Medications in Crash Trolley ..in PHC OMAN By Elizabeth Joseph K
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Transcript of Medications in Crash Trolley ..in PHC OMAN By Elizabeth Joseph K
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Emergency Medication
UPDATED 2017
ELIZABETH JOSEPHSSN BSN, WATTAYAH
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ADENOSINE [6MG/2ML]INDICATION DOSE ROUTE MONITOR DILUTION
SVT 1.Atrial fibrillation
2.Paroxysmal supraventricular tachycardia (PSVT)
3.Atrial Flutter & Atrial Tachycardia
6MG THEN 12MG PRN WITHIN 2 TO 4 SECONDS
VERY FAST IV IN 30secs to 1 min DIRECTLY FLUSHED. followed by 20 ml saline push and elevate the canulated arm.
BPECG. : Shortness of breath, light headedness,Facial flushing, palpitations, chest pain, sweating, hypotension and metallic taste in the mouth
NOT REQUIRED
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ECG Variations
6sECG_rdm.exe
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Adenosine Administration
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ATROPINE 0.5MG/ML
INDICATION DOSE ROUTE MONITOR DILUTION
Bradicardia 0.5mg every 3 to 5mins, max 3mg
iv Complete monitoring
Iv line
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ADRENALINE[1MG/ML]INDICATIONS
DOSE ROUTE MONITOR DILUTION
Cardiac arrest
1 mg every 3-5mins
iv Bpecg
1ml+9ml NS
bradycardia 2 to 10 microgram/min
Iv infusion 1ml+500ml saline
Anaphylatic shock ,severe asthma
0.5mg every 15mins
im Not reqd
Croup severe asthma
4mg/5ml nebulizer 4mg +1ml NS
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INJ HALOPERIDOL[5MG/ML]INDICATION DOSE ROUTE MONITOR DILUTION
Agitation due to psychosis or alcoholism
2-5mg IM only Mental status
Not reqd
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INJ DOPAMINE HYDROCHLORIDE 40MG/1ML
indication dose route monitor dilution
Shockbradycardia
2 to 20 microgm/min
Iv infusion BpEcg
5ml+250ml normal saline
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Inj dopamine 120 mcg /min is ordered..how many drops will u set.
What we have?40mg/ml.Dilute 1 amp in 250ml .. Use a pediatric burette ..200mg available in250ml1ml contains 200/250 =800mcg120/800x60 = 9 drops.
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INJ DEXAMETHASONE 4MG/ML
INDICATION DOSE ROUTE MONITOR DILUTION
Croup Asthma attack
0.6mg/kg Single dose
IM Respiratory status
Not reqd
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INJ FRUSEMIDE 20MG/MLIndication Dose Route Monitor Dilution
Cardio pulmonary Oedema
20 -40 mg IMSlow IV 5mg/min
Bp Ecg
Only flush reqd
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INJ MAGNESIUM SULPHATE 50%.[5gmIN 10ml Ampule]
INDICATION DOSE ROUTE MONITOR DILUTION
Eclampsia 20% then 50% every 4 hrs
Slow IV over 10mins, then IM
Tendon refluxesBreathing pattern
IV 10ml diluted in 15ml NS. IM undiluted.
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Calcium Gluconate 10% in 10ml
Indication Dose Route Monitor Dilution
Magnesium antidote to reverse respiratory paralysis
10ml every 10 to 15mins
iv General Through iv line
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INJ NALAXONE 0.4MG/MLINDICATION DOSE ROUTE MONITOR DILUTION
Opiod antidote to reverse repiratory failure
0.4mg every 2min
IVIms/c
Respratory status
Only for iv
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INJ HYDROCORTISONE 100MGINDICATION DOSE ROUTE MONITOR DILUTION
Anaphylatic shockSevere allergyPost asthma attack
5mg/kg body wt.Max dose 400mg
IV General 2 to 3ml water for injection. Flush reqd
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INJ AMIDARONE 150MG/3MLINDICATION DOSE ROUTE MONITOR DILUTION
Any arrhythmia
150mg every 10-15mins
Slow iv in 10mins
BPECG
3ml+100ml D5W
Cardiac arrestVF/VT
300mg then 150mg
Rapid IV 6/3ML +20ML D5W
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INJ PROCYCLIDINE 5MG/MLINDICATION DOSE ROUTE MONITOR DILUTION
Dyskinesia drug induced from ante emetics and antipsychotics
•5 -10mg IV/IM
•<2yrs 0.5 -2mg im/iv
•2-10yrs 2-5mg im/iv
IV/IMPrefered iv
General Not reqd
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DYSKINESIA
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Inj GLUCAGON1mg vialINDICATION DOSE ROUTE MONITOR DILUTION
Hypoglycemia Adult 1mg IM
Pead 0.5mg IM
IM Blood glucose levels
Not reqd
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INJ SYNTOMETRINE 500MG/ML
INDICATION DOSE ROUTE MONITOR DILUTION
To induce labour
Post partum hemorrhage
Single injection
IM on the thigh just after birth
Bleedingvitals
Not reqd
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INJ DEXTROSE 50% IN 20ML AMPULE
INDICATION DOSE ROUTE MONITOR DILUTION
Hypoglycemia insulin induced
20 to 50 ml IV.Very slow
HypoglycemiaAcute kidney injury
Dilute in 1:1 proportion
Alcohol intoxication
Monitor iv line patency ...Infiltration causes irreparable tissue damage
Before and after injecting, 50ml saline push is indicated
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Tab ASPIRIN 300mg chewableINDICATION DOSE ROUTE MONITOR DILUTION
MI 162 to 324 mg
Chewable Gastriits Nil
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GTN 0.5MG [Tab/Spray]INDICATION DOSE ROUTE MONITOR DILUTION
•MI•Cardiopulmonary edema
0.5mg every 5mins. Max 3 doses
S/L Hypotension Nil
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Tab Captopril 25 mg INDICATION DOSE ROUTE MONITOR DILUTION
HTN urgency
12.5 to 25mg repeated prn.S/L action in 5-15mins
oral in 15 to 30mins
OralS/L
Hypotension Nil
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Inj MORPHINE 10mg/mlINDICATION DOSE ROUTE MONITOR DILUTION
•Severe pain•MI•CP edema
•4 to 10mg every 4 hrs•SCD 5 to 10mg every 15mins
•IV OR IM •LOC•Breathing pattern
•IM no dilution•IV : 1 ml +9ml NS
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INJ PETHIDINE 50MG/MLINDICATION DOSE ROUTE MONITOR DILUTION
In case of morphine allergy only
50 to 100mg Slow IV or IM •LOC•Breathing pattern
•IM no dilution•IV : 1 ml +9ml NS
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INJ DIAZEPAM 5MG/MLINDICATION DOSE ROUTE MONITOR DILUTION
•Agitation unknown
•Alcohol withdrawal
•Seizures
•Seizures with no IV access
•2 -10mg
•10mg
•5 to 10mg every 15mins
•0.4mg/kg
•Slow IV/IM
•Slow IV/IM
•Slow IV
•Rectally
•Conation •Breathing pattern
•2ml+8ml NS
•Rectally and IM No dilution
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Rectal Administration
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