emergency drugs

1. DANGEROUS & EMERGENCY
DRUGS, LASA, COMMON
SIDE EFFECTS &
MANAGEMENT

2. Dangerous drugs

3. • Dangerous drugs are such exercisable
and narcotic drugs whose stocking, sale,
export, import, and production of which are
governed by dangerous drug act.

4. • The drugs, which come under the act, are
opium, morphine, cocaine, heroin and all
preparation containing heroin and Indian
hemp is also included in this act. Chemical
compound with morphine like action
includes also pethidine hydrochloride.

5. • dangerous drug act is concerned with the
the control of narcotic drugs of addiction

6. • Example of Dangerous Drug: Injection
Morphine, Injection Pethedine, Injection
Fortwin, Injection atropine, Tablet and
injection Phenobarbitone, and Injection
Calmpose.

7. Inj morphine
• Indications
– Prolonged relief of severe and intractable pain
• Dosage
– adults 10mg to 100mg alone or in combination,
single or divided dose
• Preparations
– tab 10 mg , 30 mg ; injection form- 1 ampoule
containing 1ml containing 30 mg
• Contraindications
– respiratory distress
• Side effects
– – dependence, nausea ,vomiting

8. Inj Pethidine
• Same as morphine

9. Inj Fortwin
• Generic name
– Pentazocine
• Indications
– chronic/ recurrent moderately severe pain
associated with surgery, trauma, colic,burns,
preanaesthetic medication
• Dosage
– 25 -100mg upto 4 times daily. 30 -60 mg IM
or 30 mg IV repeated 4 hrly or 8 hrly . Max
360 mg/ day

10. Inj Atropine
• Preparations
– 0.6m/ml inj ; 1% eye drop/ointment
• Actions
– CNS
• overall CSN stimulant action.
– CVS
• to cause tachycardia.
– EYE
• to cause pupillary dilatation.
– SMOOTH MUSCLES
• to cause relaxation.
– GLANDS
• markedly decreases sweat, salivary
,tracheobronchial and lacrymal secretions

11. Luminol
• Phenobarbitone
• Depresses CNS
• Therapeutic effect :Sedative : 15 – 30 mg
• Preparation: 30mg tab, 60 mg tab
– inj 200mg /ml

12. Calmpose
• Diazepam
• indications: anxiety, seizures, sedative for
surgical procedures
• Dosage : 5- 30 mg daily in divided doses
• Preparations :5 mg tab,, 10 mg
– Inj 5mg/ml

13. EMERGENCY DRUGS
• Emergency drugs are those drugs that required to be administered
to save the life of the patient.
It includes:
• cardiac drugs
• anaphylactic drugs
• anaesthetic drugs

14. CARDIAC DRUGS
• CARDIAC GLYCOSIDES viz. digoxin
• BETA BLOCKERS viz. metoprolol
• ANTIARRHYTHMICS DRUGS viz. amiodarone
• ANTIHYPERTENSIVE DRUGS viz. labetalol
• DIURETICS viz. frusemide
• ANTIANGINAL DRUGS viz. nitroglycerine
• VASOPRESSORS viz. dopamine ,dobutamine,
noradrenaline , vasopressin

15. ANAPHYLACTIC DRUGS
• ADRENALINE
• HYDROCORTISONE
• PHENARGAN
• DOPAMINE
• DERIPHYLLINE

16. EMERGENCY TRAY
Tray containing :
• Inj adrenaline (1:1000) :3
• Inj Hydrocortisone :3
• Ringer lactate / normal saline:2
• 5% dextrose:2
• IV drip set: 2
• IV cannula:2
• Disposable syringes – 5ml with 24 /25 G IM
needle: 3 sets
• Elastoplaster

18. Adverse drug reactions
• Are the undesirable reactions when a drug
is given
• To reduce ADR
– Route of administration
– Dose
– Patient
– Time
– Drug

31. Remember the 5 Rs when
prescribing and administering
• Can you remember what they are?
• right drug
• right dose
• right route
• right time
• right patient

32. • recommended dose of adrenaline in
anaphylaxis is 0.3 - 0.5 mg IM

33. THANK YOU