Exam 1 Meds

Question 1

Atropine

Answer 1

Indications: bradysystolic cardiac arrest
Contraindications: heart transplants, cardiac disease, asthma, COPD, respiratory infections

Question 2

Atropine Dosage

Answer 2

1 mg IV q3-5 min as needed up to 3 mg (3 doses)

Question 3

ACEIs

Answer 3

Indications: HTN, CAD, HF, CKD/proteinuria, diabetic nephropathy, MI
Contraindications: with NSAIDS or naproxen sodium, pregnancy

Question 4

ACEIs Dosage

Answer 4

depends on the med and the rationale

Question 5

BBs

Answer 5

Indications: HF, angina, arrhythmias, HTN, MI, anxiety, alcohol withdrawal
Contraindications: asthma, COPD, DM

Question 6

BBs Dosage

Answer 6

follow label; wean off; check pulse daily

Question 7

Nitroglycerin

Answer 7

Indications: acute MI, prophylaxis of angina d/t CAD
Contraindications: severe anemia, increased ICP, circulatory failure/shock

Question 8

Nitroglycerin Dosage

Answer 8

one tablet (0.3, 0.4, or 0.6 mg dose) SL or buccal at first sign of acute anginal attack; can repeat q5 min up to three doses; may be used prophylactically 5-10 min prior to engaging in activities that might precipitate an attack

Question 9

Morphine Sulfate

Answer 9

Indications: acute and chronic pain, used to slow RR/improve breathing
Contraindications: respiratory depression, asthma, during or within 14 days of MAOIs, GI obstruction

Question 10

Morphine Sulfate Dosage

Answer 10

Tabs - initially 15-30 mg q4 hours as needed
Soln - initially 10-20 mg q4 hours
100mg/5mL strength for use in opioid-tolerant pts only
WEAN OFF

Question 11

Heparin

Answer 11

Indications: A fib, DIC, prevention of clotting, DVT
Contraindications: severe thrombocytopenia, uncontrolled active bleeding

Question 12

Heparin Dosage

Answer 12

injection, USP 2000 and 2500 USP Units/mL; should be given by intermittent IV injection, after dilution in 50 or 100 mL of D5 or NS

Question 13

Nitroprusside

Answer 13

Indications: hypertensive emergency, controlled HoTN, acute HF
Contraindications: in non-clinical setting, CAD, CVD, increased ICP, hepatic disease, pulmonary disease

Question 14

Nitroprusside Dosage

Answer 14

0.3 mcg/kg/min initially ; titrate q5 minutes until desired effect; average maintenance dose = 3 mcg/kg/min; MAX = 10 mcg/kg/min for 10 minutes

Question 15

Furosemide

Answer 15

Indications: fluid volume overload, edema, HTN
Contraindications: anuria, hypersensitivity

Question 16

Furosemide Dosage

Answer 16

20-80 mg in a single dose initially; may be raised by 20-40 mg 6-8 hours after administration, can be titrated up to 600 mg/day maximum

Question 17

Anticoagulants

Answer 17

Indications: ACS, VTE, A-fib, cardioversion
Contraindications: intracranial bleeding, severe active bleeding,

Question 18

Anticoagulants Dosage

Answer 18

depends on specific type; generally an initial IV bolus given, then continuous infusion

Question 19

Sinus Bradycardia Med

Answer 19

Atropine 0.5 mg IV

Question 20

Sinus Tachycardia Meds

Answer 20

digitalis
BB’s
Ca-Channel Blockers
Amiodarone

Question 21

Atrial Fibrillation Meds

Answer 21

Amiodarone
Ca-Channel blockers
BB’s
Digoxin

Question 22

Supraventricular Tachycardia Tx

Answer 22

O2
Vagal stimulation
ADENOSINE 6 mg IV over 1-3 seconds

Question 23

Preferred Tx for recurrent SVT

Answer 23

Radiofrequency Catheter Ablation

Question 24

Which is the most common dysrhythmia in clinical practice?

Answer 24

Atrial fibrillation

Question 25

In a 5-electrode lead ECG, which lead is MOST valuable for detecting dysrhythmias?

Answer 25

V1

Question 26

Major MODIFIABLE Risk Factors for CVD

Answer 26

Smoking, HTN, dyslipidemia

Question 27

Major NON-MODIFIABLE Risk Factors for CVD

Answer 27

age, gender, family Hx

Question 28

Best antidysrhythmic drug after a STEMI

Answer 28

Amiodarone

Question 29

Drugs to prevent ventricular remodeling that leads to HF

Answer 29

ACEIs & ARBs