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Medicamente SMURD

Medicament

Subst act.

Forma

Cantitate
(R-A)

Clasa

Indicatii

R adverse imediate

Dilutie

Adrenalina

Adrenalina

F 1mg/1ml

30+20

Adrenergice

Stop CR

Anxietate, palpit,
aritmii, paloare,
ameteli, tremor,
cefalee, tulb. Trof.
s.c.

1mg 3-5
1/1000;
0,3-0,5 mg
1/10000
Aerosoli

Soc Anafilactic
Astm copii

Adenozin

Adenozin

10mg/2ml

Bradicardie (+hTA)
TPSV

2stupe
+2

Dispnee
Durere Toracic
Asistolie

2-10mcg/min
6mg bolus IV. Dac
rspuns
necorespunztor nc
12mg bolus IV. Dac
rspuns
necorespunztor nc
12 mg bolus IV.
Diluie i titrare n 10
ml ser fiziologic.
(citete protocol
tahiaritmii)

Acupan

Acupan

20mg/2ml

1+2

Analgezic

Tratamentul
simptomatic al
afeciunilor
dureroase de
scurt durat

Grea cu sau fr
vrsturi;
Tahicaride;
Palpitaii;
Reacii de tip
atropinic:
uscciunea gurii
etc;
Vertij;
Retenie acut de
urin.

Administrare I.M:
Acupan se
administreaz
intramuscular
profund. Doza
uzual
recomandat este de
20 mg/injecie.
Dac este necesar,
tratamentul se poate
repeta la fiecare 6
ore, fr
a se depi doza
total de 120 mg/24

ore.
Administrare
intravenoas:
Acupan se
administreaz n
perfuzie i.v.
lent, de peste 15
minute,
pacientul fiind
aezat n decubit
dorsal, pentru a se
evita apariia
efectelor nedorite
(grea, vertij,
transpiraie). Doza
unic uzual
recomandat este de
20 mg/injecie,
repetat, dac este
necesar, la
fiecare 4 ore, fr a
se depi doza total
de 120 mg/24 ore.
Algifen

Metamizol sodic
Pitofenon
Fenpripamid

2.5g
10mg
0.1mg

2+2

Anticholinergic
e sintetice n
combinaii cu
analgezice

Algifen
este indicat
n tratamentul
simptomatic al
sindroamelor algice
intense
nsoite de spasme
ale musculaturii
netede: (colic
renal, colic
biliar, pancreatit
cronic, cistalgii,
colite, dismenoree).

Anafilaxie

Dozat in 20 ml.

1+1

Hemostatice

Hemoragii capilare,
epistaxis

F dureroasa la inj
i.m. (supradozare

i.m., i.v., tamponam

n 5ml

Adrenostazin

Carbazocroma

F1,5mg/5ml

Algocalmin

Metamizol

F1g/2ml
Cpr 500mg

2+2
10+10

Antialgice

Cordarone/
Sedacoron

Amiodarona

F150mg/3ml

4+2

Antiaritmice

IMA, FiV la cardiaci)


Durere, febra, colici Alergie,
agranulocitoza,
iritarea venei si
hipo i.v.
SCR dupa soc 3 si 5 Fotosensib, tremor,
ataxie, ameteli,
bradi, tiroidita
Tahiaritmii

Diluat in 20 Ser Fizio

300mg dupa S3 shi


150mg dupa S5 in 20
mlG5%
300mg in 20 ml G5%
900mg in 24h

Anexate

Flumazenil

F0,5mg/5ml

1+1

Antidot

Aspirina

Aspirina

Cpr 500mg

10+10

Antiagregant/AI
NS

Ca gluconic

Ca gluconic 10%

1g/10ml
(aprox)
94mg/ml

2+2

Electoliti

Captopril

Captopril

Cpr 25mg

10+10

IECA

Clorfeniramin

Clorfeniramin

Cpr 4mg

10+10

Anti H1

Desitin

Diazepam

Amp 5/10mg

2+2

Benzodiazepine

Diazepam

Diazepam

F10mg/2ml
Cpr 10mg

4+6
10+10

Benzodiazepine

Dupa SCR,
Tahiaritmii
Intox cu
benzodiazepine(BD)
, iesirea din
anestezie
mentinuta cu BD,
encefalopatie
hepatoportala
Angor, IMA, AVC
isch ac
Tetanie calcipriva
Intox cu Bloc Ca,
hipocalcemie,
hiperpotasemie
HTA creteri
moderate
Alergii, post-soc
anafilactic
epilepsie si alte
convulsii
Psihoze, nevroze,
Convulsii, Inductia

