Cardiology Meds

Question 1

atropine

Answer 1

anticholinergic
For: sinus bradycardia w/hypotension & 2nd degree heart block w/bradycardia
Side effects: tachy, xerotstomia, flushing, urinary retention, delirium
contra: CAD, valvular stenosis, any other condition w/tachy
Atropine toxicity: red, hot, dry, confused

Question 2

glycopyrrolate

Answer 2

anticholinergic
For: sinus bradycardia w/hypotension & 2nd degree heart block w/bradycardia
Side effects: tachy, xerotstomia, flushing, urinary retention, delirium
contra: CAD, valvular stenosis, any other condition w/tachy

Question 3

scopolamine

Answer 3

anticholinergic
For: sinus bradycardia w/hypotension & 2nd degree heart block w/bradycardia
Side effects: tachy, xerotstomia, flushing, urinary retention, delirium
contra: CAD, valvular stenosis, any other condition w/tachy

Question 4

benztropine

Answer 4

anticholinergic
For: sinus bradycardia w/hypotension & 2nd degree heart block w/bradycardia
Side effects: tachy, xerotstomia, flushing, urinary retention, delirium
contra: CAD, valvular stenosis, any other condition w/tachy

Question 5

dopamine

Answer 5

vasopressor
For: shock
side effects: arrhythmias, peripheral/gut ischemia
are vesicants that can cause tissue damage/necrosis w/extravasation
continuous monitoring of BP, HR, MAP, EKG, urine output

Question 6

norepinephrine

Answer 6

vasopressor
For: shock
side effects: arrhythmias, peripheral/gut ischemia
are vesicants that can cause tissue damage/necrosis w/extravasation
continuous monitoring of BP, HR, MAP, EKG, urine output

Question 7

epinephrine

Answer 7

vasopressor
For: shock
side effects: arrhythmias, peripheral/gut ischemia
are vesicants that can cause tissue damage/necrosis w/extravasation
continuous monitoring of BP, HR, MAP, EKG, urine output
low dose anaphylaxis B2
high dose for ACLS

Question 8

phenylephrine

Answer 8

vasopressor
For: shock
side effects: arrhythmias, peripheral/gut ischemia
are vesicants that can cause tissue damage/necrosis w/extravasation
continuous monitoring of BP, HR, MAP, EKG, urine output
can cause reflex bradycardia

Question 9

vasopressin

Answer 9

vasopressor
For: shock
side effects: arrhythmias, peripheral/gut ischemia
are vesicants that can cause tissue damage/necrosis w/extravasation
continuous monitoring of BP, HR, MAP, EKG, urine output
used for shock 2/another pressor

Question 10

dobutamine

Answer 10

inotrope
For: HF w/ decreased CO, bradycardia, heart block, cardiac arrest
side effects: hyper/hypotension, ventricular arrhythmias, angina
contra: hemodynamically unstable pt
only for short term use (tolerance)

Question 11

milrinone

Answer 11

inotrope
For: HF w/ decreased CO, bradycardia, heart block, cardiac arrest
side effects: hyper/hypotension, ventricular arrhythmias, angina
contra: chronic stimulation of myocytes can result in fatal arrhythmia
Don’t use milrinone & dobutamine together
can’t be used long term

Question 12

Digoxin

Answer 12

inotrope
For: HF, arrhythmias
side effects: visual disturbances (blurriness, yelow tint, halos) high doses life threatening
beward of drug-drug interaction, fatal ventricular arrhythmia
Narrow TI
Drugs that ^ : diuretics, antiarrhythmias, verapamil, statins
Factors that ^ : hypokalemia, hypercalcemia, hypomagnesemia, hypothyroidism, hypoxia