Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

P2 Exams > Cardiac Drugs > Flashcards

Cardiac Drugs Flashcards

1
Q

Diltiazem) 1st dose:
2nd dose:

A

= 0.25 mg/kg (max dose 20 mg)
= 0.35 mg/kg (max dose 25 mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dobutamine) adult dose:
PEDI dose:

A

= 2-20mcg/kg/min- titrate so HR cant rise>10% baseline (pt HR arrival)
= 2-20mcg/kg/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Dopamine) Dosing:
Adult & Pedi Cardiac dose:
Adult & Pedi Vasopressor dose:

A

= 2–20 mcg/kg/min Titrate to patients response
= 5-10mcg/kg/min
= 10-20 mcg/kg/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dopamine) Cardiac dose:
Vasopressor dose:

A

= 5-10mcg/kg/min
= 10-20 mcg/kg/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Epi 1:10,000) Admin via:
(Adult) Cardiac Arrest dose:
(Adult) Bradycardia dose:
(PEDI) Bradycardia/Cardiac Arrest dose:
(PEDI) Hypoperfusion & Severe anaphylaxis dose:

A

= IV infusion drip
= 1mg IVP/IOP every 3-5 mins
= 2-10 mcg/min IV/IO infusion
= 0.01 mg/kg or 0.1 mL/kg
= 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lidocaine) Max dose:
Cardiac Arrest from VF/pVT dose:
Refractory VF dose:
Perfusing Arrhythmia dose:
Maintenance Infusion dose:

A

= 3 mg/kg
= 1-1.5 mg/kg IV/IO
= may give additional 0.5-0.75 mg/kg IV/IO in 5-10 mins
= may give additional 0.5-0.75 mg/kg IV/IO in 5-10 mins
= 1-4mg/min (30-50 mcg/kg/min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lidocaine) Max dose:
Cardiac Arrest from VF/pVT dose:
Refractory VF dose:
Maintenance dose

A

= 3 mg/kg
= 1-1.5 mg/kg IV/IO
= additional 0.5-0.75 mg/kg IV/IO in 5-10 mins
= 1-4mg/min (30-50 mcg/kg/min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lidocaine) Max dose:
Perfusing Arrhythmia dose:
Maintenance Infusion dose:

A

= 3 mg/kg
= 1-1.5 mg/kg IV/IO
= 1-4mg/min (30-50 mcg/kg/min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Morphine) Analgesia:
STEMI:
NSTEMI-ACS:

A

= 2-10 mg up to max 20 mg.
= 2-4mg slow IV/O, may admin 2nd dose 2-8mg IV/IO q5-15 mins
= 0.1 mg/kg slow IV/IO or IM up to 10 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. Cardiac Pharmacology)
  2. NA Channel Blockers:
  3. Beta-Blockers:
  4. Potassium Channel Blockers:
  5. Calcium Channel Blockers:
  6. Miscellaneous:
A

1= (Vaugh-Will) Classes: 1]Na, 2]Beta, 3]K, 4]Ca, Misc] Adenosine
2= (Procainamide & Lidocaine) both Widened QRS & Prolongs QT
3= (Propranolol) Prolonged PRI & Bradycardias
4= (Amiodarone) Prolonged QT
5= (Diltiazem & Verapamil) Prolonged QT & Bradycardias
6= (Adenosine & Digoxin) Prolonged QT & Bradycardias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

1st line IV med in cardiac arrest

A

Epi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

1st line med in cardiac arrest

A

oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Acetaminophen)

A

= IV/IO: 1 gram over 10 - 15 minutes, PO: 15 mg/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Adenosine & Digoxin class & indication

A

class misc> Adenosine 1st line med for stable narrow complex SVT,
Regular & monomorphic wide-complex tachyC thought to be from a reentry SVT (SVT w/ BBB) Does not convert A-fib/flutter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Adenosine) indications:

contraindications

A

= 1st for stable narrow complex SVT, Regular & monomorphic wide-complex Tcardia thought from a reentry SVT (SVT w/ BBB)
= Torsades de pointes, Poison/drug-Tcardia, 2nd or 3rd AVB, WPW,DOESNT CONVERT A-FIB/FLUTTER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adenosine) class:

Dynamics:

