Cardiac Drugs

Question 1

What is your dose and concentration for Epi in cardiac arrest?

Answer 1

1mg of 1:10 3x q 3-5 minutes

Question 2

What is your dose and concentration of Epi for anaphylaxis

Answer 2

0.3mg Epi 1:1000 x1

Question 3

What are your indications for Epi?

Answer 3

1. Pulseless arrest
2. Anaphylaxis
3. Asthma
4. Bradycardia with poor perfusion

Question 4

What are your contraindications for Epi?

Answer 4

None

Question 5

What are your adverse reactions for Epi?

Answer 5

1. Tachycardia and tachydysthermia
2. Hypertension
3. Anxiety
4. May precipitate angina pectoris

Question 6

what is your pediatric dose for Epi?

Answer 6

0.01mg/kg (same dose for either concentration)

Question 7

What is your dose for Adenosine?

Answer 7

12mg repeat 1x Rapid IV push

Question 8

Indications for adenosine?

Answer 8

Narrow-complex supraventricluar tachyarrhythmia after obtaining 12 leadf

Question 9

Contraindications for Adenosine?

Answer 9

1. Any irregular tachycardia - specifically never administer to an irregular wide-complex tachycardia.
2. Heart transplant

Question 10

What are your adverse reactions for adenosine?

Answer 10

1. Chest pain
2. Shortness of breath
3. Diaphoresis
4. Palpitations
5. Lightheadedess

Question 11

What is your dose for Amiodarone?

Answer 11

Pulseless V-tach/V-Fib
1. 300mg IV bolus
2. 150mg IV bolus

Symptomatic V-tach
150mg IV bolus in 100mL bag dripped in over 10minutes with call in to Med Control

Question 12

What are your indications for Amiodarone?

Answer 12

1. Pulseless arrest with V tachycardia or V fib
2. Symptomatic V- tach or V-Fib

Question 13

Contraindications for Amiodarone?

Answer 13

1. 2nd or 3rd degree AV Block
2. Cardiogenic shock

Question 14

Precautions for Amiodarone?

Answer 14

1. Wide complex irregular tachycardia
2. Sympathomimetic toxidromes (cocaine/amphetamine overdose)

Question 15

Dose for cardiac arrest due to hyperkalemia?

Answer 15

1.Calcium gluconate 10% solution
3 gm (30mL) Slow IV/IO push

2. Calcium chloride 10% solution
   1 gm (10mL) Slow IV/IO push

Question 16

General run card for Chest pain?

Answer 16

1. 4 lead/12 lead
2. ASA, O2, Capno, 2 large bore IV`s (avoid right wrist/hand)
3. Pain control if indicated (morphine can drop blood pressure)
4. Nitro if indicated (do not give to inferior wall MI)
5. Stemi criteria (Chest discomfort with ACS, 1mm elevation in two or more contiguous leads (V2-V3 2mm required), No wide complex QRS (paced rhythm, BBB, other)
6. Pads easily accessible and attached
7. Rapid transport