Skills III Drug List 3: Vasopressors, Inotropes, Reversal agents, Misc.

Dantrium

dantrolene

Dobutrex

dobutamine

Akovaz

ephedrine

Adrenalin

epinephrine

Amidate

etomidate

Romazicon

flumazenil

Baqsimi

glucagon

Gvoke

glucagon

Praxbind

idarucizumab

Demerol

meperidine

Primacor

milrinone

Levophed

norepinephrine bitartrate

Neo-Synephrine

phenylephrine HCl

Mephyton

phytonadione

Kcentra

prothrombin complex concentrate

Zemuron

rocuronium

Anectine

succinylcholine

Quelicin

succinylcholine

Bridion

sugammadex

Vasostrict

vasopressin

indication for Dantrium

• chronic spasticity

• malignant hyperthermia

indication for Dobutrex

• acute decompensated heart failure

• cardiogenic shock

indication for Dopamine

• severe HoTN

• cardiogenic shock

• septic shock

• congestive heart failure

• renal failure

indication for Akovaz

• mild intermittent symptoms of asthma

• anesthesia-induced HoTN

indication for Adrenalin

• anaphylaxis

• cardiac arrest

• HoTN associated with septic shock

indication for Amidate

• general anesthesia

• rapid sequence intubation (RSI)

indication for Romazicon

• benzodiazepine overdose/reversal

• procedural sedation/general anesthesia

indication for Baqsimi, Gvoke

• hypoglycemia

• beta blocker overdose

• calcium channel blocker overdose

indication for Praxbind

reversal of dabigatran

indication for Demerol

• acute pain

• postoperative shivering

• rigors

indication for Primacor

acute decompensated HF

indication for Levophed

• severe HoTN

• cardiogenic shock

• septic shock

indication for Neo-Synephrine

• severe HoTN

• cardiogenic shock

• septic shock

• HoTN during anesthesia

indication for Mephyton

• reversal of warfarin

• vitamin K deficiency - newborn bleeding

indication for Kcentra

• reversal of vitamin K antagonists

• reversal of factor Xa inhibitor DOACs

indication for Zemuron

• endotracheal intubation

• rapid sequence intubation (RSI)

• mechanical ventilation during surgery

• neuromuscular blockade during general anesthesia

indication for Anectine, Quelicin

• neuromuscular blocker for intubation , surgery, or mechanical ventilation

• rapid sequence intubation (RSI)

indication for Bridion

immediate reversal of rocuronium

indication for Vasostrict

• septic shock

• vasodilatory shock

• gastroesophageal variceal hemorrhage

dosing for Dantrium

• PO: initial 25 mg/day x 7 days, increase to 100 mg TID-QID (MAX: 400 mg/day)

• IV push: 2.5 mg/kg x 1 dose, repeat every 5 mins

• IV infusion: 0.25 mg/kg/hr

dosing for Dobutrex

IV infusion: 2-10 mcg/kg/min

dosing for Dopamine

IV infusion: 2-20 mcg/kg/min

dosing for Akovaz

• PO: OTC Bronkaid 25 mg Q4H PRN (MAX: 150 mg/day)

• IV push: 5-10 mg x 1 dose

dosing for Adrenalin

• IM: 0.3 or 0.5 mg dose, may repeat every 5 mins (1 mg/L soln)

• IV push: 1 mg every 3-5 mins (0.1 mg/mL soln)

• IV infusion: 0.01-2 mcg/kg/min

dosing for Amidate

IV push: 0.2-0.6 mg/kg x 1 dose

dosing for Romazicon

IV push: 0.2 mg over 2 min (MAX: 1 mg)

dosing for Baqsimi, Gvoke

• IV/IM/SC: 1 mg x 1 dose, may repeat in 15 mins PRN

• IV infusion: 3-10 mg bolus followed by 3-5 mg/hr

dosing for Praxbind

IV: 2.5 g administered twice within 15 mins (5 g total)

dosing for Demerol

• IV/IM/SC: 25-100 mg Q3-4H PRN for pain

• IV push: 12.5-50 mg x 1 dose for postoperative shivering

dosing for Primacor

IV infusion: 0.125-0.75 mcg/kg/min

dosing for Narcan

• IV push: 0.04-2 mg x 1 dose, may repeat

• IV/IM/SC: 0.4-2 mg x 1 dose, may repeat every 2-3 mins

• Intranasal: 4-8 mg x 1 dose, may repeat

dosing for Levophed

IV infusion: 0.05-0.4 mcg/kg/min

dosing for Neo-Synephrine

IV infusion: 0.1-10 mcg/kg/min

dosing for Mephyton

PO/IV: 2.5-10 mg x 1 dose (depending on INR)

dosing for Kcentra

IV: 20-50 units/kg x 1 dose

dosing for Zemuron

IV push: 0.6-1.2 mg/kg x 1 dose

dosing for Anectine, Quelicin

IV push: 0.3-1.1 mg/kg x 1 dose

dosing for Bridion

IV push: 16 mg/kg x 1 dose

dosing for Vasostrict

IV infusion: 0.01-0.04 units/min