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Medic 16 Cards > Cardiac Meds > Flashcards

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
Q

Intropin

Another Name

A

Dopamine

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25
Q

Dopamine (Intropin)

Class

A

Sympathomimetic

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26
Q

Dopamine (Intropin)

Description

A

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

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27
Q

Dopamine (Intropin)

Indications

A

Non-hypovolemic hypotension (70 to 100 mmHg) and cardiogenic shock

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28
Q

Dopamine (Intropin)

Contraindications

A

Hypovolemic hypotension without aggressive fluid resuscitation, tachydysrhythmias, vfib, and pheochromocytoma

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29
Q

Dopamine (Intropin)

Precautions

A

Ensure adequate fluid resuscitation of the hypovolemic patient.

30
Q

Dopamine (Intropin)

Dose/Route

A

2-20 mcg/kg/min, 5 mcg/kg/min starting cardiac dose. Titrated to effect.
Pedi: same as adult

31
Q

Diltiazem

Another Name

32
Q

Cardizem

Another Name

33
Q

Cardizem (Diltiazem)

Class

A

Calcium channel blocker

34
Q

Cardizem (Diltiazem)

Description

A

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
Q

Cardizem (Diltiazem)

Indication

A

Supraventricular tachydysrhythmias (afib, atrial flutter, and PSVT refactory to adenosine) and to increase coronary artery profusion in angina

36
Q

Cardizem (Diltiazem)

Contraindications

A

Hypersensitivity, sick sinus syndrome, 2nd or 3rd degree heart block, systolic BP <60, wide -complex tachycardia and WPW

37
Q

Cardizem (Diltiazem)

Precautions

A

CHF (especially with beta blockers), conduction abnormalities

38
Q

Cardizem (Diltiazem)

Dose/Route

A

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
Q

Epinephrine (Adrenaline)

Class

A

Sympathomimetic

40
Q

Epinephrine (Adrenaline)

Description

A

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
Q

Epinephrine (Adrenaline)

Indications

A

To restore rhythm in cardiac arrest, severe allergic reactions, severe SOB, bradycardia

42
Q

Epinephrine (Adrenaline)

Contraindications

A

Narrow angle glaucoma, hemorrhagic, traumatic, cardiac shock

43
Q

Epinephrine (Adrenaline)

Arrest Dose/Route

A

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
Q

Epinephrine (Adrenaline)

Bradycardia Dose/Route

A

Adult: (2-5 mcg/min) IV drip mix 1mg/250cc
Pedi: 0.01mg/kg

45
Q

Epinephrine (Adrenaline)

Allergic Reaction Dose/Route

A

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
Q

Epinephrine (Adrenaline)

Asthama/COPD Dose/Route

A

0.01 mg/kg to max of 0.3 mg 1:1,000 SQ

47
Q

Isoproterenol

Another Name

48
Q

Isuprel

Another Name

A

Isoproterenol

49
Q

Isoproterenol (Isuprel)

Class

A

Sympathomimetic

50
Q

Isoproterenol (Isuprel)

Description

A

Synthetic sympathomimetic that results in increased cardiac output by increasing the strength of cardiac contraction and somewhat increasing rate

51
Q

Isoproterenol (Isuprel)

Indications

A

Bradycardia refactory to atropine when pacing not available

52
Q

Isoproterenol (Isuprel)

Contraindications

A

Cardiogenic shock

53
Q

Isoproterenol (Isuprel)

Precautions

A

Tachydysrhythmias and those associated with digitalis and acute myocardial infarction

54
Q

Isoproterenol (Isuprel)

Dose/Route

A

Bradycardia: 2-10 mcg/min titrated to cardiac rate
Pedi: 0.1 mcg/kg/min titrated to cadiac rate

55
Q

Metoprolol

Another Name

56
Q

Metoprolol (Lopressor)

Class

A

Beta Blocker

57
Q

Metoprolol (Lopressor)

Description

A

Beta-adrenergic blocking agent that reduces hear rate, cardiac output and BP

58
Q

Metoprolol (Lopressor)

Indications

59
Q

Metoprolol (Lopressor)

Contraindications

A

Cardiogenic shock, sinus bradycardia 0.24, asthma or COPD, Inferior wall AMI

60
Q

Metoprolol (Lopressor)

Precautions

A

Hypersensitivity, hepatic or renal impairment, CHF controlled by digitalis and diuretics, AV conduction defects, diabetes, or peripheral vascular disease

61
Q

Metoprolol (Lopressor)

Dose/Route

A

5 mg slow IV q 5 min up to 3 doses while watching HR and BP

62
Q

Milrinone

Another Name

63
Q

Primacor

Another Name

64
Q

Milrinone (Primacor)

Class

A

Cardiac inotrope/ vasodilator

65
Q

Milrinone (Primacor)

Description

A

Related to amrinone and increases the strength and cardiac contraction without increasing rate, increasing cardiac output without increasing oxygen demand

66
Q

Milrinone (Primacor)

Indications

A

CHF, pediatric septic shock

67
Q

Nitroglycerine

Another Name

68
Q

Nitroglycerine (Nitrostat)

Class

69
Q

Nitroglycerine (Nitrostat)

Description

A

Rapid smooth muscle relaxant that reduces peripheral vascular resistance, blood pressure, venous return and cardiac workload

70
Q

Nitroglycerine (Nitrostat)

Indications

A

Chest pain associated with angina and acute myocardial infarction and acute pulmonary edema.

71
Q

Nitroglycerine (Nitrostat)

Contraindications

A

Hypersensitivity, tolerance to nitrates, sever anemia, head trauma, hypotension, increased ICP, patients taking ED drugs, glaucoma, shock

72
Q

Nitroglycerine (Nitrostat)

Precautions

A

May induce headache that is sometimes severe. Nitroglycerine is light sensitive and will lose potency when exposed to air.

73
Q

Nitroglycerine (Nitrostat)

Dose/Route

A

1 tablet (0.4mg/1-150gr) SL. May be repeated/ 3-5 min up to 5 doses or inch topical ointment.

Medic 16 Cards (23 decks)

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