Emergency Trolley PDF

Brand Name Generic Name Class of Drug Usage/ Mechanism Side Effects Nursing of Action (at least 3) Consideration First Drawer (Adrenaline®) Epinephrine ALPHA-ADRENER...

Brand Name Generic Name Class of Drug Usage/ Mechanism Side Effects Nursing of Action (at least 3) Consideration First Drawer (Adrenaline®) Epinephrine ALPHA-ADRENERGIC Relaxes bronchial Sweating, headaches, Observe patient 1mg/1ml AGONIST smooth muscles by anxiety tachycardia closely for adverse To start heart beat stimulating beta 2 reactions. Notify cardiac arrest receptors and alpha prescriber if these USES: and beta receptors in changes occur Acute Asthmatic the sympathetic attacks nervous system. Hemostasis Bronchospasm Anaphylaxis Allergic Reaction Cardiac arrest Adjust in Anesthesia Shock In treatment of bronchospasms anaphylactic reactions, cardiac arrests added to local anesthetic to decrease syncope Atropin® Atropine Anticholinergic & Block the action of dry mouth and 1. Watch for Sulphate Muscarinic the neurotransmitter constipation tachycardia in cardiac 600mcg/1ml Antagonist acetylcholine in the dysphagia, patients because it Used to treat brain. tachycardia, may lead to bradycardia, it Inhibits acetylcholine palpitation, ventricular reduces/suppress at parasympathetic arrhythmias fibrillation. secretions during neuroeffector surgery. junction, blocking 2. Many adverse vagal effects on SA reactions (such as dry and AV nodes, mouth and enhancing constipation) vary conduction through with dose. AV nodes and increasing heart rate. Theophylline® Aminophylline Bronchodilator – It relaxes and opens Nausea, vomiting, Monitor vital signs; 250mg/10mls Relaxes bronchial air passages in the shock, drowsiness, measure and record smooth muscles. lungs, making it headache, fluid intake and easier to breathe. nervousness, output. Used to prevent and palpitation, Dosage may need treat wheezing, ventricular fibrillation to be increased in shortness of breath, cigarette smokers  and difficulty and in habitual breathing caused by marijuana asthma, chronic smokers because bronchitis, smoking causes emphysema, and drug to be other lung diseases. metabolized faster. Calcium FLUID AND 1.Replaces calcium Pain and burning at iv Use calcium Chloride 10% IV ELECTROLYTIC and maintains sites, Hypotension , chloride cautiously in push REPLACE MENT calcium levels Bradycardia, cardiac patients with cor SOLUTION. arrhythmias ,cardiac pulmonale, Uses: 2. For cardiac arrest respiratory In the treatment of resuscitation acidosis, or acute hypokalemia adrenaline to fits respiratory failure. tetany improve myocardial Vitamin D contractions in Monitor calcium deficiency cardiac disturbances levels frequently. Alkalosis of hyperkalemia Maintain Insect bites or hypocalcaemia or calcium level of 9 to stings calcium channel 10.4 mg/dl. Don’t blocking agent allow level to exceed toxicity emergent 12 mg/dl. treatment of Hypercalcemia hypermagnesemia. may result after large doses in chronic renal failure. Report abnormalities. Calcium ELECTROLYTE AND To prevent and treat Bradycardia, Double-check that Gluconate 10% WATER BALANCE calcium deficiencies constipation, thirst, you are giving IV push USES: To overcome hypercalcemia the correct form of cardiac toxicity of calcium; hyperkalemia, for resuscitation drug cardiopulmonary resuscitation Cart may contain (repolarisation) both calcium neonatal tetany gluconate Hyperparathyroidi and calcium chloride. sm. Vitamin D deficiency Alkalosis. Decadron® Dexamethasone ANTI-INFLAMMATORY Decreases Nausea and Vomiting Monitor patient’s / CORTICOSTEROID 4mg/1ml inflammation, mainly hypertension, weight, blood by stabilizing heachaches, heart pressure, leukocytes lysosomal failure and electrolyte levels membranes Watch for depression or psychotic episodes, especially in high-dose therapy. Diabetic patient may need increased insulin; monitor glucose levels. (Causing Hypoglcemia) Lanoxin® Digoxin CARDIAC GLYCOSIDE; Inhibit the sodium Nausea, vomiting, Excessively slow INOTROPIC pump causing the Dizziness, and pulse rate Corrects increase in diarrhea, (60 beats/minute or tachycardia and availability of dysrhythmias, less) may be a sign of slow, steady and intracellular calcium blurred vision, digitalis toxicity. strengthen heart in the myocardium abdominal pain Withhold drug and muscle and conduction (Withold if pulse is notify Uses: Heart failure system resulting less than 60 bpm) prescriber. atrial fibrillation, increased In children, cardiac atrial tachycardia, contractility of the arrhythmias, cardiogenic shock heart muscle. including sinus bradycardia, are usually early signs of toxicity. Valium® Diazepam Anti-convulsant, 1. A benzodiazepine Nausea , Dry mouth Monitor elderly 10mgs/2ml Anxiolytic, that probably headaches , rash patients for dizziness, Sedative potentiates tachycardia, ataxia, mental status Uses: the effects of GABA, respiratory changes. Patients are Management of depresses the distression, ecg at an increased risk anxiety CNS, and suppresses changes. for falls. Before the spread of seizure Use of drug may endoscopic activity. lead to abuse and procedures 2. Acts at the limbic , addiction. Don’t Cardioversion thalamic, and withdraw drug Acute alcohol hypothalamic regions abruptly withdrawal of the CNS and after long-term use; Preoperative produces CNS withdrawal sedation depression resulting symptoms Status epilepticus in sedation, hypnosis may occur. and causes skeletal muscle relaxation, it works as a  anticonvulsant depending on the dosage. Dobutrex® Dobutamine ADRENERGIC Stimulates beta 1 Headaches, fatigue, Monitor ECG, blood Hydrochloride AGONIST: receptors in the SOB, Mild tremors , pressure 250mcg/5ml VASSOPRESSOR heart increasing nervousness Cardiac output, and IV route USES: short term contractility and urine output. treatment of adults cardiac output. Because drug with cardiac increases AV node decompensation conduction, patients due to depressed with atrial fibrillation myocardial may develop a rapid contractility ventricular heart resulting from rate. either organic heart disease or from cardiac surgery. Intropin® Dopamine ALPHA AND BETA Direct action the N&V, Hypertension, Higher doses Hydrochloride ADRENERGIC alpha and beta angina pain, can stimulate alpha 200mg/5ml AGONIST INOTROPIC adrenergic receptors palpitation, receptors, USES: To correct and on specific headache. constricting hemodynamic dopaminergic blood vessels and imbalance in shock receptors in increasing blood syndrome due to mesenteric and renal pressure. MI (cardiogenic vascular beds. During infusion, shock), trauma, 2. Positive inotropic endotoxic frequently monitor effect on septicemia (septic ECG, myocardium increase shock) , open heart blood pressure, cardiac output with surgery, and CHF. cardiac output, increase in systolic central and pulse pressure. venous pressure, Very low pulse when , pulse rate, urine the systolic is