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EMERGENCY DRUG 2010

No. Name of drugs 1. Adrenaline (epinephrine) Function/action Alpha and beta adrenergic agonists.treatment for signs and symptoms of seasonal rhinitis, hypotensive episodes, shock, to prolong effects of regional anesthetic Aminophylline(trupylline) All the xanthine bronchodilators are indicated for symptomatic relief or prevention of bronchial athma and reversal of bronchospasm associated with copd Amiodarane(cordarone) Class III antiarrhythmics..treatment of life-threatening ventricular arrhythmias not responding to any other drug, use for adults only Atropine Anticholinergic agents. Treatment to decrease secretions, bradycardia, pylorospasm,ureteral colic,relaxing of bladder, emotional lability with head injuries, antidote for cholinergic drugs, pupil dilation Calcium gluconate Chloropheniramine mal. Antihistamines, relief symptoms of seasonal and perennial allergic rhinitis,allergic conjunctivitis, uncomplicated urticaria,angioedema, adjunctive therapy in anaphylactic shock Calcium chloride Dextrose 50% As a bolus for hypoglycaemia by iv. To increase blood sugar level Side effects Arrhythmias,hypertension, Palpitation,angina, Dyspnea,nausea and vomiting, headache, sweating, piloreaction n/responsibilities Monitor vital sign, provide health education,

2.

GI upset, nausea, irritability,tachycardia to seizures,brain damage,

3.

Nausea, vomiting, GI distress, weakness, dizziness,hypotension,

Take the drug with empty stomach with a glass of water, monitor side effects, avoid smoking, Monitor vital sign, monitor cardiac rhythm, maintain safety

4.

Blurred vision, photophobia, increased intraocular pressure, weakness, dizziness, insomnia, mental confusion

Monitor vital sign, monitor for side effects, monitor for safety,

5. 6.

Nausea, arrhythmias, dysuria,urinary hesitancy,skin eruption,itchy

Administer drug when empty stomach,suggest sugarless candies or lozenges to relieve some discomfort

7. 8.

Hyperglycaemia, GI distress

9.

Digoxin

Cardiac glycosides. Treatment for acute congestive heart failure,

Headache, weakness, drowsiness, vision changes,

Monitor glucose level, advice patient to eat and take glucose to prevent hypoglycaemia Monitor apical pulse, monitor pulse rhythm, Page 1

WAN ZULAIKA BT WAN ZAINUN (2008/05)-00104

EMERGENCY DRUG 2010


atrial arrhythmias avoid administer drug with food or antacids Monitor ecg, monitor vital sign,

10.

Dobutamine(dobutrex)

Alpha and beta adrenergic agonists. For congestive heart failure to increase myocardial contractility Benzodiazepine antidote. To treat benzodiazepine overdose, as adjuncts for general anesthesia, to reverse sedation, All the loop diuretics indicated for chf, hpt, edema, renal disease, liver disease, inhibit reabsorption of sodium,leading to sodiumrich diuresis Replacement therapy, treat for allergic, and inflammatory disorder As local anaesthesia, peripheral and symphathetic nerve blocks, topical anesthethic for skin and mucous membranes Narcotic antagonists. Diagnosis of narcotic overdose, reversal of opioid effects Treat for metabolic acidosis, poisoning salicylates,severe diarrhea Calcium channel blockers. Treat essential hypertention

11.

Flumazenil(romazicon)

Arrhythmias, hypertension, palpitation, angina, dyspnea, headache, sweating, piloerection Headache, vomiting, dizziness, vertigo, nausea

12.

Frusemide(lasix)

Alkalosis, hypotension, dizziness, hypocalcaemia,nausea, vomiting, vertigo

Closed monitoring, life support equipment should be readily available. Monitor vitalsign,

13.

Hydrocortisone(cortef)

14.

Lignocaine gel(lidocaine)

Fluid retention, CHF, weight gain, fragile skin, loss of hair, weakness, muscle atrophy Headache, backache, hypotension, pruritus, seizures, locally applied, urinary retention

Monitor for adverse effects

Monitor vital sign, monitor for adverse effects

15.

Naloxone(Narcan)

Tachycardia, bp changes, dysarrthmias, pulmonary edema

16.

Sodium Bicarbonate

Chf, edema, nausea, vomiting, oliguria, renal impairment Dizzy, light headache, fatigue, skin flushing, hypotension, bradycardia, peripheral edema, heart block, Headache, backache, hypotension, pruritus, seizures, locally applied, urinary retention

17.

Verapamil (calan SR)

Maintain open airway and ventilation, monitor vital sign monitor urinr output, monitor for acid-base result Monitor vital sign and patients safety

18.

Lignocaine (lidocaine)

As local anaesthesia, peripheral and symphathetic nerve blocks, topical anesthethic for skin and mucous membranes

Monitor vital sign, monitor for adverse effects

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EMERGENCY DRUG 2010


19. 20.

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