Acp Drug Classes, Indications & Contraindications

Front 1

Adenosine

Back 1

Nucleoside, antiarrythmic
Indications: PSVT
Contraindications:
Hypersensitivity, 2 or 3 deg block, sick sinus syndrome, rapid arrythmia from an accessory pathway ie. WPW

Front 2

Amiodarone

Back 2

Benzofuran derivative, ventricular and SV antiarrythmic
Indications: rapid AFIB, refractory PSVT, life threatening VF/ VT, wide complex tach from unknown origin
Contraindications: AV block, pre-existing 2 or 3 deg block, bradycardia causing syncope, sinus node impairment, sensitivity to drug, cardiogenic shock

Front 3

ASA

Back 3

Anti-platelet, anti-pyretic, analgesic
Indications: chest pain suggestive of AMI
Contraindications: Hypersensitivity, Severe Allergy,

Front 4

Atropine

Back 4

Anticholinergic, anti-arrythmic
Indications: symptomatic bradycardia, Asystole, PEA, organophosphate poisoning

Front 5

Calcium Chloride

Back 5

Calcium Supplement
Indications: Hyperkalemia, Calcium Channel blocker OD, Hypocalcemia
Contraindications: Hypercalcemia, Renal calculi

Front 6

Dexamethasone

Back 6

Glucocorticoid, anti-inflammatory
Indications: Anaphylaxis, Acute Asthma exacerbation/ COPD, Cerebral edema, Croup
Contraindications: Hypersensitivity, Systemic fungal infection, Severe immune system compromise

Front 7

D50W

Back 7

Antihypoglycemic
Indications: Hypoglycemia, Coma of unknown origin.
Contraindications: none in the emerg setting

Front 8

Dimenhydrinate

Back 8

Antiemetic, anti-histamine, anticholinergic
Indications: Nausea, Vomiting, menieres disease
Contraindications: Hypersensitivity, Seizures, any conditions that could be worsened by anticholinergic effect

Front 9

Diphenhydramine

Back 9

Antihitamine, antiemetic, sedative-hypnotic
Indications: allergic reaction, nausea, vomiting,
Contraindications: Hypersensitivity

Front 10

Dopamine

Back 10

adrenergic, vasopressor, inotropic
Indications: Significant Hypotension with absence of hypovolomia, SBP <90mmHg, cardiogenic shock, Hypotension with bradycardia
Contraindications:uncorrected tachydysrhythmias, MAO inhibitors, sulfite allergy, pheochromocytoma

Front 11

Enoxaparin Sodium

Back 11

Anticoagulant
Ind: AMI as an adjunct tx with thrombolitic and PCI
Contr: Hypersensitivity, Allergy to heparin or pork products, active major bleeding, bacterial endocarditis, suspected intercranial bleed,

Front 12

Epinephrine

Back 12

adrenergic, bronchodilator, vasopressor
Ind: Cardiac arrest, symptomatic severe bradycardia with hypotension, anaphylaxis, severe asthma with an allergic component
Contr: none in the emerg setting

Front 13

Fentanyl

Back 13

opioid analgesic
Ind: Pain relief, Medication Facilitated Intubation MFI, analgesia for precedure
Contra: Hypersensitivity, MAO inhibitors within 14 days

Front 14

Glucagon

Back 14

Antihypoglycemic
Ind: Hypoglycemia, Beta Blocker OD
Contra: Beef/ Pork allergy, pheochromocytoma

Front 15

Glucose Oral

Back 15

Antihypoglycemic
Ind: Hypoglycemia
Contr: Pt not alert, unable to follow commands

Front 16

Haloperidol

Back 16

Butyrophenone, Antipsychotic
Ind: acute psychotic episodes
Contra: parkinsons, allergy to drug, coma or CNS depression, narrow angle glaucoma

Front 17

Ipratropium Bromide

Back 17

anticholinergic, Bronchodilator
Ind: Severe Bronchospasm in asthma
Contra: allergy to atropine or it's derivatives.