Greata, varsaturi
dupa anestezie,
anxietate palpitatii
la bolus rapid

i.v. lent nedil 0,2 mg


cu repetarea dozei la
nevoie, max. 2mg

Hemoragie, UGD,
Alergie
Tulburri de ritm

cpr mestecat

Hipotensiune,
edem
angioneurotic,
Sedare, ameteli,
tinitus,
Sedare, amnezie,
slabiciune musc,
cefalee
Sedare, amnezie,
confuzie, slabiciune

1 cpr sublingual

i.v. nediluat lent

1 cpr p.o.
1 amp intrarectal

i.v. 1f in 10 ml ser
i.m. nediluat

IOT, meninerea
sedrii,
Insuf. Cardiaca
asociat cu FiA,
Flutter A,
Soc cardiogen

musc, cefalee,

1 cpr p.o.

greturi, varsat,
extrasistole,
bradicardie,
Tahicardie, Aritmii,

i.v. 025 mg
1f in 5 ml ser => 0,1
mg/ml
i.v.pe SA
0,5-10 (5-20)mcg/kg/
min

Digoxin

Digoxin

F0,5mg/2ml

2+2

Digitalice

Dobutamina

Dobutamina

F250mg/50ml

0+1

Dopaminergice

Dopamina

Dopamina

F50mg/10ml

5+5

Dopaminergice

oc de diferite
etiologi

Tahicardie, Aritmii,
Durere anginoasa,
Tremor, HTA,
Necroza ischemica

i.v diluat in G5% sau


ser; 2-5 mcg/kg/
min doza
dopaminergica, 5-10
inotropa, >10
vasoconstrictoare

Dormicum

Midazolam

F5mg/5ml

5+5

Benzodiazepine

Psihoze, nevroze,
Convulsii, Inductia
IOT, meninerea
anesteziei

Sedare, amnezie,
confuzie, slabiciune
musc, cefalee,
depresie
respiratory.

i.v. nediluat; i.m. 0.150.3 mg/kg

1mg/ml

Efedrina

Efedrina

F50mg/1ml

1+1

simpatomimetic

Hipotensiune
anestezie, hTa

Nervozitate, insomie,
slabiciune musculara
, tremor, palpitatii,
sudoratie, cefalee,
cresterea presiunii
arteriale, greata

i.v. 1f in 5 ml ser

Enap

Enalapril

F1,25mg/2ml
Cpr 5mg

2+2
10+10

IECA

HTA

i.v. 1f in 5 ml In ser =>


0,25mg/ml; p.o.

Etomidat

Etomidat

F20mg/10ml
2mg/ml

3+3

Anestezic

Inductia anesteziei

Fenobarbital

Fenobarbital

F200mg/2ml

1+2

Barbituric

Fitomenadiona

Vit K

F10mg/1ml

1+2

Vitamina

Epilepsie,
eclampsie,
convulsii febrile,
toxice
Supradozare
anticoagulant oral,
diateza
hemoragica,

