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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
Atropine 600mcg/ml.
Classification: - Anti muscarinic.
Anti cholinergic.
Action: - bronco dilator.
Depressing slivery and bronchial secretion.
Dilating the bronchi.
In habit vagal influences on the heart.
Indication: - Lessening the degree of A V node.
Restoration of cardiac rate and arterial pressure.
Relaxation of tone.
Dosage: - 0.5 mg 1.V pushed at 5 min interval
Side effect: - Nausea.
Vomiting.
Constipation.
Urinary retention.
Nursing Consideration:-Monitor ECG, Bp and HR.
Monitor for side effect as tachycardia.
Contraindicated in asthma, GI disturbance
Prepare antidote (Neustigmine).
10 ml potassium chloride 7.45% (I.V Diluted not less than 500 ml)
Classification: - Electrolyte.
Indication: - Prevent & treat cardiac arrhythmia. (PVC).decrease K or increase K
Side effect: - Hyperkalemia.
Vomiting,
Diarrhea,
Nausea.
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