Clinicalreport preparing for pediatric emergencies. Disposition admit to icu in hospital care for nstemi. Icu topics icu guidebook icu topics online icu guidebook k shock algorithm septic shock cardiogenic shock. Icu 4 will open as a full icu to accommodate other icu patients. Online icu manual the target audience for this online manual is the resident trainees at boston medical center. Listed below is a guide listing at least eight common types of medications an icu nurse needs to know about. Ppt emergency drugs powerpoint presentation free to. Policy for the administration of medicines mmp003 v3. Critical care doctors work under severe, extreme pressure, giving orders, ordering tests and reading lab reports.
Obtain the old crash cart pharmaceutical icuward crash cart check list form from crash cart notebook in the cabinet in central pharmacy. During angina, inadequate amounts of oxygen and blood reach the heart. Due to the specialized nature of the picu environment and patient population some of the drugs, indications, doses and monitoring requirements may be different in individual situations. This happens because the brain has been injured and is not working normally. A reliable system of equipment checks and replacement must be in place to ensure that equipment and drugs are always available for use in a cardiac arrest. In that context, there is an increasing interest in maintaining light sedation, the use of nongammaaminobutyric acid agonist agents and antipsychotics recent findings the sedative drugs currently available. In the intensive care unit icu or emergency department ed, clinicians must be familiar.
Drug guideline icu drug calculations nsw agency for. The use of bolusdose vasopressors in the emergency department while bolusdose vasopressors are commonly used in critical care medicine and anesthesiology to treat patients with hypoperfusion, its application in emergency medicine is. Patients may encounter a variety of infections which may be caused by pathogenic microorganisms. Critical care intravenous drug administration guide. Adrenaline atropine xylocard calcium gluconate sodabicarbonate other emergency drugs are. Data from an older study more than 10 years ago showed that preventable and potential ades in the icu were more common than in general care units. Lisabetta divita is a physician whose love for writing flourished while she was exposed to all facets of the medical field during her training. A range of different strengths of fluids are stocked on critical care. Designed by the father of one of the doctors at the bethany medical center in kansas city, the first. Do not use any information presented here until the entire site has been checked, whereupon this message will be removed. All drugs administered during an emergency under the direction of a medical officerauthorised nurse practitioner are to be documented during the event.
Work by inhibiting sodium reabsorption in the distal renal tubules. When can ketamine be used for icu analgesia and sedation. Majority of icu patients will require insulin using this protocol. When possible, dosage recommendations are consistent with those used in current emergency references such as the advanced pediatric life support and pediatric. This guideline outlines the formulas to be used for drug calculations. Icu 5 will be the designated floor for cohorting these patients. New society of critical care medicine guidelines from 1 20. These medications may sometimes be routine prescription medications needed for general care of the patient, but often, the drugs are also given in emergency or lifethreatening situations. A hypertensive emergency is a sudden spike in blood pressure to 180120 or higher, and is a medical emergency. The frequency of checks should be determined locally. Icu meds flashcards flashcard machine create, study.
Icu meds flashcards flashcard machine create, study and. Emergency crash cart content checklist health hearty. Pressors b1 myocardium increases contractility b1 sa node chronotropic b2 arterioles vasodilation b2 lungs bronchodilation a peripheral vasoconstriction 4. Psapvii critical and urgent care 9 obstetric emergencies in the icu cross into breast milk and may cause considerable sedation in newborns, especially those born prematurely. Fentanyl may be a better choice of opioid because oral absorption is low, but highdose infusions could still cause respiratory depression in the newborn. Commonly dosed as po in step down setting and intermittent ivp in icu settings. However, an icu or intensive care unit nurse who has been out of circulation for a while, will definitely need to find out the answer to these questions. In this video i have given the few emergency drugs list used in emergency in er,icu and other areas of the hospital. American academy of emergency medicine resident and student association. In the hospital setting, emergencies typically occur in emergency departments eds and intensive care units icus.
It could lead to organ damage or be lifethreatening. Common emergency drugs used in india casualty ward medicines. Ketamine should not be used in patients who are at risk of raised intracranial pressure e. American academy of emergency medicine resident and student association 50 drugs every emergency physician should know thanks for using this guide. Specific drugs used crash cart drugs directed by acls guidelines last updated 2000 may differ for adults and pediatrics location of drugs and supplies in the cart staff can quickly find what is needed education of staff on a continual basis 3. It should be begun as early as possible after the onset of cardiac arrest and continued with as. Emergency drug charts for icu by shashikiran umakanth published june 16, 2018 updated july 15, 2018 it is critical to have no doubts and confusions about the essential emergency drugs in intensive care units icu. Turn off vaporizer, flush circuit, administer drug reversal agents, 0.
Emergency drug charts for icu mediscuss pdf ready for. The same investigators used a similar study design in a followup. The following powerpage lists commonly used drugs in veterinary medicine with their classification and important information related to the drugs. Commonly used drugs the board exam places a big emphasis on pharmacology. Emergency drug calculator colorado state university. Uses pressors sedatives analgesics paralytic agent 3. However, one must know the emergency drugs used in emergency to treat and stabilize the patient as early as possible. Here is a checklist that should be followed for every icu patient. Jul 11, 2010 in the hospital setting, emergencies typically occur in emergency departments eds and intensive care units icus. Recent findings the sedative drugs currently available have limitations relating to duration of action, cost or variability in response. To treat allergy and hypersensitivity following drugs are commonly used in emergency department of a hospital. American academy of emergency medicine resident and.
