Crash Cart

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A crash cart or code cart (crash trolley in UK medical jargon) is a set of trays/drawers/shelves on wheels used in hospitals for transportation and dispensing of emergency medication/equipment at site of medical/surgical emergency for life support protocols (ACLS/ALS) to potentially save someone's life. The contents of a crash cart vary from hospital to hospital, but typically contain the tools and drugs needed to treat a person in or near cardiac arrest. These include but are not limited to: Monitor/defibrillators and suction devices Advanced Cardiac Life Support (ACLS) drugs such as epinephrine, atropine, amiodarone, lidocaine, sodium bicarbonate, dopamine, and vasopressin First line drugs for treatment of common problems such as: adenosine, dextrose, diazepam or midazolam, epinephrine for IM use, naloxone, nitroglycerin, and others Drugs for rapid sequence intubation: Succinylcholine or another paralytic, and a sedative such as etomidate or midazolam; endotracheal tubes and other intubating equipment Drugs for peripheral and central venous access Pediatric equipment (common pediatric drugs, intubation equipment, etc.) Other drugs and equipment as chosen by the facility Drug Name AKA Description Uses Actidose-Aqua Click Here to Buy Activated Charcoal, EZ- Char *Actidose-Aqua, ready-to-use activated charcoal suspension, contains 15 gm, 25 gm or 50 gm of activated charcoal in an aqueous suspension with a unique preservative system. Each milliliter contains 208 mg (0.208 gm) of activated charcoal. *Activated Charcoal is used in the emergency treatment of certain kinds of poisoning. Actidose with Sorbitol and Actidose-Aqua are indicated in the management of many types of poisoning emergencies when a toxin has been ingested or when indicated for a limited number of systemic poisonings resulting from parenteral overdosage or when the toxin has been totally absorbed. Adenocard Click Here to Buy Adenosine #Adenocard/Adenosine is a endogenous nucleoside that #Adenocard treats supraventricular

Transcript of Crash Cart

Page 1: Crash Cart

A crash cart or code cart (crash trolley in UK medical jargon) is a set of trays/drawers/shelves on wheels used in hospitals for transportation and dispensing of emergency medication/equipment at site of medical/surgical emergency for life support protocols (ACLS/ALS) to potentially save someone's life.The contents of a crash cart vary from hospital to hospital, but typically contain the tools and drugs needed to treat a person in or near cardiac arrest. These include but are not limited to: Monitor/defibrillators and suction devices Advanced Cardiac Life Support (ACLS) drugs such as epinephrine, atropine, amiodarone, lidocaine, sodium

bicarbonate, dopamine, and vasopressin First line drugs for treatment of common problems such as: adenosine, dextrose, diazepam or midazolam,

epinephrine for IM use, naloxone, nitroglycerin, and others Drugs for rapid sequence intubation: Succinylcholine or another paralytic, and a sedative such as etomidate or

midazolam; endotracheal tubes and other intubating equipment Drugs for peripheral and central venous access Pediatric equipment (common pediatric drugs, intubation equipment, etc.) Other drugs and equipment as chosen by the facility

Drug Name AKA Description Uses

Actidose-Aqua

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Activated Charcoal,

EZ-Char

*Actidose-Aqua, ready-

to-use activated

charcoal suspension,

contains 15 gm, 25 gm

or 50 gm of activated

charcoal in an aqueous

suspension with a

unique preservative

system. Each milliliter

contains 208 mg (0.208

gm) of activated

charcoal.

*Activated

Charcoal is used in

the emergency

treatment of

certain kinds of

poisoning. Actidose

with Sorbitol and

Actidose-Aqua are

indicated in the

management of

many types of

poisoning

emergencies when

a toxin has been

ingested or when

indicated for a

limited number of

systemic

poisonings

resulting from

parenteral

overdosage or

when the toxin has

been totally

absorbed.

Adenocard

Click Here to BuyAdenosine

#Adenocard/Adenosine

is a endogenous

nucleoside that occurs

in all cells of the body.

#Adenocard treats

supraventricular

tachycardia which

is a rhythm

distrubance of the

heart.

Albuterol Inhaler

(Ventolin)

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Proventil, Ventolin,

ProAir

#Albuterol Inhaler is a

bronchodilator that

relaxes muscles in the

#Albuterol is used

to treat and

prevent

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airways and also

increases airflow to the

lungs.

bronchospasms.

Ambu-Spur II

ResuscitatorAmbuBag

Single Patient Use

Resuscitator

AmbuBag is used

for manual

ventilation of

infants through

adults.

