Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Adults III Exam 1 > Cardiac Meds > Flashcards

Cardiac Meds Flashcards

0
Q

Atropine class?

A

Anticholinergic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Atropine +-?

A

+ inotrope, chrono/dromo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Atropine use and dose

A

Systole or PEA, Bradycardia - increases HR, SVR
1mg q3-5min
Max 2mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Atropine nursing considerations

A

Check pulses, monitor BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Adenosine class

A

Class IV - calcium channel blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Adenosine +/-?

A
  • inotrope, chrono/dromo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Adenosine SE

A

Periods of asystole
Flushing
SOA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Adenosine use and dose

A

SVT
6mg/12mg/12mg
1 minute between doses with NS flush

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Adenosine nursing considerations

A

Monitor, on TELE
Short half life 1-3 seconds, give rapidly
After max then synchronized cardioversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Amiodarone class

A

Class III - Potassium Channel Blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Amiodarone +/-?

A
  • inotrope, chrono/dromo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Amiodarone use and dose

A

1st line drug

VF/pulseless VT - 300mg

VT with pulse - 150mg

(max 450mg total)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Amiodarone considerations

A

Watch BP

Measure QT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Amiodarone SE

A

Hypotension, prolonged QT interval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cardizem (diltiazem) +/-?

A
  • inotrope, chrono/dromo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cardizem (diltiazem) use

A

A-fib, A-flutter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cardizem (diltiazem) class

A

Class IV - calcium channel blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cardizem (diltiazem) SE

A

Hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cardizem (diltiazem) considerations

A

Check pulse and BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Calcium chloride +/-?

A

+ inotrope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Calcium chloride nursing considerations

A

Makes dig toxicity worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Calcium chloride use

A

an electrolyte that increases the force of myocardial contractions

High K (hyperkalemia)

Low Ca (hypocalcemia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Dopamine +/-?

A

+ inotrope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Dopamine use and dose

A

“1 to 5 keeps the kidneys alive”
Increase kidney function
1-5 mcg/kg

“5 and above the BP will love”
Increase BP of the heart
5-20 mcg/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Dopamine considerations
``` Extravasation = tissue necrosis Antidote = SubQ Regitine ```
26
Digoxin +/-?
+ inotrope -chronotrope
27
Digoxin use
+ inotrope = increases BP and HR | - Chromotrope = A-Fib and CHF decrease HR, higher force of contraction
28
Digoxin SE
N/V Decrease appetite Yellow / green Halos* photophobia
29
Digoxin considerations
Check apical pulse greater than 60 Atrial Dysrhythmias - check dig toxicity ventricular dysrhythmias - check potassium levels
30
Epinephrine +/-?
+ inotrope
31
Epinephrine use and dose
1ST DRUG IN A CODE VF/pulseless VT, Asystole 1mg q3-5min NO MAX OUT!
32
Lidocaine class
Class I - sodium channel blocker
33
Lidocaine +/-?
- inotrope, chrono/dromo
34
Lidocaine use and dose
2nd Line drug to Amiodarone VF/pulseless VT give 1 - 1.5 mg/kg (Max 3mg)
35
Lidocaine Considerations
Avoid in 2nd and 3rd degree AV blocks ``` Overdose: paresthesia in face, drowsiness, disorientation, tinnitus ```
36
Procainamide class
Class I - sodium channel blocker
37
Procainamide +/-?
- inotrope, chrono/dromo
37
Procainamide SE
Hypotension
38
Procainamide use and dose
3rd Line drug to Amiodarone VF/VT with or without pulse max 17 mg/kg
40
Sodium bicarbonate use and dose
``` Metabolic acidosis High K (overdose) ``` 1 mEq/kg initially, then appropriate dose with calculated ABGs
41
Sodium bicarbonate considerations
Check ABGs (acidotic?)
42
Verapamil class
Class IV - calcium channel blockers
43
Verapamil +/-?
- inotrope, chrono/dromo
44
Verapamil use
2nd drug after adenosine SVT
45
Verapamil considerations
Give SLOWLY over 1-3 min
46
Vasopressin +/-?
+ inotrope
47
Vasopressin use and dose
Alternative to Epinephrine VF/pulseless VT 40 units ONE TIM
48
Magnesium sulfate +/-?
-inotrope, chrono/dromo
49
Magnesium sulfate use and dose
Torsades de pointes 1-2gm
49
Magnesium sulfate considerations
Calcium gluconate = antidote
50
Magnesium sulfate SE
``` Hypotension Deep tendon reflex Flushing AV heart blocks respiratory depression ```
52
Metoprolol class
Class II - Beta Blockers
52
Metoprolol use
Hypertension post MI
53
Metoprolol +/-?
- inotrope, chrono/dromo
55
Metoprolol considerations
Check pulse and BP Avoid with asthma
56
Lisinopril class
ACE Inhibitor
57
Lisinopril +/-?
- inotrope, chrono/dromo
57
Lisinopril SE
Dry cough
58
Lisinopril use
Hypertension | HF
59
Lisinopril considerations
Check pulse and BP
60
What to do for ventricular dysrhythmias
Check K may be high or low
61
What to do with atrial dysrhythmias
Check dig levels if on digoxin (dig tox)
62
+ ino (5)
``` Calcium chloride Dopamine Digoxin Epinephrine Vasopressin ```
63
+ chrono/dromo (1)
Atropine
65
- chrono, + inotrope
Digoxin
65
Bradycardia
Atropine
66
SVT
Adenosine | Verapamil
67
- inotrope, chrono/dromo (9)
``` Adenosine Verapamil Amiodarone Lidocaine Procainamide Diltiazem Magnesium sulfate Metoprolol Lisinopril ```
68
VT with pulse
Amiodarone | Procainamide
69
VF and pulseless VT
``` Amiodarone Lidocaine Procainamide Epinephrine Vasopressin ```
70
A-fib
Diltiazem | Digoxin
71
A-flutter
Diltiazem
72
High K or Low Ca
Calcium chloride
73
Increase renal perfusion or increase BP
Dopamine
74
CHF
Digoxin
75
Metabolic Acidosis
Sodium bicarbonate
76
Torsades
Magnesium sulfate
77
Hypertension
Metoprolol | Lisinopril
78
Morphine
respiratory depression, hypertension antidote = Narcan
79
Atropine Side Effects
``` tachyarrhythmia delirium flushed ataxia blurred vision coma ```
80
Fentanyl
hemodynamically unstable patients
81
Demoral (Meperidine)
pre-op sedation anesthesia adjunct mild / moderate pain
82
Diprivan (propofol)
change tubes q12h due to high fat
83
Versed (Midazolam)
short-term sedation avoid in head trauma antidote = remazicon
84
Ativan (Lorazepam)
anxiety
85
Haldol (haloperidol)
acute confusion / psychosis *need to measure QT intervals* can prolong it
86
Pain Management Drugs
assess Pain q4h and PRN ``` Morphine Fentanyl Demoral (meperidine) Diprivan (propofol) Versed (midazolam) Ativan (Lorazepam) Haldol (haloperidol) ```

Adults III Exam 1 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions