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Terbutaline / Brethine

Caution with hypertension and ventricular arrhythmias




Hypotension, Bradycardia (relative)

Narcan / Naloxone

In apneic, narcotized patients, apply BVM reuses. Prior to administration of narcan.
Too much Narcan can induce withdrawal, only administer enough to maintain respiratory drive and oxygenate patient

Morphine Sulfate / Morphine

Contraindicated with existing respiratory depression
Caution with COPD, CNS depression, hypotension

Midazolam Hydrochloride / Versed

Use caution with decreased respiratory drive; AMS
Liver Disease / cirrhosis

Methylprednisolone / Solu-Medrol

Caution with GI bleeding, diabetes mellitus

Magnesium Sulfate

None when clinically indicated

Lorazepam / Ativan

Contraindicated with known hypersensitivity to benzodiazepines
Caution in elderly patients, very ill patients or patients with reduced pulmonary reserve as hypoventilation, hypoxia

Levalbuterol / Xopenex

None when clinically indicated

Ipratropium Bromide / Atrovent

None if clinically indicated

Furosemide / Lasix

Relative contraindicated with allergy to sulfa drugs, hypotension with pulmonary edema, and dehydration
Caution with severe renal disease, acute MI

Epinephrine / Adrenalin

Outside of cardiac arrest, administer cautiously in presence of older age, debilitation, hyperthyroidism, hypertension
use with caution in patients with angina, hypertension, CAD
May cause severe hypertension in those taking beta blockers

Dexamethasone / Decadron

Contraindicated with systemic fungal infection

Diphenhydramine / Benadryl

None when clinically indicated

Diazepam / Valium

Contraindication with CNS depression and respiratory depression
Use caution in elderly patients

Bumetanide / Bumex

None when clinically indicated


Contraindicated with heart transplant as there is no parasympathetic connection to the heart due to the vagus nerve deign severed

Albuterol Sulfate / Proventil

Not indicated in cardiac wheeze

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