Dormicum

Noradrenaline Dobutamine

Dopamine

NAHCO3

vassopressin

Lidocaine
Gluconate Calcium

Amiodarone

Adenosine

Atrophine

Epinephrine

Drug

Indication
Asystole, PEA, Pulseless
Vfib/Vtach
Anaphylaxis

Sinus bradycardia
Symptomatic
narrow
bradycardia
Asystole

Supraventricu
lar
Tachycardia

Pulseless
ventriculat
fibrillation or
ventricular
tachycardia
Atrial
Hypocalcemia
Severe
hyperkalemia
Severe
hypermagnes
aemia
CV drugs:
Antiarrhythmics
Anesthetic
Anesthesia
Arrhythmias
Pituitary
Hormones
ADH
Diabetes
Insipidus
Abdominal
Txt of
hyperacidity
Severe
diarrhea
Alkalization of
the urine to tx
Acute heart
failure

Acute heart
failure

IV or IM:
Sedation,
anxiolysis,
prior to dx,
therapeutic,
or endo proc.
or sx

QRS

Mode of Action
Special Consideration
A direct acting sympathomimetic,
RAPID IV PUSH
stimulates alpha and beta adrenergic
SHOULD NOT BE ADMINISTER THE
receptors resulting in relaxation of
SAME LINE WITH ALKALINE
smooth muscle of the bronchial tree,
SOLUTIONS- may lose its potency
cardiac stimulation and dilatation of
MONITOR CARDIAC rhythm
skeletal muscle vasculature
Competitively
blocks
the
muscarinic RAPID IV PUSH over 1 min
receptors in peripheral tissues such as heart, SLOWER than 1 min may cause
intestines, bronchial muscles, iris and paradoxical bradycardia that
secretory glands
may last 2 minutes

Has (-) inotropic

action that
rapidly slows
down
conduction
through the AV
A class III
antiarrhythmic
agent which
inhibits
stimulation,
prolongs action
Used to prevent
or treat
negative
calcium
balance. It also
helps facilitate
electrical
stimulation of
ventricle and
His-purkinje
system by
direct action on
permeability
of renal tubular
epithelium to
ADMPH & H20,
d epithelium
promotes
Metabolic
Acidosis
Cardiac Arrest

RAPID IV PUSH over 1-3 seconds into a CENTRAL or LARGE PERIPHERAL vein
Follow each dose with 20cc SALINE FLUSH and elevate arm for 10-20secs to ensure
injection reaches systemic circulation

Stimulates
dopaminergic
receptors at
lower doses
producing renal
and mesenteric
Increases
contractility and
heart rate by
stimulating
Beta adrenergic
receptors in

Monitor Urine output

Palpate peripheral pulses and assess appearance of extremities routinely
Administer into a LARGE VEIN via INFUSION PUMP, rate is TITRATED

Acts mainly at the

limbic system and
reticular formation;
potentiates the
effects of GABA, an
inhibitory
neurotransmitter;
anxiolytic and

Precautions:
COPD, CHF, chronc renal failure, chills, debilitated, neonates

Obtain serum electrolyte, use catiously in patients with uncorrected electrolyte

imbalances
Initial dose diluted in 20-30ml D5W or NSS given as a single dose via rapid IV push
Loading infusion dose should be administered slowly at rate of 1mg/min
Given
through
SMALL
BORE
NEEDLE
into
a
LARGE VEIN to
minimize phlebitis
Administer SLOW
CI
Hypersensitivity
Heart block
Hypovolemia
Adams stroke synd
Assess pt pre & post tx
Contraindications
With chronic nephritis and nitrogen retention
Nursing Mgt
Give 1-2 glass of H20 to reduce adverse reactions and improve therapeutic response
Warm vasopressin in your hands and mixed until it is distributed evenly in the solution
Monitor urine Sp. Gravity and I&O to aid evaluation of drug effectiveness
Contraindications
Metabolic and respiratory alkalosis
Pt losing Cl because of vomiting or continuous GI suction or those receiving diuretics
that produces hypochloremic alkalosis

Palpate peripheral pulses and assess eppearace of extremities routinely

BP and HR
Administer into a LARGE VEIN via INFUSIONPUMP, rate is TITRATED according to
patients response

Flumazenil
Furosemide

Hypertension
Edema

50% Dextrose

Hypoglycemia
Hyperkalemia

Propofol

Diazepam

KCL

Naloxone

MgSO4

Benzodiazepi
ne receptor
antagonists

Anticonvulsant
Antiarrhythmics
Narcotic
antagonist;
Antidote.
suspected
opioid
induced

hypok+, c / s
metabolic alkalo
sis; in dig .intox
prevention risk
if hypokalemia
e.g., dig. pts
/pts w/sig cardiac

Partial
&
Generalized
tonic
clonic
seizures
Severe
Anxiety

Benzodiazepine
-induced
depression of
the ventilatory
responses to
hypercapnia
and hypoxia
Inhibits
reabsorption of
Na and chloride
mainly in the
medullary
portion of the
ascending loopof
Source
calories
and
water
for
hydration
Promotes
glycogen
Decreased
acetylcholine
released

Reverses
opioid-induced
sleep
or
sedation,
increases
RR,
raises BP to
intracellular
cation of
tissues,
participates in a
no, of physio
process
Enhances
the
effect
of
neurotransmitte
r GABA leading
to
CNS
depression

Contraindications
Control of ICP or status epilepticus. Signs of serious cyclic antidep.
overdose
Give through freely running IV infusion into large vein
Instruct to avoid alcohol and non-prescription drugs for 1-24 hrs.
SLOW IV PUSH over 1-2 minutes
DO NOT MIX WITH HIGHLY ACIDIC solution
DO NOT EXPOSE TO LIGHT

Administer SLOW IV PUSH into a LARGE PERIPHERAL VEIN to prevent phlebitis and
sclerosis of vein
MONITOR CAPILLARY BLOOD GLUCOSE

Contraindications
Heart block and myocardial damage
Toxemia of pregnancy
Management Monitor I&O. make sure urine output is 100 ml or more in 4 hrs pd
before each dose
Take appropriate seizure precautions
Maintain clear airway. Obtain weight of children to calculate drug dosage.
Monitor v/s.
Assess for increase pain with reversal opiate.

CI w/ allergy to aspirin
Caution patient that expanded wax matrix capsules will be found in the stool
Report tingling of the hands or feet, unusual tiredness or weakness, feeling of heaviness in the
legs, severe nausea, and vomiting, abdominal pain, black or tarry stools.
Monitor cardiac rhythm carefully during IV administration

SLOW IV PUSH over a minimum of 1 minute into a LARGE PERIPHERAL VEIN to prevent
venous irritation
Observe safety measure