Medication Indications

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Activated Charcoal Aqua Actidose Liqui-Char: Acute ingested poisoning
Acetaminophen: For mild to moderate pain and fever when asprin is otherwise not tolerated
Adenosine Adenocard: Narrow, complex paroxysmal supraventricular tachycardia refractory to vagal manuevers
Albuterol Proventil Ventolin: Bronchospasm and asthma in COPD
Amiodarone Cordarone: Life-threatening ventricular and supraventricular dysrhythmias, frequent atrial fibrillation
Aspirin: Chest pain suggestive of an MI
Atropine Sulfate: Hemodynamically significant bradycardia, bradyasystolic arrest, and organophosphate poisoning
Calcium Chloride: Hyperkalemia, hypocalcemia, hypermagnesemia, and calcium channel blocker toxicity
Dexamethasone: Anaphylaxis, asthma, COPD, spinal cord edema
Dextrose 50%: Hypoglycemia
Diazepam Valium And Others: Major motor seizures,status epilepticus, premedication prior to cardioversion, muscle tremors due to injury, and acute anxiety
Digoxin Lanoxin: Increase cardiac output in CHF and to stabilize supraventricular tachydysrhythmias
Diltiazem Cardizem: Supraventricular tachydysrhythmias (atrial fibrilation, atrial flutter, and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina
Diphenhydramine Benadryl: Anaphylaxis, allergic reactions, and dystonic reactions
Dobutamine Dobutrex: To increase cardiac output in congestive heart failure/cardiogenic shock
Dopamine Intropin: Nonhypovolemic hypotension (70 to 100 mmHg) and cardiogenic shock
Epinephrine Adrenalin: To restore rhythm in cardiac arrest and severe allergic reactions
Etomidate: Induce sedation for RSI
Flumazenil Romezicon: Respiratory depression secondary to the benzodiazepines
Furosemide Lasix: CHF and pulmonary edema
Glucagon: Hypoglycemia without IV access and to reverse beta-blocker overdose
Haloperidol Lactate Haldol: Acute psychotic episodes
Heparin Sodium: To prevent thrombus formation in acute MI
Hydrocortisone: Inflammation during allergic reaction, severe anaphylaxis, asthma, and COPD
Ibuprofen: Reduce fever and relieve minor to moderate pain
Ipratroipum Atrovent: Bronchospasm associated with asthma, COPD, and inhaled irritants
Isoetharine: Bronchospasm in asthma and COPD
Isoproterenol Isuprel: Bradycardia refractory to atropine when pacing is not available and for severe status asthmaticus
Lidocaine Xylocaine: Pulseless ventricular tachycardia, ventricular fibrillation, ventricular dysrhythmias, Stokes-Adams syndrome, 2nd- and 3rd-degree heart blocks, and bradycardias
Magnesium Sulfate: Refractory ventricular fibrillation and pulseless ventricular tachycardia (especially torsade de pointes), AMI, eclamptic seizures
Lorazepam Ativan: Sedation for cardioversion and status epilepticus
Meperidine Demerol: Moderate to severe pain
Methylprednisolone: Spinal cord injury, asthma, severe anaphylaxis, COPD
Metoclopramide Hydrochloride Reglan: Nausea and vomiting
Midazolam Hydrochloride Versed: To induce sedation before cardioversion or intubation
Morphine Sulfate Astramaorph/PF And Others: Moderate to severe pain, MI, and to reduce venous return in pulmonary edema
Naloxone Narcan: Narcotic and synthetic narcotic overdose, coma of unknown origin
Nitroglycerin: Chest pain associated with angina and AMI, and acute pulmonary edema
OXYTOCIN Pitocin: Severe postpartum hemorrhage
Physostigmine: Tricyclic antidepressant (CNS and cardiac effects) and anticholinergic overdose
Procanamide Pronestyl: Ventricular fibrillation and pulseless ventricular tachycardia refractory to lidocaine
Promethazine Phenergan: Nausea and vomiting, motion sickness, to enhance the effects of analgesics, and to induce sedation
Soduim Bicarbonate: Tricyclic antidepressant and barbiturate overdose, refractory acidosis, or hyperkalemia
Racemic Epinephrine MicroNEFRIN: Croup (laryngotracheobronchitis)
Sodium Nitroprusside: Hypertensive crisis
Streptokinase Streptase: AMI, deep vein thrombosis (DVT), or pulmonary embolism
Succinylcholine Anectine: Facilitated endotracheal intubation
