-
Glucagon
Class
- Pancreatic hormone
- Insulin antagonist
-
Glucagon
Description
Blood glucose elevator
-
Glucagon
Indications
- Persistent hypoglycemia despite glucose supplement
- Calcium channel blocker & beta blocker toxicity
-
Glucagon
Contraindications
Hypersensitivity
-
Glucagon
Adverse Reactions
- Hypotension
- Tachycardia
- Urticaria
- Nausea
- Vomiting
-
Glucagon
Onset
Within 1 min
-
Glucagon
Duration
60-90 min
-
Glucagon
Dosage:Hypoglycemia
Adult
0.5-1 mg IM
-
Glucagon
Dosage:Hypoglycemia
Pediatric
>20 kg: 0.5-1 mg IM
-
Glucagon
Dosage:Calcium Channel Blocker/
Beta Blocker Toxicity
Adult: 3 mg initially, infuse 3 mg/hr prn
-
Glucagon
Special Considerations
Pregnancy safety: Cat B
-
Amiodarone
Trade name
Cordarone
-
Amiodarone
Discription
Antidysrhythmic
-
Amiodarone
Indications
Recurring VFib
-
Amiodarone
Contraindications
- Cardiogenic shock
- Pulmonary congestion
- Hypotension
- Sensitivity to amiodarone
- bradycardia
-
Amiodarone
Adverse Reaction
- Hypotension
- Headache
- Dizziness
- Bradycardia
-
Amiodarone
Onset
Within min
-
Amiodarone
Duration
Variable
-
Amiodarone
Dosage: Adult
- 300 mg IVP diluted in 20-30 mL of NS.
- Repeat 150 mg IVP
-
Amiodarone
Dosage: Peds
5 mg/ kg rapid IV bolus
-
Amiodarone
Special Considerations
- Pregnancy Safety: Cat B
- EKG monitor; discontinue if bradycardia
-
Diazepam
Trade name
Valium
-
Valium (Diazepam)
Class
Benzodiazepine
-
Valium (Diazepam)
Description
Used to treat anxiety and stress
-
Valium (Diazepam)
Indications
- Alcohol withdrawals
- Seizures
- Anxiety
-
Valium
Contraindications
- CNS Depression
- Resp Depression
- Coma
- Shock
- Hypersensitivity
- Substance abuse
-
Valium
Adverse Reactions
- Hypotension
- Reflex tachycardia
- Resp depression
-
-
Valium
Duration
- IV: 15 min-1 hr
- IM: 15 min-1 hr
-
Valium
Dosage: Seizure
5 mg over 2 min (up to 10 mg) IV q 10-15 prn
-
Valium
Dosage: Cardioversion or
Transcutaneous pacing
5-15 mg IV; 5-10 min before
-
Valium (Diazepam)
Special Considerations
- Pregnancy Safety: Cat D
- Local venous irritation
- reduce by 50% in eldery
-
Dopamine
Trade name
Intropin
-
Dopamine
Class
Sympathomimetic
-
Dopamine
Description
Neurotransmitter
-
Dopamine
Indications
Significant hypotension w/o hypovolemia
-
Dopamine
Contraindications
Tachydysrhythmia, Vfib
-
Dopamine
Adverse reactions
- Dose related tachydysrhythmia
- hypertension
-
-
Dopamine
Dosage
- 1-5 mcg/kg/min
- 5-10 mcg/kg/min (cardiac dose)
- 10-20 mcg/kg/min (vasopressor)
-
Dopamine
Special Considerations
- Pregnancy Safety: Cat C
- Infuse through large, stable vein
-
Atropine Sulfate
Trade name
Atropine
-
Atropine
Class
Anticholinergic agent
-
Atropine
Description
Inhibits actions of ACT at postganglionic parasympathetic receptor sites
-
Atropine
Indications
Hemodynamically significant bradycardia, Asystole, PEA activity w absolute bradycardia
-
Atropine
Contraindications
- Tachycardia
- Hypersensitivity
- Obstructive disease of GI
- Obstructive uropathy
- Narrow angle glaucoma
- Thyrotoxicosis
-
Atropine
Adverse reactions
- Tachycardia
- Palpitations
- Dysrhythmias
- Headache
- Dizziness
- Anticholinergic effects
- Nausea/vomiting
- Allergic reactions
-
-
-
Atropine
Dosage: Bradydysrhythmia
0.5 mg q 3-5 min (max dose: 3 mg)
-
Atropine
Dosage: Asystole
1 mg IV
-
Atropine
Special Considerations
- Pregnancy Safety: Cat C
- Follow ET Tube admin w several positive pressure ventilations
-
Naloxone
Trade name
Narcan
-
Narcan
Class
Opioid antagonist
-
Narcan
Description
Competitive narcotic antagonist used for OD caused by narcotics
-
Narcan
Indications
Reversal of CNS depression and resp depression induced by opioids. Morphine, heroin, hydromorphine, methadone, meperidine, paregoric, oxycodone
-
Narcan
Contraindications
Hypersensitivity. Use caution in narcotic dependent patients
-
Narcan
Adverse reactions
- Tachycardia
- Hypertension
- Dysrhythmias
- Nausea/vomiting
- Diaphoresis
- Blurred vision
- Withdrawal
-
-
Narcan
Duration
30-60 min
-
Narcan
Dosage
- 0.4-2 mg IM/IV/SQ
- repeat in 5 min up to 10 min
-
Narcan
Special Consderation
- Pregnancy Safety: Cat B
- Seizures have been reported
- May not reverse hypotension
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