Hipotensiune,
edem
angioneurotic
Mioclonie,
convulsii, insuf
CSR(dupa 3-6 ore)
Somnolent, reactii
alergice, excit nerv
paradoxala
Hematom,
Hemoragie

i.v.(risc de anafilaxie)

i.v. nediluat 0,15-0,30


mg/kgc
i.m. nediluat

n perfuzie

purpura

Cefort/Fortum

Ceftriaxona

Fl 1g

1+2

Cefalosporina

Furosemid

Furosemid

F20mg/2ml

6+10

Diuretic ansa

Glucoza 33%

Glucoza

F3,3g/10ml

3+4

Glucoza

Haldol

Haloperodol

F5mg/1ml

1+2

Antipsihotic,
antiemetic

Haloperidol

Haloperidol

Fl 20mg/10ml
2m/ml
0,2%

1+2

Antipsihotic,
antivomitiv

Heparina

Heparina

Fl 25000
UI/5ml
5000UI/ml

1+2

Anticoagulant

HHC

HHC

F25mg/1ml /
Fl 100mg/2ml

300mg
+

glucocorticoid

20-40mg/zi repetat la
24 de ore.

Inf respiratorii,
urinare, meningite
(G-)
EPA, insuficien
renal, IVS acut,
crize HTA, edem
cerebral,
Hipoglicemii, coma
hipoglicemica,
intox. etanolica ,
delirum tremens
Tulb psihice cu
agitatie,
agresivitate, manie,
haluinatii;
schizofrenie,
psihonevroze,
sughit rebel,
greata, varsaturi
La fel ca mai sus

Alergie

Greturi, varsaturi,

Cazuri mai putin grave


1-5 mg/zi.
i.m. sau i.v.lent 2-4
min dil 1g/10ml ser
i.v. 20-400mg nediluat

Nediluat i.v. sau p.o.

hTA, tahicardie,

i.v. diluat 1f in 5 ml
ser/ i.m. nedil.

La fel ca mai sus

p.o. picaturi fie direct,


fie dizolvate in apa

Tromboflebite,
tromboze, IMA,API
tembolii, pastrarea
permeabilitatii
cateterelor

Hemoragii,
sensibilizare,
trombocitopenie,
hiperkaliemie in
insuf renala,

5000 UI iv bolus si
apoi 1200-1600 UI/ora

Anafilaxie, soc
anafilactic, edem

retentive Na,
hipokaliemie,

(60 U.I./Kg bolus DAR


NU mai mult de 5000
U.I. apoi 16 U.I./Kg/h
dar nu mai mult de
1200-1600 U.I)
i.v./i.m. 100-500mg
lent

500mg

Actrapid

Insulina a.r.

Fl
1000UI/10ml
(SAU
500U.I/5ml)
100UI/ml

1+1fr

Antidiabetic

quince, astm br,


stare de rau
astmatc, acutizare
a BPOC, edem
pulmonar toxic,
criza addisoniana
Hiperglicemii,
Hiperpotasemie
(tamponata cu
glucoza)

hiperglicemie

UGD,
gastrita(admin
antisecretor),
anafilaxie,

Ketonal

Ketoprofen

100mg/2ml

2+2

AINS

Ketorol

Ketorolac

30mg/1ml

2+2

AINS

tendinita,
sinovita, artrite,
spondilita, guta,
radiculalgii , durere
neoplazica sau
posttraumatica
Durere acuta

Lystenon

Succinilcolina

100mg/5ml

2+2

Curarizant,
depolarizant

Inductia IOT,
anestezii

Fl
1+1
250mg/500mg

Glucocorticoid

Metoclopramid Metoclopramida

F10mg/2ml

2+2

Prokinetic/
Antiemetic

edem cerebral
peritumoral, criza
addisoniana, status
astmaticus
Varsaturi, greturi,
reflux GE, sughit,
migrena

Betaloc

F5mg/5ml

2+2

Beta Blocant

20mg/ml

Solu-medrol

Metilprednisolon

Metoprolol

Tahicardie SV, FiA,

hipoglicemie

Hiperglicemii 0.1
U.I./Kg
Hiper K+ 10U.I.
tamponat cu 25g
glucoz
1 f diluata in 20 ml ser
fiziologic, iv/ i.m
nediluat

UGD,
gastrita(admin
antisecretor),
anafilaxie,
Aritmii, Tahicardie,
HTA, durere
hiperpotasemie,
hipertermie
maligna, apnee
prelungita, creste
presiunea
intraoclara
Alcaloza,
hipokaliemie,
hiperglicemie

i.m 15-30mg/ i.v.