Thiamine Betaxin: Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremens
Vasopressin: To increase periphreal cascular resistance in arrest or to control bleeding from esophageal varices
Tissue Plasminogen Activator t-PA Activase Recombinant Alteplase: To thrombolyse in AMI, acute ischemic stroke, and pulmonary edema
Vecuroninum Norcuron: Facilitated endotracheal intubation
Verapamil Isoptin Calan: PSVT refractory to adenosine, atrial flutter, and atrial fibrillarion with rapid ventricular response
Aminophylline Somophyllin: Bronchospasm in asthma and COPD refractory to symptomimetics and other bronxhodilators and in CHF
Amrinone Inocor: To increse cardiac output in CHF or in children in septic shock or myocardial dysfunction
Amyl Nitrite: Acute cyanide poisoning
Anistreplace APSAC Eminase: To reduce size in acute MI
Atenolol Tenormin: Non-Q-wave MI and unstable angina
Atracurinum Tracrium: To produce skeletal muscle relaxation to facilitate endotracheal intubation and IPPV
Bretylium Bretyol: Ventricular fibrillation and ventricular tachycardia refractory to lidocaine
Bumetanide Bumex: To promote diuresis in CHF and pulmonary edema
Butorphanol Stadol: Moderate to severe pain
Calcium Gluconate Kalcinate: Hyperkalemia, hypermagnesemia, and calcium channel blocker toxicity
Chlordiazepoxide Librium: Severe anxiety and tension, acute ETOH withdrawl symptoms (DT's)
Chlorpromazine Thorazine: Acute psychotic episode, intractable hiccups, nausea/vomitimg
Diazoxide Hyperstat: Rapidly decreases BP in hypertensive crisis
Digoxin Immune Fab Digibind: Life-threatening digoxin or digitoxin toxicity
Dimenhydrinate Dramamine: To relieve nausea/vomiting associated with motion sickness and narcotic use
Dimercaprol BAL in Oil: Antidote for acute arsenicc, mercury, lead, and gold poisoning
Droperidol Inapsine: Nausea and vomiting(second line), to produce a tranquilizing effect, and in some cases as an antipsychotic
Enoxaprin Lovenox: To inhibit clot formation in unstable angina and non-Q-wave MI
Esmolol Brevibloc: SVT with rapid ventricular responses
Fentanyl Sublimaze: Induce sedation for endotracheal intubation
Flecanide Tambocor: Atrial flutter, atrial fibrillation, AV re-entry tachycardia, or SVT associated with WPW syndrome
Fosphenytoin Cerebyx: Seizure control and status epilepticus
Hydralazine Apresoline: Hypertensive crisis and pre-eclampsia
Hydroxyzine Vistaril: Acute anxiety, nausea/vomiting
Ibutilide Corvert: Recent onset atrial flutter or fibrillation
Insulin Regular Insulin Humulin: Hyperglycemia and diabetic coma
Ipecac Syrup: Poisoning and overdose
Ketorolac Toradol: Mild to moderate pain
Labetalol Trandate Normodyne: Acute hypertensive crisis
Manitol Osmitrol: Cerebral edema
Metaproterenol Alupent: Bronchospasm, as in asthma and COPD
Metaraminol Aramine: Hypotension in a normovolemic patient
Metoprolol Lopressor: AMI
Milrinone Primacor: CHF or pediatric septic shock
Nalbuphine Nubain: Moderate to severe pain
Nifedipine Procardia Adalat: Severe HTN and angina
Nitrous Oxide Nitronox: Musculoskeletal, burn, and ischemic chest pain and severe anxiety (including hyperventilation)
Norepinephrine Levophed: Refractory hypotension and neurogenic shock
Oxygen: Hypoxia or anticipated hypoxia, or in any medical or trauma patient to improve respiratory effort
Pancuronium Pavulon: To facilitate endotracheal intubation
Phenobarbital Luminal: Seizures, status epilepticus, and acute anxiety
Phenytoin Dilantin: Seizures, status epilepticus, or cardiac dysrhythmias secondary to digitalis toxicity
Pralidoxime 2-PAM: Organophosphate poisoning
Propanfanone Rhythmol: Ventricular and surpaventricular dysrhythmias
Propranolol Inderal: Ventricular fibrillation and pulseless ventricular tachycardia refractory to lidocaine and bretylium and selected SVT's
Prostaglandin E1 Prostin VR Pediatric: Infant cyanotic heart disease
Sotalol Betapace: Ventricular and supraventricular dysrhythmias
Terbutaline Brethine Bricanyl: Bronchial asthma and bronchospasm in COPD

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