Class: Antidysrhythmic 

Utilized for: SVT/ PSVT

Class = bronchodilator

Utilized for = bronchial asthma

Class = antiarrhythmic

Utilized for = Cardiac Arrest VF/VT, Stable wide complex tachycardia

Class = antibacterial 

Utilized for = bacterial infections

Class = antiplatelet

Utilized for = acute myocardial infarction, ischemic chest pain (ACS)

Class = vagolytic, anticholinergic drug

Utilized for = symptomatic bradycardia, organophosphate poisoning

Class = antidote, mycolytic

Utilized for = acetaminophen overdose

Class = Electolyte

Utilized for = calcium blocker toxicity, hypocalcemia with tetany (involuntary muscles 

contractions)

Class = Adsorbent

Utilized for = overdoes /poisoning by mouth

Class = carbohydrate, glucose

Utilized for = hypoglycemia

Class = anticonvulsant, sedative (benzo)

Utilized for = seizure activity, sedation

Class = Antidysrhythmic

Utilized for = tachy-dysrhythias, CHF

Class = antiemetic

 Utilized for = nausea and vomiting

Class = Antihistamine

Utilized for = allergic reaction

Class = positive inotrope

Utilized for = CHF

Class = inotrope

Utilized for = hypotension due to bradycardia

Class = Steroid

Utilized for = airway inflammation

Class = Sympathomimetic

Utilized for = anaphylaxis, severe SOB, Croup

Class = sympathomimetic

Utilized for = cardiac arrest

Class = Narcotic analgesic

Utilized for = analgesia

Class = Diuretic

Utilized for = CHF, Pulmonary Edema, hypertensive crisis

Class = antidote

Utilized for = alcohol poisoning

Class = Pancreatic hormone

Utilized for = hypoglycemia, Beta blocker OD, chocking

Class = carbohydrates

Utilized for = hypoglycemia

Class = antipsychotic

Utilized for = schizophrenia, mania, psychosis

Class = anticoagulant

Utilized for = AMI, acute coronary syndrome, venous thrombosis

Class = Bronchodilator

Utilized for = bronchospasm, COPD, Asthma

Class = electrolyte

Utilized for = Torsades de pointes, hypomagnesemia

Class = Osmotic Diuretic

Utilized for = Cerebral edema with ↑ ICP

Class = Narcotic Analgesic 

Utilized for = analgesia

Class = Sedative

Utilized for = seizures, sedation

Class = Narcotic Analgesia

Utilized for = analgesia

Class = Steroid

Utilized for = asthma, spinal cord trauma

Class = beta blocker

Utilized for = tachy-arrhythmias, HTN crisis

Class= Narcotic antagonist

Utilized for = opiate & Narcotic OD

Class = Vasodilators

Utilized for = ACS, Angina, acute pulmonary edema (CHF)

Class = Gas analgesic, anasthetic

Utilized for = analgesia, sedation

Class = Vasopressor

Utilized for = cardiogenic, septic, neurogenic shock

Class = calcium channel blocker

Utilized for = antianginal 

Class = ↑ Uterine Contractions

Utilized for = postpartum hemorrhage

Class = paralytic

Utilized for = (RSI) rapid sequence induction (tracheal intubation)

Class = anticonvulsant

Utilized for = seizures

Class = pressor

Utilized for = Hypotension due to cardiogenic shock, circulatory collapse

Class = antiarrhythmic

Utilized for = cardiac arrest VF/VT

Class = tocolytic

Utilized for = stop premature labor, cease labor contractions

 Class = paralytic

Utilized for = RSI (rapid sequence induction)

Class = bronchio dilator

Utilized for = asthma, COPD, bronchoconstriction

Class = alkalinizer

Utilized for = metabolic acidosis

Class = paralytic

Utilized for = RSI rapid sequence induction

Class = Nutrient

Utilized for = malnutrition or thiamine deficiency with alcoholism

Class = fibrinolytic

Utilized for = Actue MI, Acute ischemic stroke, acute PE

Class = paralytic

Utilized for = paralysis / RSI / ET intubation

Class = calcium channel blocker

Utilized for = tachy-arrhythmias

Class = local vasoconstrictor

Utilized for = pre nasal intubation

Cardioversion is a medical procedure by which an abnormally fast heart rate (tachycardia) or cardiac 

arrhythmia is converted to a normal rhythm, using electricity or drugs.

To perform synchronized electrical cardioversion, two electrode defib pads are used. The pads are 

placed on the chest of the patient, or one is placed on the chest and one on the back. These are 

connected by cables to a machine which has the combined functions of an ECG display screen and the 

electrical function of a defibrillator. A synchronizing function allows the cardioverter to deliver a 

reversion shock, by way of the pads, of a selected amount of electric current over a predefined number 

of milliseconds at the optimal moment in the cardiac cycle which corresponds to the R wave of the QRS 

complex on the ECG. Timing the shock to the R wave prevents the delivery of the shock during the 

vulnerable period (or relative refractory period) of the cardiac cycle, which could induce ventricular 

fibrillation.

Various drugs ( antiarrhythmic agents) can be used to return the heart to normal sinus rhythm. 

Pharmacological cardioversion is an especially good option in patients with fibrillation of recent onset. 

Drugs that are effective at maintaining normal rhythm after electric cardioversion can also be used for 

pharmacological cardioversion. Drugs like amiodarone, diltiazem, verapamil and metoprolol are 

frequently given before cardioversion to decrease the heart rate, stabilize the patient and increase the 

chance that cardioversion is successful. There are various classes of agents that are most effective for 

pharmacological cardioversion.

External pacing (also called transcutaneous pacing) is a temporary means of pacing a patient's heart 

during a medical emergency. It is accomplished by delivering pulses of electric current through the 

patient's chest, which stimulates the heart to contract. The most common indication for transcutaneous 

pacing is an abnormally slow heart rate. It is only when abnormally slow heart rates presents with signs 

and symptoms of hemodynamic instability or shock that it requires emergency treatment with 

transcutaneous pacing.

Transvenous pacing is also performed to correct abnormally slow heart rate. Transvenous pacing is 

achieved by threading a pacing electrode through a vein into the right atrium, right ventricle, or both. 

This procedure is an in hospital only procedure, not performed by paramedics.

The pre-cordial thump is a medical procedure used to respond to ventricular fibrillation or ventricular 

tachycardia in a patient. It consists of a single, carefully-placed blow to the sternum with the base of the 

fist or hand.

Carotid sinus massage is a procedure performed by massaging the carotid sinus located on the lateral

cervical region (neck). This is done to stimulate a parasympathetic nervous system response and the 

slowing of heart rate for patients presenting with SVT/PSVT.