Drugs

Question 1

ASA

Class

Answer 1

Analgesic, anti-pyretic, anti-inflammatory

Question 2

ASA

Mechanism of Action

Answer 2

Blocks Thromboxane A (potent platelet aggregate and vasoconstrictor)

Decreased Platelet Aggregation

Question 3

ASA

Indications and Field Use

Contraindications

Answer 3

Ind: chest pain or other MI symptoms, ECG changes suggesting MI, Unstable angina, pain discomfort or fever

Contra: bleeding ulcer hemorrhage or hemophilia, NSAID hypersensitivity, PEDS

Question 4

ASA

Adverse Reaction

Incompatibilities/Interactions

Special Notes

Answer 4

Adverse: Use with caution history of asthma

I/D: none w/ single dose

Special: heat and light sensitive, smell like acid

Question 5

ASA

Dose (A/P), Route, Onset, Effect, Duration, Supply

Answer 5

A: 324 mg (4-81 mg tabs)
P: no dose

Route: Oral
Onset: 20-30 minutes 
Effect: 2 hrs
Duration: 4-6 hrs
Supply: 324mg

Question 6

Verapamil

Class

Answer 6

Calcium Channel blocker

Question 7

Verapamil

Mechanism of Action

Answer 7

Blocks calcium influx into cardiac and smooth muscle - Negative Inotropy
Slows conduction and prolongs refractory period in AV nose
Slows SA node d/c

Decrease heart contractility and AV conduction

Question 8

Verapamil

Indications/Field Use
Contraindications

Answer 8

Ind: Supraventricular Tachycardia , Atrial Fibrillation and A Flutter with rapid ventricular response (RVR)

Contra: AV block, sick sinus syndrome,
Any wide QRS tach, WPW, Shock, Severe CHF, IV beta blocker, hypotension

Question 9

Verapamil

Adverse Reaction

Incompatibilities

Answer 9

Ad: severe Brady, a systole, AV block, hypotension, CHF

Incompatibilities: IV beta blockers

Question 10

Verapamil

Dose (A/P), Route, Onset, Peak Effect, Duration, Supply

Answer 10

Dose: 2.5-5 mg slow IV push over 2-3 minutes. May rebolus 15-30 minutes later 5-10 mg until max of 30mg; no ped dose

Route: IV slow push
Onset: 1-3 minutes
Peak: 3-5 minutes
Duration: 2-5 hrs
Supply: 10mg

Question 11

Verapamil

Special Notes

Answer 11

Can be used for cardioversion, adenosine preferred; try Vagal maneuvers, monitor for hypotension and AV block,
1-2min push for adults,3 for middle age

Question 12

Verapamil

Class

Answer 12

Calcium Channel blocker

Question 13

Verapamil

Mechanism of Action

Answer 13

Blocks calcium influx into cardiac and smooth muscle - Negative Inotropy
Slows conduction and prolongs refractory period in AV nose
Slows SA node d/c

Decrease heart contractility and AV conduction

Question 14

Verapamil

Indications/Field Use
Contraindications

Answer 14

Ind: Supraventricular Tachycardia , Atrial Fibrillation and A Flutter with rapid ventricular response (RVR)

Contra: AV block, sick sinus syndrome,
Any wide QRS tach, WPW, Shock, Severe CHF, IV beta blocker, hypotension

Question 15

Verapamil

Adverse Reaction

Incompatibilities

Answer 15

Ad: severe Brady, a systole, AV block, hypotension, CHF

Incompatibilities: IV beta blockers

Question 16

Verapamil

Dose (A/P), Route, Onset, Peak Effect, Duration, Supply

Answer 16

Dose: 2.5-5 mg slow IV push over 2-3 minutes. May rebolus 15-30 minutes later 5-10 mg until max of 30mg; no ped dose

Route: IV slow push
Onset: 1-3 minutes
Peak: 3-5 minutes
Duration: 2-5 hrs
Supply: 10mg

Question 17

Verapamil

Special Notes

Answer 17

Can be used for cardioversion, adenosine preferred; try Vagal maneuvers, monitor for hypotension and AV block,
1-2min push for adults,3 for middle age