Paramedice Drugs Indications And Contraindications

Front 1

Activated charcoal

Back 1

I-poisoning following emesis or when emesis is contraindicated
C-none in severe poisoning

Front 2

Adenosine

Back 2

I-sympathomatic PSVT
C-second or third degree heart block, sick sinus syndrome

Front 3

Albuterol

Back 3

I-asthma, reversible bronchospasm associated with COPD
C-known hypersensitivity to the drug, symptomatic pulmonary disease

Front 4

Amiodarone HCL

Back 4

I-life threatening cardiac dysrhythmias such at V-tach and ventricular fibrillation
C-severe sinus node dysfunction, sinus bradycardia, second or third degree atrioventricular block, hemodynamically significant bradycardia

Front 5

Asprin

Back 5

I-acute chest pain suggestive of acute myocardial infarction, signs and symptoms suggestive of recent stroke(verebrovascular accident)
C-patients with know sensitivity to the drug

Front 6

Atropine

Back 6

I-hemodynamically significant bradycardia, hypotension secondary to bradycardia, asystole, organophosphate poisoning
C-none in emergency setting

Front 7

Calcium Chloride

Back 7

I-acute hyperkalemia, acute hyporcalcemia, calcium channel blocker overdose, abdominal spasm associated with spider bite and portuguese man-o-war sting, antidote for magnesium sulfate
C-patients recieving digitalis

Front 8

Dextrose 50

Back 8

I-hypoglycemia
C-none in emergency setting

Front 9

Diazepam(valium)

Back 9

I-major motor seizures, status epilepticus, premedication before cardioversion, skeletal muscle relaxant, acute anxiety states
C-patients with hypersensitivity to the drug

Front 10

Digoxin

Back 10

I-CHF, rapid atrial dysrhythmias especially atrial flutter and atrial fibrillation
C-any patients with signs and symptoms of digitalis toxicity

Front 11

Diltiazem(cardizem)

Back 11

I-to control rapid ventricular rates associated with a-fib and flutter
C-hypotension, wide-complex tachycardia, conduction system distrurbances

Front 12

Diphenhydramine(benadryl)

Back 12

I- anaphylaxis, allergic reactions, dystonic reactions due to phenothiazines

C- asthma, nursing mothers

Front 13

Dobutamine

Back 13

I- short term managment of CHF

C- should only be used with patients with adequate HR

Front 14

Dopamine

Back 14

I- hemodynamically significant hypotension(systolic BP of 70-100mmHg) not resulting from hypovolemia

C- hypovolemic shock in which complete fluid resuscitation has not occured

Front 15

Epinephrine 1:1000

Back 15

I- bronchial asthma, exacerbation of chronic obstructive pulmonary disease, allergic reactions, pediatric cardiac arrest(after initial epi dose

C- patients with underlying cardiovascular disease, hypertension, pregnancy, patients with tachdysrhythmias

Front 16

Epinephrine 1:10,000

Back 16

I- cardiac arrest, severe anaphylatic shock, severe reative airway disease

C- is for IV or endotracheal use, should not be used in patients who do not require extensive resesitative efforts

Front 17

Etomidate

Back 17

I- induction agent for RSI

C- known hypersensitivty to the drug

Front 18

Fentanyl

Back 18

I- severe pain, adjunt to RSI induction, adjunt to rapid sequence seditation, maintainence of analgesia

C- shock, severe hemorrage, undiagnosed abdominal pain, pt with history of hypersensitivity to the drug

Front 19

Furosemide

Back 19

I- CHF, pulmonaru edema

C- pregnancy, dehydration

Front 20

Glucagon

Back 20

I- hyperglycemia, beta blocker overdose

C- hypersensitivity to the drug

Front 21

Haloperidol

Back 21

I- acute psychotic episodes

C- should not be administered in the presence of other sendatives, should not be used in the managment of dysphoria caused by Talwin

Front 22

Heparin

Back 22

I- unstable angina, non-Q-wave myocardial infarction, pulmonary embolism, DVT

C- pt with know hypersensitivity to the drug or pork products

Front 23

Insulin

Back 23

I- elevated blood glucose, diabetic ketoacidosis

C- avoid over compensation of blood glucose levels

Front 24

Ipecac

Back 24

I- poisioning in concious pt

C- impaired conciousness, poisions involving strong bases, acids, or petrolium distillants

Front 25

Ipratropium

Back 25

I- broncial asthma, reversible bronchospasm associated with chronic bronchittis and emphysema

