Suppresses immune response (especially in allergic reactions)
Methylprednisone (Solu-Medrol)
Indication
Severe anaphylaxis
Asthma and chronic obstructive pulmonary disease
Methylprednisone (Solu-Medrol)
Contraindication
None in the emergency setting
Methylprednisone (Solu-Medrol)
Precautions
Must be reconstituted and used promptly
Onset of action may be 2-6 hours, and thus the medication should not be expected to be of use in the critical first hour following an anaphylactic reaction
Methylprednisone (Solu-Medrol)
Side effects
GI Bleed
Prolonged wound healing
Suppression of natural steroids
Methylprednisone (Solu-Medrol)
Dosage
General usage: 125-250 mg
Methylprednisone (Solu-Medrol)
Routes
IV
IM
Methylprednisone (Solu-Medrol)
Ped dosage
30 mg/kg
Ondansetron (Zofran)
Class
Antiemetic
Ondansetron (Zofran)
Action
Blocks the serotonin receptors in the CTZ, the stomach and the small intestines
Ondansetron (Zofran)
Indication
Nausea
Vomiting
Ondansetron (Zofran)
Contraindication
Known hypersensitivity to the meds
Ondansetron (Zofran)
Precautions
Use with caution in patients taking serotonin blockers
Ondansetron (Zofran)
Side effects
Headache
Lightheadedness
Dizziness
Ondansetron (Zofran)
Dosage
4-8 mg
Ondansetron (Zofran)
Route
IV
IM
PO
Ondansetron (Zofran)
Ped dose
0.15 mg/kg IV
Prochlorperazine (Compazine)
Class
Phenothiazine antiemetic
Prochlorperazine (Compazine)
Action
Antiemetic
Prochlorperazine (Compazine)
Indication
Nausea and vomiting
Migraine headache
Prochlorperazine (Compazine)
Contraindications
Comatose states
Patients who have received a large amount of depressants (including alcohol)
Hypersensitivity to the med
Prochlorperazine (Compazine)
Precautions
Extrapyramidal (dystonic) symptoms have been reported