diluat in 20 ml ser fiz

Sindrom
extrapiramidal,
dismenoree,
somnolent, agitatie
Bradicardie, bloc,

Im/iv diluat in 10-20


ml sau PEV

1.5 mg/kg pentru IOT


inducie rapid

30mg/Kg iv in 30 min

1-5 mg iv nediluat

HTA, FlA
Miofilin

Aminofilina

F240mg/10ml
24mg/ml

2+2

Antiastmatice/
metilxantine

Astm Bronsic
Bronsita Astmatica
bradicardie

vasospasm,
instabilizarea IC
Thaicardie,
anxietate, palpitatii

5mg/kg n 30 minute
nediluata iv lent
0.5mg/kg/ore

Miostin

Neostigmina

F0,5mg/1ml

1+1

Decurarizant,
anticolinesterazi
c reversibil

Nitromint

Nitroglicerina

Fl 0,4mg x 180
puf (10g)

1+1

Nitrovasodilatat.

No-Spa

Drotaverina

F 40mg/2ml

2+2

Antispastic musc

Colici biliare,
urinare, GI,migrene

Noradrenalina

Noradrenalina

F16mg/8ml

0+1

Adrenergice

Hipotensiune
severa, soc de
diferite etiologi

2mg/ml

Atonia intestinala,
miastenie,
gastropareza
postop,
anticurarizant
Angor,HTA , IMA,
IVS ac

Novocalimn

Algocalmin

Supoz 300mg

0+2 fr

Antipiretic

Durere uoar i
medie, colici, febra

Nurofen

Ibuprofen

Supoz 125mg

0+2 fr

AINS

Durere, febra,
IACRS,

Paracetamol

Acetaminofen
Propofol

0+2 fr
10+10
1+3 fr

Antipiretic,
Antialgic

Propofol

Supoz 125mg
Cpr 500mg
F200mg/20ml
10mg/ml

Durere, febra,
IACRS,
Inducia rapid IOT,
Sedare procedural
Pt anestezie
generala, sedare pt
ventilatie
mecanica,

Arnetin/Zantac

Ranitidina

F50mg/2ml

2+2

Anti H2

Anestezice

UGD, Gastrite,

Greturi, pirozis,
poliurie/polakiurie,
diaree, colici abd,
dispnee, crampe
Hipotensiune ,
sincopa, lipotimie,
migrena, toleranta
Ameteala, greata,
cefalee, palpitatii,
hipotensiune
Cefalee, tremor,
dipsnee, durere
retrosternala,
paloare, tahicardie
Leucopenia,
trombocitopenie,
anafilaxie, IRA
Discomfort gastric,
eruptii, prurit, criza
astmatica
Reacii alergice
Bronhospasm,
apnee tranzitorie,
eritem,
bradicardie, hTA

Hipersensibilitate,

Im, iv, sc 50-70


micrograme/kg
(maximum 5mg cu
atropina 1020micrograme/kg)
Cate un puf la 5 min,
max 3/criza
i.v. lent 1f in 20ml ser
sau PEV
Dizolvat in glucoza,
PEV
1microgram/kg/min
Supoz admin rectal

Supoz admin rectal

Supoz admin
rectal/p.o.
i.v. 1,5-2,5 mg/kg
nediluat

i.v. diluat in 10-20 ml

Ventolin

Salbutamol

B2
adrenomimetic

Fl 0,1mg x
200 puf /
Fl100mg/20ml

1+1

1+3
1+1
2+2

Sol cristaloida

protectie gastrica
in asociere cu AINS,
preventia ulcerului
de stres,
prevenirea
pneumoniei de
aspiratie, pirozis
Astm bronsic,
BPOC

