AV Drugs

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Author:
scamp
ID:
179539
Filename:
AV Drugs
Updated:
2012-10-24 01:44:57
Tags:
AV drugs indications contraindications
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Description:
AV drugs ind/cont etc
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  1. ADRENALINE
    Ind
    • 1mg in 1ml or 1mg in 10ml
    • Persistant VF or unc/pulseless VT
    • Asystole
    • PEA/electro-mechanical dissasociation
    • Severe Asthma
    • Unconcious asthma, no recordable BP
    • Anaphylactic reactions
    • Inadequate perfusion (cardogenic)
    • Inadequate perfusion ( non-cardiogenic non-hypovolemic)
    • Bradycardia with poor perfusion
    • Croup or suspected Croup
  2. ADRENALINE
    Contra
    Prec
    S.E.
    Contra: Hypovolemic shock without adequate fluid replacement

    Prec: Elderly Pts; Pts with cardiovascular disease; Pts on monoamine oxidase inhibitors ; Pts on beta blockers (may require higher dose)

    S.E: Sinus tachycardia; SV dysrythmias; V dysrythmias; Hypertension; Pupillary dilation; May increase the size of MI; Feelings of anxiety/palpitations in a concious Pt.
  3. GTN
    Indications
    Contra
    600mcg tablet or 400mcg/hr patch

    Ind: Chest pain a/w ACS; Hypertension a/w ACS (m); Acute left ventricular failure; Autonomic dysreflexia; Pre-term labour (consult)

    Contra: BP<110 (tablet); BP<90 (patch); HR>150; HR<50 (exluding autonomic dysreflexia); Viagra/Levitra in prev 24 hrs or Cialis in prev 4 days; VT; inferior STEMI BP<160; Right ventricular infarct; Known hypersensitivity.
  4. GTN
    Prec
    Side effects
    Prec: No previous administration; Elederly Pts; Recent acute MI; concurrent use with other tocolytics.

    S.E: Tachycardia; Hypotension; Headache; Skin flushing; Bradycardia (occasional)
  5. ASPRIN
    Ind
    Contra
    300mg chewable/dispersable tablet

    Ind:
    To minimise platlet aggregation and thrombus formation in order to retard the progression of coronary artery thrombosis in ACS.

    Contra: Hypersensitivity; Actively bleeding peptic ulcer; Bleeding disorders; Suspected dissecting AA; Chest pain a/w psychostimulant OD if BP>160.
  6. ASPRIN
    Prec
    S.E.
    Prec: Peptic ulcer; Asthma; Pts on anti-coagulant medication eg. Warfrin

    S.E: Heartburn, nausea, GI bleeding; Increased bleeding time; Hypersensitivity reactions.
  7. METOCLOPRAMIDE
    Ind
    Contra
    10mg in 2ml

    Ind:
    N+V a/w : Cardiac chest pain/discomfort; Opiod administration for pain; Radiotherapy or cytotoxic therapy; Previously diagnosed migrane; Sever gastrointeritis; Rx or proph of awake spinaly imobilised Pt; Eye trauma.

    Contra: Children; GI haemhorage; Suspected bowel obtruction or perferation.
  8. METACLOPRAMIDE
    Prec
    S.E.
    Prec: Adolecents (<20); Undiagnosed abdominal pain; Administer slowly.

    S.E: Drowsiness; Lethargy; Dry mouth; Muscle tremor; EP reactions (ususally of the dystonic type)
  9. ATROVENT (ipratropium brominde)
    Ind
    Contra
    250mcg in 1 ml

    Ind:
    Severe respiratory distress a/w bronchospasm.

    Contra: known hypersensitivity to Atropine or derivitives
  10. ATROVENT (ipratropium bromide)
    Prec
    S.E.
    Prec: Glaucoma; Avoid contact with eyes.

    S.E: Headache, Nausea; Dry mouth; Skin rash; Tachycardia (rare); Palpitations (rare); Acute angle closure glaucoma secondary to dir contact with eyes (rare).
  11. NALOXONE
    Ind
    Contra
    Prec
    S.E.
    400mcg in 1ml or 2mg in 5ml (pre-prep)

    • Ind: Altered concious state and resp depression secondary to administration of narcotics or related drugs.
    • Contra: Nil in above indication.
    • Prec: Possibly combative Pt (esp if Pt is physically dependant on narcotics); Neonates.
    • S.E: Symptoms of narcotic withdrawl: sweating; goose flesh; tremor; N+V; dilated pupils; aggitation: convulsions.
  12. MIDAZOLAM
    Ind
    Contra
    5mg in 1ml or 15mg in 3ml

    Ind:
    Continuous/recurrent siezures; Sedation in an agitated Pt; sedation in a psychostimulant OD; Convulsions a/w lignocaine toxicity; RSI; Sedation to facillitate intubation; Sedation to maintain intubation; Sedation to enable sychronised cardioversion.