C- hypersensitivity to drug, should not be used in primary acute treatment of bronchospasm

Front 26

Lebetalol

Back 26

I- hypersensitivity crisis

C- bronchial asthma, heart block, CHF, bradycardia, cardiogenic shock

Front 27

Lidocaine

Back 27

I- malignant PVC's, V-fib, V-tach, prophylaxis of dysrhythmias associated with fibrolyitic therapy

C- high-degree heart block, PVS's inconjunction to bradycardia

Front 28

Lorazepam

Back 28

I- major motor seizures, status epilepticus, premedication before cardioversion, acute anxiety states

C- hypersensitivity

Front 29

Magnesium Sulfate

Back 29

I- eclampsia for ob, for cardio severe refractory V-fib or pulseless V-tach, post myocardial infarction as prophylaxis for dysrhymias, and torsades de pointes

C- shock, heart block

Front 30

Mannitol

Back 30

I- acute cerebral edema, blood transfusion reations

C-pulmonary edema, dehydration, hypersensitivity

Front 31

Meperidine

Back 31

I- moderate to severe pain

C- pt's using monoamine oxidase inhibitors, undiagnosed abdominal pain, hypersensitivity

Front 32

Metaproterenol

Back 32

I- bronchial asthma, reversible bronchospasm associated with chronic bronchitis and emphysema

C- pt's iwth carida dysrhytmias or tachycardia

Front 33

Methylprednisone

Back 33

I- severe anaphylaxis, asthma and chronic obstructive pulmonary disease

C- none in emergency setting

Front 34

Metoprolol

Back 34

I- suspected or definite acure myocardial infarction in pt's who are hemodynamically stable

C-HR less than 45, systolic BP less than 100, heart block, shock, history of asthma

Front 35

Midazolam

Back 35

I- premedication before cardioversion, acute anxiety states

C- hypersensitivity, narrow angle glaucoma, shock

Front 36

Morphine

Back 36

I- severe pain, pulmonary edema

C- head injury, volume depletion, undiagnosed abdominal pain, hypersensitivity

Front 37

Nalbuphine

Back 37

I- moderate to severe pain

C- hypersensitivity

Front 38

Naloxone

Back 38

I- narcotic overdose, rule out narcotic overdose in pt's in coma

C- hypersensitivity

Front 39

Nitroglycerin

Back 39

I- angina pectoris, chest pain associated with myocardial infarction

C-less than 12 yr of age, hypotension

Front 40

Nitrous oxide

Back 40

I- pain of musculosketal origin, bruns, suspected ischemic chest pain, severe anxiety including hyperventilation

C- Alter mental status, alcohol or drugs, copd, pneumothorax, abdominal pain

Front 41

Norepinephrine

Back 41

I- hypotension, neurogenic shock,

C- hypotensive due to hypovolemia

Front 42

Oxygen

Back 42

I- hypoxia

C- none

Front 43

Oxytocin

Back 43

I- postpardum vaginal bleeding

C- cesarean section

Front 44

Procainamide

Back 44

I- persistant V-fib refractory to lidocaine, PVS'c refactory to lidocaine, V-tach refactory to lidocaine

C- high degree heart blocks, PVC's inconjunction with bradycardia

Front 45

Retaplase

Back 45

I- acute myocardial infarction

C- acute internal bleeding, suspected oartic dissection, traumatic CPR, severe hypertension, recent head trauma or known intercranial tumor, history of stroke in past six months, pregnancy

Front 46

Salbutamol

Back 46

I- asthma, reversible bronchospasm associated with chronic obstructive pulmonary disease

C- hypersensitivity, sympotomatic tachycardia

Front 47

Sodium Barcorbonate

Back 47

I- late in managment of cardiac arrest if at all, tricyclic overdose, severve acidosis refactory to hyperventilation

C- alkalotic states

Front 48

Succinylcholine

Back 48

I- to achive paralysis to facilitate endotracheal intubation

C-hypersensitivity

Front 49

Tissue plasminogen activator

Back 49

I- acute myocardial infarction

C- internal bleeding, aorti dissection,
traumaatic CPR, severe persistant hypertension, head trauma or known intercranial tumor, stroke in past 6 months, pregnancy

Front 50

Vasopressin

Back 50

I- cardiac arrest

C- none

Front 51

Verapamil

Back 51

I- PSVT

C- heart block, conduction system disturbance