1+1

Ser Fiziologic

NaCl 0,9%

Sulfat de Mg

Sulfat de Mg

Fl 500ml
Fl 100ml
Fl 20g/100ml

Toxogonin

Obidoximclorid

F 250mg/1ml

1+2

Antidot
Oxine
=reactivatoare
de colinesteraze

Mabron

Tramadol

F100mg/2ml

2+2

Antialgice

Durere moderatasevera ac/cr

Tador

Dexketoprofen

50mg/2ml

1+2

AINS

Dureri acute
moderate/severe

Electrolitice

Dilutii, reechilibr.
volemica
Torsada varfurior,
HTA, preeclamsie,
intox cu Digoxin,
criz de astm,
Intoxicatia cu
organofosforice

(+bradicardie la
admin rapida la cei
cu tulb de ritm)

ser fiz / i.m.

Tremor, crampe
musc, agitatie,
cefalee, tahicardie,
palpitatii,
hipokaliemie la
doze mari
Hipervolemie,
hipersodemie
Congestia fetei,
hTA, colaps,
deprimare
respiratorie
Tahicardie, HTA,
cefalee, ameteli,
greata, tulb de
vedere,
hiperventilatie,
parestezii, inj
rapida poate da
laringospasm
Greata, varsaturi,
cefalee, somnolent,
vertij,

Inhalator 1-2 puffuri


sau aerosoli 2/3-2/4
ventolin/SF

i.v., PEV
i.v.
2g (10 ml) in torsada
varfurilor
i.v. lent 1f nediluat (36mg/kg adult, 48mg/kg copil)+atopina
>2,5mg, doza se mai
poate repeat o data la
3h

50-100 mg iv 1 f
diluata in 10ml SF/
i.m. nedil
Doza recomandat
este de 50 mg la
fiecare 8
12 ore. La nevoie,
administrarea se poate
repeta la interval
de 6 ore. Doza total
zilnic nu trebuie s
depeasc 150 mg.

Tracrium

Atracrium

F50mg/5ml

0+2 fr

Curarizante
Antidepolarizant

Relax musc respire,


in IOT

Hieprsensibilitate,
desc de histamina

Diluat n 20mg SF.


0.5mg/kg corp IV
nediluat

Cefalee,
hTA, sincopa, tahic

ntreinere 0.1-0.2
mg/kg
PEV sau SA diluat in SF
sau G5%

Trinitrosan

Nitroglicerina

F 10mg/10ml

3+3

Nitrovasodilatat.

AP, IVS, IMA, EPA,


HTA

ATPA
Vit B1

Vaccin antitetan.
Tiamina

F 1ml
F100mg/2ml

0+3 fr
1+2

Vaccin
Vitamina

Vit B6

Piridoxina

F50mg/2ml

1+2

Vitamina

Vit C

Acid ascorbic

F750/5ml

0+2

Vitamina

Plagi contaminate
Durere
Nevrite, nevralgii,
intox etanolica
Intox etanol,
hipertonie musc,
trmor
methemoglobinemi ameteli, lipotimie

F100mg/10ml

2+5

Anestezice/
antiaritmic

Anestezie locala,
tahiartmii ventric

Fl 38g/50ml
Fl
(7,45g)/100ml

0+1
0+1

anestezice

Clorura de K

Lidocaina 10%
KCl

Perfalgan

Paracetamol

Fl 1g/100ml

1+1

Antipiretic
Antialgic

Plasare sonda NG
Intox cu Digoxin,
hipokaliemie,
eclamsie,
Durere, febra,

Bicarbonat NA

NaHCO3 8,4%

Fl 8,4g/100ml

1+1

Electrolitice

Gelofusine

Succinil-Gelatina

Fl 500ml

0+2

Sol Macromolec

Xilina 1% &10% Lidocaina 1%

Electolitice

Acidoz
metabolic, intox
cu acizi slabi, intox
cu antidepresive
triciclice,
Hipovolemii
(hemoragii, arsuri,
ocl intes), stri de
oc

Paloare, hTA,
nistagmus, tremor,
convulsii, colaps,
greata, varsaturi,
hipoglicemie

10micrograme/minut
1f im nedil
i.m/s.c./i.v./PEV G5%
i.m/s.c./i.v./PEV G5%

1-2 f i.v./i.m.

