Indications

Question 0

Adenocard (adenosine)

Answer 0

conversion of SVT, including those caused by WPW. Does not convert A-fib, A-flutter or V-tach

Question 1

ACE Inhibitors

Answer 1

Hypertension, CHF, left ventricular dysfunction, post MI

Question 2

Adrenalin (epinephrine)

Answer 2

cardiac arrest (v-fib, pulseless v-tach, asystole, PEA, anaphylaxis, severe allergic reactions

Question 3

Amiodarone (cordarone)

Answer 3

treatment for ventricular arrhythmias. second-line treatment for atrial arrhythmias

Question 4

Aspirin (ASA, acetylsalicylic acid)

Answer 4

suspected/confirmed MI, ischemic stroke/TIA, angina, fevers

Question 5

Atropine Sulfate

Answer 5

sinus bradycardia with significant hypotension or ventricular ectopy. AV block, organophosphate insecticide poisoning. Will NOT be effective when Mobitz Type II or CHB block is suspected.

Question 6

Beta Blockers

Answer 6

ACS/MI, hypertension, SVT, A-fib/A-flutter

Question 7

Calan, Isotopin (Verapamil)

Answer 7

SVT, A-fib/flutter with rapid ventricular rate, , PSVT, hypertension

Question 8

Calcium Chloride 10% (CaCl)

Answer 8

Acute hyperkalemia, acute hypocalcemia, prophylactic therapy preceding the use of calcium channel blocker or beta blocker toxicity, cardiac arrest

Question 9

Calcium Channel Blockers (commonly end in -dipine: amlodipine (Norvasc), Nicardipine, Nifedipine (Procardia))

Answer 9

hypertension, rapid A-fib/flutter, cerebral vasospasms

Question 10

Clopidrogel (Plavix)

Answer 10

ACS, chronic coronary and vascular disease, ischemic stroke

Question 11

Diltiazem (Cardiazem)

Answer 11

temporary control of rapid ventricular rate in A-fib/flutter

Question 12

Dopamine (intropin)

Answer 12

hypotension associated with cardiogenic shock and septic shock, hypotension after ROSC following cardiac arrest, symptomatic bradycardia unresponsive to atropine

Question 13

fentanyl citrate (Sublimaze)

Answer 13

narcotic anesthetic

Question 14

Fibrinolytic Therapy

Answer 14

chest pain associate with acute MI, ST elevation>1 mm in 2 contiguous leads.

Question 15

Lanoxin (digoxin)

Answer 15

CHF, control of ventricular response to A-fib, A-flutter and PSVT. The toxic-to-therapeutic balance is delicate

Question 16

Lasix (furosemide)

Answer 16

for adjuvant therapy in acute pulmonary edema in patients with CHF, hypertensive emergency

Question 17

Lidocaine HCl (Xylocaine)

Answer 17

ventricular ectopy, V-tach/V-fib. In presence of AMI, prophylactic administration of lidocaine reduces incidence of primary V-fib, but doesn’t lower mortality. V-fib/pulseless V-tach that persists after defib and administration of epinephrine. Control of hemodynamically compromising PVCs. Hemodynamically stable V-tach.

Question 18

magnesium sulfate (MgSO4)

Answer 18

eclampsia with seizures, preterm labor, hypomagnesia, acute asthma attacks, Torsades de pointe, status asthmaticus

Question 19

Nipride (sodium nitroprusside)

Answer 19

reduce BP quickly in hypertensive emergencies, reduce preload and afterload

Question 20

Nitrostat (nitroglycerin)

Answer 20

angina, acute MI, hypertension

Question 21

Quinidine

Answer 21

used to decrease pulse rate in A-fib/A-flutter/PAT/PVCs/PSVT

Question 22

Sodium Bicarbonate (NaHCO3)

Answer 22

correct metabolic acidosis in cardiac arrest, salicylate intoxication, and ketoacidosis. Used in treatment of hyperkalemia, hyponatremia, drug overdoses (tricyclic, salicylates, methyl alcohol)

Question 23

Vasopressin

Answer 23

alternative pressor to epinephrine in the treatment of adult shock-refractory V-fib

Question 24

warfarin (Coumadin)

Answer 24

treatment and/or prophylaxis of thrombosis related to acute coronary syndromes, stroke, DVT, PE, A-fib/flutter, cardiac valve replacement