Cardiac Ind/con/dos

Question 1

Amiodarone indications 4

Answer 1

Refractory vf/pulse less vt

Polymorphic vt and wide complex tachycardia of unknown origin

Hemodynamically stable vt

Runs of vt post arrest

Question 2

Amiodarone contraindications 4

Answer 2

Hypersensitivity (to iodine)

Bradycardia

2nd and 3rd degree heart block

Sinus node dysfunction

Question 3

Amiodarone dosage

Answer 3

Vfib/pulseless vtach- 300 mg in 20 ml NS IV, repeat w 150 mg

Vt/wct- 150 mg in 50 ml NS over 10 min

Maintenance infusion- 1 mg/min over 6 hr (150 mg in 250 ml)

Question 4

Adenosine also known as

Answer 4

Adenocard

Antidysrhythmic

Question 5

Adenosine indications 2

Answer 5

Stable narrow complex tachycardia

Monomorphic wide complex tachycardia

Question 6

Adenosine contraindications 3

Answer 6

Hypersensitivity

Poison/drug induced tachycardia

Polymorphic wide complex tachycardia

Question 7

Adenosine dosage

Answer 7

1st- 6 mg iv very fast push

2nd- 12 mg iv very fast push

Question 8

Procainamide also known as

Answer 8

Pronestyl

Antidysrhythmic class 1

Question 9

Procainamide indications 3

Answer 9

Vfib/pulseless vt

Wide complex tachycardia

Pvst (afib/flut)

Question 10

Procainamide contraindications 6

Answer 10

3rd degree heart block

Hypotension

Digitalis toxicity

Tricyclic induced arrhythmia

Torsades de pointe

Pre existing qt prolongation

Question 11

Procainamide dosage

Answer 11

Vfib/vtach- 30-50 mg/min IV slow

Vtach w pulse- 20 mg/min IV slow

Maintenance 1-4 mg/min

Question 12

Lidocaine class

Answer 12

Antiarrhythmic 1b

Question 13

Lidocaine indications 3

Answer 13

Vfib/vtach

Stable vtach w pulse

Wide complex tachycardia unknown

Question 14

Lidocaine contraindication

Answer 14

Hypersensitivity

Question 15

Lidocaine dosage

Answer 15

Vfib/vtach- 1 mg/kg w subsequent 0.5 mg/kg dosages q 10 min

Vtach w pulse- bolus 1 mg/kg subsequent 0.5 mg/kg q 10 min, infusion 1-4 mg/min

*both max 3 mg/kg

Question 16

Atropine classes

Answer 16

Parasympathetic, anticholinergic

Question 17

Atropine indications

Answer 17

Symptomatic bradycardia

Organophosphate poisoning

Premed for SUCCinylcholine

Question 18

Atropine contraindications

Answer 18

Uncorrected tachydysrhythmias

Hypothermic bradycardia

2nd type 2, 3rd degree heart block (relative)

Question 19

Atropine dosage

Answer 19

Bradycardia- 0.5-1 mg IV q 3 min, max 3 mg

Organophosphate poisoning- 2 mg IV q 5 min, titrate to decrease symptoms

Question 20

Amiodarone also known as

Answer 20

Cordarone

Antidysrhythmic