Standing Order Medications quiz

Sprekelmeyer

Which drug for: Fast heart rate, supraventricular tachycardia (SVT) or narrow complex tachycardia

Adenosine

Tx for fast heart rate (SVT)

Valsalva maneuver; if that doesn’t work, administer adenosine IVP with rapid saline flush. If that doesn’t work, do a cardiovert

Which drug for:Ventricular fibrillation (V-fib) Ventricular tachycardia (V-tach)

Amiodarone (antiarrhythmic)

Tx for v-tach, fib and asystole

Amiodarone, IV or IO

Interrupts the heart’s rythms

V-fib

weird rhythm

V-tach

Quivering (electrical pulses are in chaos)

asystole

boooooop

healthy BP

120/80

What does Nitroglycerin do

Vasodilator

NTG contraindications:

1. Do not take if PT systolic BP is under 100 (take BP inbetween doses)

2. Pt has taken male enhancement drugs in the last 24 hours

3. Pt can’t have more than 3 doses in 15 minutes

NTG purpose

chest pains

Given for severe hypotensive pts, anaphylaxis pts, or pts with hertain heart rhythms (v-tach, fib, or asystole)

Epinephrine.

Epinephrine routes

IVP or IO for cardiac arrest

IVP, Io, or IM for anaphylaxis

IVP for hypotensive pts

Dextrose

Given to hypoglycemic pts who are diabetic, given when consciousness is impaired, for choking hazards

Dextrose routes

IV IVP or IO

Glucose

Given to hypoglycemic pts who are diabetic, given when consciousness is full.

Glucose routes

PO (tablets, cubes, or liquid)

Naloxone

Given for suspected opiate use: low respiration, constricted pupils. Pt must have respirations under 12, and then check pupils

Naloxone routes

IN, IM, IVP

Fentanyl

For serious pain management: eye injuries, burns, amputations, impaled objects and crushing injuries. Pain scale should be greater than 7

Fent routes

IV, IN, IM

Ondansetron (zofran)

Helps control nausea and vomiting. Moring sickness, food or drink reactions, chemotherapy, etc.

Ondansetron routes

IV, PO (via ODT)

Midazolam

taken for prolonged seizure activity 

Midazolam routes

IV, IM, IN

Atropine

Taken for organophosphate poisoning or deteriorative bradycardia (Low hr)

Atropine routes

Taken as autoinjector for WMD exposure

Albuterol

Bronchial dilator: taken for asthma, crushing injuries, hyperkalemia, (high potassium in blood) or bronchospasms

Albuterol routes

Nebulized (turned into a fine mist) with a non-rebreather mask or given as inhaler