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Camporedondo, Bryan C. RLE8 - Group5 Emergency Drugs: Atropine Sulfate

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CAMPOREDONDO, BRYAN C.

RLE8 - Group5

EMERGENCY DRUGS

ATROPINE SULFATE

DOSAGE:
 Bradycardia: 0.5 mg IV every 3-5 mins, maxof 0.04 mg/kg
 Cardiac Arrest: 1 mg every 3-5 mins
Nerve and Organophosphate symptoms: may repeat in 2 mg increments q 3 mins
titrated to relief symptom.
Indication:
>Pre-op meds/pre-anesthetic meds
>To restore cardiac rate and arterial pressure during anesthesia when vagal
>To lessen the degree of A-V heart block
>To overcome severe carotid sinus reflex
>Antidote for cholinergic toxicit

NITROGYCERINE
Dosage
 0.3-0.4 mg SL q 5 min, max 3 doses.
 Every 6 hrs except for midnight (cream)
 Wear 12 hrs a day for skin patc
Indication
 Angina pectoris
 CHF associated with AMI
 Cardiac load reducing agent
 Hypertensive Crisis

MORPHINE SULFATE

Dosage
 Oral: 10–30 mg q 4 hr PO. Controlled-
release: 30 mg q 8–12 hr PO or as directedby physician; Kadian: 20–100 mg PO
daily–24-hr release system; MS Contin: 200 mgPO q 12 h
 IV:2.5–15 mg/70 kg of body weight in 4–5mL water for injection administered over
4–5 min, or as directed by physician. Continuous IV infusion: 0.1–1 mg/mL in 5%
dextrose in water by controlled infusion device.

Indication
 Relief of moderate to severe acute and chronic pain
 Preoperative medication
 Analgesic adjunct during anesthesia
 Intraspinal use with microinfusion devices for the relief of intractable pain
 Unlabeled use: Dyspnea associated with acute left ventricular failure and pulmonary
edema

LIDOCAINE
Dosage

♣ IV: 0.7-1.4 mg/kg body weight. No more than 200 mg within 1 hour period

♣ IM: 4-5 mg/kg body weight

INDICATION:
♣ Anesthesia
♣ Arrhythmias
♣ Control of Status epilepticus refractory to other treatment

EPINEPHRINE

Dosage
 Cardiac arrest: 1 mg IV of 1:10,000 solution q 3-5 min; double dose if administering
via ET tube
 Anaphylaxis: 0.1- 1 mg SQ or IM of 1:1000 solution
 Asthma: 0.1-0.3 mg SQ or IM of 1:10,000 solution
 Refractory bradycardia and hypotension: 2-10ug/mi

Indication
 Asthma
 Bronchitis
 Emphysema
 All cardiac arrest, anaphylaxis
 Used for symptomatic bradycardia.
 Relief of bronchospasm occurring during anesthesia
 Exercised-induced bronchospasm

VASOPRESSIN

Dosage
 Prevent and treat abdominal distention: initially 5 units IM gives subsequent
injections q3-4 hours increasing to 10 units if needed.

Indication
♣Diabetes Insipidus
♣Abdominal Distention
♣GI bleeding
♣Esophageal varices

MAGNESIUM SULFATE

Dosage
 Arrhythmia: IV 1-6 grams over several minutes, then continuous IV infusion 3-
20mg/min for 5-48 hours.
Indication
♣Mg replacement
♣Arrhythmi

FUROSEMIDE (Lasix)
Dosage
 Pulmonary edema: 40 mg IV
 Edema: 20 to 80 mg PO every day in the morning
 HPN: 40 mg PO bid. Dosage adjusted based on response

Indication
 Acute pulmonary edema
 Edema
 Hypertension

ADENOSINE

Dosage:
 6mg

NARCAN

Dosage:

0.02 – 2mg

Indication:

 For respiratory depression

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