Emergency Medication

UPDATED 2017

ELIZABETH JOSEPHSSN BSN, WATTAYAH

ADENOSINE [6MG/2ML]INDICATION DOSE ROUTE MONITOR DILUTION

SVT 1.Atrial fibrillation

2.Paroxysmal supraventricular tachycardia (PSVT)

3.Atrial Flutter & Atrial Tachycardia

6MG THEN 12MG PRN WITHIN 2 TO 4 SECONDS

VERY FAST IV IN 30secs to 1 min DIRECTLY FLUSHED. followed by 20 ml saline push and elevate the canulated arm.

BPECG. : Shortness of breath, light headedness,Facial flushing, palpitations, chest pain, sweating, hypotension and metallic taste in the mouth

NOT REQUIRED

ECG Variations

6sECG_rdm.exe

Adenosine Administration

ATROPINE 0.5MG/ML

INDICATION DOSE ROUTE MONITOR DILUTION

Bradicardia 0.5mg every 3 to 5mins, max 3mg

iv Complete monitoring

Iv line

ADRENALINE[1MG/ML]INDICATIONS

DOSE ROUTE MONITOR DILUTION

Cardiac arrest

1 mg every 3-5mins

iv Bpecg

1ml+9ml NS

bradycardia 2 to 10 microgram/min

Iv infusion 1ml+500ml saline

Anaphylatic shock ,severe asthma

0.5mg every 15mins

im Not reqd

Croup severe asthma

4mg/5ml nebulizer 4mg +1ml NS

INJ HALOPERIDOL[5MG/ML]INDICATION DOSE ROUTE MONITOR DILUTION

Agitation due to psychosis or alcoholism

2-5mg IM only Mental status

Not reqd

INJ DOPAMINE HYDROCHLORIDE 40MG/1ML

indication dose route monitor dilution

Shockbradycardia

2 to 20 microgm/min

Iv infusion BpEcg

5ml+250ml normal saline

Inj dopamine 120 mcg /min is ordered..how many drops will u set.

What we have?40mg/ml.Dilute 1 amp in 250ml .. Use a pediatric burette ..200mg available in250ml1ml contains 200/250 =800mcg120/800x60 = 9 drops.

INJ DEXAMETHASONE 4MG/ML

INDICATION DOSE ROUTE MONITOR DILUTION

Croup Asthma attack

0.6mg/kg Single dose

IM Respiratory status

Not reqd

INJ FRUSEMIDE 20MG/MLIndication Dose Route Monitor Dilution

Cardio pulmonary Oedema

20 -40 mg IMSlow IV 5mg/min

Bp Ecg

Only flush reqd

INJ MAGNESIUM SULPHATE 50%.[5gmIN 10ml Ampule]

INDICATION DOSE ROUTE MONITOR DILUTION

Eclampsia 20% then 50% every 4 hrs

Slow IV over 10mins, then IM

Tendon refluxesBreathing pattern

IV 10ml diluted in 15ml NS. IM undiluted.

Calcium Gluconate 10% in 10ml

Indication Dose Route Monitor Dilution

Magnesium antidote to reverse respiratory paralysis

10ml every 10 to 15mins

iv General Through iv line

INJ NALAXONE 0.4MG/MLINDICATION DOSE ROUTE MONITOR DILUTION

Opiod antidote to reverse repiratory failure

0.4mg every 2min

IVIms/c

Respratory status

Only for iv

INJ HYDROCORTISONE 100MGINDICATION DOSE ROUTE MONITOR DILUTION

Anaphylatic shockSevere allergyPost asthma attack

5mg/kg body wt.Max dose 400mg

IV General 2 to 3ml water for injection. Flush reqd

INJ AMIDARONE 150MG/3MLINDICATION DOSE ROUTE MONITOR DILUTION

Any arrhythmia

150mg every 10-15mins

Slow iv in 10mins

BPECG

3ml+100ml D5W

Cardiac arrestVF/VT

300mg then 150mg

Rapid IV 6/3ML +20ML D5W

INJ PROCYCLIDINE 5MG/MLINDICATION DOSE ROUTE MONITOR DILUTION

Dyskinesia drug induced from ante emetics and antipsychotics

•5 -10mg IV/IM

•<2yrs 0.5 -2mg im/iv

•2-10yrs 2-5mg im/iv

IV/IMPrefered iv

General Not reqd

DYSKINESIA

Inj GLUCAGON1mg vialINDICATION DOSE ROUTE MONITOR DILUTION

Hypoglycemia Adult 1mg IM

Pead 0.5mg IM

IM Blood glucose levels

Not reqd

INJ SYNTOMETRINE 500MG/ML

INDICATION DOSE ROUTE MONITOR DILUTION

To induce labour

Post partum hemorrhage

Single injection

IM on the thigh just after birth

Bleedingvitals

Not reqd

INJ DEXTROSE 50% IN 20ML AMPULE

INDICATION DOSE ROUTE MONITOR DILUTION

Hypoglycemia insulin induced

20 to 50 ml IV.Very slow

HypoglycemiaAcute kidney injury

Dilute in 1:1 proportion

Alcohol intoxication

Monitor iv line patency ...Infiltration causes irreparable tissue damage

Before and after injecting, 50ml saline push is indicated

Tab ASPIRIN 300mg chewableINDICATION DOSE ROUTE MONITOR DILUTION

MI 162 to 324 mg

Chewable Gastriits Nil

GTN 0.5MG [Tab/Spray]INDICATION DOSE ROUTE MONITOR DILUTION

•MI•Cardiopulmonary edema

0.5mg every 5mins. Max 3 doses

S/L Hypotension Nil

Tab Captopril 25 mg INDICATION DOSE ROUTE MONITOR DILUTION

HTN urgency

12.5 to 25mg repeated prn.S/L action in 5-15mins

oral in 15 to 30mins

OralS/L

Hypotension Nil

Inj MORPHINE 10mg/mlINDICATION DOSE ROUTE MONITOR DILUTION

•Severe pain•MI•CP edema

•4 to 10mg every 4 hrs•SCD 5 to 10mg every 15mins

•IV OR IM •LOC•Breathing pattern

•IM no dilution•IV : 1 ml +9ml NS

INJ PETHIDINE 50MG/MLINDICATION DOSE ROUTE MONITOR DILUTION

In case of morphine allergy only

50 to 100mg Slow IV or IM •LOC•Breathing pattern

•IM no dilution•IV : 1 ml +9ml NS

INJ DIAZEPAM 5MG/MLINDICATION DOSE ROUTE MONITOR DILUTION

•Agitation unknown

•Alcohol withdrawal

•Seizures

•Seizures with no IV access

•2 -10mg

•10mg

•5 to 10mg every 15mins

•0.4mg/kg

•Slow IV/IM

•Slow IV/IM

•Slow IV

•Rectally

•Conation •Breathing pattern

•2ml+8ml NS

•Rectally and IM No dilution

Rectal Administration