An:s.c. pana la 3f,


Ar:i.v. 1-1,5 mg/Kg
topic

i.v. diluat

hTA, cresterea
transaminazelor
Alcaloza,
hipernatremie,
hipopotasemie,
hipocalcemie
Anafilactice, febra

PEV
i.v.
HCO3ml= deficit basic
x G x0,2 Frecvena de
administrare: Deficit
de baz /0.5=mEq/h
500-1000ml

Voluven

Hidroxietilamidon

Fl 500ml

1+2

Sol Macromolec

Fentanyl

Fentanyl

F 0,5mg/10ml
0.05mg/ml

2 Stupe

Antialgic

2 Stupe

Hipovolemii
(hemoragii, arsuri,
ocl intes), stri de
oc
Durere medie i
sever, sedare
procedural.

Prurit, cresterea
amilazemiei,
hipersensibilitate,
hemodilutie
Deprimare resp,
greturi, varsaturi,
hipotonie,
bronhospasm

500-1000ml

Antialgic

Durere in trauma,
colici biliare, renale
refractare la
antialgice
neopioide

Greata, varsaturi,
ameteli, tinnitus,
tulb de vedere,
halucinatii,
deprimare respirat

i.v. diluat in 10 ml SF

In traumatologie cu
pacienti socati,
arsuri, anestezie,
crize severe de
astm, status
astmaticus.
Durere puternica in
colici, angiocolita,
IMA, EPA

HTA, tahicardie,
halucinatii,
confuzie, greata,
varsaturi

Inducie:
iv 1-3/kg
im 4-8mg/kg
Antialgic:
0.1-0.5mg/kg IV

Deprimare
respiratorie, hTA
ortostatica,
retentive urinara,
mioclonii,
convuliss, tremor

i.v. dilaut in 10 ml SF

Nedil iv 1 mcg/kg pt
analgezie, 3-5 pt
inductie IOT

Fortral

Pentazocina

F de 10ml sau
5 ml
F30mg/1ml

Calypsol

Ketamina

Fl500mg/10ml

1 Stupe

Anestezic

Mialgin

Petidina

F 100mg/2ml

1 Stupe

Antialgic

Morfina

Morfina

F 20mg/1ml

2 Stupe

Antialgic

Durere intens,
IMA, sindrom
coronarian
Colici, EPA,

deprimare
respiratorie,
creterea presiunii
intracraniene,
disurie, retentie
urinara, hTA,
tahicardie, sedare

1f dil in 20 ml SF titrat
1mg/ml, 5-10 mg la 46 ore

Dexametazona

Dexametazona

F8mg/2ml

1+2

Glucocorticoid

Hiperglicemie,
retentive
hidroelectrolitica

0,5-20 mg i.v. diluat 1


f in 20 ml SF

Plavix

Clopidogrel

Cpr 75mg

1+1

Antiagregant

Alergii, oc
anafilactic, edem
cerebral
peritumoral
IMA, SCA, PCI

Hemoragii,
hematoame,
echimoze, UGD,

p.o. 300mg

Fl100mg/10ml

1+2

Curarizant
Antidepolarizant

Pantoprazol

Fl 40mg

1+2

IPP

Nexium

Esomeprazol

Fl 40mg

1+2

IPP

Manitol

Manitol 20%

Fl 50g/250ml

0+1

Solutie pt
diureza osmotic

Ergometrina

Ergometrina

F0,2mg/1ml

1+2

Alcaloizi din
ergot, ocitocice

Etamsilat

Etamsilat

F250mg/2ml

1+2

Esmeron

Rocuroniu

Controloc

Relax musc ventil


mec, inducia IOT
UGD, ulcer de
stress, BRGE,
sindrom ZE
UGD, ulcer de
stress, BRGE,
sindrom ZE
Edem cerebral,
profilaxia anuriei in
soc, intox cu subst
nefrotoxice, HIC si
spinala
Hemoragii, post
partum, abortum,
atonie uterine,

Hemoragii capilare,
sfera ginecologica,
ciroze/hep cronice,
epistaxis,
hematoame

gastrita
Reactii anafilactice,
HTA, aritmii,
tahicardie,

inductieIOT i.v. 0,6


mg/kg, intretinere 0,10.15 mg/Kg/ora
Pulbere diluata in 1020 ml SF i.v.
Pulbere diluata in 1020 ml SF i.v.

