Identify the most commonly used drugs for each diagnosis in the Emergency Department and discuss the pharmacology for each drug.
Annotated Bibliography
1. Sanders. "Emergency Drug Index." James and Bartlett Learning. Web. 20 Jan. 2016.
This source describes the majority of the drugs used in the Emergency Department. The website lists out the class, description, onset and duration, indications, contraindications, adverse reactions, drug interactions, how it’s supplied, dosage and administration, and special considerations of each drug. This is has an abundance of information on so many different drugs that it will be a great resource. One potential quote I can use in my research is “Succinylcholine has the quickest onset and briefest duration of action of all neuromuscular blocking drugs, making it a drug of choice for procedures such as endotracheal intubation, electroconvulsive shock therapy, and terminating laryngospasm.”This source is credible because it is located on website that is designated to teaching Emergency Medical Technicians. I will use this source to help me create my pharmacology table that I might make a game or brochure out of for my project. It will help me to start learning the abundance of different drugs used in the ER.
2. Dubé, L., & Granry, J. (2003). The therapeutic use of magnesium in anesthesiology, intensive
care and emergency medicine: A review. Can J Anesth/J Can Anesth Canadian Journal of
Anesthesia/Journal Canadien D'anesthésie, 50(7), 732-746. Retrieved February 18, 2016.
This article discusses in detail the danger of using magnesium in anesthesiology both in the intensive care unit and the emergency department. In the emergency room magnesium is typically used to help with asthma attacks, myocardial infarctions,and cardiac rhythm disorders. Magnesium becomes an issue when used in anesthesia because of its interaction with other drugs in the anesthesia. I would potentially use the quote “Two meta-analyses studied the impact of Mg treatment on reduction of the death rate and rhythm disorders in the acute phase of myocardial infarction before initiation of reperfusion treatments. Both reports found a 54% reduction of the death rate,93,94 and one noted a decreased incidence (49% less) of ventricular fibrillation or tachycardia in the population treated by Mg. Several mechanisms of Mg action were proposed, as the death rate observed corresponded to the expected rate: coronary and systemic vasodilatation, prevention of rhythm disorders, reduction of platelet aggregation, and improvement of myocardial metabolism. A recent study not involving reperfusion therapy confirmed these data, showing a reduction of rhythm disorders and the death rate. These authors found that serum Mg levels of patients with acute myocardial infarction were lower than those of controls.” This article will help me to learn and understand the physiology of why certain drugs are used for specific disorders. This is a reliable source because I found it on Google Scholar and it is considered a meta analysis.