A

= Misc antiarrhythmic binds to adenosine A1 receptors causes efflux of K & inhibits Ca influx (in autoarhythmic cells)
= Causes hyperpolarization of autorhythmic cells (SA/AV node)
Slows AV conduction w/ very short half-life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Adenosine) Effects:
Dose:

admin notes:

A

= periods of sinus Bcardia/asystole & ventricular ectopy after admin
= 1st dose 6mg rapid IV/IO push followed w/ rapid flush &2nd dose 12mg also rapid push & flush
= rapid push followed by rapid flush 20mL fluid best accomplished w/ 3-way stopcock & 1/2 initial dose in PTs receiving dipyridamole or carbamazepine, heart transplant, or if given by central venous access

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

AFib RVR unstable:

A

120-200j cardioversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

AFib w/ RVR, AF, MAT, JTn Rx:
1st line med:
2nd line med:
IV beta blockers:
Unstable AFib w/ RVR:
Unstable AFl:

A

= stable meds
= Diltiazem Ca blocker wait 15mins-
= Verapamil Ca blocker wait 2 mins (3mins older PT)
= Labetalol
= 120J-200J, 300J, 360J
= cardiovert 50-100J, 200J, 300J, 360J

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Amiodarone class & indication

A

Class 3 K channel blocker> VF/Pulseless VT unresponsive to shock, CPR & Epi, BradyCs to include AV blocks, Recurrent, hemodynamically unstable VT w/ pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Amiodarone)arrhythmias) 1st dose=
2nd dose=

A

1st dosage —> 300mg IV/IO push
2nd dosage—> 150mg IV/IO push if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Amiodarone) Max total dose per day:
Slow Infusion dose:
Maintenance Infusion dose:
VF/Pulseless & VT Cardiac Arrest Unresponsive 1st Dosage:
VF/Pulseless & VT Cardiac Arrest Unresponsive 2nd Dosage:
Life-Threatening Arrhythmia 1st Dosage:
Life-Threatening Arrhythmia 2nd Dosage:

A

= 2.2 grams
= 360 mg IV 6Hrs (1mg/min)
= 540 mg IV 18Hrs (0.5 mg/min)
= 300 mg IV/O push
= 150 mg IV/O push if needed
= 1st Dose: Rapid Infusion 150 mg/10 mins (15 mg/min)
= 2nd Dose: 150mg/10 mins (15 mg/min) if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Amiodarone) Max total dose per day:
VF/Pulseless & VT Cardiac Arrest Unresponsive 1st Dosage:
VF/Pulseless & VT Cardiac Arrest Unresponsive 2nd Dosage:
Post ROSC/Slow Infusion dose:

A

= 2.2 grams
= 300 mg IV/O push
= 150 mg IV/O push if needed
= 360 mg IV 6Hrs (1mg/min)/ 540 mg IV 18Hrs (0.5 mg/min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Amiodarone) Max total dose per day:
Slow Infusion dose:
Maintenance Infusion dose:

