amiodorone HCL: ___________________________________________________________________

__________________________________________________________________________________

captopril: __________________________________________________________________________
__________________________________________________________________________________

carvedilol: _________________________________________________________________________
__________________________________________________________________________________

cholestyramine resin:
________________________________________________________________
__________________________________________________________________________________

clopidrogrel bisulfate:
_______________________________________________________________
_________________________________________________________________________________

dabigatran etexilate: ________________________________________________________________

_________________________________________________________________________________

diltiazem HCL: ____________________________________________________________________

__________________________________________________________________________________

dopamine HCL: ____________________________________________________________________

__________________________________________________________________________________

dobutamine HCL: __________________________________________________________________

__________________________________________________________________________________

hydralazine HCL: ___________________________________________________________________

__________________________________________________________________________________
isosorbide mononitrate:
_______________________________________________________________
___________________________________________________________________________________

lidocaine HCL: _____________________________________________________________________

__________________________________________________________________________________

losartan potassium: _________________________________________________________________

_________________________________________________________________________________

lovastatin : ________________________________________________________________________
_________________________________________________________________________________
metoprolol tartrate:
__________________________________________________________________
__________________________________________________________________________________

nifedipine: _________________________________________________________________________
__________________________________________________________________________________

pentoxifylline: ______________________________________________________________________
__________________________________________________________________________________

prazosin HCL : _____________________________________________________________________

__________________________________________________________________________________

procainamide HCL: __________________________________________________________________

___________________________________________________________________________________

propranolol HCL: ___________________________________________________________________

__________________________________________________________________________________
PVC:
________________________

V- Tach:
With Pulse:
________________________
________________________

With Pulse but unconscious:

________________________
________________________

Without Pulse:
________________________

V-Fib:
________________________
________________________
________________________
________________________
________________________ Asystole:
Biomarkers ______________________
______________________
Troponin: ______________________
__________________________________________________________________________
__________________________________________________________________________________
CK-MB: __________________________________________________________________________
__________________________________________________________________________________

Myoglobin: _______________________________________________________________________
__________________________________________________________________________________