Amiodarone/Cordarone

Antidysrhythmic

1st line drug for V-Tach & V-Fib

Blocks, Bradycardia

Hypotension, Bradycardia

VF > 300mg IVP, then 150mg

VTw/pulse > 150mg over 10min

IV Push, IV Infusion

 Adenosine / Adenocard

Antidysrhythmic

PSVT

2nd or 3rd Degree Blocks

SOB, Nausea, Dizziness

6mg ; 12mg can be repeated

IV Push

 Lidocaine HCL IV

Antidysrhythmic

Ventricular Ectopic Activity; VFib

(slows Na-K pump and Heart)

High Degree AV Blocks

Seizures, Dizziness, Nausea, Vomiting

1-1.5mg/kg up to 3mg/kg in VFib; IN successful 1-4 mg/min

IV Push, IV Infusion

Procainamide HCL / Pronestyl

Antidysrhythmic

Persistent VFib

Blocks, Bradycardic, PVC's

Seizures, Widening of QRS

20mg/min until dysrhythmia is gone, Hypotension developes or the QRS widens by 50% or 17mg/kg has been given

IV Bolus, IV Drip Dose is 1-4mg/min

Aspirin

Platelet Aggregate Inhibitor

New Chest Pain / Suspected MI

Hypersensitivity, Active Ulcers

Heartburn, GI Bleed

160-324mg

PO

Epinephrine HCL 1:10,000

Sympathomimetic

Cardiac Arrest / Severe Anaphylaxis

None in Arrest Situation

Palpitations, Anxiety

1mg every 3-5min in Arrest

0.3-0.5mg in Severe Anaphylaxis

IV Push

Nitroglycerin IV Solution

Nitro Sublingual

Smooth Muscle Relaxant (antianginal)

Angina/ChestPain from MI/Reduced Preload

Hypotension

Hypotension/ Headache

0.4mg

Sublingual

Sodium Bicarbonate 8.4%

Mineral (causes things to be more base)

Late in Mgt. of Cardiac Arrest; Tricyclic OD; Acidosis Uncorrectable w/Hyperventilation

Alkalotic States

Alkalosis

1MeQ/kg Followed by .5MeQ every 10min

IV Push

Vasopressin

Hormone / Vasoconstrictor

Cardiac Arrest

None

None

40 units 1 time only to replace 1st/2nd Epi dose

IV Push

Dopamine HCL / Intropin

Sympathomimetic

Hypotension not Resulting from Hypovolemia, Cardiogenic Shock

Hypovolemic Shock

Ventricular Dysrhythmias

2-20 micro/kg/min

IV Infusion

Verapamil HCL / Isoptin

Calcium Channel Blocker

SVT Refractory to Adenosine

Severe Hypotension or Cardiogenic Shock

Nausea, Vomiting, Bradycardia

2.5-5mg initially; up to 10mg total over 30min

IV Push

Propranolol / Inderal

Sympathetic Blocker (Beta Blocker)

Tachy / HTN / Dysrhythmias

Asthma / COPD / CHF

Bradycardia, Blocks, CHF, Bronchospasm

1-3mg Diluted in 30mL slow IV Bolus

IV Bolus

Atropine Sulfate

Parasympathetic Blocker - Anticholenergic

Drug of choice for Bradycardia - consider in 2nd degree blocks; Asystole

None

Blurred Vision / Dry Mouth / Tachycardia

0.5mg to total of 3 in Bradycardia

1mg-3mg in Asystole & PEA

IV Push

Magnesium Sulfate

Antidysrhythmic / Anticonvulsant

Eclampsia / Refractory VFib / Torsades

Shock Heart Block

Resp Depression / Drowsiness

1-4 grams

IV, IM

Nitrous Oxide / Nitronox

CNS Depressant

Pain / Burns

Intoxication pts who cant follow orders

Altered LOC

Headache / Dizziness / Nausea / Vomiting

50% Nitrus & 50% O2

Inhaled - Self Admin Only

Naloxone HCL / Narcan

Narcotic Antagonist

Narcotic Overdose

None

Rare

1-2mg

IV Push, IM

Morphine Sulfate

Narcotic

Severe Pain, Pulm.Edema, MI

Head Injury / Hypovolemic Shock / Undiagnosed Abdominal Pain

Altered LOC

2-5mg up to 10mg or until pain is resolved

IV Push, IM

 Promethazine / Phenergan

Prochlorperazine / Compazine

Antiemetic

Nausea / Vomiting

Increases the effectiveness of Morphine

Hypersensitivity

Drowsiness, Sedation

12.5-25mg         10-20mg

IV Push, IM         IVPush

Midazolam / Versed

Benzodiazepine (Hypnotic Sedative)

Premedication Before Cardioversion

Anxiety / Seizures

Shock

Drowsiness / Hypotension / Amnesia

2-8mg IV

IV Push

Lorazepam / Ativan

Benzodiazepine

Seizures

Hypersensitivity

Resp Depression / Hypotension

0.5-2.0mg IV

IV, IM, Rectal

Diazepam / Valium

Benzodiazepine / Anticonvulsive

Seizures / Anxiety

Hypersensitivity

Hypotension / Amnesia / Resp Depression

2-10mg

IV, IM

Thiamine HCL / Vitamin B1

Vitamin

Allows the breakdown of glucose

Coma of unknown origin in alcoholics

None

None

100mg

IV Push

Dextrose 50%

Sugar

Hypoglycemia

None

Tissue Necrosis at site

25 grams in 50 mL

IV

Glucagon

Antihypoglycemic

Hypoglycemia / Beta Blocker OD

Hypersensitivity

None

1mg

IM

Diphenhydramine HCL / Benadryl

Antihistimine

Allergic Reactions

None

None

25-50mg

IV, IM

Furosemide / Lasix

Loop Diuretic (pee out K)

CHF / Pulmonary Edema

Dehydration / Pneumonia

None

40-80 MG or double Pt's established dose

IV Push

Albuterol / Proventil

Sympathomimetic

COPD / Bronchospasms

Hypersensitivity

Palpitations / Anxiety / Hypertension

2-5mg in 3mL

Hand Held Nebulizer

Racemic Epinephrine HCL

Sympathomimetic

Croup (Laryngotrac Heobronchitis)

Epiglottis

Tachycardia / strong rebound effect

.25-.75 mL diluted w/2mL saline

Hand Held Nebulizer

Epinephrine HCL 1:1,000

Sympathomimetic

Bronchoconstriction due to asthma or anaphylaxis

Cardiovascualr disease / Tachydysrhythmias

Palpitations / Tachycardia

0.3-0.5mg

IM Injection

Etomidate / Amidate

Sedative

RSI

Hypersensitivity

Apnea / Lyrngospasm

0.1-0.3mg/kg over 15-30sec

IV Push

Succinylcholine / Anectine

Neuromuscular Blocking Agent

Paralysis to facilitate intubation

Hypersensitivity

Prolonged paralysis / Hypotension / Bradycardia

1-1.5mg/kg

IV Push

Oxytocin / Pitocin

Hormone

Postpartum Vaginal Bleeding

Not used other than as stated

Anaphylaxis

10-20 units in 500mL D5W

IV Drip, IM

Calcium Chloride

Mineral

Hyperkalemia / Hypocalcemia

None

Bradycardia / dysrhythmia

2-4mg/kg

IV