A

= 2.2 grams
= 360 mg IV 6Hrs (1mg/min)
= 540 mg IV 18Hrs (0.5 mg/min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Amiodarone) Class: Dynamics: Indi: B/c its toxicity indi: W/ expert consultation may be used for: Terminal elimination:
= Class III antiarrhythmic = Slows K+ efflux delaying repolarization on all of heart = VF/Pulseless VT-no/response to shock CPR & Epi, Recurrent hemodynamically unstable VT w/ pulse = PT w/ life-threatening arrhythmias w/ monitoring = some atrial & ventricular rhythms w/ life-threatening hypoBP = Extremely long (half-life lasts max 40 days)
26
Amiodarone) Contra: Effects: Caution b/c:
= Allergic, Bradycardias w/ AV blocks, Breastfeeding mothers = Severe hypotension, Bradycardia, Prolong QT which can lead to TdP = Toxicity, Causes severe BP drop, Prolong QT which can lead to TdP
27
Aspirin) dose
=160-325 mg PO of nonenteric coated ASA.
28
Aspirin) indications: Contraindications:
= Cardiac S/S w/ ischemia etiology = common allergy, Bronchospasm, Angiodema
29
Aspirin) effects: Avoid: dose:
=Can cause bromchoconstriction in ~10% asthmatic PTs, N/V, upset GI = enteric-coated Aspirin when admin/ing to PT w/ cardiac S/S = 160-325mg PO of non-entric coated ASA
30
Aspirin) Class: Dynamics:
= NSAID & COX inhibiter = Blocks cyclooxygenase (enzyme that’s basically alarm bell for body) COX acts upon Arachidonic Acid which in turn gen/s Thromboxane A2, a compound that reg/s the activation of platelets to form a clot
31
Atrial-Fib Treatment)Symptomatic & unstable: Symptomatic & stable:
= Go to the Cables! (Cardioversion@ 120-200J) = Ca Channel Blocker (Diltiazem & Verapamil) or Beta-Blocker (Labetalol & Metoprolol)
32
Atropine) class: Dynamics:
= parasympatholytic = selectively blocks muscarinic receptors inhibiting the parasympathetic NS “Vagus N. Blocker”- letting sympathetic take over
33
Atropine) indications: Contraindications: Avoid:
= 1st med/ for symptomatic sinus Bcardia, Maybe beneficial AV block, Organophosphate poisoning (large dose r/q) hypothermic Bcardia = Allergic to drug, Use w/ extreme caution w/ myocardial ischemia = causes increased myocardial O2 demand so caution w/ Hblock & Doses <0.5mg may result in paradoxical slowing of the heart May not be effective for infranodal blocks- be prepared to pace
34
Atropine) Adverse effects: Bradycardia (w/ or w/o ACS) Dosage: severe clinical conditions dosage: organophosphate poisoning dosage:
= Blurred vision, Dry mouth, Dilated pupils, Confusion =1 mg IV push every 3-5mins as needed (0.04mg/Kg (total 3mg) =1 mg IVP every 3 mins = 2-4mg (or higher) IVP
35
Atropine) Bradycardia (w/ or w/o ACS) dose: Severe dose: Organophosphate poisoning:
=1 mg IVP 3-5mins as needed (Don't exceed 0.04mg/Kg (total 3mg)) =1mg IVP (3mins) in severe clinical conditions =2-4mg (or higher) IVP
36
Calcium Chloride) class: Dynamics:
= mineral & electrolyte = role as electrolyte in body to help propagate nerve impulses & M. Contraction
37
Calcium Chloride) indications: Contraindications:
= Hyper/o/kalemia, Treatment of affects by Ca Chanel blocker OD, HypoBP 2ndary to admin/ of Diltiazem = cardiac arrest (Unless hyperkalemia suspected)PTs taking Digoxin w/ suspected calcium Chanel blocker OD
38
Calcium Chloride) effects: Dose: Hypotension following admin/ Diltiazem:
= Bcardia w/ rapid injection, May produce severe coronary spasm & asystole, Burning sensation @ site of admin/, PERCIPITATE w/ Na-Bicarb = 0.5-1gram slow IV over 3-5mins = 250-500mg
39
Cardioversion (synchronized) for:
= Tachyarrhythmias w/ pulse unstable} AFib, AF, ASVT, PSVT, SVT, VT w/ pulse
40
Cardioversion for: higher start: lower start:
