Dextrose (D50, D25, D10)
Indications:
Altered level of consciousness secondary to hypoglycemia.
Diazepam (Valium)
Indications:
- Status Seizure
- Acute anxiety states
- Analgesia for medical procedures (fracture reduction, cardioversion)
- Delirium tremens
Diphenhydramine hydrochloride (Benadryl)
Indications:
- Symptomatic relief of allergies, allergic reactions, anaphylaxis acute dystonic reactions (phenothiazines).
- Blood administration reactions.
Epinephrine (1:1000, 1:10,000)
Indications:
- Cardiac arrest, asystole, PEA, VF unresponsive to initial defib.
- Severe bronchospasm, asthma,
bronchiolitis.
Anaphylaxis, acute allergic reactions.
Fentanyl citrate (Sublimaze)
Indications for IV:
Analgesic action of short duration
- During the anesthetic periods RSI premedication, induction and maintenance.
- Narcotic analgesic supplement in general or regional anesthesia.
Glucagon
Indications:
- Altered level of consciousness when hypoglycemia is suspected.
- May be used as inotropic agent in beta-blocker overdose.
Hydrocortisone sodium succinate (Cortef, Solu-Cortef)
Indications:
- Asthma
- Anaphylaxis
- Croup
- Adrenal Insufficiency
Hydroxocobalamin (Vitamin B 12)
*cyano-kit
Indications:
Treatment of known or suspected cyanide poisoning.
Ketamine (Ketalar)
Indications:
- Excited delirium
- Pain management
- Procedural sedation
Lorazepam (Ativan)
Indications:
- Initial control of status epilepticus or severe recurrent seizures.
- Severe anxiety.
- Sedation.
Methylprednisolone sodium succinate (Solu-Medrol)
Indications:
- Asthma
- Anaphylaxis
- Croup
- Adrenal Insufficiency
Midazolam (Versed)
Indications:
Status Seizure
Sedation, Anxiolysis prior to:
- Oral or nasal intubation
- Synchronized cardioversion
Naloxone (Narcan)
Indications:
Respiratory Depression Secondary to Opiate overdose.
Complete or partial reversal of CNS and respiratory depression induced by opioids.
Narcotic Agonists
- Morphine, heroin, hydromorphone (Dilaudid), methadone.
- Meperidine (Demerol), Paregoric, Fentanyl (Sublimase).
- Oxycodone (Percodan), codeine, propoxyphene (Darvon).
Narcotic Agonist and Antagonist
- Butorphanol (Stadol).
- Pentazocine
(Talwin).
Nalbuphine (Nubain).
Ondansetron (Zofran)
Indications:
Treatment and prevention of nausea/vomiting.
Pralidoxime chloride (2-PAM, Protopam)
Indications:
As an antidote in the treatment of poisoning by organophosphate pesticides and chemicals.
In the pre-hospital arena, is used when atropine is or has become ineffective in management of organophosphate poisoning.
Tranexamic acid (TXA)
Indications:
Blunt or penetrating trauma less than 3 hours from MOI, with hemodynamic compromise, bleeding.