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All Drugs > Cardiovascular Drugs > Flashcards

Cardiovascular Drugs Flashcards

1
Q

Presentation of Sodium Chloride

A

100ml, 250ml and 1,000ml packs

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2
Q

Indication of Sodium Chloride

A
  • Haemorrhage
  • Trauma related haemorrhage
  • Medical conditions without haemorrhage eg sepsis
  • Burns
  • Limb crush injuries
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3
Q

Contra-Indications of Sodium Chloride

A

The sole purpose of keeping a vein open

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4
Q

Side-Effects of Sodium Chloride

A

Over-infusion may lead to pulmonary oedema and cause breathlessness

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5
Q

Route of Sodium Chloride

A

IV/IO

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6
Q

Dose of Sodium Chloride

A

Dependant on which medical emergency is indicated eg 1L in burns, 2L in crush syndrome. See page for age

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7
Q

Different Target Systolics

A

Sepsis, medical haemorrhage - over 90
Blunt trauma, head trauma, penetrating limb trauma - 90
Penetrating torso trauma - 60
TBI - 110

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8
Q

Presentation fo GTN

A

Sublingual spray - 400mcg
Sublingual tablets - 300, 500 or 600 mc

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9
Q

Indications of GTN

A
  • Cardiac chest pain to due angina or MI
  • Acute heart failure with ischaemia or uncontrolled hypertension
  • Suspected cocaine toxicity with chest pain
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10
Q

Contra-Indications of GTN

A
  • Hypotension under 90 systolic
  • Hypotension under 110 for acute heart failure
  • Head trauma
  • Cerebral haemorrhage
  • Viagra and other related drugs taken within a 24 hour period
  • Unconscious patient
  • Known severe aortic or mitral stenosis
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11
Q

Dose of GTN

A

Cardiac Chest Pain:
INITIAL: 400-800mcg spray
REPEAT DOSE: 400mcg after 5-10 minutes
MAX DOSE: No limit

Acute Heart Failure:
INITIAL: 400-800mcg
REPEAT DOSE: 400mcg after 5-10 minutes
MAX DOSE: 6 sprays (2.4mg)

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12
Q

Route of GTN

A

Sublingual under the tongue

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13
Q

Actions of GTN

A
  • Potent vasodilator resulting in the dilation of coronary arteries/relief of coronary spasm
  • Dilation of systemic veins resulting in lower pre-load
  • Reduced BP
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14
Q

Side-Effects of GTN

A
  • Headache
  • Dizziness
  • Hypotension
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15
Q

Presentation of Forusemide

A

20 mg in 2ml ampoule
50mg in 5ml ampoule

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16
Q

Indications of Forusemide

A

Consider IV furosemide for pulmonary oedema and/or respiratory distress due to acute heart failure

17
Q

Actions of Forusemide

A

A diuretic with a rapid onset of around 30 minutes. Has a short duration of effect.

18
Q

Dose of Forusemide

A

Adult:
INITIAL: 40mg in 4ml
REPEAT DOSE: None

19
Q

Route of Adminstration of Forusemide

A

IV Slow over 2 minutes

20
Q

Contra-Indications of Forusemide

A
  • Reduced GCS with liver cirrhosis
  • Cardiogenic shock
  • Severe renal failure with anuria
  • Less than 18 years old
21
Q

Presentation of Tigacelor (PGD)

A

Oral Tablets - 90mg

22
Q

Indications of Tigacelor (PGD)

A

Treatment of patients with evidence of acute myocardial infarction who have been accepted for treatment by the pPCI/cath lab

23
Q

Actions of Tigacelor

A

It is an antiplatelet medicine to reduce the action of clots

24
Q

Dose of Tigecalor

A

180mg tablet
REPEAT DOSE: None

25
Q

Route of Tigacelor

A

Oral

26
Q

Contra-Indications of Tigacelor

A
  • Allergy to medication
  • Active bleeding
  • Pregnancy
  • Taken (specific) anticoagulants in the last 24 hours
  • 2nd/3rd degree AV blocks
  • Sick sinus syndrome
  • Patients at increased risk of bleeding (see JRCALC for list)
27
Q

Presentation of Aspirin

A

300mg tablets, disperible or chewable

28
Q

Indications of Aspirin

A
  • Adults with clinical or ECG evidence suggestive of an MI or ischaemia
  • Suspected TIA. Symptoms must be fully resolved
29
Q

Contra-Indications of Aspirin

A
  • Known allergy
  • Under 16
  • Active GI bleed
  • Clotting disorders
  • Sever hepatic failure with jaundice
30
Q

Dose of Aspirin

A

INITAL: 300mg tablet
REPEAT DOSE: None

31
Q

Route of Aspirin

A

Oral - chewed or dissolved in water

32
Q

Actions of Aspirin

A

It is an antiplatelet that reduces the formation of clots

33
Q

Presentation of Atropine

A
  • Pre-filled syringe of 1mg in 10ml (100mcg in 1ml)
  • Pre-filled syringe of 1mg in 5ml (200mcg in 1ml)
  • Pre-filled syringe of 3mg in 10ml (300mcg in 1ml)
  • An ampoule of 600mcg in 1ml
33
Q
A
34
Q

Indications of Atropine

A
  • Symptomatic bradycardia
  • Absolute bradycardia <40
  • Systolic bp less than expected in paeds
  • Paroxysmal ventricular arrythmias requiring suppression
  • Inadequate perfusion causing confusion
  • Bradycardia following ROSC
35
Q

Contra-Indications of Atropine

A
  • Do not give to treat bradycardia in suspected hypothermia
  • Pts with cardiac transplants; their hearts will not respond to vagal blocking by atropine which may cause high AV block or sinus arrest
36
Q

Actions of Atropine

A
  • Reverses effects of vagal overdrive
  • Increases heart rate by blocking vagal activity in sinus bradycardia, second or third degree heart block
  • Enhances AV conduction
37
Q

Route of Atropine

A

IV/IO

38
Q

Dose of Atropine

A

INTIAL: 600mcg
REPEAT: 600mcg after 3-5 minutes
MAX DOSE: 3mg

All Drugs (7 decks)

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