Front 18

Ketamine

Back 18

Anesthetic
Ind: anesthetic for diagnostic and surgical procedures, Hypotensive sedation in RSI, pain control with hypotension
Contra:Hypersensitivity, HTN, CHF, ICP, thyrotoxicosis, psychosis

Front 19

Ketorolac

Back 19

NSAID
Ind: Short term tx of severe acute pain
Contra: Allergy to ASA or NSAID, Asthamatics due to bronhospastic reactivity, renal impairment, Active GI bleed, pregnancy or breast feeding

Front 20

Lorazepam

Back 20

Benzodiazepine, sedative hypnotic
Ind: Status epilepticus, anxiety, agitation
Contra: Hypersensitivity, acute-closure glaucoma

Front 21

Magnesium Sulfate

Back 21

Mineral electrolyte
Ind: Adjunct therapy for severe asthma/ bronchospasm, Torsades de Pointes, eclamptic seizure PIH, refractory VF/ VT
Contra: 3deg block, known hypermagnesemia, persistant hypotension

Front 22

Metoclopramide

Back 22

Antiemetic, antidopiminergic
Ind: nausea, vomiting, gastric reflux, motion sickness, post radiant tx, delayed gastric emptying
Contra: GI hemmorhage, Hypersensitivity

Front 23

Metoprolol

Back 23

Beta Blocker
Ind: Pt's with AMI
Contra: Allergy, CHF-severe Left side failure, Heart block >1 deg or 1 deg with PRI >.24 sec, bradycardia <60, cardiogenic shock, SBP <100mmhg, IV calcium channel blocker within 30min

Front 24

Midazolam

Back 24

Benzodiazepine, concious sedation agent, amnestic agent
Ind: Status epilepticus/ seizures, pre-medication for cardioversion/ pacing, MFI
Contra: Allergy, Myathania gravis, acute narrow-angle glaucoma

Front 25

Morphine

Back 25

Opioid analgesic
Ind: AMI-ischemic chest pain, pulmonary edema, pain control
Contra: Allergy, Hypotension, presence of MAO inhibitors, tricyclics

Front 26

Naloxone

Back 26

Opioid antagonist
Ind: Complete/ partial reversal of opioid depression, coma of unknown origin
Contra: Allergy

Front 27

Nitroglycerin

Back 27

Nitrate, antianginal, vasodilator
Ind: Acute coronary syndromes, suspected ischemic chest pain, pulmonary edema
Contra: allergy to nitrates, ICP, hypotensive, uncorrected hypovolemia, suspected tamponade or pericarditis, viagra within 24 hrs, extreme bradycardia <50 or tachy >180, right sided infarc

Front 28

Nitrous Oxide

Back 28

Analgesic, Anesthetic
Ind: Musculoskeletal pain, burns, suspected AMI, active labor
Contra: Altered LOC, COPD, chest injuries, abd pain, deompression sickness

Front 29

Ondansetron

Back 29

Antiemetic
Ind: nausea/ vomiting from chemo, head injury or refractory to admin of gravol or maxeran
Contra: Hypersensitivity

Front 30

Oxytocin

Back 30

Xytocic
Ind: Management of 3rd stage labor, postpartum Hemmorhage
Contra: hypersensitivity, still in labor

Front 31

Rocuronium

Back 31

non-depolorizing neuromuscular blocker
Ind: MFI after admin of sedation/ analgesia, post-intubation to facilitate airway control and muscle relaxation
Contra: Allergy, difficult intubation or patient that is self ventilating adequetly

Front 32

Salbutamol

Back 32

adrenergic, bronchodilator
Ind: Brochospasm due to asthma, Bronchitis, COPD, respiratory distress with bronchospasms
Contra: hypersensitivity

Front 33

Sodium Bicarbonate

Back 33

Ind: Patients with metabolic acidosis in cardiac arrest, hyperkalemia, tricyclic or phenobarbital OD, long or protracted resuscitation efforts
Contra: Hypoxic lactic acidosis, early in cardiac arrest

Front 34

Succinylcholine

Back 34

depolarizing neuro muscular blocking agent
Ind: MFI after sedation/ analgesia
Contra: hypersensitivity, penetrating occular trauma, difficult intubation with patient who is self ventilating, Pseudoholinesterase deficiency.