Aminophylline

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Theophylline

Ethylenediamine

#Aminophylline

belongs to a class of

drugs known as

xanthines. 

#Aminophylline

works in the

airways by relaxing

muscles, opening

air passages to

improve breathing

and decrease the

lungs response to

irritants.

Amiodarone

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Cordarone,

Pacerone

#Amiodarone is a class

of antiarrhythmic drugs

#Amiodarone is

used to keep the

heart beating

normally in people

with life-

threatening rhythm

disorders of the

ventricles.

Ammonia Inhalant

Click Here to BuySmelling Salts

Ammonia Inhalant is a

respiratory stimulant

Ammonia Inhalants

are used for

inhalation only

Amyl Nitrite

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*Amyl Nitrite is a

rapidly acting

vasodilator

administered by

inhalation.

*Amyl Nitrate is

indicated for the

rapid relief of

angina pectoris.

Atropine Sulfate

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 Isopto Atropine,

Sal-Tropine

Atropine Sulfate

inhibits the muscarinic

actions of acetycholine

at postganglionic

parasympathetic

nueoreffector sites.

Atropine Sulfate is

used as a pre-

anesthetic

medication in

surgical patients to

reduce salivation

and bronchial

secretions and to

suppress vagal

activity.

Atropine Sulfate

Syringe

Same as above Same as above same as above

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Bacteriostatic .9% NaCl

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#Bacteriostatic for

injection is a sterile,

nonpyrogenic

preparation

preservative.

#Bacteriostatic is

designed for

parenteral use only

after addition of

drugs that require

dilution or must be

dissolved in an

aqueous vehicle

prior to injection.

Calcium Chloride

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*Calcium Chloride

dihydrate in water for

injection adjusted with

Hydrochloric Acid and

Sodium Hydroxide.

*Calcium Chloride

is used in the

immediate

treatment of

hypocalcemic

tetany and in

cardiac

resuscitation.

Calcium Gluconate

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*Calcium Gluconate is

the calcium salt of

gluconic acid. 

*Calcium Gluconate

is used to treat

conditions steming

from calcium

deficiencies shuch

as hypocalcemic

tetany, treatment

of black widow

spider bites,

decrease capillary

permeability in

allergic conditions.

D5W 100ml/IV Bag

Click Here to BuyDextrose 5% Water

50% Dextrose Injection,

USP is a sterile,

nonpyrogenic,

hypertonic solution of

dextrose in water for

injection as a fluid and

nutrient replenisher.

50% Dextrose is

inidcated in the

treatment of insulin

hypoglycemia to

restore blood

glucose levels. 

Also for

intravenous

infusion as a

source of

carbohydrate

calories.

D5W 250 ml IV Bag

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Dextrose 5% Water 50% Dextrose Injection,

USP is a sterile,

nonpyrogenic,

50% Dextrose is

inidcated in the

treatment of insulin

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hypertonic solution of

dextrose in water for

injection as a fluid and

nutrient replenisher.

hypoglycemia to

restore blood

glucose levels. 

Also for

intravenous

infusion as a

source of

carbohydrate

calories.

D5W 500 ml IV Bag

Click Here to BuyDextrose 5% Water

50% Dextrose Injection,

USP is a sterile,

nonpyrogenic,

hypertonic solution of

dextrose in water for

injection as a fluid and

nutrient replenisher.

50% Dextrose is

inidcated in the

treatment of insulin

hypoglycemia to

restore blood

glucose levels. 

Also for

intravenous

infusion as a

source of

carbohydrate

calories.

Dextrose

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50% Dextrose Injection,

USP is a sterile,

nonpyrogenic,

hypertonic solution of

dextrose in water for

injection as a fluid and

nutrient replenisher.

50% Dextrose is

inidcated in the

treatment of insulin

hypoglycemia to

restore blood

glucose levels. 

Also for

intravenous

infusion as a

source of

carbohydrate

calories.

Digoxin (Lanoxin)

Click Here to BuyLanoxin, Digitek

Digoxin is one of the

cardiac glycosides: a

closely related group of

drugs having in

common specific

effects on the

myocardium.  These

drugs are found in a

number of plants.

Digoxin is used in

the treatment of

heart failure.  It

increases left

ventricular ejection

fraction and

improves heart

failure symptoms. 

It can be used as a

diuretic and an

angiotensin-

converting enzyme

inhibitor.

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Dobutamine

Click Here to BuyDobutrex

#Dobutamine is a

direct-acting inotropic

agent.

#Dobutamine is

used for short term

treatment of

patients with

cardiac

decompensation.

