Precautions

None

• If chest pain or arrhythmias appear discontinue
• Caution with CAD, HTN, Hyerthyroid, Diabetes, Seizures
• Watch for paradoxical bronchospasm

Caution with latent or manifest heart failure

None

• only give to MI patients with signs of poor perfusion
• Pediatric brady is almost always due to hypoxia

• Use large bore IV needle to avoid venous irritation
• Infiltration= tissue necrosis
• Caution with head trauma, CVA, Hypokalemia

• Can cause venous irritation
• Do not mix with other IV meds

none

• decrease dose to 1/10 for MAO inhibitors
• deactivates alkaline solutions (vasopressors)
• Causes tachyarrhytmias

• Deactivated by alkaline solutions
• Light sensitive

• Deactivated by alkaline solutions
• Light sensitive

• If neccessary use Atropine if bradycardic rhythm occurs
• Use with caution in liver and renal dysfunction

• Light sensitive
• May need to increase dose for renal failure
• Synergistic with Morphine and nitrates on preload effect

None

None

• Monitor vitals,
• Watch for CHF, bradycardia, shock, heart block, or bronchospasm
• Do not administer to Pts who have recieved verapamil
• Caution with anti-hypertensives

Has more potential than other benzodiazepines to cause respiratory depression and arrest - Be Prepared

• Use Narcan if neccesary
• May cause vomiting
• SPO2, ECG, and O2 required
• Watch for Respiratory depression

• Watch for violent withdrawls
• 8-12mg for Darvon OD
• Do not use if intubated

• Monitor BP
• May cause transient Hypotension, dont delay for IV if BP is >90

COPD patients get increments of 2L q 2-3min

• Deactivated by vasopressors
• Initially treat acidosis with hyperventilation- its easier to treat acidosis than alkalosis.

• Caution with cushings syndrome, GI bleed, HTN, Varicella, Diabetes, Psychosis (CHuG DeeP V)
• Interacts with lasix

Caution with liver function impairment

Can precipitate angina or MI (dont give to conscious patients with CAD or PVD)

Do not give "coma cocktail," give evidence based drugs