Cardiac Emergency Pharm Flashcards
The preferred route of administration for nitro in the prehospital setting is?
Sublingual
When administering Epi in CA with a 1:10000 IV or IO the standard initial dose is?
1 MG
What pharmacological drug would you use to treat a polymorphic ventricular tachycardia (Torsades)
Magnesium Sulfate
If avaliable what is the preferred method for clearing an arterial occlusion?
If this is not avaliable, what pharmacological route would you go?
Percutaneous Coronary Intervention. Fibrolytics
Excessive stimulation of the Vagus nerve may result in?
Bradycardia
Which of the following statements is TRUE regarding Digoxin?
Digoxin has a negitive chronotropic (slows AV condution) and increased inotropic (force of cardiac contraction) effects.
The beneficial effects of Epi in CA are thought to be beacause of
Alpha- adrenergic effects
Lidocaine is contraindicated in which of the following?
High grade heart blocks
Vassopressin may be used in CA when?
As a replacement for the first or second epi dose
in Hemodynamically significant bradycardic pts, when you can not pace or it is not available the recommended dose of atropine sulfate is?
0.5 mg
Indications for Dopamine include?
Cardiogenic Shock
Because of it’s selective alpha 1 antagonistic properties, labetalol is indicated in?
Tachycardia
Amiodarone is indicated in which of the following life-threatening arrythmias?
Stable V Tach
What is the initial dosage if dopamine?
2-10 mcg/kg/min
Following the administration of adenosine, the pmed should be aware that?
Pt may experience arrythmias including transient asystole.
What metabolism occurs without the presence of oxygen is inefficeint nad is termed? or ___ metabolism
Anaerobic, glucose
Oxygen should be administered?
to any patient that needs it, pt’s with signs of hypoxia
When utilizing Sodium Bicard, it is important to understand that:
Sodium Bicard will inactivate catecholamines administered through the same IV line unless the line is flushed thoroughly
When preparing sodium nitro prusside for use in hypertensive emergencies, it is important to remember that?
Once mixed, keep wrapped in an opaque wrapper to not deactivate.
Furosemide works by?
Inhibiting the reuptake of sodium and chloride resulting in diuresis
Dobutamine is useful in CHF because:
It causes less increase in HR than other sympathomimetics
In acute coronary syndrome, asprin is given because:
Asprin inhibits the aggregation of platelets preventing occlusion of Coronary arteries
According to Vaughn-Williamson classification diltiazem(cardizem) is a class ____ antiarrythmic?
IV
Contraindications that apply to both aspirin and clopidogrel include?
Bleeding disorders