Front 35

Tenecteplase

Back 35

Fibronolytic Agent
Ind: Lysis of suspected occlusive coronary artery thrombi
Contra: Recent surgery, active bleeding, recent hemmorhagic cva, uncontrolled HTN >200mmHg

Front 36

Norepinephrine

Back 36

Sympathomimetic
Ind: Cardiogenic Shock, significant hypotensive states <70sys
Contra: Hypotensive with hypovolemia, pregnancy

Front 37

Racemic Epinephrine

Back 37

Sympathomimetic
Ind: Bronchial Asthma, Croup, Laryngeotracheobronchitis, tracheal edema
Contra: HTN, underlying cardiovascular disease, epiglottitis

Front 38

Benztropine Mesylate

Back 38

Anti-parkinsonian, anticholinergic
Ind: Dystonic reactions due to admin of chlorpromazine, haldol and droperidol.
Contra: Hypersensitivity, Narrow angle glaucoma, children under 3

Front 39

Furosemide

Back 39

Loop Diuretic
Ind: CHF, Pulmonary edema, hypertensive crisis
Contra: Hypovolemia, Anuria, Hypotension, Hypersensitivity, hepatic coma

Front 40

Nifedipine

Back 40

Calcium channel blocker
Ind: HTN crisis, angina pectoris, premature labor pulmonary edema
Contra: Compensatory HTN, Hypotension, hypersensitivity

Front 41

Retaplase

Back 41

Fibronolytic , Thrombolytic
Ind: See thrombolysis protocol
Contra: see Thrombolysis protocol

Front 42

Propofol

Back 42

Anaesthetic, sedative
Ind: Procedural sedation
Contra: Hypersensitivity, allergy to soy, egg, lecthin, glycerol, ICP or impaired cerebral circulation, hypotension

Front 43

Acetaminophen

Back 43

Analgesic, Antipyretic
Ind: mild pain, symptomatic reduction of fever
Contra: hypersensitivity

Front 44

Codeine

Back 44

Narcotic opiate analgesic
Ind: Alone and in combination for pain, antitussif
Contra: hypotension, respiratory depression, multiple trauma

Front 45

Cimetidine

Back 45

Histamine H2 receptor antagonist
Ind: Tx of duodenal & gastric ulcers and management of upper GI bleed
Contra: hypersensitivity

Front 46

Diazoxide

Back 46

Antihypertensive, peripheral vasodilator
Ind: HTN crisis where BP reduction is required
Contra: Tx of compensatory HTN, Hypersensitivity to diazoxide, thiazide or sulfonamides, dissecting aneurysm

Front 47

Digoxin

Back 47

Cardiac glycoside
Ind: Afib/ Aflutter with rapid Vent resp, PSVT refractory to other therapies, Tx of chronic CHF
Contra: Digitalis toxcity, hypersensitivity

Front 48

Labetolol

Back 48

class III Antiarrythmic (beta blocker)
Ind: HTN emergencies
Contra: Hypersensitivity, sinus brad, sick sinus syndrome, 2 or 3deg AV block, RV failure, cardiogenic shock, CHF, MI pt's

Front 49

Diltiazem

Back 49

Class IV Antiarrythmic (calcium channel blocker)
Ind: Second line in tx of PSVT with narrow complexes, Afib/ Aflutter with rapid vent response
Contra: cardiogenic shock/ failure, beta blocker use, AV blocks or sick sinus syndrome, hypotension, wide complex tach, WPW

Front 50

Heparin

Back 50

Anticoagulant
Ind: To prevent clot extension in DVT and PE in comb with thrombolytic admin
Contra: Hemophilia, severe liver damage, shock, hypersensitivity, active bleeding

Front 51

Propranolol

Back 51

Class II antiarrythmic (beta blocker)
Ind: Long term treatment of angina, mild ot moderate HTN in combination with other antiHTN, post MI, control of recurrent VT, VF or SVT
Contra: Sinus Brad, Sick sinus syndrome, 2 or 3dg AV block, RV failure, Cardiogenic shock, CHF, Asthma, COPD or potential bronchospasm

Front 52

Sodium Nitroprusside

Back 52

antihypertensive, vasodilator
Ind: acute HTN refractory to standard therapeutic measures, acute LV failure with acompanying pulmonary congestion poorly controlled by diuretics
Contra: Compensatory HTN, uncorrected hypovolemia, known inadequate cerebral circ

