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EMT 230 Chapter 21 > Cardiac Drugs > Flashcards

Cardiac Drugs Flashcards

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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?

A

Glucagon

24
Q

Indications for Adenosine

A
  • Narrow complex SVT
  • Dysrhythmias associated with WPW
25
Q

Dose for Adenosine

A

6mg rapid IV push, repeat dose 12mg in 1-2 minutes prn

26
Q

Class of Aspirin

A
  • Analgesic
  • Anti-inflammatory
  • Antipyretic
  • Platelet deagrregator
27
Q

Indications for Aspirin

A
  • Prevention of platelet aggregation in ischemia or thromboembolism
  • Ischemic chest pain
  • Unstable angina
28
Q

Cardiac dose for Aspirin

A

160-324mg PO

29
Q

Class for Epinephrine

A

Sympathomimetic

30
Q

Indications for cardiac Epinephrine

A
  • Cardiac arrest
  • PEA
  • VF and pulseless VT
  • Symptomatic brady
31
Q

Dosage for cardiac Epinephrine

A

1mg repeated q3-4m

32
Q

Class of Furosemide

A

Loop diuretic

33
Q

Indications for Furosemide

A
  • Acute pulmonary edema
  • Hypertensive emergencies
  • Hyperkalemia
34
Q

Dosage for Furosemide

A

0.5-1mg/kg over 1-2 minutes

35
Q

Class for Magnesium Sulfate

A
  • Electrolyte
  • Anticonvulsant
36
Q

Indications for cardiac Magnesium Sulfate

A
  • Cardiac arrest due to Torsades
37
Q

Dosage for Magnesium Sulfate in a PULSELESS arrest due to Torsades

A

1-2g diluted in 10ml of D5W

38
Q

Dosage of Magnesium Sulfate for Torsades with a pulse

A

Loading dose of 1-2g in 50-100ml of D5W over 5-60minutes

39
Q

Class for Morphine

A

Opioid analgesic

40
Q

Indications for cardiac Morphine

A
  • Chest pain associated with ACS unresponsive to Nitro
41
Q

Dosage of Morphine for STEMI

A

2-4mg IV

42
Q

Dosage of Morphine for unstable angina

A

1-5mg IV

43
Q

Class of Nitroglycerin

A

Vasodilator

44
Q

Indications for Nitroglycerin

A
  • Ischemic chest pain
  • Heart failure
  • Acute MI
  • Hypertensive emergencies
45
Q

Dosage of Nitroglycerin

A
  • 0.4mg sublingual
46
Q

Class of Norepinephrine

A

Sympathomimetic

47
Q

Indications for Norepinephrine

A
  • Cardiogenic shock
  • Neurogenic shock
  • Significant hypotension (SBP <70mmHg)
48
Q

Dosage for Norepinephrine

A

4mg in 250ml of D5W infused at 0.05-0.5mcg/kg/min

49
Q

Class of Verapamil

A

Calcium channel blocker (Class IV antidysrhythmic)

50
Q

Indications for Verapamil

A
  • Narrow complex SVT
  • Atrial flutter with RVR
  • Atrial fibrillation with RVR
  • Atrial tachycardia
51
Q

Dosage of Verapamil

A

2.5-5mg IV over 2 minutes, repeat dose at 5-10mg over 15-30 minutes prn

52
Q

Class of cardiac Lidocaine

A

Class 1b antidyrhythmic

53
Q

Indications for cardiac Lidocaine

A
  • Cardiac arrest from VT or VF
  • Stable monomorphic VT
  • Stable polymorphic VT
54
Q

Dosage of Lidocaine for cardiac arrest due to VT/VF

A

1-1.5mg/kg

55
Q

Dosage of Lidocaine for dysrhythmias

A

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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