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Paramedic > Cardiac Meds > Flashcards

Cardiac Meds Flashcards

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1
Q

Asprin Class

A

Platelet inhibitor, anti-inflammatory

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2
Q

Aspirin Indications

A

New onset of chest pain

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3
Q

Aspirin Contraindications

A

Hypersensitivity, recent bleeding, stomach ulcers

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4
Q

Aspirin Dose

A

Dose: 160 mg - 324 mg, depending on the amount patient has taken within the past 12 hours

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5
Q

Nitro Class

A

Vasodilator

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6
Q

Nitro Indications

A

Acute angina, ischemic chest pain, heart failure, pulmonary edema

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7
Q

Nitro Contraindications

A

Hypotention, hypovolemia, intracranial bleeding or head injury, pericardial tamponade, severe bradycardia or tachycardia, ED drugs within the last 48-72 hours, inferior wall myocardial infarction.

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8
Q

Nitro Dose

A

Adult dose: 0.4 mg sublingual or transdermal, every five minutes until pain is relieved (max three doses) Paste ½ inch – ¾ inch (15-30 mg) Transdermal to chest

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9
Q

Mag Sulfate Class

A

Electrolyte, Smooth muscle relaxant

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10
Q

Mag Sulfate Indications

A

Torsades de pointes, hypomagnesemia, Pulseless VF /VT that is refractory to amiodarone

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11
Q

Mag Sulfate Contraindications

A

Heart block, myocardial damage

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12
Q

Mag Sulfate Dose

A

Adult dose: Polymorphic VT or Torsades de Pointes: 1 -2 G IV/IO over 15-30 minutes

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13
Q

Epinephrine Class

A

Sympathomimetic, Alpha1, Beta1, & Beta2 Agonist (vasoconstrictor, chronotropic, ionotropic, bronchodilaltor)

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14
Q

Epinephrine Indications

A

Cardiac arrest (asystole, PEA, VF and Pulseless VT) symptomatic bradycardia as an alternate infusion to Dopamine.

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15
Q

Epinephrine Contraindications

A

None in the emergency setting.

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16
Q

Epinephrine Dose

A

Adult dose: 1 mg every 3-5 minutes IV/IO

2-10 mcg/min Conversion infusion or continued refractory hypotension/bradycardia: 2-10 mcg/minute IV/IO.

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17
Q

Dopamine Class

A

Vaughan Williams Class III Antidysrhythmic (potassium channel blocker)

18
Q

Dopamine Indications

A

SVT, V Tach with normal QT interval, VF or VT without a pulse

19
Q

Dopamine Contraindications

A

Cardiogenic Shock, 2nd or 3rd degree block, Sick Sinus unless a functioning artificial pace maker is present

20
Q

Dopamine Dose

A

Adult: 5-20 mcg/kg/min IV/IO slowly titrated to effect

21
Q

Amiodarone Class

A

Vaughan Williams Class III Antidysrhythmic (potassium channel blocker)

22
Q

Amiodarone Indications

A

SVT, V Tach with normal QT interval, VF or VT without a pulse

23
Q

Amiodarone Contraindications

A

Cardiogenic Shock, 2nd or 3rd degree block, Sick Sinus unless a functioning artificial pace maker is present

24
Q

Amiodarone Dose

A

Pulseless VT & VF: 300 mg IV/IO, followed by 150 mg IV or IO Wide Complex Tachycardia: 150 mg IV/IO over 10 mins may repeat every 10 mins as needed. Maintenance infusion: 0.5 mg/min

25
Q

Adenosine Class

A

Vaughan Williams Class V Antidysrhythmic

26
Q

Adenosine Indications

A

Conversion of narrow complex tachycardia to sinus rhythm

27
Q

Adenosine Contraindications

A

2nd or 3rd degree block, asthma, COPD, and poisoned or drug induced tachycardia

28
Q

Adenosine Dose

A

First dose: 6 mg Rapid IV followed by 20 ML flush Second dose: 12mg Rapid IV followed by 20 ML flush

29
Q

Atropine Class

A

Anticholernergic (parasympatholytic)

30
Q

Atropine Indications

A

Stable bradycardia, beta-blocker or calcium channel blocker OD

31
Q

Atropine Contraindications

A

Tachycardia, acute hemorrhage w/ myocardial ischemia, hypothermic bradycardia

32
Q

Atropine Dose

A

Adult dose: bradycardia and heart blocks 0.5mg – 1mg IV/IO, may repeat q 3-5 min to max dose of 3mg

33
Q

Lidocaine Class

A

Vaughan Williams Class I Antidysrhythmic (sodium channel blocker)

34
Q

Lidocaine Indication

A

Alternative to Amiodarone in cardiac arrest

35
Q

Lidocaine Contraindications

A

2nd or 3rd degree block, wide complex ventricular escape beats with bradycardia

36
Q

Lidocaine Dose

A

Adult dose pulseless VF /VT 1-1.5 mg/kg IV/IO repeat dose 0.5-0.75 mg/kg IV/IO with a max dose of 3 mg/kg. Maintenance dose or Stable VT and wide complex Tachycardia: 1-4 mg/min

37
Q

Morphine Sulfate Class

A

Opiod Agonist

38
Q

Morphine Sulfate Indications

A

Acute angina, ischemic chest pain refractory to nitroglycerin, heart failure, pulmonary edema

39
Q

Morphine Sulfate Contraindications

A

Head Injury, depressed respiratory drive, hypotension, undiagnosed abdominal pain, decreased LOC, suspected hypovolemia, patients who have taken MAOI’s in the last 14 days

40
Q

Morphine Sulfate Dose

A

Adult dose: 2 – 4 mg IV may repeat 2 – 8 mg max of 10 mg

Paramedic (2 decks)

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