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| ملتقى الطوارئ والإسعافات يهتم في سبل المحافظة على الحياة والعنايه الحرجة |
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| Common drugs used in the emergency Room Lidocaine Lidocaine has 2 uses: It is a local anesthetic when injected subcutaneously (and it can be used for a nerve block). It is also an antidysrhythmic drug when injected IV used to treat cardiac dysrhythmias. Anesthetic preparations come in 2 forms: with and without epinephrine. The epinephrine is added to reduce absorption and prolong the effect Epinephrine Epinephrine is a natural substance produced by the adrenal gland _ adrenaline Epinephrine is used in emergencies to stimulate the heart or to dilate the bronchial tree. Its use is limited by cardiac side effects. It is also mixed with lidocaine to prolong lidocaine’s effect and to control bleeding Furosemide _Lasix Lasix is a diuretic, which is given IV or PO, which causes the patient to produce more urine. This is often given to reduce the fluid overload in patients with congestive heart failure ( CHF) or hypertension Diazepam_Valium Diazepam is a benzodiazepine that is used both as a powerful sedative and as an anticonvulsant for patients with seizures. You will see it used for alcohol withdrawal, cocaine toxicity and status epilepticus (i.e. uncontrolled seizures). Diazepam may produce respiratory depression Haloperidol _Haldol Haldol is a antipsychotic with powerful sedative properties. It is often used for patients who are acting in a psychotic manner. It should not be used to treat alcohol withdrawal or cocaince toxicity In sufficient quantities it will render the patient unconscious Atropine Atropine is used for several purposes, including inducing the heart to beat faster (i.e chronotropy) as well as an antidote for certain organophosphate poisonings. It is sometimes used as a drug for patients with severe asthma. It can also be dripped into the eyes to produce dilation of the pupil (although this is a different formulation). Can also be used to dry up respiratory secretions during procedures Heparin Heparin is an anticoagulant used to prevent blood from clotting. It is used in patients suspected of having a myocardial infarction and to prep the syringe for an arterial-blood-gas for the same reason Phenobarbital Phenobarbital is a barbiturate which is used either as a sedative and/or anticonvulsant medication Pentobarbital Similar to phenobarbital but much faster acting and with a duration of effect. It is used as an anticonvulsant medication and to treat severe alcohol withdrawal. Often used in a continuous drip for patients who continue to seize Methylprednisolone _Solumedrol Solu-medrol is a long acting corticosteroid. It is often used to prevent the recurrence of anaphylaxis after the epinephrine has worn off and for patients with asthma. It has a half-life of around 6 hours Albuterol _Proventil Albuterol is a bronchodilator, used in a nebulizer for asthma patients. Typically a drop (0.5 mg of albuterol is suspended in saline and nebulized with oxygen. Often referred to as “how many nebs the patient got” Ketorolac _Toradol Ketorolac is a powerful NSAID, used for severe headaches, musculo-skeletal pain, kidney stones and inflammation Morphine Sulfate Morphine is a powerful opiate (derived from opium and similar to heroin that is used as a pain killer i.e. analgesic. However, as a side effect it can suppress respirations . Naloxone _Narcan Narcan is the antidote to opioids such as heroin or morphine. It is very rapidly acting and competes with the opioid for the opioid receptor. Be careful when administering this drug, as it may cause withdrawal in opioid tolerant patients Prednisone Prednisone is a corticosteroid that is given for asthma and as an anti-inflammatory. A side effect of prolonged use is Cushing’s syndrome and often you may see tremors Dopamine Dopamine is a mild pressor agent, which is administered IV to produce vasoconstriction and raise a patient’s blood presure Phenytoin _Dilantin Dilantin is an anticonvulsant. As a side effect, when administered too fast, it can induce hypotension Streptokinase Streptokinase is a thrombolytic made by Streptococcus bacteria which dissolves clots, similar to tPA (although through a different mechanism Diltiazem_Cardizem Diltiazem is a calcium channel blocker used to slow the heart down in patients with certain types of tachycardias such as atrial fibrillation Metoprolol Metoprolol is a beta-blocker which is used to slow down the heart and lower blood-pressure. These drugs are not typically used in asthmatics, as they can induce bronchoconstriction Atenolol Atenolol is a beta-blocker similar to metoprolol Adenosine Adenosine (the A of ATP fame) is used as an antidysrhythmic to break certain cardiac dysrhythmias; it is often used in patients with supraventricular tachycardia. The half life of the drug is only a few seconds, and can often induce non-pathologic asystole (flat line on an EKG) for a few seconds Digoxin Digoxin (a derivative of the Foxglove plant) is a cardiac drug used to slow conduction through the heart, especially in cases of atrial-fibrillation. As a side effect it can produce various dysrhythmias including ventricular fibrillation and aystole Pepcid Pepcid is a systemic antacid (H2 blocker) which takes 30-45 minutes to take effect, but lasts for several hours. Similar to ranitidine (Zantac) and cimetidine (Tagamet NS NS stands for Normal Saline, which is 0.9% Sodium Chloride, and is the usual fluid given to a patient who needs fluid due to dehydration. It is approximately isotonic LR LR stands for Lactated Ringers, which is Normal Saline with other electrolytes. Due to the presence of the other electrolytes, there is a limit to how much can be administered within a specific period of time المصدر: ملتقى منسوبي وزارة الصحة السعودية - من قسم: ملتقى الطوارئ والإسعافات |
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| الكلمات الدليلية (Tags) |
| أشهر, المدنية, التي, الطوارئ(, common, drugs, emergency, تستخدم, room, the, غرفة, used |
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| Emergency Drugs | طلال الحربي | ملتقى الكتب الطبية | 5 | 02-12-2011 06:58 PM |
| الأدوية المسموحة خلال الحمل safe drugs in pregnancy | عبدالله الشهري | ملتقى الرعاية الصيدلية | 17 | 03-24-2010 04:50 PM |
| الأعشاب التي تستخدم لعلاج فرط هرمون الغدة الدرقية | النباتي | ملتقى الأمراض | 2 | 05-17-2007 08:37 AM |
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