Greturi, cefalee,
ameteli, frison,
febra

250ml PEV (40


pic/min)

Greata, varsaturi,
diaree, durere
pelvina, inj rapida:
HTA, cefalee,
tinnitus, durere
precordiala,
dipsnee, palpitatii
hTA trecatoare,
cefalee, eruptii
cutanate

i.v. dil in 20 ml SF

Urgen:
2-3 fiole continuate cu
cte o fiol la 4-6 ore.
ntreinere o fiol de 2
ori pe zi.
Intervenii
chirurgicale:

Dermazin

Sulfadinazina de
argint

Tub
500mg/50g

0+1

Atropina

Atropina

F 1mg/1ml

6+6

M Colinolitic

Arsuri, escare,
escoriatii

hipersensibilitate

3 fiole nainte cu 1-2


ore de intervenia
chirurgical, 1-2 fiole
n timpul operaiei
topic

Bradicardii, intox

Midriaza, tulb de

Bradi: 0,5 mg x max6

Granisetron

Granisetron

3mg/3 ml
1mg/ml

1+3

Tahyben

Urapidil

25mg/5ml
5mg/ml

2+2

Flumucil

N-Acetilcistein

300mg/3ml
100mg/ml

0+1

NaCl 5.85%

Clexane

Enoxaparin

Antagonist pe
receptorul 5HT3
(serotoninergic)
Antiemetic
Aciune
ndelungat
Antagoniti Alfa
adrenergici Alfa1

Antidot
intoxiacie cu
paracetamol;
Mucolitic;

cu oranofosforice,
colici, spasm piloric

vedere, tahicardie,
confuzie, delir

Antiemetic

Reduce motilitatea
colonului
Cefalee

Urgene HTA
HTA refractar la
tratament

Grea
Ameeli
Cefalee
hipotensiune
Prurit, erupii
cutanate,
wheezing,
tahicardie,
bronhospasm,
hipotensiune

Supradozaj cu
paracetamol
BPOC
Bronite acute

20ml
1mEq/ml

3+3

Electrolii

HipoNa+

4000 U.I.
(40mg)
6000U.I.
(60mg)
1mg=100U.I.

1+1
1+1

Heparin cu
mas molecular
mica folosit n
prevenia
trombembolism
ului venos,
STEMI

Prevenia
trombozei venoase
profunde, STEMI
etc

iv; intox
organofosforice, la
nevoie n funcie de
rezultat.
1mg diluat n 5ml SER,
administrat n mai
mult de 30 secunde.
Maxim 2mg/zi

5mg (1ml) repetnd la


nevoie) monitorizare
TA!
IV: dizolvat n glucoz
5% 150mg/kg n
200ml timp de 15
minute;
Urmat de 50mg/kg n
500ml timp de 4 ore;
Apoi 100mg/kg n
1000 ml timp de 16
ore.
Conform deficitului de
natriu i protocolului
pentru HipoNa+
Risc trombotic
moderat i crescut
40mgSC cu 12 ore
preoperator i se
continua pn la
mobilizare complet a
pacientului
STEMI/NON-STEMI:
30mg I.V. urmat de

1mg/kg la 12 ore S.C.


prima doz fiind
administrate la scurt
timp dup bolusul IV;
Pacieni cu vrsta>75
ani se administreaz
0.75mg/kg la 12 ore
fr bolusul iniial IV.

Fenitoin

Fenitoin

250mg/5ml
50mg/ml

0+5

Anticonvulsivant
Tratamentul
intoxiaciei cu
digital.

