Oxygen
Presence of or suspicion of hypoxemia
Diazepam (Valium)
Seizures (status epilepticus), To induce sedation prior to painful procedures, Acute Anxiety
Ativan
Seizures (status epilepticus) To induce sedation prior to painful procedures Anxiety
Midazolam (Versed)
Seizures (status epileticus) To induce sedation prior to painful procedures
Succinylcholine (anectine)
To facilitate endotracheal intubation
Epinephrine
Cardiac Arrest: Asystole, VF, Pulseless VT, PEA; Symptomatic Bradycardia; Anaphylaxis; Severe Reactive Airway Disease
Vasopressin
Cardiac Arrest
Lidocaine
VT with a pulse
Alternative (second-line therapy) to Amiodarone in cardiac arrest from VF/Pulseless VT, and patients exhibiting hemodynamically stable, wide complex monomorphic VT
Malignant PVCs
-More than six unifocal PVCs a minute -Multifocal PVCs
-Couple ts
-R-on-T phenomena
Pain control associated with I/O infusion administration
Amiodarone
Life-threatening ventricular and supraventricular dysrhythmias (VF, VT, A-Fib, A-Flutter, SVT, WPW)
Atropine Sulfate
Symptomatic bradycardia Organophosphate/nerve agent poisoning
Adenosine (Adenocard)
SVT refractory to vagal maneuvers including Wolff-Parkinson-White (WPW)
Symptomatic monomorphic wide-complex tachycardia with regular rhythm
Diltiazem (Cardizem)
SVT refractory to Adenosine; Rapid A-fib or A-flutter
Metoprolol (Lopressor, Toprol-XL)
Chest Pain associated with AMI, ACS; Angina pectoris; SVT
Dopamine (Intropin)
Cardiogenic shock hemodynamically significant hypotension (sustolic BP of 70-100 mmHg not resulting from hypovolemia) symptomatic bradicardia
Dobutamine
Short term management of CHF or cardiogenic shock Used to increase cardiac output without increasing rate
Aspirin
Suspected AMI, chest pain, or ACS
Nitroglycerin
Chest pain associated with angina pectoris or AMI Acute pulmonary edema Congestive heart failure
Sodium Bicarbonate
Severe acidosis (refractory to hyperventilation) Tricyclic antidepressant (TCA) overdose Barbiturate overdose Known hyperkalemia
Magneium Sulfate
Eclampsia, Torsades de Pointes, Asthma
Oxytocin (Pitocin)
Postpartum hemorrhage
Albuterol (Proventil, Ventolin)
Brochospasm, patients with reversible obstructive airway disease
Atrovent (Ipratropium Bromide)
Brochospasm, patients with reversible obstructive airway disease
Methylprednisolone (Solu-Medrol)
Severe Asthma, Anaphylaxis, or COPD
50% Dextrose in Water (D50W or D50)
Hypoglycemia
Glucagon (GlucaGen)
Hypoglycemia without IV access. Adjuvant treatment of toxic effects of CCB and beta-blockers
Diphenhydramine (Benedryl)
Anaphylaxis; Moderate to severe allergic reactions; Acute extrapyramidal (dystonic) reactions
Haloperidol
Behavioral emergencies with violent tendencies, including suicide
Naloxone (Narcan)
Opiate overdose; Coma of unknown origin
Furosemide (Lasix)
CHF, Acute pulmonary Edema
Hydroxocobolamin (CyanoKit)
Treatment of known or suspected cyanide poisoning
Calcium Chloride
Calcium channel blocker toxicity / overdose Prophylactically prior to IV calcium channel blockers Acute hyperkalemia Acute hypocalcemia Acute hypermagnesemia
Activated Charcoal
Acute poison ingestion
Morphine Sulfate
Chest Pain Associated with ACS; Pulmonary Edema, CHF, Pain management
Fentanyl Citrate (Sublimaze)
Pain Management
Ketorolac (Toridol)
Acute moderate to severe pain
Acetaminophen
Fever
Ibuprofen
Fever