Dopamine

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Dopamine

Hydrochloride

Dopamine, a

sympathomemetic

amine vasopressor, is

the naturally occurring

immediate precursor of

norepinephrine.

Dopamine is

indicated for the

correction of

hemodynamic

imbalances present

in the shock

syndrome due to

myocardial

infarction.

Dyphenhidramine

(Benadryl)

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Benadryl and brand

name products

containing

diphenhydramine.

#Diphenhydramine

injection is an

antihistamine.

#Diphenhydramine

injection is used to

treat life-

threatening allergic

reactions

(anaphylaxis) along

with epinephrine

and other

treatments.  It is

also used to relieve

symptoms of

househole

allergies, hay fever

and common cold.

Endotracheal Tubes

Click Here to BuyET Tube or ETT

An Endotracheal tube is

a flexible plastic tube

that slips within the

trachea and keeps the

airway open.

Endotracheal tubes

are used in general

anesthesia,

intensive care and

emergency

medicine for airway

management and

mechanical

ventilation.

Epinephrine

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Adrenalin, Epifrin,

Epipen, Twinject

Epinephrine is a

hormone and

neurotransmitter. It is

catecholamine, a

sympathomimetic

monoamine produced

by the adrenal glands.

*Epinephrine is

used to increase

heart rate, contract

blood vessels and

dilates air

passages. 

Epinephrine is a

participant in the

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response of the

sympathetic

nervous system.

Furosemide 20mg vial

Click Here to BuyLaxis

Furosemide/Lasix is a

loop diuretic (water pill)

which is an anthranilic

acide derivative. It

prevents the body from

absorbing too much

salt.

Furosemide is

indicated for the

treatment of

edema associated

with congestive

heart failure,

cirrhosis of the liver

and renal disease.

Glucagon Diagnostic

Kit

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Glucagen

Diagnostic Kit,

Glucagon,

Glucagen

*Glucagon belongs to

the group of medicines

called hormones.  It is

an emergency

medicine.

*Glucagon is used

to treat severe

hypoglycemia (low

blood sugar) in

patients with

diabetes.  It is also

used during x-ray

test of the stomach

to improve testing

results.

Heparin

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Heparin Sodium,

Hep Flush, Hep-

Lock

*Heparin is a

heterogeneous group

of straight-chain

anionic

mucopolysaccharides,

called

glycosaminoglycans,

having anticoagulant

properties.

Heparin is used in

anticoagulant

therapy in

prophylaxis and

treatment of

venous thrombosis

and its extension;

Inderal  (Propranolol)

Click Here to BuyPropranolol

Inderal is a medicine

known as a beta-

blocker. Propranolol

hydrochloride is a

synthetic beta-

adrenergic receptor

blocking agent.

Inderal is usually

reserved for life-

threatening

arrhythmias ,

supraventricular

arrhythmias,

ventricular

tachycardias.

Isuprel

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Isoproterenol

Hydrochloride

Injection

Isuprel is  a synthetic

sympathomimetic

amine that is

structurally related to

epinephrine but acts

almost exclusively on

beta receptors.

Isuprel is indicated

for mild or

transient episodes

of heart block that

do not require

electric shock or

pacemaker

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therapy, for serious

episodes of heart

block and Adams-

Stokes attack, for

use in cardiac

arrest, for

bronchospasm

occurring during

anesthesia.

Laryngoscope

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Laryngoscope word

is derived from

larynx + scope

*A flexible, lighted tube

used to look at the

inside of the larynx (the

voice box). The

laryngoscope is

inserted through the

mouth into the upper

airway. 

#Find the cause of

voice problems,

such as a breathy

voice, hoarse

voice, weak voice,

or no voice. 

Find the cause of

throat and ear

pain. 

Find the cause for

difficulty in

swallowing, a

feeling of a lump in

the throat, or

mucus with blood

in it. 

Check injuries to

the throat,

narrowing of the

throat (strictures),

or blockages in the

airway. 

Direct rigid

laryngoscopy may

be used as a

surgical procedure

to remove foreign

objects in the

throat, collect

tissue samples

(biopsy), remove

polyps from the

vocal cords.

Lidocaine 1gm/250ml

D5W

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  0.4% and 0.8%

Lidocaine

Hydrochloride and 5%

Dextrose Injection, USP

*Lidocaine

Hydrochloride

administered

intravenously is

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are sterile,

nonpyrogenic solutions

of lidocaine

hydrochloride and 5%

Dextrose Injection, USP

for use in the

management of

ventricular

arrhythmias.

specifically

indicated in the

acute management

of ventricular

arrhythmias

occurring during

cardiac

manipulation such

as cardiac surgery

and life-threatening

arrhythmias,

particularly those

which are

ventricular in

origin, such as

occur during acute

myocardial

infarction.

