Left Overs

Question 1

Metoprolol) Dynamics:
Indications:
Contra:
Dose:

Answer 1

= ß-Blocker
= Hypertension, 2nd line med for A-Fib or A-Flutter w/ RVR, & SVT
= HR<45, 2nd or 3rd degree heart block
= 5 mg IV/IO q 5 min (up to 3 doses)

Question 2

Metoprolol) Dynamics:
Indications:
Contra:
Dose:

Answer 2

= ß-Blocker
= Hypertension, 2nd line med for A-Fib or A-Flutter w/ RVR, & SVT
= HR<45, 2nd or 3rd degree heart block
= 5 mg IV/IO q 5 min (up to 3 doses)

Question 3

Metoprolol) Dynamics:
Indications:
Contra:
Dose:

Answer 3

= ß-Blocker
= Hypertension, 2nd line med for A-Fib or A-Flutter w/ RVR, & SVT
= HR<45, 2nd or 3rd degree heart block
= 5 mg IV/IO q 5 min (up to 3 doses)

Question 4

Nubain) Dynamics:
Indications:
Contra:
Dose:

Answer 4

Synthetic opiate agonist/antagonist
= Moderate to severe pain
= Hypersensitivity, respiratory depression
= 10-20 mg IV/IO/SQ/IM

Question 5

Verapamil) Dynamics:
Indications:
Contra:
Dose:

Answer 5

Class IV Antiarrhythmic. Slows AP of cardiac autorhythmic cells by blocking Ca channels
= 2nd line med for A-Fib & A-Flutter w/ RVR. May use as alterative med (after adenosine) narrow QRS complex tachycardia w/ preserved LV Fn
= HypoBP, CHF/Cardio shock, WPW, Wide-complex TachyC, sensitivity
=1st dose: 2.5-5 mg IV/Io bolus over 2-3 mins.
=2nd dose: 5-10 mg over 2-3 mins. Max total dose: 20 mg

Question 6

Nubain) Dynamics:
Indications:
Contra:
Dose:

Answer 6

= Synthetic opiate agonist/antagonist
= Moderate to severe pain
= Hypersensitivity, respiratory depression.
= 10-20 mg IV/IO/SQ/IM

Question 7

Verapamil) class:
pharmacodynamics:

Answer 7

= IV antiarrhythmic Ca channel blocker
= Slows AP of autorhythmic cells in heart by blocking Ca channels

Question 8

Verapamil) class:
pharmacodynamics:

Answer 8

= IV antiarrhythmic Ca channel blocker
= Slows AP of autorhythmic cells in heart by blocking Ca channels

Question 9

Verapamil) class:
pharmacodynamics:

Answer 9

= IV antiarrhythmic Ca channel blocker
= Slows AP of autorhythmic cells in heart by blocking Ca channels

Question 10

Verapamil) class:
pharmacodynamics:

Answer 10

= IV antiarrhythmic Ca channel blocker
= Slows AP of autorhythmic cells in heart by blocking Ca channels

Question 11

Verapamil) indications:

Contraindications:

Answer 11

= 2nd med for A-Fib/Flutter w/ RVR, May use as alterative med (after adenosine), narrow QRS complex Tcardia w/ preserved LV function
= HypoBP (SBP<90), CHF/cardio/ shock, Wide-complex Tcardia, WPW
Hypersensitivity to med

Question 12

Verapamil) indications:

Contraindications:

Answer 12

= 2nd med for A-Fib/Flutter w/ RVR, May use as alterative med (after adenosine), narrow QRS complex Tcardia w/ preserved LV function
= HypoBP (SBP<90), CHF/cardio/ shock, Wide-complex Tcardia, WPW
Hypersensitivity to med

Question 13

Verapamil) indications:

Contraindications:

Answer 13

= 2nd med for A-Fib/Flutter w/ RVR, May use as alterative med (after adenosine), narrow QRS complex Tcardia w/ preserved LV function
= HypoBP (SBP<90), CHF/cardio/ shock, Wide-complex Tcardia, WPW
Hypersensitivity to med

Question 14

Verapamil) indications:

Contraindications:

Answer 14

= 2nd med for A-Fib/Flutter w/ RVR, May use as alterative med (after adenosine), narrow QRS complex Tcardia w/ preserved LV function
= HypoBP (SBP<90), CHF/cardio/ shock, Wide-complex Tcardia, WPW
Hypersensitivity to med

Question 15

Verapamil)1.May cause:
2. Effects:
3. Max total dose:
4. 1st dose:
5. 2nd dose:

Answer 15

1.= more profound hypotension response than that of Diltiazem
2.= Severe CHF may result if used w/ beta-blocker, N/V/D, Dizziness, H/A
3.= 20mg
4.=2.5-5mg IV/O bolus 2-3min
5.= 5-10mg over 2-3 mins

Question 16

Verapamil)1.May cause:
2. Effects:
3. Max total dose:
4. 1st dose:
5. 2nd dose:

Answer 16

1.= more profound hypotension response than that of Diltiazem
2.= Severe CHF may result if used w/ beta-blocker, N/V/D, Dizziness, H/A
3.= 20mg
4.=2.5-5mg IV/O bolus 2-3min
5.= 5-10mg over 2-3 mins