Cardiac Meds Flashcards

0
Q

Acetylsalicylic Acid

Another Name

A

Aspirin

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1
Q

Aspirin

Another Name

A

Acetylsalicylic acid

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2
Q

Aspirin (Acetylsalicylic Acid)

Other Names

A

Alka-seltzer, bayer, empirin, st joseph childrens

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3
Q

Aspirin (Acetylsalicyclic acid)

Class

A

Analgesic, antipyretic, platelet inhibitor, anti inflammatory

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4
Q

Aspirin (acetylsalicylic acid)

Description

A

Inhibits agents that cause the production of inflammation, pain, and fever. Relieves mild to moderate pain by acting on the peripheral nervous system, lowers body temperature in fever, powerfully inhibits platelet aggregation

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5
Q

Aspirin (Acetylsalicyclic acid)

Indications

A

Chest pain suggestive of MI

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6
Q

Aspirin (acetylsalicylic acid)

Contraindication

A

Hypersensitivity to salicylates, active ulcer disease, asthma

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7
Q

Aspirin (acetylsalicylic acid)

Dose/Route:

A

160 to 324 mg PO (chewable)

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8
Q

Atropine

Class

A

Parasympatholytic

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9
Q

Atropine

Description

A

Blocks parasympathetic nervous system, specifically vagal effects on heart rate.may increase myocardial oxygen demand. Decreases airway secretions

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10
Q

Atropine

Indications

A

Hemodynamically significant bradycardia, bradysystolic arrest and organophosphate poisoning

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11
Q

Atropine

Contraindications

A
None in emergency setting
2nd degree type 2 and above heart blocks are class 2B (not recommended)
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12
Q

Atropine

Precautions

A

AMI, glaucoma

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13
Q

Atropine

Dose/Route: Bradycardia

A

0.5-1mg IV/IO ET. Repeat 3-5 min to 3mg

Pedi:0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5min up to 1 mg

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14
Q

Atropine

Dose/Route: Organophosphate Poisoning

A

2-5 mg IV/IM/IO 10-15 min

Pedi: 0.05 mg/kg IV/IM/IO 10-15 min

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15
Q

Dobutamine

Another Name

A

Dobutrex

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16
Q

Dobutrex

Another Name

A

Dobutamine

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17
Q

Dobutamine (Dobutrex)

Class

A

Sympathomimetic

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18
Q

Dobutamine (Dobutrex)

Description

A

Synthetic catecholamine and beta agent the increases the strength of cardiac contraction without appreciably increasing rate

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19
Q

Dobutamine (Dobutrex)

Indications

A

To increase cardiac output in CHF/cardiogenic shock

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20
Q

Dobutamine (Dobutrex)

Contraindications

A

Hypersensitivity to sympathomimetic amines, ventricular tachycardia, hypovolemia without fluid resuscitation

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21
Q

Dobutamine (Dobutrex)

Precautions

A

Atrial fibrillation or preexisting hypertension

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22
Q

Dobutamine (Dobutrex)

