Pcp Indications

Front 1

AMIODARONE

Back 1

Indication: (Shock refractory VF/ pulseless VT)
a. Polymorphic VT/wide complex tachycardia of uncertain origin
b. Control of hemodynamically stable VT when cardioversion is unsuccessful.
c. Adjunct to electrical cardioversion of SVT, PSVT.
d. Acceptable for termination of ectopic or multifocal atrial tachycardia with preserved LV function.
e. Used for rate control in treatment of atrial fibrillation or flutter when other therapies are ineffective.

Front 2

ASPIRIN

Back 2

Suspected ischemic chest pain.

Front 3

ATROPINE

Back 3

Cardiac rhythms<60/min, associated with hypotention, decreased mentation, PVC's, chest pain, symptomatic bradycardia.
2nd or 3rd degree heart block, asystole, however, often does not work.
PEA with rate<60 as second medication of choice after Epi. Correct hypoxia, hypovolemia & other potential causes of PEA first.
organophosphate anticholinesterase poisoning.
Nerve agent poisoning.
Preintubation in pediatrics for RSI.

Front 4

ACETAMINOPHEN (TYLENOL)

Back 4

Fever

Front 5

ACTIVATED CHARCOAL

Back 5

Poison (almost all)

Front 6

ADENOSINE (ADENOCARD)

Back 6

1. Conversion of Paroxysmal SVT to sinus rhythm.
2. Wolff−Parkinson−White Syndrome with narrow QRS complex.

Front 7

AFRIN

Back 7

. Preparation for nasotracheal intubation.
2. Control of epistaxis.

Front 8

ALBUTEROL

Back 8

1. Wheezing, allergic reactions, asthma, COPD.
2. Suspected hyperkalemia.

Front 9

CALCIUM CHLORIDE

Back 9

1. Involved in regulation of cell membrane permeability to sodium and potassium.
2. Plays a role in excitation contraction coupling (increases force of myocardial contraction and muscle
contraction).

Front 10

DEXTROSE

Back 10

1. Provides glucose required for metabolic needs.
2. Spares body proteins.

Front 11

DIAZEPAM (VALIUM)

Back 11

1. Seizures secondary to head trauma, status epilepticus.
2. Prior to pacing, cardioversion, and Rapid Sequence Intubation for relief of anxiety, tension, and diminish
recall of procedures.
3. Envenomations resulting in muscle spasm.
4. Skeletal muscle relaxer.
5. Severe anxiety.

Front 12

DILIAZEM (CARDIZEM)

Back 12

1. Symptomatic A-fib/A-Flutter.
2. PSVT (narrow complex).

Front 13

DIPHENHYDRAMINE
(BENADRYL)

Back 13

1. Antihistamine.
a. Anaphylaxis, use as a adjunct to epinephrine.
b. Uncomplicated allergic conditions.
c. Dystonic or extrapyramidal reactions to phenothiazines.

Front 14

DOPAMINE

Back 14

1. Hypotension secondary to non-hypovolemic states.
2. Low cardiac output states such as cardiogenic, anaphylactic, septic or neurogenic shock.
3. Symptomatic Bradycardia after Atropine/Pacing.

Front 15

EPINEPHRINE
(ADRENALIN)

Back 15

1. As a cardiac stimulant during a cardiac arrest.
2. Anaphylactic shock.
3. Severe allergic reactions.
4. Status asthmaticus (subcutaneously).
5. Bradycardia unresponsive to atropine, TCP, dopamine.
6. Croup.
7. Upper airway obstruction edema.

Front 16

ETOMIDATE (AMIDATE)

Back 16

1. Induction agent for RSI in adults and pediatric patients > 10 years old.

Front 17

FUROSEMIDE (LASIX)

Back 17

1. Congestive heart failure with pulmonary edema.

Front 18

GLUCAGON

Back 18

1. Blood glucose < 80, especially if IV insertion is difficult or impossible.
2. Beta blocker overdose.
3. Foreign body in esophagus.