Front 53

Ranitidine HCL

Back 53

Histamine H2 receptor agonist
Ind: duodenal & gastric ulcers, GERD, management of upper GI bleed
Contra: hypersensitivity

Front 54

Theophylline

Back 54

Bronchodilator
Ind: Bronchospasms associated with asthma, COPD, CHF, anaphylaxis and pulmonary edema
Contra: Hypersensitivity to xanthines, arrhythmias, active peptic ulcer

Front 55

Prochloperizine

Back 55

Antiemetic, antipsychotic, phenothiazine
Ind: Control of N/V resulting from stimulation of chemoreceptor trigger zone, psychotic disorders, anxiety control
Contra: circulatory collapse, altered LOC, CNS depressed patients, liver and renal insufficiency, cardiovascular disorders

Front 56

Ergometrine Maleate

Back 56

Oxytocic
Ind: Tx of post partum hemmorhage
Contra: Hypersensitivity, pre-eclampsia or eclampsia, HTN, Labor/ placental delivery incomplete

Front 57

Hydrocortisone

Back 57

Steroid, glucocorticoid, antiinflammatory
Ind: anaphylaxis, acute exacerbation of asthma
Contra: hypersensitivity, systemic fungal infection, severely compromised immune system, premature infants

Front 58

Dobutamine

Back 58

Sympathomimetic, inotropic agent
Ind: Cardiogenic shock, CHF, Left ventricular dysfunction
Contra: Tachyarrhythmias, idiopathic hypertrophic subaortic stenosis, severe hypotension

Front 59

Phenobarbital

Back 59

Barbituate, anticonvulsant
Ind: prevention & treatment of seizure activity, prophylaxis for febrile seizures, anxiety, apprehension, status epilepticus
Contra: Pt's with porphyria, hypersensitivity, severe liver or respiratory diseases

Front 60

Pancuronium

Back 60

Nondepolarizing neuromuscular blocker/ paralytic
Ind: Induction or maitenance of paralysis after intubation.
Contra: Hypersensitivity, inability to control airway with BVM, myathenia gravis, hepatic or renal failure

Front 61

Etomidate

Back 61

Anesthetic
Ind: Induction of anesthesia for RSI
Contra: Hypersensitivity

Front 62

Hydroxyzine

Back 62

Antihistamine, antiemetic, antianxiety agent
Ind: N/V, anxiety reactions, motion sickness, potentiate the effects of analgesics, pre-op and post-op sedation
Contra: hypersensitivity

Front 63

Streptokinase Recombinant TPA

Back 63

Thrombolytic Agent
Ind: STEMI
Contra: recent surgery, active bleeding, recent hemmorrhagic CVA, prolonged CPR, recent trauma, uncontrolled HTN >200mmHg

Front 64

Phentolamine

Back 64

Alpha antagonist, antihypertensive
Ind: HTN emergencies, HTN caused by pheochromocytoma, cocaine induced vasospasm of the coronary arteries
Contra: Known sensitivity, Use caution in AMI, Angina, coronary insufficiency, peptic ulcer disease and evidence of coronary artery disease

Front 65

Atenolol

Back 65

Beta Adrenergic antagonistt, antianginal, antiHTN Class II antiarrhythmic (beta blocker)
Ind: ACS, HTN, SVT, Afib, Aflutt
Contra: Cardiogenic shock, Av block, brady, known sensitivity

Front 66

HCTZ

Back 66

diuretic
Ind: fluid retention, HTN
Contra: renal disease, urination problems

Front 67

Bretylium

Back 67

Class III antiarrhythmic (K channel blocker)
Ind: prophylaxis and Tx of VF/ VT
Contra: AV blocks, digoxin toxicity

Front 68

Hydralazine

Back 68

antiHTN
Ind: severe HTN associated with PIH
Contra: compensatory HTN, Hypersensitivity, dissecting AAA, RV failure due to pulmonary HTN

Front 69

Neostigmine

Back 69

Parasympathomimetic
Ind: neutralize the effects produced by nondepolarizing neuromuscular blocking agents
Contra: Hypersensitivity, Bronchial asthma, bowel/ urinary tract obstruction