= VT, SVT, ASVT, PSVT, too fast HR "convert down" = ST>100J, 200J, 300J, 360J = ASVT, PSVT, SVT> 50-100J (AF w/ RVR 120-200J)
41
Cardiovert is for:
"conVERT to normal" too fast
42
Defib for: amounts:
= ventricle arrhythmias: VFib, Pulseless VT, TdP = 120-200 joules for biphasic defibrillators & 300-360 joules for monophasic
43
Diltiazem/Cardizem)class: pharmacodynamics:
= IV (4) antiarrhythmic Ca channel blocker = slows auto arrhythmic cells AP in heart atriums by blocking Ca channels
44
Diltiazem/Cardizem)indi/s: Contraindications:
= 1st med for AFib/Flutter w/ RVR (>150bpm), 2nd med for SVT refractory to Adenosine = hypoBP, CHF/cardio/shock, Wide-complex Tcardia, WPW, Hypersensitivity
45
Diltiazem/Cardizem)effects:
= HypoBP, Pos/ CHF if used w/ beta-blockers , N/V/D, Dizziness, H/A
46
Diltiazem) 1st dose: 2nd dose:
= 0.25mg/kg w/ max dose of 20mg = 0.35 mg/kg w/ max dose of 25mg
47
Dobutamine) class: Dynamics:
= synthetic sympathetic agonist = A&B agonist w/ inotropic prop/s > Chronotropic prop/s
48
Dobutamine)indi: Contras:
= cardiac pump prob/s (CHF) w/ hypotension “baby Dope” = hypovolemia til’ fluid replacing, DONT MIX W/ Sodium Bicarb
49
Dobutamine) effects: dose:
= Hypertension, H/A, Dizziness, Can worsen cardiac ischemia, tissue necrosis w/ Extravasation = 2-20mcg/kg/min- titrate so heart rate doesn’t increase by >10% of baseline
50
Dobutamine) dose:
=2-20mcg/kg/min- titrate so HR doesn’t increase by >10% of baseline
51
Dopamine) class: pharmacodynamics
= sympathetic agonist = A/B agonist rate dependent vasopressor +chron/in/Drom/otropic
52
Dopamine) indications: Contraindications:
= CHF, HypoBP w/ shock signs, 2nd med for sympathetic Bcardia (after Atropine) = hypovolemic PTs til' vol/ replaced, pheochromocytoma, Dont mix w/ sodium bicarb
53
Dopamine) Effects: Adult & Pedi Cardiac dose: Adult & Pedi Vasopressor dose:
= HyperBP, Palp/s, H/A, Dizzy, Can worsen C-ischemia, necrosis W/ Extravasation = 5-10mcg/kg/min = 10-20 mcg/kg/min
54
Dopamine) dose:
=5-20mcg/kg/min & Titrate to PT response (DONT OPEN “WIDE OPEN”)
55
Epinephrine 1:10,000) Class: Dynamics:
= SNS agonist, Sympathomimetic = Powerful Alpha and Beta agonist
56
Epinephrine 1:10,000) Effects: Admin via: (Adult) Cardiac Arrest dose: (Adult) Bradycardia dose: (PEDI) Bradycardia/Cardiac Arrest dose: (PEDI) Hypoperfusion & Severe anaphylaxis dose:
= Palpitations, Anxiety, Jitters, H/A, Dizziness, HyperBP, Tcardia, Can worsen cardiac ischemia = IV infusion drip = 1mg IVP/IOP every 3-5 mins = 2-10 mcg/min IV/IO infusion = 0.01 mg/kg or 0.1 mL/kg = 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag
57
Epinephrine 1:10,000) Indications: Contraindications:
= Cardiac arrest, Bcardia, Normovolemic hypoBP, Anaphylaxis, Asthma = rewards over risks so really none
58
Epinephrine 1:10,000): Cardiac arrest: Bradycardia dose: Normovolemic hypotension & severe anaphylaxis:
=1mg IVP/IOP every 3-5mins =2-10mcg/min IV/IO infusion (0.002- =2-10mcg per min—> mix 1mg of Epi 1:10,000 into a 1 liter bag of fluid
59
Labetalol) class: pharmacodynamics:
= beta-blocker = Blocks adrenergic stim/ on B-receptors, causing a slowing of HR
60
Labetalol) Indications: Contraindications: Do not administer to PTs w/ STEMI if following present:
= 2nd med/ for SVT after admin/ Adenosine, A-Fib/Flutter w/ RVR Reduce myocardial ischemia in AMI PTs w/ +HRs, Antihypertensive = Increased risk of cardiogenic shock Hypotension Bradycardia = signs of heart failure Low cardiac output
61
Labetalol) Adverse Effects: Max dose: Adult Dose:
= admin/ after IV Ca-channel blockers can cause severe hypotension, Bcardia, heart blocks & CHF = 150mg = 10 mg IV/O push 1-2 mins & May repeat every 10 mins to max dose
