standing order medications

adenosine

given for supraventricular tachycardia (SVT) also called narrow complex tachycardia, confirmed with an EKG, characterized by HR 150-250 bpm treatment plan: imitate Valsalva maneuver, administer adenosine IVP closest to heart with a rapid saline flush and last resort shock

Amiodarone

this is Dysrhythmic used for ventricular tachycardia(V-Tack) and ventricular fibrillation (V-Fib) treatment: give during these cardiac arrest rhythms to interrupt the heart rhythms, route- IV generally but also IO

Epinephrine

given for severe hypotensive pt’s anaphylaxis pt’s or pt’s with certain heart rhythms - asystole (straight line), v - tach or v - fib routes: IVP or IO for cardiac arrest rythms, IVP, IO or IM for anaphylaxis and IVP for hypotensive pt’s

nitroglycerin:

given for chest pain often patients are prescribing this by their doctors -, causes a systematic Vaso-dilation, taken PO with sublingual powder or spray, contraindications: pt systolic BP is under 100, normal blood pressure 120/80 has to be over 100, pt has taken male enhancement drug in last 24 hours and pt can’t have more than 3 doses