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Paramedic Drugs Bridgeport > Cardiac Misc > Flashcards

Cardiac Misc Flashcards

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1
Q 
Name/class
Heparin
A

Heparin

Anticoagulant

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2
Q

Indications

Heparin

A

To prevent thrombus formation in acute MI

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3
Q 
Name/class
Levophed
A

Norepinephrine

Sympathomimetic agent

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4
Q 
Name/class
Norepinephrine
A

Levophed

Sympathomimetic agent

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5
Q

Description
Norepinephrine
Levophed

A

Norepinephrine is a naturally occurring catecholamine and causes vasoconstriction, cardiac stimulation, and increased blood pressure, myocardial oxygen demand, and coronary blood flow

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6
Q

Indications
Norepinephrine
Levophed

A

Refractory hypotension and neurogenic shock

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7
Q

Contraindications
Norepinephrine
Levophed

A

Hypotension due to uncorrected hypovolemia

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8
Q

Precautions
Norepinephrine
Levophed

A

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

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9
Q

Dosage/route
Norepinephrine
Levophed

A

0.5 to 30 mcg/min IV, titrated to BP

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10
Q

Pedi dose/route
Norepinephrine
Levophed

A

0.01 mcg/kg/min rarely used

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11
Q

Description

Heparin

A

Heparin is a rapid onset anticoagulant enhancing the effects of antithrombin III and blocking the conversion of prothrombin to thrombin and fibrinogen to fibrin

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12
Q 
name/class
activase
A

alteplase recombinant, TPA

thrombolytic

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13
Q 
name/class
TPA
A

alteplase recombinant, activase

thrombolytic

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14
Q 
name/class
alteplase recombinant
A

TPA, Activase

Thromboltic

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15
Q

indications
alteplase recombinant
TPA
Activase

A

to thrombolyse in acute myocardial infarction, acute ischemic stroke and pulmonary embolism

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16
Q

contraindications
alteplase recombinant
TPA
Activase

A

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

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17
Q

precautions
alteplase recombinant
TPA
Activase

A

recent major surgery, cerebral vascular disease, recent GI or GU bleeding, recent trauma, hypertension, patient>75 years, current oral anticoagulants or hemorrhagic ophthalmic conditions

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18
Q

description
alteplase recombinant
TPA
Activase

A

recombinant DNA derived form of human TPA promotes thrombolysis by forming plasmin. plasmin in turn, degrades fibrin and fibrinogen and ultimately the clot

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19
Q 
name/class
tridail
A

nitroglycerin injection

vasodilator/nitrate

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20
Q 
name/class
nitroglycerin injection
A

tridil

vasodilator/nitrate

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21
Q

description
tridil
nitroglycerin injection

A

relaxes blood vessels increasing the blood and oxygen supply to the heart

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22
Q

indications
tridil
nitroglycerin injection

A

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

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23
Q

contraindications
tridil
nitroglycerin injection

A

hypotension, uncorrected hypovolemia, increased intracranial pressure, constrictive pericarditis and pericardial tamponade

24
Q

precautions/side effects
tridil
nitroglycerin injection

A

headache, severe hypotension, reflex tachycardia

25
Q

dose/route
tridil
nitroglycerin injection

A

0.2-1.5 mcg/kg/min

26
Q 
name/class
verapamil
A

isoptin,calan

calcium channel blocker

27
Q 
name/class
isoptin
A

verapamil, calan

calcium channel blocker

28
Q 
name/class
calan
A

verapamil, isoptin

calcium channel blocker

29
Q

description
verapamil
isoptin
calan

A

verapamil is a calcium channel blocker that slows AV conduction, suppresses reentry dysrhythmias such as PSVT, and slows ventricular responses to atrial tachydysrhythmias verapamil also dilates coronary arteries and reduces myocardial oxygen demand

30
Q

indications
verapamil
isoptin
calan

A

PVST refactory to adenosine, atrial flutter, and atrial fibrillation with rapid ventricullar response

31
Q

contraindications
verapamil
isoptin
calan

A

severe hypotension, cardiogenic shock, 2nd pr 3rd degree heart block, CHF, Sinus node disease, and accessory AV pathways, WPW syndrome. It should not be administered to persons taking beta blockers

32
Q

precautions
verapamil
isoptin
calan

A

MI with coronary artery occlusion or myocardial stenosis

33
Q

dose/route
verapamil
isoptin
calan

A

2.5-5mg IV bolus over 2-3 min, then 5-10mg after 15-30 min to a max of 30mg in 30 min

34
Q 
name/class
vasopressin
A

pitressin

hormone,vasopressor

35
Q 
name/class
pitressin
A

vasopressin

hormone, vasopressor

36
Q

description
vasopressin
pitressin

A

vasopressin is a hormone with strong vasopressive and anti-diuretic properties but they may precipitate anginia and or AMI

37
Q

indications
vasopressin
pitressin

A

to increase peripheral vascular resistance in arrest (CPR) or to control bleeding from esophageal varices

38
Q

contraindications
vasopressin
pitressin

A

PVC’s

1st stage of labor

39
Q

precautions
vasopressin
pitressin

A

Epilepsy, Migrane, Heart failure, Anginia, vascular disease, hepatic impairment, elderly and children

40
Q

cardiac arrest dose/route
vasopressin
pitressin

A

40 units IV

41
Q

esophageal varices dose/route
vasopressin
pitressin

A

0.2 to 0.4 units/min IV drip

42
Q 
name/class
eptifibatide
A

integrilin

glycoprotein IIb/IIIa inhibitor, platelet aggregation inhibitor

43
Q 
name/class
integrilin
A

eptifibatide

glycoprotein IIb/IIIa inhibitor, platelet aggregation inhibitor

44
Q

description
eptifibatide
integrilin

A

prevents the aggregation of platelets by binding to the glycoprotein IIb/IIIa receptor preventing the binding of fibrinogen and Von Willebrand factors

45
Q

indications
eptifibatide
integrilin

A

unstable anginia and NSTEMI(ACS) being managed medically

46
Q

contraindications
eptifibatide
integrilin

A

any prior intracranial hemorrhage, known malignant intracranial neoplasm, suspected, aortic dissection, significant closed head trauma or facial trauma within 3 hours

47
Q

precautions/side effects
eptifibatide
integrilin

A

cerebral hemorrhage, pulmonary hemorrhage, hypotension, GI bleeding, internal bleeding, anaphylactic shock

48
Q

dose/route
eptifibatide
integrilin

A

medical management 180 ug/kg IV bolus over 1-2 min, followed by a 2ug/kg infusion for 72-96 hours

49
Q 
name/class
bumetanide
A

bumex

loop diuretic

50
Q 
name/class
bumex
A

bumetanide

loop diuretic

51
Q

description
bumetanide
bumex

A

a patent loop diuretic with a rapid onset and short duration of action. inhibits the re-absorption of sodium and chloride in the ascending limb of the loop of henle

52
Q

indications
bumetanide
bumex

A

pulmonary

CHF

53
Q

contraindications
bumetanide
bumex

A

hypersensitivity to bumetainide or sulfonamides, hypotension, anuria, electrolyte deficiencies, hepatic coma.
USE CAUTION: hepatic cirrhosis, ascites, diabetes, hypersensitivity to furosemide

54
Q

dose/route
bumetanide
bumex

A

0.5-1.0 mg IV slowly over 1-2 min or IM

55
Q

pedi dose/route
bumetanide
bumex

A

safety and effectiveness in pediatrics is not established

Paramedic Drugs Bridgeport (12 decks)

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