62
Labetalol):
10mg IV/IO push over 1-2mins & May repeat every 10mins to a max dose of 150mg
63
Lidocaine) Class: Dynamics:
= Ib Antiarrhythmic = Blocks Na channels in cardiac cells thus depolarization slows & decreases automaticity in ventricles
64
Lidocaine) Ind: Contra: Effects:
= Stable monomorphic VT w/ preserved LVF & Alternative to Amiodarone in cardiac arrest by VF/pVT = Shouldn’t use if PT already received IV Ca channel blockers, Not given prophylactically in AMI setting = Drowsiness, Slurred Speech, Confusion, Seizures, Hypotension
65
Lidocaine) Refractory VF dose: Perfusing Arrhythmia dose: Maintenance Infusion dose:
= may give additional 0.5-0.75 mg/kg IV/IO in 5-10 mins = may give additional 0.5-0.75 mg/kg IV/IO in 5-10 mins = 1-4mg/min (30-50 mcg/kg/min)
66
Lidocaine): Cardiac arrest from VF/pVT: Perfusing Arrhythmia: Maintenance Infusion:
=1-1.5mg/kg IV/IO For refractory VF, may give additional 0.5-0.75mg/kg IV/IO in 5-10mins→ max dose is 3mg/kg =1-1.5mg/kg IV/IO For refractory VF, may give additional 0.5-0.75mg/kg IV/IO in 5-10mins→ max dose is 3mg/kg =1-4mg/min (30-50mcg/kg/min)
67
"Lol"
Beta-Blockers
68
MONA): M: O: N: A:
= Morphine, Oxygen 94-98%, Nitro, Aspirin = Morphine: never = Oxy: maybe = Nitro maybe: 2nd w/ MI if not contra (decrease afterload) = Aspirin: maybe (most important) should always 1st line
69
Morphine) class pharmacodynamics
= narcotic (schedule II Opioid) = Analgesia & sedation through binding to opiate receptor
70
Morphine) indications: Contraindications:
= Ischemic chest pain not relieved by Nitro = Known hypersensitivity to drug Uncorrected hypoBP (SBP<90)
71
Morphine): STEMI: NSTEMI-ACS:
= 2-4mg IV/IO (slow); may give + doses of 2-8mg IV at 5-15min intervals =0.1mg/kg IV/IO (slow) or IM up to 10mg
72
Nitroglycerin) class: pharmacodynamics:
= nitrate = Potent vasodilator opens coronary vessels to improve blood flow to myocardium thus Decreases overall workload of heart/afterload
73
Nitroglycerin) indications: Contraindications
= Symptoms suggestive of Myocardial ischemia CHF = HypoBP (SBP<90 or >30 below baseline BP) Severe Bcardia<50bpm, Tcardia>100bpm, Use of phosphodiesterase inhibitors (Boner pills) in last 48 hours, Increased ICP
74
Nitroglycerin) effects: dose:
=H/A, Dizziness, Weakness, Tcardia, HypoBP (tablets lose effectiveness after exposed to sun/air) = 0.4mg SL (pill or spray) → repeat 3x (Q5 mins) for total dose of 1.2mg DONT SHAKE SPRAY B/C AFFECTS DOSE
75
NORepi) Class: dynamics:
= Synthetic hormone Vaso-pressor “Sepsis med” = A/B-adrenergic agonist (A effects > B effects)
76
NORepi) Indi: Contra: Effects:
= Normovolemic hypotension, Septic shock, Cardiogenic shock = hypovolemia PTs til’ Vol/replacement occurred = Hypertension, Organ ischemia, Cardiac arrhythmia, Tissue necrosis w/ extravasation, Palpitations, Anxiety, N/V
77
NORepi) Adult Dose: Pediatric Dose:
= 0.1–0.5 mcg/kg/min IV/IO infusion = 0.1–2 mcg/kg/min IV/IO infusion
78
Nubain) Dose:
= 10-20 mg IV/IO/SQ/IM
79
Ondansetron (Zophran):
= 4-8mg IV (slow), IM, PO
80
Ondansetron) class: pharmacodynamics:
= selective Seratonin 5-HT3 receptor blocker/antagonist = Serotonin 5-HT3 receptors @the vagal-N. Can initiate the gag reflex when stim/ed; Zofran is antiemetic/antag/ of 5-HT3 receptors inhibiting serotonin release on central/peripheral vagal nerve
81
Ondansetron) indi/s: Contra:
= Prevent/control N/B = hypersensitivity & prolong QT
82
Ondansetron)effect: dose:
= HypoBP, Tcardia, Extrapyramidal reaction (=impaired motor control), Prolong QT = 4-8mg IV (slow), IM, PO
