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FISDAP Pmed emergencies > Cardiac Meds > Flashcards

Cardiac Meds Flashcards

1
Q

When is Epinephrine indicated?

A

Cardiac arrest

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2
Q

Epinephrin dosage

A

1:10000 1.0mg (Adults) 0.01mg/kg (children)

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3
Q

when is Norepinephrine (Levophed) indicated?

A

Hypotension

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4
Q

Norepinephrine dosage

A

0.1-0.5 mcg/min.

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5
Q

When is Phenylephrine indicated?

A

used to support BP in shock.

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6
Q

Phenylephrine dosage

A

100-180mcg/min

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7
Q

When is Isoproterenol (Isuprel) indicated?

A

shock resulting in bradycardias.

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8
Q

Isoproterenol dosage

A

2mcg/mL

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9
Q

When is Dopamine indicated?

A

Hemodynamically significant hypotension.

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10
Q

Dopamine dosage

A

800mg in 500mL. 1600 mcg/mL.

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11
Q

When is Dobutamine (Dobutrex) Indicated?

A

Short term management of CHF.

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12
Q

Dobutamine dosage

A

2-20 mcg/kg/min

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13
Q

When is Inamrinone indicated?

A

short term management of severe CHF refractory to diuretics, vasodilators, and conventional inotropic agents.

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14
Q

Inamrinone dosage

A

5-10 mcg/kg/min

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15
Q

When is Milrinone (Primacor) indicated?

A

short term management of CHF

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16
Q

Milrinone dosage

A

50 mcg/kg

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17
Q

When is vasopressin (pitressin) Indicated?

A

increase vascular resistance during CPR

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18
Q

Vasopressin dosage

A

40 units

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19
Q

When is Propranolol (Inderal) indicated?

A

Stable, narrow-complex tachycardias if rhythm remains uncontrolled or unconverted by adenosine or vagal maneuvers or recurrent SVT.
control ventricular rate in patients with a-fib or a-flutter
certain forms of polymorphic VT (associated with acute ischemia, familial long QT syndrome, catecholaminergic.

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20
Q

Propranolol dosage

A

0.5-1.0mg

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21
Q

When is metoprolol (Lopressor) Indicated?

A

used in pts with suspected or definite acute myocardial infarction who are hypertensive and do not have any contraindications. stable narrow complex tachycardias, control ventricular rate in pts with A-fib/a-flutter. certain forms of polymorphic VT.

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22
Q

Metoprolol dosage

A

5mg

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23
Q

When is Labetalol (Trandate, Normodyne) indicated?

A

acute management of hypertensive emergency.

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24
Q

Labetalol dosage

A

20mg slowly by IV.
500mg can be added to 250mL of D5W

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25
Q

When is Atenolol (tenormin) indicated?

A

stable, narrow-complex tachycardas
control ventricular rates in pts with a-fib/a-flutter
polymorphic VT.

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26
Q

Atenolol dosage

A

5 mg

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27
Q

When is Esmolol (Brevibloc) Indicated?

A

stable, narrow-complex tachycardias. controlled Ventricular rates in pts with a-fib/a-flutter. certain forms of polymorphic VT.

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28
Q

When is Lidocaine (Xylocaine) indicated?

A

Ventricular tachycardia and ventricular fibrillation refractory to amiodarone.

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29
Q

Lidocaine dosage

A

1.0-1.5 mg/kg

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30
Q

When is procainamide (Pronestyl) indicated?

A

Ventricular tachycardia with a pulse. It can be used in the treatment of pre-excited a-fib.

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31
Q

Procainamide dosage

A

20-50 mg/min

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32
Q

When is Adenosine (Adenocard) indicated?

A

Tachycardias refectory to vagal maneuvers including supraventricular tachycardia.

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33
Q

Adensoine dosage

A

1st dose 6mg 2nd dose 12mg

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34
Q

When is Verapamil (Isoptin, Calan) indicated?

A

only be given to narrow-complex tachardias.

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35
Q

Verapamil dosage

A

2.5-5mg

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36
Q

When is Diltiazem (cardizem) indicated?

A

Narrow-complex tachycardias.

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37
Q

Diltiazem dosage

A

15-20mg

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38
Q

When is Amiodarone (Cordone) Indicated?

A

Life threatening cardiac arrythmias such as ventricular tachycardia and ventricular fibrilation.

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39
Q

Amiodarone Dosage

A

intital dose 300mg. 150mg for repeated dosages.

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40
Q

When is phenytoin (Dilantin) Indicated?

A

used in life threating arrhythmias resulting from digitalis toxicity or tricyclic antidepressant overdose. ventricular arrythmias in the setting of acute myocardial infarction should first be treated.

41
Q

Phenytoin dosage

A

100mg

42
Q

When is Edrophonium chloride (Tensilon) Indicated?

A

PSVT refectory to vagal maneuvers and adenosine.

43
Q

Edrophonium Chloride dosage

A

5mg initially, secondary 10mg.