Lidocaine SDV

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Xylocaine,

Lidoderm,

Anestacon

Lidocaine

Hydrochloride Injection,

USP is a sterile,

nonpyrogenic solution

for cardiac

arrhythmias.

Lidocaine

Hydrochloride

administered

intravenously is

specifically

indicated in the

acute management

of ventricular

arrhythmias

occurring during

cardiac

manipulation such

as cardiac surgery

and life-threatening

arrhythmias.

Magnesium Sulfate

Syringe

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  Magnesium Sulfate

Injection is a sterile

solution of magnesium

sulfate heptahydrate in

Water for injection

either by intravenous

or intramuscular routes

as an electrolyte

replenisher or

anticonvulsant.

Magnesium Sulfate

Injection is suitable

for replacement

therapy in

magnesium

deficiency, in acute

hypomagnesemia

accompanied by

signs of tetany and

is also indicated as

a parenteral

anticonvulsant for

the prevention and

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control of seizures

(convulsions) in

severe toxemia of

pregnancy.

Metoprolol

Click Here to BuyLopressor

Metoprolol tartrate

injection is a sterile

solution containing

metoprolol tartrate, a

selective beta,

adrenoreceptor

blocking agent.

Metoprolol tartrate

injection is

indicated in the

treatment of

hemodynamically

stable patients with

definite or

suspected acute

myocardial

infraction to reduce

cardiovascular

mortality.

Mouth-to-Mouth

Microshield/CPR

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NaCl- 0.9% 10ml vial

(Sodium Chloride)

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This preparation is

designed solely for

parenteral use only

after addition of drugs

that require dilution or

must be dissolved in an

aqueous vehicle prior

to injection

This parenteral

preparation is

indicated only for

diluting or

dissolving drugs for

intravenous,

intramuscular or

subcutaneous

injection according

to instructions of

the manufacturer

of the drug to be

administered.

Nalbuphine (Nubain)

Click Here to BuyNubain

Nalbuphine

hydrochloride is a

synthetic opiod

agonist-antagonist

analgesic of the

phenanthrene series. 

Nalbuphine

hydrochloride is

indicated for the

relief of moderate

to severe pain.  It

can be used also as

a supplement to

balance anesthesia

for preoperative

and postoperative

analgesia.

Naloxone (Narcan)

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Narcan Naloxone hydrochloride

Injection USP is a

Naloxone is

indicated for the

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sterile, nonpyrogenic

solution of naloxone

hydrochloride in water

for injection.  This may

be administered

intravenously,

intramuscularly or

subcutaneously.

complete or partial

reversal of opioid

depression,

including

respiratory 

depression induced

by natural and

synthetic opioids

including

propoxyphene,

methadone and

certain mixed

agonist-antagonist

analgesics. 

Naloxone may be

useful as an

adjunctive agent to

increase blood

pressure in the

management of

septic shock.

Neo-Synephrine

Click Here to BuyPhenylephrine

*Phenylephrine

Hydrochloride, a

synthetic

sympathomimetic

agent, is a

vasoconstrictor and

pressor drug

chemically related to

epinephrine and

ephedrine.

*Neo-synephrine.

Phenylephrine HCl

w/guaifenesin long

acting tablets are

indicated for the

symptomatic relief

of sinusitis,

bronchitis,

pharyngitis, and

coryza when these

conditions are

associated with

nasal congestion

and viscous mucus

in the lower

respiratory tract.

Nifedipine (Procardia)

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Procardia Procardia (nifedipine) is

an antianginal drug

belonging to a class of

pharmacological

agents, the calcium

channel blockers.

Nifedipine is

indicated for the

management of

vasospastic angina

and can also be

used where the

clinical

presentation

suggests a possible

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vasospastic

component but

where vasospasm

has not been

confirmed.

Nitro-Quick SL

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Nitro-Stat,

Nitroglycerin

Nitroglycerin is an

organic nitrate, is a

vasodilating agent.

Nitrogylcerin is

indicated for the

acute relief of an

attack or

prophlaxis of

angina pectoris due

to coronary artery

disease.

Nitrolinguil Pumpspray

0.4mg

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The principal

pharmacological action

of nitroglycerin is

relaxation of vascular

smooth muscle,

producing a vasocilator

effoct on both

peripheral arteries and

veins with more

prominent effects on

the latter.

