Cardiac Misc Flashcards
Name/class Heparin
Heparin
Anticoagulant
Indications
Heparin
To prevent thrombus formation in acute MI
Name/class Levophed
Norepinephrine
Sympathomimetic agent
Name/class Norepinephrine
Levophed
Sympathomimetic agent
Description
Norepinephrine
Levophed
Norepinephrine is a naturally occurring catecholamine and causes vasoconstriction, cardiac stimulation, and increased blood pressure, myocardial oxygen demand, and coronary blood flow
Indications
Norepinephrine
Levophed
Refractory hypotension and neurogenic shock
Contraindications
Norepinephrine
Levophed
Hypotension due to uncorrected hypovolemia
Precautions
Norepinephrine
Levophed
Hypertension, severe heart disease, elderly, MAO inhibitor therapy, monitor blood pressure frequently and infuse the drug through the largest vein available as it may cause tissue necrosis
Dosage/route
Norepinephrine
Levophed
0.5 to 30 mcg/min IV, titrated to BP
Pedi dose/route
Norepinephrine
Levophed
0.01 mcg/kg/min rarely used
Description
Heparin
Heparin is a rapid onset anticoagulant enhancing the effects of antithrombin III and blocking the conversion of prothrombin to thrombin and fibrinogen to fibrin
name/class activase
alteplase recombinant, TPA
thrombolytic
name/class TPA
alteplase recombinant, activase
thrombolytic
name/class alteplase recombinant
TPA, Activase
Thromboltic
indications
alteplase recombinant
TPA
Activase
to thrombolyse in acute myocardial infarction, acute ischemic stroke and pulmonary embolism
contraindications
alteplase recombinant
TPA
Activase
active internal bleedin, suspected aortic dissection, traumatic CPR, recent hemorrhagic stroke(6 months), intracranial or intraspinial surgery or trauma(2 months), pregnancy, uncontrolled hypertension, or hypersensitivity to thrombolytics
precautions
alteplase recombinant
TPA
Activase
recent major surgery, cerebral vascular disease, recent GI or GU bleeding, recent trauma, hypertension, patient>75 years, current oral anticoagulants or hemorrhagic ophthalmic conditions
description
alteplase recombinant
TPA
Activase
recombinant DNA derived form of human TPA promotes thrombolysis by forming plasmin. plasmin in turn, degrades fibrin and fibrinogen and ultimately the clot
name/class tridail
nitroglycerin injection
vasodilator/nitrate
name/class nitroglycerin injection
tridil
vasodilator/nitrate
description
tridil
nitroglycerin injection
relaxes blood vessels increasing the blood and oxygen supply to the heart
indications
tridil
nitroglycerin injection
nitroglycerin infusions are sed to help relieve the pain associated with anginia that does not respond to oral treatment; to control BP; and to help treat congestive heart failure