Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Drug Profiles > Diltiazem & Adenosine > Flashcards

Diltiazem & Adenosine Flashcards

1
Q

Diltiazem

Brand Name

A

Cardizem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Diltiazem

Class

A

-calcium channel blocker
-antidysrhythmic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Diltiazem

Supply

A

vial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Diltiazem

Mechanism of Action

A

-slows extracellular calcium ion influx across myocardial cell membranes
-slows conduction through sinoatrial node and atrioventricular node
-slows ventricular conduction rates in atrial fibrillation and atrial flutter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Diltiazem

Indications

A

-atrial fibrillation with rapid ventricular rate
-atrial flutter with rapid ventricular rate
-supraventricular tachycardia second-line to administration of adenosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diltiazem

Contraindications

A

-known hypersensitivity
-hypotension
-myocardial infarction
-cardiogenic shock
-ventricular tachycardia
- second-degree and third-degree heart block
- wolff-parkinson-white syndrome
-not recommended for pediatrics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Diltiazem

Adverse Reactions

A

-hypotension
-dysrhythmias
-bradycardia
-dizziness
-weakness
-headache
-nausea, vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Diltiazem

Routes

A

-IV
-IO
-infusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Diltiazem

Onset

A

2-5 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diltiazem

Adult Dose

A

0.25 mg/kg (usually 20 mg) over 2 minutes
may repeat at 0.35 mg/kg (usally 25 mg) in 15 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diltiazem

Adult Dose
Infusion

A

5.0 to 15 mg/hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Diltiazem

Special Considerations

A

-consider decreasing dose for elderly patients
-consider pretreatment with calcium chloride
-use infusion pump when possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Adenosine

Brand Name

A

Adenocard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Adenosine

Class

A

antidysrhythmic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Adenosine

Supply

A

-prefilled syringe
-vial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adenosine

Mechanism of Action

A

-slows atrioventricular conduction

17
Q

Adenosine

Indications

A

-supraventricular tachycardia
- wolff-parkinson-white syndrome
-monomorphic wide-complex tachycardia

18
Q

Adenosine

Contraindications

A

-Afib
-Aflutter
-polymorphic ventricular tachycardia (torsades de pointes)
-second and third degree heart blocks

19
Q

Adenosine

Adverse Reactons

A

-transient dysrhythmias
-chest pain
-palpitations
-dyspnea
-dizziness
-hypotension
-blurred vision
-cardiac arrest
-asystole

20
Q

Adenosine

Routes

A

-IV
-IO

21
Q

Adenosine

Onset

A

immediate

22
Q

Adenosine

Adult Dose

A

-6.0 mg rapid bolus over 1-3 seconds followed by 20 mL NS flush
-if no response after 1-2 minutes, administer 12 mg rapid bolus with 20 mL NS flush

23
Q

Adenosine

Pediatric Dose

A
  • 0.1mg/kg (up to 6.0 mg) rapid bolus over 1-3 seconds with 5-10 mL NS flush
    -if no response after 1-2 minutes, administer 0.2 mg/kg (up to 12 mg) rapid bolus over 1-3 seconds followed by 5-10 mL NS flush
24
Q

Adenosine

Special Considerations

A

-constant monitoring of cardiac rhythm is required during administration of drug
-onset is 20-30 secs
-peak effect is 20-30 secs
- half-life is 6-10 secs
-duration is 30 secs

Drug Profiles (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions