Exam One Medications Flashcards
Adenosine
First line for paraoxysnal supraventricular tachycardia
For chemical cardio version
Amiodarone
Used for paradoxical supraventricular tachycardia, v fib , v tach
Unresponsive to shock, cpr and vasopressin
Epinephrine
Used in v fib
Asystole
Cardiac arrest
Pulseless vtach
Pea
atropine
For bradycardia
Momentarily will fix HR but not long term so we may have to look at pace makers or stop offending drugs
Iidocaine
Used in an unstable patient with PVC
Used in place for amiodarone
Magnesium
Given for tosades de pointes in ventricular tachycardia
Know the mag level before giving
Levetiracetam
Causes sleepiness , insomnia
Suicide risk
Monitor renal dysfunction
For seizures , have seizure precautions , and protect the head
Simvastatin
For high chol
Take at night
Flushes skin
Pressure description of mi
Knot in the center of chest
Ache MI described as
Toothache
Crushing description of mi
Elephant sitting on chest
MI is not described as
Sharp
Life like
Changed w breathing
Stabbing
Pins and needs
Dosing for adenosine
Initial is 6 mg
Second is 12 mg
Tips for adenosine
Rapid push 1-2 sec
Follow w 20 mL NS
Elevate extremity to move it faster
Dosing for amiodarone
1st 300 mg
2nd 150 mg
Mx - 2.2 g/2200mg