Front 70

Pulmicort

Back 70

Corticosteroid
Ind: maintenance treatment of asthma
Contra: primary tx of status asthmaticus or acute bronchospasm, hypersensitivity to pulmicort

Front 71

Pantoprazole

Back 71

Histamine H2 blocker
Ind: short term treatment of GERD
Contra: known hypersensitivity

Front 72

Prednisolone

Back 72

Glucocorticoid
Ind: Anaphylaxis, Bronchspasm
Contra: altered LOC (PO med) Brochospasm, all ready taking prednisone

Front 73

Calcium Gluconate

Back 73

Electrolyte
Ind: Hypocalcemic tetany, hypocalcemia, muscle cramping, magnesium sulfate OD
Contra: VF, Hypercalcemia, Increase serum calcium levels

Front 74

Potassium Chloride

Back 74

Electrolyte
Ind: Hypokalemia
Contra: hyperkalemia

Front 75

Activated Charcoal

Back 75

Absorbant
Ind: poisoning OD
Contra: pt ingested corrosive or petroleum distillate, altered LOC,

Front 76

Verapamil

Back 76

Calcium Channel Blocker, Antiarrhthymic
Ind: stable SVT, AF, AFLutt, multifocal AT
Contra: beta blockers within 30min, allergy, cardiogenic shock, 2 or 3deg AV block, sick sinus syndrome, severe LV failure, severe hypotension, VT, AMI, WPW

Front 77

Vecuronium

Back 77

nondepolarizing neuromuscular blocker
Ind: MFI after admin of sedation/ analgesia
Contra: allergy, difficult intubation when patient self ventolating

Front 78

Vasopressin

Back 78

ADH
Ind: cardiac arrest, VF/pulseless arrest,
Contra: none in Cardiac Arrest

Front 79

Procainamide

Back 79

Class 1A antiarrhythmic (Sodium Channel Blocker) Vent antiarrhythmic, SVT antiarrhythmic
Ind: recurrent VT, wide complex tach, refr VF, SVT, AFib/ AFlutt,
Contra: digoxin toxicity induced dysrhythmia, Torsades de Pointes, TCA induced dysrhythmia, 2 or 3deg AV block, myasthania gravis

Front 80

Phenytoin

Back 80

Anticonvulsant, hydantion derivative
Ind: status epilepticus
Contra: hypersensitivity, Sinus brad, SA block, 2 or 3deg AV block, adams-stokes syndrome

Front 81

Methylprednisolone

Back 81

glucocorticoid, antiinflammatory
Ind: antiinflammatory use in asthmas, anaphylaxis
Contra: allergy, systemic fungal infections, premature infants

Front 82

Meperidine

Back 82

Opioid analgesic
Ind: pain relief
Contra: MAO inhibitors within the past 14 days, hypersensitivity

Front 83

Mannitol

Back 83

Osmotic diuretic
Ind: to reduce intercranial pressure
Contra: hypersensitivity, anuria, severe pumonary congestion, severe heart failure, dehydration, metabolic anemia, progressive renal disease, active intercranial bleeding

Front 84

Lidocaine

Back 84

Ventricular Antiarrhythmic
Ind: Stable VT, VF, post VT/VF conversion, wide complex tachs, pre-intubation in trauma pt's
Contra: Ventricular escape rhythms, idioventricular rhythms, severe degrees of SA,AV ir intraventricular block, stokes-adams syndrome

Front 85

Isoproteranol

Back 85

Adrenergic, bronchodilator, cardiac stimulant
Ind: immediate temporary control of atropine-resistant hemodynamically significant bradycardia
Contra: hypersensitivity, angina, tachycardia caused by digitalis toxicity

Front 86

Flumazenil

Back 86

Benzodiazepine antagonist, antidote
Ind: reversal of benzodiazepine OD
Contra: hypersensitivity, evidence of TCA OD, pt's receving benzo's for status epilepticus or increased ICP

Front 87

Diazepam

Back 87

Benzodiazepine, skeletal muscle relaxant, amnesic, anticonvulsant, sedative hypnotic
Ind: status epilepticus/ seizures, skeletal muscle relaxation, severly anxious or agitated patients, Cocaine OD
Contra: Allergy, narrow angle glaucoma