Cardiology Flashcards
Adenosine MOA
Slow conduction at the AV node, acting directly on pacemaker cells. Slows heart rate.
Adenosine Indications
Conversion of PSVT to NSR
Adenosine Contraindications
2/3 degree heart block
Sick sinus syndrome
Afib/flutter
V-Tach
Hypersensitivity
Adenosine Adult Dose
Initial 6mg
No response give 12mg
Give over 1-3s
Max total dose 18mg
Adenosine Peds dose
Initial 0.1mg/kg rapid IV
No response give 0.2mg/kg 1-3s admin
Adenosine side effects
CP, palpations, hypotension
SOB, wheezing
Diaphoresis, nausea, headache, paresthesia
Adenosine Class
Endogenous nucleotide
Antiarrhythmic agent class V
Amiodarone (Cordarone) MOA
Slows nerve impulse. Antidysryhtmic, return to normal rhythm/rate.
Class III Potassium channel blocker. Noncompetitive alpha/beta blocking effects. Calcium and sodium channel blocking effects.
Amiodarone (Cordarone) class
Antidysrhythmic
Amiodarone (Cordarone) indications
V-fib
Pulseless V-tach
V-Tach w/ a pulse
Amiodarone (Cordarone) contraindications
Iodine allergy
Med induced ventricular dysthymia
Torsades de Pointes
Amiodarone (Cordarone) adult dose
V-Fib/pulseless V-tach
Initial 300mg IV push diluted in 14ml NS
Repeat 150mg IV push diluted in 7ml NS
V-Tach w/ a pulse
150mg in 100ml NS over 10 minutes
Amiodarone (Cordarone) peds dose
V-fib/pulseless V-Tach
5mg/kg slow push IV over 1-2 minutes in 10ml NS
Amiodarone (Cordarone) side effects
Hypotension, bradycardia, PEA, CHF
Nausea, fever
Aspirin (ASA) class
Platelet inhibitor, anti-inflammatory
Aspirin (ASA) MOA
Prevents clotting
Prostaglandin inhibitory (platelets less sticky). Blocks thromboxane A2 via COX1 path and vasodilators coronary arteries via COX2 pathway
Aspirin (ASA) indications
Chest pain suggesting MI
Aspirin (ASA) contraindications
Hypersensitivity
GI bleed
Recent CVA
Aspirin (ASA) adult dose
162 - 324 mg PO
Aspirin (ASA) side effects
Heartburn
GI bleed, N/V
Prolonged bleeding
Atropine Sulfate class
Anticholinergic agent
Atropine Sulfate MOA
Atropine Sulfate indications
Atropine Sulfate contraindications
Atropine Sulfate adult dose
Atropine Sulfate peds dose
Atropine Sulfate side effects
Calcium Chloride class
Calcium Chloride MOA
Calcium Chloride indications
Calcium Chloride contraindications
Calcium Chloride adult dose
Calcium Chloride peds dose
Calcium Chloride side effect
Digoxin (Lanoxin) class
Digoxin (Lanoxin) MOA
Digoxin (Lanoxin) indications
Digoxin (Lanoxin) contraindications
Digoxin (Lanoxin) adult dose
Digoxin (Lanoxin) peds dose
Digoxin (Lanoxin) side effects
Diltiazem (Cardizem) class
Diltiazem (Cardizem) MOA
Diltiazem (Cardizem) indications
Diltiazem (Cardizem) contraindications
Diltiazem (Cardizem) adult dose
Diltiazem (Cardizem) peds dose
Diltiazem (Cardizem) side effects
Dobutamine class
Dobutamine MOA
Dobutamine indications
Dobutamine contraindications
Dobutamine adult dose
Dobutamine peds dose
Dobutamine side effects
Dopamine (Intropin) class
Dopamine (Intropin) MOA
Dopamine (Intropin) indications
Dopamine (Intropin) contraindications
Dopamine (Intropin) side effects
Dopamine (Intropin) adult dose
Dopamine (Intropin) peds dose
Epinephrine class
Epinephrine MOA
Epinephrine indications
Epinephrine contraindications
Epinephrine adult dose
Epinephrine peds dose