    Contra: Known hypersensitivity to Benzodiazapines
  13. MIDAZOLAM
    Prec
    S.E.
    Prec: Reduced dose for: Elderly, Chronic renal failure, Congestive cardiac failure, or Shock; CNS depressant effects may be enhanced by narcotics or other tranquilizers (including alchohol); May cause resp depression in Pts with COPD; Pts with myasthesia gravis.

    S.E: Hypotension; Depressed level of conciousness; Resp depression; Loss of airway control.
  14. STEMATIL
    Ind
    Contra
    12.5mg in 1ml IM only

    Ind: Rx or Proph of N+V - Motion sickness; Aero-medical evac; Vertigo; Allergy/contra to Maxalon; Headache (irrespective of N+V)

    Contra: Children; CNS depression: Circulatory collapse; previous hypersensitivity.
  15. STEMATIL
    Prec
    S.E.
    Prec: Epilepsy; Hypotension; Pts affected by alcohol or on anti-depresants.

    S.E: Drowsiness; Blurred vision; Hypotension; Sinus tachycardia; Skin rash; EP reactions (usually of the dystonic type)
  16. SALBUTAMOL
    Ind
    Contra
    Prec
    S.E.
    5mg in 5ml; 5mg in 2.5ml; 500mcg in 1ml

    • Ind: Resp distress w suspected bronchospasm a/w - Asthma; Pulmonary oedema; COPD; Severe allergic reaction; Smoke inhalation; oleoresin Capsicum spray.
    • Contra: nil of significance
    • Prec: O2 to be admin btw doses; Lg IV doses may cause metatbolic acidosis
    • S.E: Sinus tachycardia; Muscle tremor (common)
  17. METHOXYFLURANE
    Ind
    Contra
    Prec
    S.E.
    3ml glass bottle

    • Ind: Pre-hospital pain relief
    • Contra: Renal disease/impairment; Concurrent use of tetracycline antibiotics; exceeding max dose (6ml) in 24hrs.
    • Prec: Inhaler held by Pt so as to fall away from face if unconciousness occours; Continually monitor Pt level of conciousness; Pre-eclampsia.
    • S.E: Drowsiness; Decreased BP + bradycardia; Exceeding max dose may cause renal toxicity.
  18. FENANYL
    Ind
    Contra
    100mcg in 2ml; 600mcg in 2ml

    Ind:
    Analgesia (IV/IN); Sedation to - 1. facilitate 2. maintain 3. RS - Intubation.

    Contra:  Known hypersensitivity; Late 2nd stage labour; IV amiodarone; Severe undiagnosed headache (w/out consult).
  19. FENTANYL
    Prec
    S.E.
    Prec: Pt's on MOA's; Elderly Pts; Resp depression; Facial trauma, rhinitis, rhinorea (IN); Impaied hepatic/renal function; Current asthma; Known narcotic addiction; Oral amiodarone.

    S.E: Resp depression; Aponea; Bradycardia; Rigidity of diaphragm and intercostal muscles.
  20. DEXTROSE 10%
    Ind
    Contra
    Prec
    S.E.
    ? 50g in 500ml or 25g in 250ml.

    Ind: Diabetic hypoglycemia (RBG<4) for Pts in an altered conscious state who are unable to self-administer oral glucose.

    • Contra:
    • Prec:            NIL of significance in above presentation
    • S.E: 
  21. GLUCAGON
    Ind
    Contra
    Prec
    S.E.
    1mg in 1ml hypokit.

    Ind:
    Diabetic hypoglycemia  (BGL<4) for Pts in an altered conscious state, unable to self-administer oral glucose

    • Contra: Nil
    • Prec:     Nil

    S.E: N+V (rare)
  22. MORPHINE
    Ind
    Contra
    10mg in 1ml

    Ind:
    Pain relief; Acute left ventricular failure w SOB and full field crackles; Sedation to enable and maintain intubation; RSI.

    Contra: Known hypersensitivity; Late 2nd stage labour.
  23. MORPHINE
    Prec
    S.E.
    Prec: Pts on MOA's; Elderly Pts; Resp depression; Resp tract burns; Hypotension; Current asthma; Known addiction to narcotics; Acute alcoholism.

    S.E: Drowsiness; Resp depression; Hypotension: Bradycardia; Euphoria; Pin point pupils; N+V; addiction.

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