Cardiac Drugs

Question 1

Adenosine

Answer 1

Dose: 6/12/12mg

Indications: SVT, diagnose QRS tachycardia

SE: transient heart block, flushing, chest pain, imminent doom feeling

Question 2

Atropine

Answer 2

Dose: 0.4-1mg IV

Indications: bradycardia or AV block

SE: tachycardia, myocardial ischemia

Question 3

Diltiazem

Answer 3

Dose: 10-20 mg IV bolus, infusion 5-15 mg/hr

Indications: rate control

SE: HoTN, CHF

Question 4

Esmolol

Answer 4

Dose: 0.5 mg/kg bolus then infusion 0.05 mg/kg/hr, increase by 0.05 q 5 min

Indication: rate control

SE: bronchospasm, HoTN, CHF exacerbation

Question 5

Metoprolol

Answer 5

Dose: 5 mg IV q5min x3

Indications: rate control

SE: bronchospasm, HoTN, CHF exacerbation

Question 6

Ibutilide

Answer 6

Dose: 1 mg IV over 10 min

Indications: conversation of AF

SE: QT prolongation/torsades

Question 7

Amiodarone

Answer 7

Dose: 150 mg IV over 10 min then 1 mg/min x6hrs, then 0.5mg/min

Indications: VT, rate control and AF conversion

SE: mild HoTN, heart block

Question 8

Verapamil

Answer 8

Dose: 75-150 mcg/kg over 2 min then 5 mcg/kg/min

SE: heart block, HF, HoTN, asystole, nausea, constipation