83
Oxy freeradicals affect what most: Definition:
= Neurons & cardio myocytes the most killing them = apopcytosis cell suicide
84
Pacing is for:
"picking up the pace" too slow
85
Procainamide & Lidocaine) class
= class 1A&B Na Channel Blockers = Alterative to Amiodarone in cardiac arrest V-Fib/pVT, Stable monomorphic Ventricular TachyC w/ presserved LVF = V-Tach with a pulse, pre-excitation rhythms (WPW) >50% QRS width
86
Procainamide)class: Dynamics:
= 1a antiarrhythmic = Blocks Na channels in cardiac cells which causes depolarization to slow & decrease automaticity
87
Procainamide) max dose: Recurrent VF/VT: Urgent situations: Maintenance Infusion:
= 17mg/kg) or 4 ending points = 20mg/min (max total dose: 17mg/kg) = up to 50mg/min may admin/ to total dose (max 17mg/kg) = 1-4mg/min
88
Procainamide)effect: 4 ending points:
= Drowsy, Slurred speech, Confusion, Seizures, HypoBP = 1. Termination of rhythm, 2. HypoBP, 3. Widening QRS>50%, 4. Meet the max total dose 20mg/min (max total dose: 17mg/kg)
89
Procainamide): Recurrent VF/VT: Maintenance Infusion: Urgent situationships:
= 20mg/min (max total dose: 17mg/kg) = 1-4mg/min = up to 50mg/min may be admin/ to total dose of 17mg/kg
90
Propranolol, Labetalol, Metoprolol) class Labetalol Metoprolol
= class 2 Beta Blockers = 2nd line med for SVT after Adenosine, A-fib/flutter w/RVR, Reduce myocardical ischemia in AMI PT's w/elevated HR, Antihypertensive = Hypertension, 2nd line med for A-Fib/A-Flutter w/ RVR, & SVT
91
Sinus Bradycardia med line:
= 1st Atropine ~3x then Dopamine 2nd line (5-10mcg >10 vaso constricts) Epi slow infusion 2-10 mcg if dopamine dont work
92
Sinus Tach Rx: Narrow & Wide complex tach Rx:
= has a cause (Fever, Vomiting, Bleeding) treat underlying cause = S/S acute, Stable meds, Unstable cardiovert/
93
SVT AV stable Rx: SVT unstable:
= Vagal fixes 25%, Adenosine push & keep printing ECG > Diltiazem, Verapamil, = 50-100/200/300/360J, make sure sync b/c monitor picks tallest wave which can be T wave
94
Sync Cardioversion: TCP: Cardioversion
= “defib in sync” = "Pick up the pace" = "Convert/ to slower & normal"
95
TCP dose & check:
= 60-80Ma (80 1st) Mechanical beat w/ every electrical beat & increase by 2Mili-Amps
96
Thiamine)
= 100 mg IV/IO/IM
97
Transcutaneous Pacing (TCP) for: measurement:
= Unstable bradyCs, heart blocks, = 60-80 milliamps
98
Verapamil) class: pharmacodynamics:
= IV antiarrhythmic Ca channel blocker = Slows AP of autorhythmic cells in heart by blocking Ca channels
99
Verapamil) indications: Contraindications:
= 2nd med for A-Fib/Flutter w/ RVR, May use as alterative med (after adenosine), narrow QRS complex Tcardia w/ preserved LV function = HypoBP (SBP<90), CHF/cardio/ shock, Wide-complex Tcardia, WPW, Hypersensitivity
100
Verapamil)1.May cause: 2. Effects:
= more profound hypotension response than that of Diltiazem = Severe CHF may result if used w/ beta-blocker, N/V/D, Dizziness, H/A
101
Verapamil): 1st: 2nd: Max dose:
=2.5-5mg IV/O bolus /2-3mins = 5-10mg over 2-3 mins =20mg
102
WCT monomorphic VT stable: WCT monomorphic VT Unstable:
= Procainamide 20-50mg/min until 4 ending points, Amiodarone: Max dose 2.2grams in 24Hrs, Sotalol: 100mg (1.5mg/kg), Lidocaine: 1-1.5mg/kg repeat at ½ dose every 5-10mins max of 3mg/kg = cardioversion: 100J, 200J, 300J, 360J
103
Mag-Sulfate) Arrest due to suspected hypomag/Tdp: Tdp w/ pulse: Maintenance infusion:
= 1-2grams diluted in 10mL = 1-2grams mixed in 50-100mL admin/ over 5-60mins =0.5-1gram per hour
104
L)
105
L)
106
L)
107
L)
108
L)
109
L)
110
L)
111
L)

P2 Exams (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions