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EMT 230 Chapter 21 > Cardiac Drugs > Flashcards

Cardiac Drugs Flashcards

1
Q

Class of Dopamine

A

Sympathomimetic

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2
Q

Adult dose for Dopamine

A

2-20mcg/kg/min, titrated to response.

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3
Q

Indications or Dopamine

A
  • Unstable hypotension (w/o hypovolemia)
  • Symptomatic bradycardia (2nd line drug after Atropine)
  • Cardiogenic shock
  • Distributive shock
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4
Q

Class of Diltiazem

A

Calcium channel blocker/antagonist

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5
Q

Adult dose for Diltiazem

A
  • 0.25mg/kg over 2 minutes
  • Repeat dose in 15 minutes prn @ 0.35mg/kg over 2 minutes
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6
Q

Indications for Diltiazem

A
  • AFib
  • AFlutter
  • SVT not reponding to Adenosine
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7
Q

Maintenance infusion dose for Diltiazem

A
  • 125mg in 100ml NS or D5W infused at 5-15mg/hour titrated to heart rate
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8
Q

Class of Atropine Sulfate

A

Anticholinergic

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9
Q

Adult dose for Atropine Sulfate

A

1mg, 3 dose max, repeat after 3-5 minutes prn

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10
Q

Indications for Atropine Sulfate

A

Symptomatic bradycardia

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11
Q

Class of Amiodarone

A

Class III antidysrhythmic (Calcium)

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12
Q

Indications for Amiodarone

A
  • VFib
  • Pulseless VTach
  • Wide complex tachycardia
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13
Q

Adult cardiac arrest dose for Amiodarone

A

300mg IV push, second dose 150mg prn

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14
Q

Adult dysrhythmic dose for Amiodarone

A

150mg over 10 minutes, repeated in 10 minutes if needed

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15
Q

Class of Sodium Bicarb

A

Buffer, alkanizing agent

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16
Q

Indications for Sodium Bicarb

A
  • Tricyclic antidepressant overdose
  • DKA
  • Metabolic acidosis
  • Hyperkalemia
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17
Q

Fluid bolus dose for adults

A

20mg/kg

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18
Q

Dosage for Sodium Bicarb

A
  • 1mEq/kg IV
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19
Q

Class of Calcium Cholride

A

Electrolyte

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20
Q

Indications for Calcium Cholride

A
  • Hyperkalemia
  • Hypocalcemia
  • Calcium channel blocker toxicity
  • To prevent the hypotensive effects of calcium channel blockers like Verapamil and Diltiazem
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21
Q

Dosage for Calcium Cholride

A

500-1000mg

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22
Q

Class of Adenosine

A
  • Endogenous nucleoside
  • Antidysrhythmic (Class V - Miscellaneous
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23
Q

What medication is given for beta blocker overdose?

24
Q

Indications for Adenosine

A
  • Narrow complex SVT
  • Dysrhythmias associated with WPW
25
Dose for Adenosine
6mg rapid IV push, repeat dose 12mg in 1-2 minutes prn
26
Class of Aspirin
- Analgesic - Anti-inflammatory - Antipyretic - Platelet deagrregator
27
Indications for Aspirin
- Prevention of platelet aggregation in ischemia or thromboembolism - Ischemic chest pain - Unstable angina
28
Cardiac dose for Aspirin
160-324mg PO
29
Class for Epinephrine
Sympathomimetic
30
Indications for cardiac Epinephrine
- Cardiac arrest - PEA - VF and pulseless VT - Symptomatic brady
31
Dosage for cardiac Epinephrine
1mg repeated q3-4m
32
Class of Furosemide
Loop diuretic
33
Indications for Furosemide
- Acute pulmonary edema - Hypertensive emergencies - Hyperkalemia
34
Dosage for Furosemide
0.5-1mg/kg over 1-2 minutes
35
Class for Magnesium Sulfate
- Electrolyte - Anticonvulsant
36
Indications for cardiac Magnesium Sulfate
- Cardiac arrest due to Torsades
37
Dosage for Magnesium Sulfate in a PULSELESS arrest due to Torsades
1-2g diluted in 10ml of D5W
38
Dosage of Magnesium Sulfate for Torsades with a pulse
Loading dose of 1-2g in 50-100ml of D5W over 5-60minutes
39
Class for Morphine
Opioid analgesic
40
Indications for cardiac Morphine
- Chest pain associated with ACS unresponsive to Nitro
41
Dosage of Morphine for STEMI
2-4mg IV
42
Dosage of Morphine for unstable angina
1-5mg IV
43
Class of Nitroglycerin
Vasodilator
44
Indications for Nitroglycerin
- Ischemic chest pain - Heart failure - Acute MI - Hypertensive emergencies
45
Dosage of Nitroglycerin
- 0.4mg sublingual
46
Class of Norepinephrine
Sympathomimetic
47
Indications for Norepinephrine
- Cardiogenic shock - Neurogenic shock - Significant hypotension (SBP <70mmHg)
48
Dosage for Norepinephrine
4mg in 250ml of D5W infused at 0.05-0.5mcg/kg/min
49
Class of Verapamil
Calcium channel blocker (Class IV antidysrhythmic)
50
Indications for Verapamil
- Narrow complex SVT - Atrial flutter with RVR - Atrial fibrillation with RVR - Atrial tachycardia
51
Dosage of Verapamil
2.5-5mg IV over 2 minutes, repeat dose at 5-10mg over 15-30 minutes prn
52
Class of cardiac Lidocaine
Class 1b antidyrhythmic
53
Indications for cardiac Lidocaine
- Cardiac arrest from VT or VF - Stable monomorphic VT - Stable polymorphic VT
54
Dosage of Lidocaine for cardiac arrest due to VT/VF
1-1.5mg/kg
55
Dosage of Lidocaine for dysrhythmias
0.5-0.75mg/kg, repeat in 5-10m with a max of 3mg/kg

EMT 230 Chapter 21 (2 decks)

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