Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

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
Q

Dopamine considerations

A 
Extravasation = tissue necrosis 
Antidote = SubQ Regitine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Digoxin +/-?

A

+ inotrope

-chronotrope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Digoxin use

A

+ inotrope = increases BP and HR

- Chromotrope = A-Fib and CHF
decrease HR, higher force of contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Digoxin SE

A

N/V
Decrease appetite
Yellow / green Halos*
photophobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Digoxin considerations

A

Check apical pulse greater than 60

Atrial Dysrhythmias - check dig toxicity

ventricular dysrhythmias - check potassium levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Epinephrine +/-?

A

+ inotrope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Epinephrine use and dose

A

1ST DRUG IN A CODE

VF/pulseless VT, Asystole

1mg q3-5min

NO MAX OUT!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Lidocaine class

A

Class I - sodium channel blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Lidocaine +/-?

A
  • inotrope, chrono/dromo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Lidocaine use and dose

A

2nd Line drug to Amiodarone

VF/pulseless VT

give 1 - 1.5 mg/kg

(Max 3mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Lidocaine Considerations

A

Avoid in 2nd and 3rd degree AV blocks

Overdose: 
paresthesia in face, 
drowsiness, 
disorientation, 
tinnitus
36
Q

Procainamide class

A

Class I - sodium channel blocker

37
Q

Procainamide +/-?

A
  • inotrope, chrono/dromo
37
Q

Procainamide SE

A

Hypotension

38
Q

Procainamide use and dose

A

3rd Line drug to Amiodarone

VF/VT with or without pulse

max 17 mg/kg

40
Q

Sodium bicarbonate use and dose

A 
Metabolic acidosis 
High K (overdose)

1 mEq/kg initially,
then appropriate dose with calculated ABGs

41
Q

Sodium bicarbonate considerations

A

Check ABGs (acidotic?)

42
Q

Verapamil class

A

Class IV - calcium channel blockers

43
Q

Verapamil +/-?

A
  • inotrope, chrono/dromo
44
Q

Verapamil use

A

2nd drug after adenosine

SVT

45
Q

Verapamil considerations

A

Give SLOWLY over 1-3 min

46
Q

Vasopressin +/-?

A

+ inotrope

47
Q

Vasopressin use and dose

A

Alternative to Epinephrine

VF/pulseless VT

40 units ONE TIM

48
Q

Magnesium sulfate +/-?

A

-inotrope, chrono/dromo

49
Q

Magnesium sulfate use and dose

A

Torsades de pointes

1-2gm

49
Q

Magnesium sulfate considerations

A

Calcium gluconate = antidote

50
Q

Magnesium sulfate SE

A 
Hypotension
Deep tendon reflex
Flushing
AV heart blocks
respiratory depression
52
Q

Metoprolol class

A

Class II - Beta Blockers

52
Q

Metoprolol use

A

Hypertension post MI

53
Q

Metoprolol +/-?

A
  • inotrope, chrono/dromo
55
Q

Metoprolol considerations

A

Check pulse and BP

Avoid with asthma

56
Q

Lisinopril class

A

ACE Inhibitor

57
Q

Lisinopril +/-?

A
  • inotrope, chrono/dromo
57
Q

Lisinopril SE

A

Dry cough

58
Q

Lisinopril use

A

Hypertension

HF

59
Q

Lisinopril considerations

A

Check pulse and BP

60
Q

What to do for ventricular dysrhythmias

A

Check K may be high or low

61
Q

What to do with atrial dysrhythmias

A

Check dig levels if on digoxin (dig tox)

62
Q

+ ino (5)

A 
Calcium chloride 
Dopamine
Digoxin
Epinephrine 
Vasopressin
63
Q

+ chrono/dromo (1)

A

Atropine

65
Q
  • chrono, + inotrope
A

Digoxin

65
Q

Bradycardia

A

Atropine

66
Q

SVT

A

Adenosine

Verapamil

67
Q
  • inotrope, chrono/dromo (9)
A 
Adenosine 
Verapamil
Amiodarone 
Lidocaine
Procainamide
Diltiazem
Magnesium sulfate 
Metoprolol
Lisinopril
68
Q

VT with pulse

A

Amiodarone

Procainamide

69
Q

VF and pulseless VT

A 
Amiodarone
Lidocaine 
Procainamide 
Epinephrine
Vasopressin
70
Q

A-fib

A

Diltiazem

Digoxin

71
Q

A-flutter

A

Diltiazem

72
Q

High K or Low Ca

A

Calcium chloride

73
Q

Increase renal perfusion or increase BP

A

Dopamine

74
Q

CHF

A

Digoxin

75
Q

Metabolic Acidosis

A

Sodium bicarbonate

76
Q

Torsades

A

Magnesium sulfate

77
Q

Hypertension

A

Metoprolol

Lisinopril

78
Q

Morphine

A

respiratory depression, hypertension

antidote = Narcan

79
Q

Atropine Side Effects

A 
tachyarrhythmia
delirium
flushed
ataxia
blurred vision
coma
80
Q

Fentanyl

A

hemodynamically unstable patients

81
Q

Demoral (Meperidine)

A

pre-op sedation
anesthesia adjunct
mild / moderate pain

82
Q

Diprivan (propofol)

A

change tubes q12h due to high fat

83
Q

Versed (Midazolam)

A

short-term sedation
avoid in head trauma

antidote = remazicon

84
Q

Ativan (Lorazepam)

A

anxiety

85
Q

Haldol (haloperidol)

A

acute confusion / psychosis

need to measure QT intervals
can prolong it

86
Q

Pain Management Drugs

A

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.
© 2024 Bold Learning Solutions. Terms and Conditions