Emergency Meds

*IV (intravenous) or IVP

*IM (intramuscular)

*PO (by mouth)


-HEART



  • adenosine: given for supraventricular Tachycardia (SVT) also called narrow complex tachycardia

-confirmed with an EKG

-characterized by HR 150-250 bpm

  • Treatment

-initiate Valsalva maneuver

-administer Adenosine IVP closest to heart with a rapid saline flush

-cardiovert(shock)



  • Amiodarone: this is dysrhythmic

-used with following rhythms

-ventricular Tachycardia (V-Tack) -tombstones

-ventricular Fibrillation (V-Fib)- squiggly line

  • Treatment

-give during amiodarone 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 rhythms

-Asystole = flat line (no electricity)

-V-tach

-V-fib

Routes: IVP or IO for cardiac arrest rhythms, IVP, IO or IM for anaphylaxis and IVP for hypotensive pt’s

  • Cardiac arrest = no heart rate, no breathing, dead



  • Nitroglycerin: given for chest pain, often patients are prescribing this by their doctors

-CAD

-causes a systematic Vaso-dilation

-taken PO with sublingual powder or spray

  • contraindications

-pt systolic PB is under 100

-normal blood pressure = 120/80

-Pt has taken male enhancement drug in the last 14 hours

-Pt can’t have more than 3 doses

  • give aspirin if nitroglycerin is not available



Diabetic Emergency’s

  • Dextrose: give to a diabetic Pt’s who are hypoglycemic

-given for blood sugar less than 80 mg/dl

-80-120 = ideal blood sugar level

-Route: IV/IVP or IO


  • Glucose: given for the same conditions as above

Route: PO- given orally in tablets, cubes or liquid

-it is important to note to not give somebody who is altered glucose orally- altered gets Dextrose IV because of choking hazard

Emergency Drugs

  • Naloxone: suspected opiate use route: IM, IN or IVP

-pt must have respirations under 12 and constricted pupils

-Opiates:
-morphine

-Heroin

-oxytocin (opana)

-Fentanyl (easiest to overdose)

-Norco


  • Fentanyl: for serious pain management including eye injuries, burns, amputations, impaied objects and crushing injuries

-qualify with pain scale = should be greater than 7

-Route: IV, IM, IN


  • Diaphoretic: super sweaty



  • ondansetron (Zofran): helps control nausea and vomiting

-treatment: morning sickness, food or drink reactions, chemotherapy reactions, etc.

-this is generally a safe medication if taken as prescribed

-route: ODT- generally sublingual- up to 8 mg

-ODT = orally dissolving tablet

-IV


  • Midazolam: taken for prolonged seizure activity

-Route: IV, IM, IN



  • Atropine: taken for organophosphate poisoning or deteriorating bradycardia

-route: taken as an autoinjector for suspected WMD exposure


  • Albuterol: taken for asthma, crush injuries (hyperkalemia) or bronchospasm, the drug is a bronchial dilator

Route: nebulized with non- rebreather mask or given is inhaler