Medications in Crash Trolley ..in PHC OMAN By Elizabeth Joseph K
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Transcript of Medications in Crash Trolley ..in PHC OMAN By Elizabeth Joseph K
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