Nitrolinguil

Pumpspray is

indicated for acute

releif of an attack

or prophylaxis of

angina pectoris due

to coronary artery

disease.

Nitrostat 0.4

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same as Nitro-

Quick SL,

Notroglycerin

Same as Nitro-Quick SLSame as Nitro-

Quick SL

Procainamide

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Procan SR,

ProcanBID

Procainamide

Hydrochloride Injection,

USP is a sterile,

nonpyrogenic solution

in water for injection.  It

is intended for

intraveous or

intramuscular

administration.

Procainamide is

inicated for the

treatment of

documented

ventricular

arrhythmias, such

as sustained

ventricular

tachycardia. 

Because of the

proarrhythmic

effects of

procainamide, its

use with lesser

arrhythmias is

generally not

recommended. 

Treatment of

patients with

Page 12: Crash Cart

asymptomatic

ventricular

premature

contractions should

be avoided.

Prochlorperazine

(Compazine)

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Compazine

*Prochlorperazine

(Compazine) is a

phenothiazine

derivative.

*Prochlorperazine

(Compazine) is

effective for the

short-term

treatment of

generalized non-

psychotic anxiety. 

However,

Compazine is not

the first drug to be

used in therapy for

most patients with

non-psychotic

anxiety, because

certain risks

associated with its

use are not shared

by common

alternative

treatments (e.g.,

benzodiazepines).

Promethazine

(Phenergan)

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Phenergan *Promethazine HCI

Injection, USP is a

sterile, pryogen-free

solution for deep

intramuscular or

intravenous

administration.

*Promethazine is

indicated for the

following:

amelioration of

allergic reactions to

blood or plasma,

anaphylaxis as an

adjunct to

epinephrine,

uncomplicated

allergic conditions

of the immediate

type, for sedation

and relief of

apprehension and

to produce light

sleep, active

treatment of

motion sickness,

prevention and

Page 13: Crash Cart

control of nausea

and vomiting

associated with

certain types of

anesthesia and

surgery.

Sodium Bicarbonate

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Sodium Bicarbonate

Injection, USP is a

sterile, nonpyrogenic,

hypertonic solution of

sodium bicarbonate in

water for injection for

administration by the

intravenous route as an

electrolye replenisher

and systemic alkalizer.

Sodium

Bicarbonate

Injection, USP is

indicated in the

treatment of

metabolic acidosis

and is further

indicated in the

treatment of

certain drug

intoxications,

including

barbiturates, in

poisoning by

salicylates or

methyl alcohol and

in hemolytic

reactions requiring

alkalinization of the

urine.

Sodium Bicarbonate

Syringe

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  same as above same as above

Solu-Cortef 100 mg

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Hydrocortisone

Sodium Succinate

Solu-Cortef is an anti-

inflammatory

adrenocortical steroid

and in a small volume

of diluent it is

particularly useful

where high blood levels

of hydrocortisone are

required rapidly.

Naturally occurring

flucocorticoids

(hydrocortisone

and cortisone) are

used as

replacement

therapy in

adrenocortical

deficiency states. 

Their synthetic

analogs are

primarily used for

their potent anti-

inflammatory

effects in disorders

of many organ

systems.

Page 14: Crash Cart

Solu-Medrol 125 mg

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Methylprednisolone

Sodium Succinate

Methylprednisolone is a

potent anti-

inflammatory steroid

with greater anti-

inflammatory potency

than prednisolone and

even less tendency

than prednisolone to

induce sodium and

water retention.

Solu-Medrol is used

as replacement

therapy in

adrenocoritcal

deficiency states. 

Their synthetic

analogs are

primarily used for

their potent anti-

inflammatory

effects in disorders

of many organ

systems.

Stylets

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Vasopressin 20U

Click Here to BuyPetressin

Vasopressin Injections,

USP is a sterile solution

of synthetic

vasopressin of the

posterior pituitary

gland for intramuscular

or subcutaneous use.

Vasopressin

Injections, USP is

indicated for

prevention and

treatment of

postoperative

abdominal

distention, in

abdominal

roentogenography

to dispel interfering

gas shadows and in

diabetes insipidus.

Verapamil 10mg

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Calan, Verelan,

Isoptin

Verapamil

Hydrochloride is a

calcium antagonist or

slow-channel inhibitor. 

It is a sterile,

nonpyrogenic solution.

Verapamil is

indicated for the

following: rapid

conversion to sinus

shythm of

paroxysmal

supraventricular

tachycardias,

temporary control

of rapid ventricular

rate in atrial flutter

or atrial fibrillation.