Emergency trolley

 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 *2.
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 .

The emergency trolley consist of 5 drawers:

 THE FIRST DRWER(MEDICATIONS):
1. Adrenaline 1mg /ml 
2. Atropine 600mcg/ml.
3. Isorbide Dinitrate 10mg/10ml (isoket)
4. nitroglycerine 10 mg/5 ml (nitocine)
5. Lignocaine 1%, without adrenaline.
6. Lignocaine 2%, with adrenaline
7. Dopamine 200 mg/5 ml 
8. Calcium Gluconate 10%
9. Digoxin 0.5/2ml (Lanoxin) 
10. 10 ml potassium chloride 7.45%
11. Aminophillin 250 mg / 10 ml
12. Hydrocortisone 100mg /2 ml 1.V /1.M 
13. proranolol 1 mg / 1 ml (Inderal)
14. Dexamethasone 8 mg / 2 ml (Decadron) 
15. Frusemide 20mg / 2ml (Lasix) I.V /I.M
16. suprel 
17. ****************clopramide 10mg/ 2ml (zantac).
18. sodium bicarbonate I.V push CPR/I.V infusions
19. Tavaggle (or Avial if available)
20. Cordarone 150 m

 Adrenaline 1mg/ml (1:1000).

Classification: - Sympathomimetic drug.
Action: - Increase myocardial contraction.
Vasoconstriction. 
Increase H.R.
Bronchodilator. 
Dosage: - 1 mg 1.V repeated every 5 min.
Side effect: - Cardiac arrhythmias.
Pulmonary edema.
Anginal pain. 
Nursing Consideration: - Monitor B.p, pulse and side effect.
Monitor for 1.V infiltration.

 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).

 Isorbide Dinitrate 10mg/10ml (isoket). I.V infusion 

Classification: - anti anginal drug.
Indication: - Angina pectoris.
Side effect: - headache, dizziness & weakness 
Vomiting, hypotension,
Flushing, pallor.

 nitroglycerine 10 mg/5 ml (nitocine)

Classification: - anti anginal drug
Indication:- acute anginal attack
Side effect: - nausea, vomiting & incontinence 
Flushing, sweating & increased perspiration 
Hypotension.

 Lignocaine 1%, without adrenaline. I.V / I.M

Classification: - Anti arrhythmic.
Indication: - Anti arrhythmic (For arrhythmia heart beat)
Local anesthetics
Side effect: - Dizziness, drowsiness, Fatigue 
Twitching, mouth numbness. 
Slurred speech, vision changes. 

 Lignocaine 2%, with adrenaline. I.V / I.M / S.C

Classification: - Ant arrhythmic drug 
Indication: - For bleeding 
For arrhythmia in heart beat 
Local anesthetics.
Side effect: - dizziness, drowsiness, fatigue 
Twitching, mouth numbness 
Slurred speech, vision changes.

 Isorbide Dinitrate 5 mg (Isordil). Sublingual

Classification: - Anti anginal drug 
Indication: - Angina pectoris.
Side effect: - Headache, dizziness and weakness 
Vomiting, hypotension.

 Calcium Gluconate 10% I.V/ I.M.

Classification: - Electrolyte, Anti Acid. 
Indication: - Treat of hypertension. 
Supply dietary  when decrease Ca or inadequate. 
Side effect: - decrease slow H.R, sever necrosis 
Local irritation.

Nursing consideration: - intake B.p & H.R & ECG. 

Avoid give direct.
Avoid mixing with carbonate or Phosphate.

 Dopamine 200 mg/5 ml I.V Infusion

Classification: - Dopamenergic drug.
Indication: - correction & hemodynamic imbalance. 
Side effect: - surfeiting, tremor, headache &palpitation. 
Nursing consideration: - observe the side effect, vital sing.
Chick dysrhythmia. 
administers medication effect meals.

 Digoxin 0.5/2ml (Lanoxin) I.V/I.M

Classification: - Cardiac glycosides 
Indication: - CHF. 
Atrial Flatter
Atrial Fibrillation.
Atrial tachycardia.
Side effect: - Vomiting, nausea
Nursing consideration: - Monitor C.O.P & Bp
Monitor fluid.

 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.

 Aminophillin 250 mg / 10 ml. I.V Infusion 

Classification: - Xanthenes bronchodilator 
Indication: - Prevention of bronchial asthma and Reversal of bronco spasm associated with
COPD.
Side effect: - Flushing, irritability, nauseas.

 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

 ****************clopramide 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. 
Side effect: Systemic alkalosis.
Hypokalemia.
Gastric rupture. 
Nursing consideration: Monitor arterial blood gases.
Avoid mixture with ca++ in potential solution.

 Niffedipine 10mg ( adalat)

Classification:- calcium channel blockers 
Indication:- Headache and fatigue 
Nausea and hypotension

 Tavaggle (or Avial if available)

Classification: - Non-sroidal anti inflammatory drug.
 Cordarone 150 mg
Classification: - Adrenergic blockers
Indication: - Used as antiarrhthmies.
Adverse effect: - Nausea, vomiting and diarrhea
Anorexia and Flatulence.
 Second drawer:
1. I.V cannula different size (G18, G20, G22).
2. Spinal needle size G20.
3. Triple lumen cavafix cath 30 cms size 7F.
4. Scalp vein I.V set size G21.
5. Needle size (G20, G21, G23).
6. 3 way stopcock.
7. Injectable cannula covers (yellow).
8. Cannula covers (Red).
9. Oxygen connector (with nipple adapter).
10. Disposable razor.
11. Scalpel blades .
12. Transpore tape (1 inch) size 2.5cm.
13. Micropore tape (Scalp vein I.V set size G21.
14. Needle size (G20, G21, G23).
15. I.V cannula dressing (IV300).
16. I.V set IVAC 590 (vented).
17. Suture, silk write code (size: 3.0).
18. Pressure tubes/extension set 15cm. 
19. I.V set IVAC 560 (with filter).
20. Annie pump set.
21. Annie syringe set.
22. Syringe 50cc w/leur lock.
23. Suture, silk write code (size: 2.0).
24. Soluset, Abbott 150/60 (micro).
25. Suture, silk write code (size: 2.0).
26. Suture, silk write code (size: 3.0).