Dose/Route

A

2-20 mcg/kg/min IV

Pedi: same

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23
Q

Dopamine

Another Name

A

Intropin

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24
Intropin | Another Name
Dopamine
25
Dopamine (Intropin) | Class
Sympathomimetic
26
Dopamine (Intropin) | Description
Naturally occurring catecholamine the increases cardiac output without appreciably increasing myocardial oxygen consumption. It maintains renal and mesenteric blood flow. While inducing vasoconstriction and increasing systolic blood pressure
27
Dopamine (Intropin) | Indications
Non-hypovolemic hypotension (70 to 100 mmHg) and cardiogenic shock
28
Dopamine (Intropin) | Contraindications
Hypovolemic hypotension without aggressive fluid resuscitation, tachydysrhythmias, vfib, and pheochromocytoma
29
Dopamine (Intropin) | Precautions
Ensure adequate fluid resuscitation of the hypovolemic patient.
30
Dopamine (Intropin) | Dose/Route
2-20 mcg/kg/min, 5 mcg/kg/min starting cardiac dose. Titrated to effect. Pedi: same as adult
31
Diltiazem | Another Name
Cardizem
32
Cardizem | Another Name
Diltiazem
33
Cardizem (Diltiazem) | Class
Calcium channel blocker
34
Cardizem (Diltiazem) | Description
Slow calcium channel blocker similar to verspamil. Dilates coronary artery and peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vascular resistance.
35
Cardizem (Diltiazem) | Indication
Supraventricular tachydysrhythmias (afib, atrial flutter, and PSVT refactory to adenosine) and to increase coronary artery profusion in angina
36
Cardizem (Diltiazem) | Contraindications
Hypersensitivity, sick sinus syndrome, 2nd or 3rd degree heart block, systolic BP <60, wide -complex tachycardia and WPW
37
Cardizem (Diltiazem) | Precautions
CHF (especially with beta blockers), conduction abnormalities
38
Cardizem (Diltiazem) | Dose/Route
0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5 to 10 mg/hr not to exceed 15 mg/hr over 24 hrs. Pedi: not used
39
Epinephrine (Adrenaline) | Class
Sympathomimetic
40
Epinephrine (Adrenaline) | Description
Naturally occurring catecholamine that increases heart rate, cardiac contractile force myocardial electrical activity, systemic vascular resistance, and systolic blood pressure and decreases overall airway resistance and automaticity. It also through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity
41
Epinephrine (Adrenaline) | Indications
To restore rhythm in cardiac arrest, severe allergic reactions, severe SOB, bradycardia
42
Epinephrine (Adrenaline) | Contraindications
Narrow angle glaucoma, hemorrhagic, traumatic, cardiac shock
43
Epinephrine (Adrenaline) | Arrest Dose/Route
1mg of 1:10,000 IV/IO 3-5 min (ET: 2-2.5 mg 1:1,1000) | Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000). All subsequent doses 0.1 mg/kg IV/IO. No max
44
Epinephrine (Adrenaline) | Bradycardia Dose/Route
Adult: (2-5 mcg/min) IV drip mix 1mg/250cc Pedi: 0.01mg/kg
45
Epinephrine (Adrenaline) | Allergic Reaction Dose/Route
0.3-0.5 mg of 1:1,000 IM/5-15 min as needed or 0.5-1 mg of 1:10,000 IV if IM dose ineffective or severe reaction. consider IV drip 2-10mcg/min if severe. Pedi: 0.1 mg/kg (max 0.5) of 1:1,000) IM/10-15 min or 0.01 mg/kg of 1:10,000 IV if IM dose ineffective or severe
46
Epinephrine (Adrenaline) | Asthama/COPD Dose/Route
0.01 mg/kg to max of 0.3 mg 1:1,000 SQ
47
Isoproterenol | Another Name
Isuprel
48
Isuprel | Another Name
Isoproterenol
49
Isoproterenol (Isuprel) | Class
Sympathomimetic
50
Isoproterenol (Isuprel) | Description
Synthetic sympathomimetic that results in increased cardiac output by increasing the strength of cardiac contraction and somewhat increasing rate
51
Isoproterenol (Isuprel) | Indications
Bradycardia refactory to atropine when pacing not available
52
Isoproterenol (Isuprel) | Contraindications
Cardiogenic shock
53
Isoproterenol (Isuprel) | Precautions
Tachydysrhythmias and those associated with digitalis and acute myocardial infarction
54
Isoproterenol (Isuprel) | Dose/Route
Bradycardia: 2-10 mcg/min titrated to cardiac rate Pedi: 0.1 mcg/kg/min titrated to cadiac rate
55
Metoprolol | Another Name
Lopressor
56
Metoprolol (Lopressor) | Class
Beta Blocker
57
Metoprolol (Lopressor) | Description
Beta-adrenergic blocking agent that reduces hear rate, cardiac output and BP
58
Metoprolol (Lopressor) | Indications
AMI
59
Metoprolol (Lopressor) | Contraindications
Cardiogenic shock, sinus bradycardia 0.24, asthma or COPD, Inferior wall AMI
60
Metoprolol (Lopressor) | Precautions
Hypersensitivity, hepatic or renal impairment, CHF controlled by digitalis and diuretics, AV conduction defects, diabetes, or peripheral vascular disease
61
Metoprolol (Lopressor) | Dose/Route
5 mg slow IV q 5 min up to 3 doses while watching HR and BP
62
Milrinone | Another Name
Primacor
63
Primacor | Another Name
Milrinone
64
Milrinone (Primacor) | Class
Cardiac inotrope/ vasodilator
65
Milrinone (Primacor) | Description
Related to amrinone and increases the strength and cardiac contraction without increasing rate, increasing cardiac output without increasing oxygen demand
66
Milrinone (Primacor) | Indications
CHF, pediatric septic shock
67
Nitroglycerine | Another Name
Nitrostat
68
Nitroglycerine (Nitrostat) | Class
Nitrate
69
Nitroglycerine (Nitrostat) | Description
Rapid smooth muscle relaxant that reduces peripheral vascular resistance, blood pressure, venous return and cardiac workload
70
Nitroglycerine (Nitrostat) | Indications
Chest pain associated with angina and acute myocardial infarction and acute pulmonary edema.
71
Nitroglycerine (Nitrostat) | Contraindications
Hypersensitivity, tolerance to nitrates, sever anemia, head trauma, hypotension, increased ICP, patients taking ED drugs, glaucoma, shock
72
Nitroglycerine (Nitrostat) | Precautions
May induce headache that is sometimes severe. Nitroglycerine is light sensitive and will lose potency when exposed to air.
73
Nitroglycerine (Nitrostat) | Dose/Route
1 tablet (0.4mg/1-150gr) SL. May be repeated/ 3-5 min up to 5 doses or inch topical ointment.