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medic 17 drug cards > cardiac meds > Flashcards

cardiac meds Flashcards

1
Q

Aspirin

Name

A

Acetylsalicylic Acid

St Josephs Children

Bayer

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2
Q

Aspirin

Class

A

Analgesic, antipyretic, platelet inhibitor, anti-inflammatory

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3
Q

Aspirin

Description

A

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

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4
Q

Aspirin

Indication

A

Chest pain suggestive of an MI

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5
Q

Aspirin

Contraindications

A

Hypersensitivity to salicylates, active ulcer disease, asthma

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6
Q

Aspirin

Precautions

A

Bleeding disorders

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7
Q

Aspirin

Dosage/Route

A

324mg PO (chewable)

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8
Q

Atropine

Name

A

Atropine

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9
Q

Atropine

Class

A

parasympatholytic

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10
Q

Atropine

Description

A

Atropine blocks the parasympathetic nervous system, specifically the vagal effects on heart rate. May increase myocardial oxygen demand. Decreases airway secretions

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11
Q

Atropine

Indications

A

Hemodynamically significant bradycardia, and organophosphate poisoning

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12
Q

Atropine

Contraindications

A

None in the emergency setting. 2nd degree type 2 and above heart blocks are class 2b (not recommended)

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13
Q

Atropine

Precautions

A

AMI, glaucoma

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14
Q

Atropine

Dosage/Route

A

Symptomatic bradycardia: 0.5-1.0mg IV/IO ET. Repeat 3-5 mins to 3mg
Pedi: 0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5 min up to 1 mg

Organophosphate Poisoning: 2-5 mg IV/IM/IO/10 to 15 mins
Pedi: 0.05mg/kg IV/IM/IO/10-15 mins

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15
Q

Dobutamine

Name

A

Dobutrex

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16
Q

Dobutamine

Class

A

Sympathomimetic

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17
Q

Dobutamine

Description

A

Dobutamine is a synthetic cetecholamine and beta agent that increases the strength of cardiac contraction without appreciably increasing rate

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18
Q

Dobutamine

Indication

A

To increase cardiac output in congestive heart failure/cardiogenic shock

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19
Q

Dobutamine

Contraindications

A

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

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20
Q

Dobutamine

Precautions

A

Atrial fibrilation or preexisting hypertension

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21
Q

Dobutamine

Dosage/Route

A

2-20 mcg/kg/min IV

Pedi: 2-20 mcg/kg/min IV

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22
Q

Dopamine

Name

A

Intropin

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23
Q

Dopamine

Class

A

Sympathomimetic

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24
Q

Dopamine

Description

A

Dopamine is a naturally occurring catecholamine that 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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25
Q

Dopamine

Indication

A

Nonhypovolemic hypotension (70-100mmHg) and cardiogenic shock

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26
Q

Dopamine

Contraindications

A

Hypovolemic hypotension without aggressive fluid resuscitation, tachydysrhythmias, ventricular fibrilation, and pheochromocytoma

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27
Q

Dopamine

Precautions

A

Ensure adequate fluid resuscitation of the hypovolemic patient

28
Q

Dopamine

Dosage/Route

A

2-20 mcg/kg/min, 5 mcg/kg/min starting cardiac dose, titrated to effect

Pedi: 2-20 mcg/kg/min, 5 mcg/kg/min starting cardiac dose

29
Q

Diltiazem

name

A

Cardizem

30
Q

Diltiazem

Class

A

Calcium channel blocker

31
Q

Diltiazem

Description

A

Diltiazem is a slow calcium channel blocker similar to verapamil. It dilates coronary and peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vascular resistance

32
Q

Diltiazem

Indications

A

Supraventricular tachydysrhythmias (atrial fibrilation, atrial flutter, and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina

33
Q

Diltiazem

Contraindications

A

hypersensitivity, sick sinus syndrome, 2nd or 3rd degree heart block, systolic BP

34
Q

Diltiazem

Precautions

A

CHF (especially with beta blockers), conduction abnormalities

35
Q

Diltiazem

Dosage/Route

A

0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5-10 mg/hr not to exceed 15mg/hr over 24 hours

Pedi: not used

36
Q

Epinepherine

Name

A

Adrenalin

37
Q

Epinepherine

Class

A

Sympathomimetic

38
Q

Epinepherine

Description

A

Epi is 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

39
Q

Epinepherine

Indications

A

To restore rhythm in cardiac arrest, severe allergic reaction, severe SOB, bradycardia 3rd line except peds

40
Q

Epinepherine

Contraindications

A

Narrow angle glaucoma, hemorrhagic, traumatic or cardiac shock

41
Q

Epinepherine

Dosage/Route Arrest

A

1mg of 1:10,000 IV 3-5 min (ET: 2-2.5 mg of 1:1,000)

Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1000) all subsequent doses 0.1 mg/kg IV/IO no max

42
Q

Epinepherine

Dosage/Route bradycardia

A

(2-5 mcg/min) IV drip mix 1mg/250cc

pedi: 0.01 mg/kg

43
Q

Isoproterenol

name

A

Isuprel

44
Q

Isoproterenol

Class

A

Sympathomimetic

45
Q

Isoproterenol

Description

A

Isoproterenol is a synthetic sympathomimetic that results in increased cardiac output by increasing the strength of cardiac contraction and somewhat increasing rate

46
Q

Isoproterenol

Indication

A

Bradycardia refractory to atropine when pacing is not available

47
Q

Isoproterenol

Contraindications

A

cardiogenic shock

48
Q

Isoproterenol

Precautions

A

tachydysrhythmias and those associated with digitalis and acute myocardial infarction

49
Q

Isoproterenol

Dosage/Route

A

Bradycardia: 2-10 mcg/min titrated to cardiac rate

Pedi: 0.1 mcg/kg/min titrated to cardiac rate

50
Q

Metoprolol

name

A

Lopressor

51
Q

Metoprolol

Class

A

Beta Blocker

52
Q

Metoprolol

Description

A

Metoprolol is a beta-adrenergic blocking agent that reduces heart rate, cardiac output, and BP

53
Q

Metoprolol

Indications

A

AMI, Recurrent or unconverted SVT

54
Q

Metoprolol

Contraindications

A

Cardiogenic shock, sinus bradycardia 0.24, asthma or COPD, inferior wall MI

55
Q

Metoprolol

Precautions

A

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

56
Q

Metoprolol

Dosage/Route

A

5mg slow IV q 5 min up to 3 doses while watching the PT heart rate and blood pressure

57
Q

Milrinone

name

A

Primacor

58
Q

Milrinone

Class

A

Cardiac Inotrope, Vasodilator

59
Q

Milrinone

Description

A

Milrinone is related to amrinone and increases the strength of cardiac contraction without increasing rate, increasing cardiac output without increasing oxygen demand

60
Q

Milrinone

Indications

A

CHF, or pediatric septic shock

61
Q

Nitroglycerin

Name

A

Nitrostat

62
Q

Nitroglycerin

Class

A

Nitrate

63
Q

Nitroglycerin

Description

A

Nitro is a rapid smooth muscle relaxant that reduces peripheral vascular resistance, blood pressure, venous return and cardiac workload.

64
Q

Nitroglycerin

Indications

A

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

65
Q

Nitroglycerin

Contraindications

A

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

66
Q

Nitroglycerin

Precautions

A

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

67
Q

Nitroglycerin

Dosage/Route

A

1 tablet (0.4 mg/ 1-150gr) SL. may be repeated 3-5 minutes up to 3 doses. or 1 inch of nitropaste

medic 17 drug cards (75 decks)

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