Emergency Drugs

1. EMERGENCY DRUGS AND WHERE TO
FIND THEM
s

2. EPINEPHRINE (1mg)
Given I/V
Dose for cardiac arrest : 1 mg IV/IO
every 3-5 minutes.
For bradycardia : 1 mg in 500ml
NS/D5W infusion at 2-10
micrograms /minute

3. EPINEPHRINE (1 mg)
1:1000
Given intramuscular

4. ATROPINE
Not used for Asystole anymore.
Used for bradycardia
Not effective for 2nd
degree AV block
-Mobitz Type 2 and 3rd
degree AV block
(CHB)
Dosage : 1 mg every 3-5 minutes
Maximum dose : 3 mg

5. AMIODARONE
For pulsless VT and VF only if
Epinephrine and Vasopressin have
failed.
Dose : 300 mg IV/IO push
Repeat 150 mg IV/IO

6. ADENOSINE
For stable SVT
6 mg IV over 3 seconds , followed by
20 ml saline flush.
Repeat 12 mg and third dose
as 12 mg or 18 mg.
Short Half life.

7. Cardiac Emergency Drugs
• Metalyse 30 mg /6000 units/6ml , 50 mg/10000
units/10ml
• Morphine
• Aspirin
• Clopidogrel
• Ticagrelor (Brilinta) loading 180 mg, then 90 mg
BID
• Verapamil
• GTN Infusion /Spray /tablet
• Lasix

8. Respiratory Emergency Drugs
• Nebulizers : Salbutamol, Atrovent, Combivent
Pulmicort
Hydrocortisone
Magnesium Sulphate : 2 grams/ 8 mmol
Aminophylline : Loading 5 mg /kg bw in 100 ml
D5W over 30 minutes
Maintenance : 500 mg in 500 ml D5W at
0.5mg/kgbw/hour

9. Other Emergency Drugs
• Phenytoin
• Chlorpheniramine
• Midazolam
• Flumazenil 200 microgram every 60 secs max
1 mg
• Naloxone 400 microgram
• Potassium Chloride
• Sodium bicarbonate 1.26 %

10. Other Emergency Drugs
• Phenytoin
• Chlorpheniramine
• Midazolam
• Flumazenil 200 microgram every 60 secs max
1 mg
• Naloxone 400 microgram
• Potassium Chloride
• Sodium bicarbonate 1.26 %