Drugz By "indication"

Front 1

Bronchospasm associated with asthma, COPD, that does not respond to the first dose of albuterol.

Bronchospasms due to chemical toxins

Back 1

Atrovent (Ipratropium Bromide)

Front 2

Symptomatic bradycardias

Asystole

Rates less than 60 in PEA rhythms

Organophosphate poisoning

Chemical exposure due to nerve agents

Back 2

Atropine Sulfate

Front 3

Cardiogenic shock with systolic blood pressure between 70-90mmHg.
Symptomatic bradycardias which do not respond to Atropine or transcutaneous pacing.

Back 3

Dopamine

Front 4

Chest pain believed to be of cardiac origin

Back 4

ASA

Front 5

Calcium channel blocker toxicity
Beta blocker toxicity
Magnesium sulfate toxicity
Hyperkalemic cardiac arrest associated with renal failure, methanol ingestion, aspirin, or cyclic anti-depresant overdose. DKA.

Back 5

Calcium Chloride

Front 6

V-fib or pulseless v-tach refractory to defebrillation sustained v-tach with a pulse

Back 6

Amiodarone HCL

Front 7

Bronchospasm associated with asthma and COPD/ chemical toxins, nerve agents, cyanide, blistering agents, choking agents.

Allergic reactions unresponsive to Epinephrine or Diphenhydramine (benadryl)

Back 7

Albuterol

Front 8

Pulmonary adema with systolic B/P of 70-100 and no S/S of shock.

Back 8

Dobutamine

Front 9

Cardiac arrest

Anaphylaxis that has not responded to epinephrine 1:1000 SQ

Pediatric bradycardias unresponsive to other treatment

Back 9

Epinephrine 1:10,000

Front 10

Stable V-tach
PSVT unresponsive to vegal maneuvers and adenosine (with stable B/P).
Stable wide-complex tachycardia of unknown origin
Pts. in wolff-parkinson-white syndrome with rapid a-fib

Back 10

Procainamide Hydrochloride

Front 11

-Pain and anxiety secondary to AMI
-Chest pain unrelieved by nitroglycerin
-pulmonary edema (use with caution)
-Pain secondary to amputations, fractures, kidney stone, sickle cell crisis, and burns.

Back 11

Morphine sulfate

Front 12

Allergic reaction/anaphylactic shock

Asthmatic bronchospasm unrelieved by albuterol and Ipratropium Bromide (Atrovent)

Pediatric cardiac arrest (ETT only)

Back 12

Epinephrine 1:1000

Front 13

Refractory V-Vib and V-Tach due to a deficiency of ("this drug")-alcoholics, malnutrition, anorexia, prolonged diarrhea, etc).

Refractory bronchospasm in asthma

V-Tach that presents as Torsades de pointes configuration

Seizures secondary to eclampsia

Back 13

Magnesium Sulfate

Front 14

Pulmonary edema due to CHF or kidney failure.

NOTE: common problems occure in EMS when a pt. is incorrectly diagnosed in the field as having "pulmonary edema" but actually has pneumonia.

Back 14

Furosemide (Lasix)

Front 15

Hyperkalemic cardiac arrests associated with renal failure or dialysis.

Suspected acidosis during cardiac arrests from renal failure/dialysis, methanol ingestion, ASA overdose.

Prolonged cardiac arrest.
Side QRS or AV block associated with tricyclic anti-depressant overdose.

Back 15

Sodium Bicarbonate

Front 16

Ventricular rhythms of irritability; PVC's or runs of V-Tach, V-fib.

Note: We give ("this drug" - 1.5 mg/kg) only in traume OR if the patient converts with defibrillation shock before any other drugs are given.

Prophylaxis: To prevent recurrence of V-fib or V-tach after initial defibrillation or cardioversion converts these rhythms

Back 16

Lidocaine

Front 17

Chest pain of cardiac origin
Pulmonary edema associated with congestive heart failure (CHF)

Back 17

Nitroglycerin

Front 18

Cardiogenic shock when systolic BP is less than 70 mmHg.

Post resuscitation hypotension after medical CPR's when systolic BP is less than 90mmHg.

Back 18

Norepinephrine (Levophed)

Front 19

Alternate presser for epinephrine for pts in cardiac arrest Low Resistance Shock.

Back 19

Vasopressin