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Drug Cards > Cardiology Spring 2016 Quiz 1 > Flashcards

Cardiology Spring 2016 Quiz 1 Flashcards

1
Q

Adenosine

Class

A

Antidysrhythmic

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2
Q

Adenosine

Brand

A

Adenocard

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3
Q

Adenosine

MOA

A
  • Slows SVTs
  • Decreases conduftion through the AV node w/out causing negative inotropic effects
  • Acts on sinus pacemaker cells and vagal nerve terminal to decrease chronotropic effects
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4
Q

Adenosine

Indications

A

Narrow complex SVT

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5
Q

Adenosine

Contraindications

A
  • Drug induced tachy
  • 2nd & 3rd degree block
  • hypersensitivity
  • AFib & AFlutter (will not work on these)
  • WPW
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6
Q

Adenosine

Adverse Reactions

A
  • Light Headed
  • Diaphoresis
  • Palpitations
  • Chest Pain
  • Flushing
  • Hyoptensions
  • Sinus Brady/Pause
  • Metallic Taste
  • Asystole
  • Block
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7
Q

Adenosine

Dose/Route

A

Adult:

1st- 6mg RAPID IV push

2nd- 12mg IV, IO with procedure

Pedi:

1st- 0.1mg/kg RAPID IV Push

2nd: 0.2mg/kg RAPID IV Push , MAX single dose 12mg (<50kg)

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8
Q

Adenosine

Specials

A
  • Preg. Class C
  • May produce prief period of asystole
  • Caffine inhibits interaction
  • Proximal Vein
  • Large bore catheters
  • Push FAST and elevate
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9
Q

Atropine Sulfate

Brand

A

N/A

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10
Q

Atropine Sulfate

Class

A

Anticholinergic

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11
Q

Atropine Sulfate

MOA

A
  • Inhibits actions of acetylcholine at postganglionic parasympathetic receptor sites
  • Blocks parasympathetic stimulation
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12
Q

Atropine Sulfate

Indications

A
  • Symptomatic Bradycardia
  • Organophosphate or Nerve gas poisoning
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13
Q

Atropine Sulfate

Contraindications

A
  • Hypersensitivity
  • Unstable cardiovascular status
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14
Q

Atropine Sulfate

Adverse Reactions

A
  • Tachy
  • Palpitations
  • Dysrhythmias
  • Headache
  • Dizziness
  • N/V
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15
Q

Atropine Sulfate

Dose/Route

A

Bradycardia:

Adult: 0.5mg q3-5min. up to 3mg MAX single dose IV/IO

Pedi: 0.02mg/kg repeated once up to 1mg IV/IO

Poisoning:

Adult: 3-5mg q5-15min. IV/IO

Pedi: 0.02-0.05mg/kg IV/IO

RSI: 0.01-0.02mg/kg max singel dose 0.5mg IV/IO

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16
Q

Atropine Sulfate

Specials

A
  • Preg. Class C
  • Causes Pupil Dilation
  • 1st Ling drug for symptomatic Brady
  • DON’T use in heart transplant patients
  • Use in RSI to prevent vagal Nerve activation
17
Q

Diltiazem

Brand

A

Cardizem

18
Q

Diltiazem

Class

A

Calcium Channel Blocker

19
Q

Diltiazem

MOA

A
  • Slows down Conduction
  • Increases AV node refractory
  • Causese Coronary/Peripheral Vasodialation
  • Used after Adenosine for reentry SVT in Pt. w/ Narrow QRS
  • Blocks Calcium
  • Decreases ventricular response
20
Q

Diltiazem

Indications

A
  • A.Flutter
  • Recurrent SVT
21
Q

Diltiazem

Contraindications

A
  • Wide QRS complex
  • 2nd & 3rd degree heart block
  • Hypotension
  • Cardiogenic shock
  • Hypersensitivity
  • Dysrhythmias assoc. w/ reentry (WPW)
  • Short PR intervals
  • V.Tach
  • MI
  • Lg. amount of Depressants
22
Q

Diltiazem

Adverse Reactions

A
  • A.Flutter
  • 1st & 2nd degree heart block
  • Bradycardia
  • Hypotension
  • Syncope
  • N/V
  • Dizziness
  • Headache
23
Q

Diltiazem

Dose/Route

A

Adult:

1st- 0.25mg/kg IV q2min.

2nd- 0.35mg/kg

Pedi: 5-15mg/hr IV drip

24
Q

Diltiazem

Specials

A
  • Preg. Class C
  • Caution w/renal & hepatic Pt.
  • Pt. on Beta Blockers
  • must be refridgerated
  • shelf life of 1month post room-temp.
  • Ca++ antidote
  • Atropine (to support HR)
25
Q

Metoprolol

Brand

A

Lopressor

26
Q

Metoprolol

Class

A

Beta Blocker

27
Q

Metoprolol

MOA

A
  • Decreases HR
  • Decreases Conduction
  • Decreases Contractility
  • Decreases Cardiac Output
  • Selective Beta Blocker
28
Q

Metoprolol

Indications

A
  • SVT
  • Stable narrrow complex Tachy
  • A.Fib
  • A.Flutter
29
Q

Metoprolol

Contraindications

A
  • Hemodynamically unstable Pt.
  • Signs of low cardiac output
  • Hypersensitivity
  • 2nd & 3rd degree heart block
  • WPW
  • Asthma
30
Q

Metoprolol

Adverse Reactions

A
  • Brady
  • AV Delays
  • Hypotension
  • Palpitaions
  • N/V
  • Clinical Depression
31
Q

Metoprolol

Dose/Route

A

Adult: 5mg q2-5min w/intervals of 15mg IV/IO

Pedi: Not for use in pedi pt’s

32
Q

Metoprolol

Specials

A
  • Preg. Class C
  • Use w/caution w/Calcium Channel Blockers

Drug Cards (1 decks)

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