Role of PTC In Developing “Emergency Drug Lists”

Role of PTC In Developing “Emergency Drug Lists”

Since the time factor is of very great urgency to the truest emergency, the Pharmacy and Therapeutic Committee of a hospital must get prepared boxes containing emergency drugs which should be always available readily for use at the bedside. A list of such drugs and other supplies should be compiled by the committee, and it should find its place in “Emergency Kits”.


Once it is decided what should be the contents of such boxes and the responsibility of its stocking is assigned, the units should be prepared and placed in each specified place in the clinic, in the emergency ward and the special procedure room of the department of radiology. 


After the emergency boxes have been placed in the wards, it is very essential and compulsory that a system is developed whereby they are checked daily by the hospital pharmacists or by the nursing supervisor responsible for the ward. Each hospital may modify this list by adding or deleting items as found necessary. Following is the list of suggested drugs  and other articles which may be maintained in the Emergency Box:


Supplies are to be maintained in Emergency Box 

• Syringes of various ranges two each of 1 ml i.e. tuberculin or insulin syringe, 2 ml syringe and 5 ml syringe; and one each of 10 ml and 20 ml syringe. 

• Needles, preferably two each of 16’, 18’, 20’, 21’, 23’ and 26’. 

• Files for breaking the ampoule. 

• Bandages. 

• Airway equipment. 

• Ryle’s tube.


Drugs for Emergency Box 

These are selected in consultation with a physician but the following list is illustrated only 


• Aminophylline 0.25 gm/ml. 

• Amyl nitrite glass capsule for inhalation. 

• Atropine Sulphate 0.4 mg/ml. 

• Caffeine sodium benzoate 0.5 gm/2 ml. 

• Calcium gluconate 1 gm/10 ml. 

• Digoxin 0.25 mg/ml. 

• Diphenylhydantoin sodium 50 mg/ml. 

• Epinephrine hydrochloride 1 mg/ml. 

• Heparin 10.000 units/ml. 

• Hydrocortisone 100 mg. 

• Magnesium Sulphate injection 10%, 50%. 

• Isoproterenol 1:100. 

• Mannitol injection 25%. 

• Nalorphine hydrochloride 10mg /2 ml. 

• Neostigmine methyl Sulphate 0.25 mg/ml. 

• Procainamide 50 mg/ml. 

• Protamine Sulphate 20 mg/ml. 

• Saline for injection 9%, 30 ml. 

• Sodium molar lactate solution. 

• Water for injection 20 ml.


Supplies for Cabinet Utility Room 

• Venous cannulation set. 

• Each set 12 & 17 venous catheter. 

• Pieces 6” shock blocks. 

• Oxygen catheters. 

• Sterile suction catheters. 

• Razor with blades. 

• Package sterile gelatin sponge. 

• Resuscitation (Artificial respiration) tube.


Other Emergency Supplies 

• Resuscitation (Artificial respiration) carts. 

• Phlebotomy sets. 

• Oxygen equipment. 

• Tracheotomy sets. 

• Dextran and tubing. 

• Burn sheets. 

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