Cardiac Drugs

Question 1

Adenosine (Adenocard)
Class:

Answer 1

Endogenous nucleoside, miscellaneous antidysrhythmic

Question 2

Adenosine (Adenocard)
Description:

Answer 2

Slows electrical conduction through the AV node acting directly on pacemaker cells and vagal nerve.

Question 3

Adenosine (Adenocard)
Onset and Duration:

Answer 3

Onset
Immediate
Duration
10 sec

Question 4

Adenosine (Adenocard)
Indications:

Answer 4

Narrow complex SVT
Can diagnose Wide complex tachycardia

Question 5

Adenosine (Adenocard)
Dose

Answer 5

Adult
6mg rapid IV/IO followed by 20ml flush
Then 12mg if 6 doesn’t work
Peds
0.1 mg/kg (Max 6mg) Followed by 5-10ml flush
Then 0.2 mg/kg (Max12mg)

Question 6

Adenosine (Adenocard)
Contraindications:

Answer 6

Drug induced tachycardia
2nd TII, 3rd degree blocks
A flutter
WPW

Question 7

Amiodarone (Cordarone)
Class:

Answer 7

Class III antidysrhythmic
(Potassium Blocker)

Question 8

Amiodarone (Cordarone)
Description:

Answer 8

Prolongs action period and refractory period. Beta adrenergic receptors and calcium channel blocker activity

Question 9

Amiodarone (Cordarone)
Indications:

Answer 9

V fib, pulseless v tach unresponsive to shock and cpr
Unstable v tach
Some stable atrial and ventricular dysrhythmias

Question 10

Amiodarone (Cordarone)
Dose:

Answer 10

Pulseless VF, VT
300mg IV/IO push
followed by 150 IV/IO
Life threatening dysrhythmias
Rapid infusion 150mg over 10 min
Slow infusion 360mg over 6 hours
Maintenance infusion 540mg over 18 hours

Question 11

Aspirin (ASA, Bayer, Ecotrin)
Class:

Answer 11

Antiplatelet, antipyretic, analgesic, anti-inflammatory

Question 12

Aspirin (ASA, Bayer, Ecotrin)
Description:

Answer 12

Decreases inflammation, decreases platelet aggregation.

Question 13

Aspirin (ASA, Bayer, Ecotrin)
Indications

Answer 13

Pain or fever
Prevention of platelet aggregation
ACS

Question 14

Aspirin (ASA, Bayer, Ecotrin)
Contraindications:

Answer 14

GI bleeds
Bleeding disorder
hemorrhagic stroke

Question 15

Aspirin (ASA, Bayer, Ecotrin)
Dose
(Pain and fever)
(ACS)

Answer 15

Pain and fever
325-650mg
ACS
160-325mg

Question 16

Atropine Sulfate
Class:

Answer 16

Anticholinergic agent

Question 17

Atropine Sulfate
Description:

Answer 17

Parasympathetic inhibits actions of acetylcholine. Blocks vagal effects and increase HR and enhanced AV conduction w no inotropic effect

Question 18

Atropine Sulfate
Indications:

Answer 18

Hemodynamically significant bradycardia

Question 19

Atropine Sulfate
Dose Adult

Answer 19

1mg every 3-5min (Max 3mg)

Question 20

Atropine Sulfate
Dose Peds

Answer 20

0.02mg/kg

Question 21

Diltiazem (Cardizem)
Class:

Answer 21

Calcuim channel blocker

Question 22

Diltiazem (Cardizem)
Description:

Answer 22

Calcium channel blocking agent that slows conduction, increases refractoriness in AV node, causes coronary and peripheral vasodilation.

Question 23

Diltiazem (Cardizem)
Indications:

Answer 23

Afib
Aflutter
After adenosine with narrow QRS

Question 24

Diltiazem (Cardizem)
Contraindications:

Answer 24

Wide QRS tachycardias
2nd, 3rd degree block
Hypotension
Afib, Aflutter WPW

Question 25

Diltiazem (Cardizem)
Dose:

Answer 25

Acute control
0.25mg/kg (15-25MG) IV over 2min
may repeat 15min
0.35mg/kg (20-25mg) over 2min
Maintenace infusion
125mg (25ml) in 100ml solution infuse 5-15 mg/hr

Question 26

Dopamine (Intropin)
Class:

Answer 26

Sympathomimetic

Question 27

Dopamine (Intropin)
Description:

Answer 27

Acts primarily on alpha1, beta 1 increases cardiac output, and rise in BP

Question 28

Dopamine (Intropin)
Indications:

Answer 28

Hemodynamically significant hypotension
Symptomatic bradycardia

Question 29

Dopamine (Intropin)
Dose cardiac

Answer 29

5-20 mcg/kg/min