antiarrhytmics-class IC antiarrhythmics such asn flecainide and encainide had twofold incidence of sudden death in elderly.
antihyperglycemics, oral- have an increased risk of cardiovascular mortality and no proven benefit for microvascular disease in the diabetic.
digoxin may be withdrawn in some cases of well compensated chf in the elderly.
narcan (naloxone) 0.4 to 2 mgs iv in children - an opiate antagonist
nsaids- in the elderly mayy carry a five fold risk of gi bleed for current users
Lidocaine 1-1.5 mgs per kg in VT and VF, serious VPC's; followed by continuous iv infusion of 2-4mg/minute (30-50 mics/kg/m)
Lorazepam 1-4mgs over 2-10 minutes for seizure control
Mannitol 0.5 mg/Kg in cerebral edema with impending uncal herniation.
Procainamide used after lidocaine in ventricular arrhythmias. it slows depol, automat, and conduction (blocks reentrants)Dosage:20-30 mg minute up to 17mg/kg or until 50 percent qrs widening or termination of arrhythmia; followed by a 1-4 mg/minute drip.
Valium 5-10mgs over 2 minutes for seizure control