Cardiac arrythmia meds

Question 1

V-Tach/V-Fib

Answer 1

1. vasopressors:
   - epinephrine
2. Antiarrythmias
   - lidocaine
   - amiodarone

Question 2

PEA/Asystole

Answer 2

• CPR

- Epinephrine

Question 3

Tachycardia

Answer 3

1. stable
   - vagal exercises
   - adenosine
2. unstable
   - cardioversion
   - amiodarone

Question 4

Bradycardia

Answer 4

• atropine
• epinephrine
• dopamine

Question 5

VF/VT

Answer 5

1. Epi
   - alpha properties
   - vasoconstriction
   - increase svr/ increase bp
   - increase co, Hr ,
   - bronchodilator
   - no maximum dose
2. Amiodarone
   - works on Na and K channels
   - alpha and beta properties
   - hypotension common
   - take BP before given
3. Lidocaine
   - alternative to amiodarone
   - suppresses ventricular ectopy
   - max dose is 3mg
4. Procainamide
   - iv or po
   - 20 min loading dose
   - widen QRS
   - can make vtach worse

Question 6

torsade de pointes

Answer 6

• magnesium
• 1-2 gms iv
• chase with epi with this drug

Question 7

Tachycardia (stable)

Answer 7

1. vagal maneuvers
2. adenosine(adenocard)
3. beta blockers(lol)
4. calcium channel blockers( diltiazem, verapamil)

Question 8

Tachycardia(unstable)

Answer 8

1. cardioversion

2. amiodarone

Question 9

Bradycardia

Answer 9

1. atropine
2. epi gtt
3. dopamine (kg)

Question 10

asystole/pea

Answer 10

1. epi

2. cpr(5 cycles)

Question 11

chest pain

Answer 11

MONA

• Morphine
• Oxygen
• Nitro
• Aspirin(chewable)