-
Levaquin (Levofloxacin)
used to treat bacterial pulmonary infection
-
Protonix (Pantoprazole)
- Useful for short term treatment of erosive gastritis because it encourages healing and reduces symptoms of the disorder
- Treats Gastritis
-
Levenox (Enoxapam)
- Anticoagulant
- Prevents bloods clots to leg
- Good for bed ridden pt
-
Aerosolized epoprostenol (prostacyclin) is indicated
- In post cardiac pts to relieve pulmonary hypertension and hypoxemia
- Vasodilator
-
Pulmozyme (Dornase Alpha)
- Agent used to thin secretions
- Especially for pts with cystic fibrosis
- Recombinant DNase
-
Digitalis (Digoxin)
- Used to increase the contractility of the heart
- Treats CHF or systemic Hypertension
-
Aldactone
- Increases urine output
- Causes excretion of k+, Na,and H2O
-
Prostacyclin
- Vasodilation
- Treats pulmonary hypertension
- Good for post coronary artery bypass pts
- Also lowers system BP - watch closely
-
Dobutamine HCL (Dobutrex)
- Vasodilator
- Increases CO and HR
- Decreases BP
- Not to be used with hypovolemia
- Can help treat ventricular dysfunction
- Can increase potential for arrhythmia
-
Sedatives/ hypnotics
(Benzodiazepines)
- Given in small doses to relieve anxiety
- If given too much, patients may experienced depressed ventilatory drive and inability to follow commands
-
Benzodiazepines
- Versed (midazolam)
- Valium (diazepam)
- Ativan (lorazepam)
- Xanax (alprazolam)
-
Propofol (Deprivan)
- Strong sedative
- Lowers BP- DC if hypotension
- Short half life
- May b given with paralytic to avoid undue anxiety and stress
- Good for daily interruptions in sedation
- If pt becomes hypotensive DC propofol
-
Morphine
- Pain Killer
- Lowers BP and RR
- Also provides sedation
- Vasodilates
- Watch closes with COPD pts, may cause low
- RR
- May be inhaled to treat dyspnea
- Reverse with narcan
-
Neuromuscular blocking agents
- Vecuronium
- Succinylcholine Chloride
- Cisatracurium
-
Vecuronium (Norcuron)
- Paralytic
- Reverse by neostigmine
- Not good when obese or bad malampatti score, further relaxes tissue, increases intubation difficulty
-
Anectine (Succinylcholine Chloride)
- Contraindicated in burn trauma pts and acute brain injury
- May cause hyperkalemia
- Most favorable for intubation because of short half life
- Muscle twitching about the face and neck indicate the drug is working and the pt is ready for intubation
-
-
Narcan (Naloxone HCL)
- Reverses opioids
- Morphine and Dulaudid
-
Romazicon (Flumazenil)
- Benzodiazepine reversal
- Can cause seizures if reversal is too rapid
-
Prostigmine (Neostigmine bromide)
- Reverses vecuronium and pavilion (Prancuronium Bromide)
- Does no reverse anectine (Succynalcholine Chloride)
-
Edrophonium (Tension)
- Used to diagnose Myasthenia gravis
- May cause the pt to experience ventilatory collapse (code)
- Reverse with atropine
-
Vasodilators
- open vessels
- Lowers BP
- Common agents: Prostacyclin and Dobutamine HCL (Dobutrex)
-
Vasopressors
- Contricts vessels
- Raises BP
- Common agents: Vasopressin, ADH (Antidiuretic Hormone), Neo-synephrine, Levophed, dopamine
-
Vasopressin
- Vasoconstrictor
- May be used with epinephrine in codes
- Use when no heart contractions exist
-
ADH (Antidiuretic Hormone)
Used to raise BP during septic shock
-
Neo-synepherine
Increase BP May also cause pulmonary hypertension (increased PVR)
-
Levophed
- Vasoconstrictor
- Increase BP
- Use if dopamine does not work
-
Dopamine
- Most common BP increasing medication
- Good to use in cases of shock
-
Desmopressin (DDAVP)
Often used with organ preservation because it helps to prevent hypotension
-
Methylene blue
Treats methemoglobinemia
-
Coumadin (Warfarin)
- Blood thinner
- Should be used only after suspected PE
-
Heparin
- blood thinner
- Treatment for pulmonary blood clots
- Not good for fat clots
-
Versed (midazolam)
Most common meds used to treat anxiety
-
Valium (diazepam)
Treat anxiety and alcohol withdrawal symptoms
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