The prescriber is responsible for the verification of indications and dosages listed in the manufacturers package insert for the individual drugs, from which most information for this dosing guide is obtained. Others are very restless, irritable, and aggressive. The choice of drugs and devices kept in an emergency medical kit usually depends on individual circumstances, professional experience, and personal experience. Emergency emergency drugs emergency medicine rrb youtube. The main side effects of these drugs are respiratory depression, hypotension, nausea, vomiting, and constipation. Betablockers for arrhythmias and thyrotoxic crisis when used by.
From the initial management to making the quick diagnosis, everything is done carefully to achieve the best outcomes. In emergency situations, a uvc inserted only to the point where blood can be aspirated at least 24 cm. While this book is intended to reflect both the best evidence and the practice in the picu at our institution at the time of writing new information may become available. Icu sedation 2009 2 about this document the purpose of this document is to provide intensive care settings with recommendations and tools for the development and implementation of an evidencebased standard for safe and effective management of pain, sedation, and delirium in adult intensive care unit icu ventilated patients.
First line drugs for the treatment of hypertension. If you continue browsing the site, you agree to the use of cookies on this website. Teiken, md, surgical and combined intensive care units gary e. Drug med order comment loading dose infusion dose indications mg ml or mcgml 7 ephedrine give 5 mg iv by slow injection. It is not intended to be a comprehensive list of all medications that may be used in all emergencies. This is written with a busy, fatigued resident in mind. Topic summary 12 page handout summary of the topic. Hypertensive emergency initially reduce map by 25% over 1 hour reduce dbp by 1015% or to 110. This medication has a very short life, normally about 10 seconds. Kits should be checked every 3 months for outdated medications. Moh pocket manual in emergency cardiac emergency of 50 to 70 unitskg up to a maximum of 5000 units.
The critical medication list a list of medicines that must be given. E mergency drugs and medicine requires the finest skills to handle the patient and save his life. The kits can be homemade or purchased as a set through a company. Emergency drugs picu chart university of iowa stead. Please note that this is not meant to represent every drug an ep should know.
American academy of emergency medicine resident and student. The use of bolusdose vasopressors in the emergency. Ketamine may be a safe and effective option in select icu patients evidence level b1. The national library of medicine says that nitroglycerin relaxes the smooth muscle. Mar 09, 2014 to treat allergy and hypersensitivity following drugs are commonly used in emergency department of a hospital. But many also take place in progressive care units or general nursing units. The discipline of critical care pharmacy practice evolved. Many patients with brain injuries will appear to be asleep. Close monitoring in an intensive care unit is highly. Finally, medtouch brasil launches the english version of a bestseller, smart medic software. Online icu manual boston university medical campus. It is recommended that equipment and drugs are presented in a clear and logical manner to enable easier use during an emergency. Both should be followed by an iv drip of 12 unitskg per hour goal aptt time of 1. Death of heart tissues may occur if this is prolonged enough, which then becomes a heart attack.
May 15, 2017 however, an icu or intensive care unit nurse who has been out of circulation for a while, will definitely need to find out the answer to these questions. And when they do, they can cause marked anxiety for nursesespecially those unfamiliar or inexperienced with the drugs used in these emergencies. Emergency drugs emergency drug guidelines 7 1 cardiovascular emergencies 1. The use of bolusdose vasopressors in the emergency department while bolusdose vasopressors are commonly used in critical care medicine and anesthesiology to treat patients with hypoperfusion, its application in emergency medicine is minimal with little penetration into daily care.
Nitroglycerin is a medication used to treat sudden onset of chest pain, also known as angina. This chapter discusses safe drug use in both icu and emergency depart ment ed patients. Often families become anxious or embarrassed by this. While this book is intended to reflect both the best. Mar 16, 2017 finally, medtouch brasil launches the english version of a bestseller, smart medic software. This healthhearty writeup provides an emergency crash cart content checklist. The main uses of the emergency medicine are given in the video with the help. An emergency crash cart is a wheeled chest of drawers that stores lifesaving equipment, drugs, or anything that will be required in the event of a medical emergency. Emergency drug guidelines world health organization. Icu pharmacology ubc critical care medicine, vancouver bc. Chlorothiazide most commonly used in the acute care setting.
Intraosseous access can be used as an alternative route. Apr 01, 2019 in this video i have given the few emergency drugs list used in emergency in er, icu and other areas of the hospital. Proceed with early intubation if signs that respiratory distress is progressing. Jan 29, 2015 drugs in intensive care unit slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Pocket reference for icu staff critical care medicine services 2000 2nd edition tripler army medical center honolulu, hi prepared by. Alternative drugs may be preferable for managing some emergencies. The goal is to facilitate learning of critical care medicine. Her writings are currently featured in prominent medical magazines and various online publications. Drugs that are used to provide pain relief subdivided into two groups. When treating a htn emergency, always consider invasive bp monitoring for more accurate vital signs. Remember if a patient is unconscious or is in very critical condition then physicians do not prefer tablets but they prescribe injectable. This is simply a quick guide to many of the common and life saving drugs that we use every day. Emergency drugs in general practice pdf 59kb racgp. The life of millions of patients admitted to an emergency room setting or critical care unit is dependent upon the skill set and knowledge of the attending icu or intensive care unit nurse.