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Emergency trolley: Is one equipped trolley with [the essential medication and tools
that need for emergency and urgent cases.
Goal of emergency trolley is:
1. Saving time. 2. Keep life of patient.
3. Saving effort of medication.
Uses of emergency trolley :
1. Ventricular fibrillation 2. Respiratory paralysis
3. Ventricular tachycardia
Check up the trolley:
AT the beginning of each shift the in charge nurse should check the equipment and
medication if they are prepared for use in critical situation and ensure that drug is in
good statues (check the expiratory date)as this paper & the quantity of each
medication
On the top of emergency trolley:
1. Monitor/defibrillator with patient cable and electrode attached.
2. Defibrillator paddles.
3. ABGs syringe.
4. Ky-gel.
5. Ambu bag-adult W/mask size: 4.5.
6. Ambu bag-pediatric W/mask size: 2.
7. Ambu mask infant size: 0A.
8. Laryngoscope with medium blade attached.
9. Laryngoscope with small blade attached.
10. Stylit for adult and pediatric
11. shuttle forceps .
* Dexamethasone 8 mg / 2 ml (Decadron)
Classification: - Glucorticoids.
Indication: - Relieve comfort.
Give the body a chance to heal from the effect of inflammation.
* proranolol 1 mg / 1 ml (Inderal)
Classification: - Anti hypertension
Indication: - increase Bp.
Anginal pectoris.
Arrhythmia.
Side effect: - Brady cardiac
Congestive heart failure
Cardiac Arrhythmia
Nursing consideration: - monitor B p.
Not to be given in asthma
* Hydrocortisone 100mg /2 ml 1.V /1.M
Classification: - Adrenal corticosteroid
Indication: - inflammation
Blood disorder
Organ transplant rejection.
Side effect: - Depression
Peptic ulcer
Menstrual disorder
* Frusemide 20mg / 2ml (Lasix) I.V /I.M
Classification: - Loop diuretic
Indication: - Hypertension and pulmonary edema
Edema with C H F.
Renal Failure.
Side effect: - Polyuria.
Constipation.
Vomiting and nausea.
Nursing consideration: - Monitor Fluid changes
Monitor body weight
metoclopramide 10mg/ 2ml (clopram).
Indication: Antemetic to prevent nausea and vomiting.
* sodium bicarbonate I.V push CPR/I.V infusions
Classification: - Electrolyte, antacid.
Indication: - ****bolic acidosis.
Sever diarrhea associated with hyper acidity.
Drug intoxicant.
** Second drawer:
1.
2.
3.
4.
5.
6.
7.
4. Drip set
5. Surgical gloves