg is common )
Calcium Chloride
Calcium is involved in cardiac contraction and by increasing the amount in the body, cardiac contractions are strengthened and ventricular automaticity is increased
Aminophylline Contra/indication
ind- bronchospasm associated with chronic bronchitis and emphysema, CHF, pulmonary edema, Apneic periods in infants
Contr- uncontrolled arrhythmias
Isuprel
nitroglycerin infusion
tridil , nitro- bid IV
dimenhydrinate
Gravol -
12.5 - 50 mg SIVP/IO or 50-100 mg IM q 4 hrs
intropin
is a naturally occurring catecholamine, dopamine acts on both a and b1 and dopaminergic adrenergic receptors ….
atropine sulfate - indication/contraindication
ind- symptomatic bradycardia, organophosphate, \
Contra - tachycardia, avoid in hypothermic bradycardia, none in emergent
Magnesium Sulfate
Electrolyte, anticonvulsant, antidysrhythmic
Pavulon
Benadryl
diphenhydramine -
25-50mg SIVP or Deep IM
Everything EPI
works by binding to a A and B adrenergic receptors causing a stimulant response. mostly works on beta receptors of the heart,vascular and other smooth muscles.. Epinephrine relaxes the smooth muscles of the bronchi and is a physiologic antagonist of histamine
indication/contraindication for Decadron
ind- Severe asthma, severe anaphylaxis, exacerbation of COPD
Contra - active untreated infections (relative) none in treatment of anaphylaxis,
Solu-medrol
Corticosteroid, anti-inflammatory (steroidal)
Methylprednisolone.Dilantin
phenytoin