Anticonvulsivant

Keppra

Levetiracetam

500mg/5ml
100mg/ml

2+2

Antiepileptic

Crize convulsive
pariale sau
generalizate ( la
pacienii mai mari
de o lun);
Crize micolonice la
pacieni mai mari
de 12 ani cu
epilepsie
mioclonic
juvenil;
Crize primare
generalizate

Hipotensiune.
Tulburri de
conducere AV.
Ataxie.

Pacieni cu afectarea
funciei renale
(clearence-ul
creatininei
<30ml/min) 1mg/kg
/zi fr administrarea
bolusului iniial
Diluie n ser fiziologic
pentru a obine
10mg/ml.
Doza de ncrcare
15mg/kg n decurs de
o or.
Apoi 100mg de 3 ori
pe zi.
1000-3000mg /zi

tonico-clonice la
pacieni cu vrsta
mai mare de 12ani.
Paraecoxib

40mg pulbere

1+1

Terlipresin

1mg pulbere/
5 ml solvent

0+2

Dynastat

Glypresin
Brilique

Ticagrelor

Aerius

Desloratadin

Cpr 90mg

10+10

5mg

10+10

AINS COX 2
selective

Durere moderat.

Ruptur de varice
esofagiene
Antiagregante
plachetare anti
ADP receptor
(reversibil)
Anti H1

STEMI/NON-STEMI

Ulcer gastroduodenal,
hemoragie
digestive,
hTA, acuze
anginoase

IV 40 mg diluat in
20ml SF apoi 20-40 mg
la 6-12 ore (maxim
80mg/zi)
2 mg doza de
ncrcare

Dispnee.
Risc de hemoragie.

180mg doza de
ncrcare (2
comprimate)

Reacii alergice,
1 cpr oral
Anafilaxie
IMA infarct miocardic acut, SCA sindrom coronarian acut, BRGE boala de reflux gastroesofagian, HIC hipertensiune intracraniana, TCC traumatism
craniocerebral, UGD ulcer gastric si duodenal, HTA hipertensiune arterial, hTA hipotensiune arterial, PTI purpura trombotica idiopatica, GI
gastrointestinal, EPA edem pulmonar acut, PCI interventie coronariana percutana, RCUH rectocolita ulcerohemoragica, IMAO inhibitori de
monoaminooxidaza, IOT intubatie orotraheala, FiA fibrilatie atriala, FlA flutter atrial, WPW - sindrom de preexcitatie Wolf Parkinson White, PEV
perfuzabil, IVS insuficienta ventriculara stanga, BPOC bronhopneumopatie obstructive cronica, AP angina pectorala, IC(C) insuficienta cardiaca
(congestiva), CI cardiopatie ischemica, ZE Zollinger Ellison, HBP hiperplazie benigna de prostata

ACTILYSE (ATELPLASE): 2 flacoane n ambulan


-flacon substan liofilizant 50mg;
-flacon solvent 50ml ap distilat;
Tratament:
-fibrinolitic: IMA 6-12h;
-trombolitic: embolie pulomnar masiv cu instabilitate hemodinamic;

IMA:
1. Primele 6 ore:
-pacieni >65kg:
15mg I.V. bolus
50mg n perfuzie n 30 minute;
35mg n perfuzie n 60 minute.
-pacieni<65kg>>
15mg I.V. blus;
0.75mg/kg n perfuzie n 30 minute (maxim 50mg);
0.5mg/kg n perfuzie n 60 minute (maxim 35mg);
2. ntr 6-12 ore:
-pacieni >65kg:
10mg bolus I.V.
50mg n perfuzie timp de 60minute;
10mg/30 minute pn la doza total de 100mg.
-pacieni<65kg:
Doza maxim nu trebuie s depeasc 1.5mg/kg corp;
Embolie pulmonar
-pacient>65 kg:
10mg bolus I.V. n 1-2 minute;
90mg n perfuzie timp de 2ore
-pacieni<65kg:

Doza maxim nu trebuie s depeasc 1.5mg/kg