Front 19

GLUCOSE, ORAL

Back 19

1. Patients with altered mental status.
2. Hypoglycemia.

Front 20

IPRATROPIUM BROMIDE
(ATROVENT)

Back 20

1. Bronchospasms secondary to COPD, asthma and reactive airway

Front 21

LIDOCAINE

Back 21

1. Cardiac arrest from VF/VT.
2. Stable VT, wide-complex tachycardias of uncertain type, wide complex

Front 22

ISOPROTERENOL (ISUPREL)

Back 22

1. Heart blocks unresponsive to atropine, transcutaneous pacing, dopamine, or epinephrine drip.

Front 23

MAGNESIUM SULFATE

Back 23

1. Seizures due to pre-eclampsia, eclampsia.
2. Life threatening ventricular arrhythmias due to digitalis toxicity, tricyclic overdose.
3. Torsades de Pointes with a pulse.
4. Refractory VF after Lidocaine.
5. Respiratory distress (Asthma).

Front 24

NAAK/MARK1 KIT

Back 24

1. Organophosphate/nerve agent poisoning.

Front 25

METHYLPREDNISOLONE
(SOLUMEDROL)

Back 25

1. Moderate to severe asthma / COPD exacerbations.
2. Moderate to severe allergic reactions.
3. Moderate to severe angioedema.
4. Anaphylaxis.

Front 26

MIDAZOLAM (VERSED)

Back 26

1. Premedication prior to cardioversion (IV/IM).
2. Acute anxiety states (IV/IM).
3. Premedication prior to use of paralytics (IV/IM).

Front 27

MORPHINE SULFATE

Back 27

1. Severe pain, i.e.; myocardial infarction, burns, isolated extremity injuries, abdominal pain.
2. Adjunct in treating pulmonary edema.

Front 28

NALOXONE (NARCAN)

Back 28

1. Respiratory depression secondary to narcotics and synthetic narcotic agents and related drugs.
2. Effective against MS, Demerol, Heroin, Codeine, Methadone, Percodan, Dilaudid, Fentanyl, Nubain,
Talwin, Stadol, Darvon.
3. Suspected acute opiate overdosage with respiratory depression.
4. Treatment of coma of unknown origin with apnea/hypoventilation or in neonatal resuscitation.

Front 29

NITROGLYCERINE

Back 29

1. Chest pain.
2. Congestive heart failure with pulmonary edema and adequate BP.

Front 30

NITROUS OXIDE (NITRONOX)

Back 30

1. Acute myocardial infarction, angina.
2. Musculoskeletal pain due to fractures.
3. Burns.
4. Severe pain with physician approval.

Front 31

ONDANSETRON (ZOFRAN)

Back 31

1. Nausea and or vomiting.

Front 32

PRALIDOXIME CHLORIDE
(2-PAM)

Back 32

1. Organophosphate poisoning.
2. Nerve Agent (GB or VX) poisoning.

Front 33

PHENEGAN (PROMETHAZINE)

Back 33

1. Nausea and vomiting.
2. Severe vertigo and motion sickness.

Front 34

SODIUM BICARBONATE

Back 34

1. Late in cardiac arrest with documented metabolic acidosis, if given at all.
2. Tricyclic antidepressant overdose.
3. Correction of metabolic acidosis/known hyperkalemia.

Front 35

SODIUM CHLORIDE .9%
(NORMAL SALINE)

Back 35

1. Use for mixing/dilution of medications.
2. To keep vein open.
3. Hypovolemia.
4. Heat exhaustion.
5. Shock.

Front 36

SUCCINYLCHOLINE (ANECTINE)

Back 36

1. To facilitate endotracheal intubation in patients with an intact gag reflex.

Front 37

SYRUP OF IPECAC

Back 37

1. To induce vomiting after ingestion of many poisonous substances or overdose in an alert patient.

Front 38

VASOPRESSIN

Back 38

1. Alternative pressor to epinephrine in the treatment of adult shock-refractory VF (Class IIb) unresponsive
to initial 3 defibrillations.
2. May be useful for hemodynamic support in vasodilatory shock (eg. septic shock).

Front 39

VECURONIUM (NORCURON)

Back 39

1. Maintenance of paralysis AFTER intubation to assist ventilation during prolonged transport.

Front 40

XYLOCAINE JELLY 2%

Back 40

1. Nasal/oral endotracheal intubation.
2. Nasogastric tube placement.