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
Epinephrine side effects
Esmolol (Brevibloc) class
Esmolol (Brevibloc) MOA
Esmolol (Brevibloc) indications
Esmolol (Brevibloc) contraindications
Esmolol (Brevibloc) adult dose
Esmolol (Brevibloc) peds dose
Esmolol (Brevibloc) side effects
Fentanyl (Sublimaze) class
Fentanyl (Sublimaze) MOA
Fentanyl (Sublimaze) indications
Fentanyl (Sublimaze) contraindications
Fentanyl (Sublimaze) adult dose
Fentanyl (Sublimaze) peds dose
Fentanyl (Sublimaze) side effects
Furosemide (Lasix) class
Furosemide (Lasix) MOA
Furosemide (Lasix) indications
Furosemide (Lasix) contraindications
Furosemide (Lasix) adult doses
Furosemide (Lasix) peds dose
Furosemide (Lasix) side effects
Lidocaine (Xylocaine) class
Lidocaine (Xylocaine) MOA
Lidocaine (Xylocaine) indications
Lidocaine (Xylocaine) contraindications
Lidocaine (Xylocaine) adult doses
Lidocaine (Xylocaine) peds dose
Lidocaine (Xylocaine) side effects
Magnesium Sulfate class
Magnesium Sulfate MOA
Magnesium Sulfate indications
Magnesium Sulfate contraindications
Magnesium Sulfate adult dose
Magnesium Sulfate peds dose
Magnesium Sulfate side effects
Metoprolol (Lopressor, Toprol XL) class
Metoprolol (Lopressor, Toprol XL) MOA
Metoprolol (Lopressor, Toprol XL) indications
Metoprolol (Lopressor, Toprol XL) contraindications
Metoprolol (Lopressor, Toprol XL) adult dose
Metoprolol (Lopressor, Toprol XL) side effects
Morphine sulfate class
Morphine sulfate MOA
Morphine sulfate indications
Morphine sulfate contraindications
Morphine sulfate adult dose
Morphine sulfate peds dose
Morphine sulfate side effects
Nitroglycerin class
Nitroglycerin MOA
Nitroglycerin indications
Nitroglycerin contraindications
Nitroglycerin adult dose
Nitroglycerin side effects
Norepinephrine class
Norepinephrine MOA
Norepinephrine indications
Norepinephrine contraindications
Norepinephrine adult dose
Norepinephrine peds dose
Norepinephrine side effects
Oxygen class
Oxygen MOA
Oxygen indications
Oxygen contraindications
Oxygen doses
Oxygen side effects
Procainamide (Pronestyl) class
Procainamide (Pronestyl) MOA
Procainamide (Pronestyl) indications
Procainamide (Pronestyl) contraindications
Procainamide (Pronestyl) adult dose
Procainamide (Pronestyl) peds dose
Procainamide (Pronestyl) side effects
Sodium Bicarbonate class
Sodium Bicarbonate MOA
Sodium Bicarbonate indications
Sodium Bicarbonate contraindications
Sodium Bicarbonate adult dose
Sodium Bicarbonate peds dose
Tissue Plasminogen Activator (tPA, Activase, Alteplase) class
Tissue Plasminogen Activator (tPA, Activase, Alteplase) MOA
Tissue Plasminogen Activator (tPA, Activase, Alteplase) indications
Tissue Plasminogen Activator (tPA, Activase, Alteplase) contraindications
Tissue Plasminogen Activator (tPA, Activase, Alteplase) adult dose
Tissue Plasminogen Activator (tPA, Activase, Alteplase) peds dose
Tissue Plasminogen Activator (tPA, Activase, Alteplase) side effects
Vasopressin class
Vasopressin MOA
Vasopressin indications
Vasopressin contraindications
Vasopressin adult dose
Vasopressin peds dose
Vasopressin side effects
Verapamil (Isoptin) class
Verapamil (Isoptin) MOA
Verapamil (Isoptin) adult dose
Verapamil (Isoptin) peds dose
Verapamil (Isoptin) side effects
Adenosine onset/duration
Onset: seconds
Duration: 12s
Amiodarone (Cordarone) EXTRA
Incompatible with Sodium Bicarbonate
Amiodarone (Cordarone) onset/duration
Onset: 5-15 minutes
Duration: variable
Aspirin onset/duration
Onset: 30-45 minutes
Duration: variable