44
Q

When is Magnesium sulfate indicated?

A

used in torsade de pointes

45
Q

Magnesium sulfate dosage

A

1-2g

46
Q

When is Atropine Sulfate indicated?

A

Atropine is used in hemodynamically significant bradycardia with a pulse.

47
Q

Atropine Sulfate dosage

A

0.5mg

48
Q

When is digoxin indicated?

A

In the emergency setting, digoxin is used in the following stabel narrow-complex regular tachycardias, or to controll VT.

49
Q

Digoxin dosage

A

0.25mg

50
Q

When is Heparin Indicated?

A

used to inhibit clot formation in acute coronary syndrome.

51
Q

Heparin Dosage

A

Adult dosage (acute STEMI and unstable angina) 60 units/kg
Adult dosage (NSTEMI and unstable angina) 60-70 U/kg

52
Q

When is Enoxaparin (Lovenox) indicated?

A

used to inhibit colt formation in ACS

53
Q

Enoxaparin dosage

A

Adult dosage (STEMI) 30mg.

54
Q

When is Colpidogrel (Plavix) indicated

A

used for treatment of ACS

55
Q

clopidogrel dosage

A

ACS non-ST-segment elevation 300mg followed by 75mg.
STEMI-75 mg
Recent MI-75mg

56
Q

When is Abciximab (repro) indicated?

A

cardiac ischemia

57
Q

Abciximab dosage

A

0.25mg/kg

58
Q

When is Eptifibatide (Integrilin) indicated?

A

ACS

59
Q

Eptifibatide dosage

A

180mcg/kg

60
Q

When is Tirofiban (Aggrastat) Indicated?

A

ACS

61
Q

Tirofiban dosage

A

0.4mcg/kg/min

62
Q

When is streptokinase (streptase) Indicated?

A

ACS

63
Q

Streptokinase dosage

A

1.5 million units over an hour.

64
Q

When is Anistreplase (Eminase, Apsac) indicated?

A

ACS

65
Q

Anistreplase dosage

A

30 units

66
Q

When is Alteplase, tissue plasminogen Activator (Activase) indicated?

A

ACS

67
Q

Activase dosage

A

100mg

68
Q

When is Tenecteplase (TNKase) indicated?

A

ACS

69
Q

Tenecteplase dosage

A

based on weight.

70
Q

When is Reteplase Recombinant (Retavase) indicated?

A

ACS

71
Q

Retavase dosage

A

10 units

72
Q

When is sodium bicarb indicated?

A

used in selected overdoses and poisonings.

73
Q

Sodium bicarb dosage

A

1 mEq/kg

74
Q

When is Morphine Sulfate indicated?

A

used for sever pain associated with myocardial infarction, kidney stones, and so froth.

75
Q

Morphine sulfate dosage

A

2-10mg

76
Q

When is Nitrous Oxide (Nitronox, Entonox) indicated?

A

CNS depressant

77
Q

Nitrous Oxide dosage

A

self administered

78
Q

When is Furosemide (Lasix) indicated?

A

is used as an adjunct to nitroglycerin and ACE inhibitors in CHF and pulmonary edema.

79
Q

Lasix dosage

A

40 mg

80
Q

When is Bumetanide (Bumex) indicated?

A

used as an adjunct for Nitroglycerin.

81
Q

Bumax doasgae

A

0.5-1.0 mg

82
Q

When is Nitroglycerin (Nitrostat) indicated?

A

used for chest pain associated with acute coronary syndrome and acute pulmonary edema. CHF.

83
Q

Nitroglycerin dosage

A

0.4mg

84
Q

When is Nicardipine (Cardene) indicated?

A

hypertensive emergency

85
Q

Nicardipine dosage

A

5mg/hr.

86
Q

When is Clevidipine (cleviprex) indicated?

A

hypertensive emergencies

87
Q

Clevidipine dosage

A

1-2 mg/hr

88
Q

When is Nifedipine (Procardia, Adalat) indicated?

A

chronic hypertension and angina pectoris.

89
Q

Nifedipine Dosage

A

10-20 mg

90
Q

When is Enalaprilat (Vasotec) indicated?

A

hypertension and CHF

91
Q

Enalaprilat dosage

A

1.25-5mg

92
Q

When is Captopril (Capoten) Indicated?

A

Hypertension and CHF.

93
Q

Capropril dosage

A

12.5-25mg

94
Q

When is Sodium Nitroprusside (Nitropress, Nipride) indicated?

A

hypertensive emergency

95
Q

Nitroprusside dosage

A

50mg

96
Q

When is Hydralazine (Apresoline) Indicated?

A

hypertensive emergencies.

97
Q

Hydralazine dosage

A

10-20mg

98
Q

When is Calcium chloride indicated?

A

acute hyperkalemia, acute hypocalcemia.

99
Q

Calcium Chloride dosage

A

2-4mg

FISDAP Pmed emergencies (4 decks)

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