Hormones Vitamins

Section 8 - MEDICATION GUIDELINES

8.17 HORMONES / VITAMINS

Vasopressin / pituitary hormone

DESCRIPTION

• Pituitary hormone that can cause vasoconstriction (pressor effect) of the splanchnic and portal vessels (and to a lesser extent of peripheral, cerebral, pulmonary, and coronary vessels). Also increases the smooth muscular activity of the bladder, GI tract, and uterus.

INDICATIONS

• May be used as an alternative pressor to EPINEPHRINE in the treatment of adult shock refractory VF. May be useful for hemodynamic support in vasodilatory shock.

CONTRAINDICATIONS

• Not recommended for responsive patients with coronary artery disease

PRECAUTIONS

• Potent peripheral vasoconstrictor. Increased peripheral vascular resistance may provoke cardiac ischemia and angina.

DOSAGE

• 40 U IV or IO (once) in Ventricular Fibrillation / Pulseless Ventricular Tachycardia

Thaimine / Vitamin

DESCRIPTION

• Thiamine is vitamin B1, which is required to convert glucose into energy. It is not manufactured by the body and must be constantly provided from ingested foods..

INDICATIONS

• Altered level of consciousness, coma of unknown origin, chronic alcoholism and or malnutrition with associated coma.

CONTRAINDICATIONS

• None

PRECAUTIONS

• Known hypersensitivity to the vitamin.

DOSAGE

• 100 mg IVP to be given before the administration of D50 if the Pt is also being treated for hypoglycemia.