Lidocaine, Amiodarone, Atropine, Adenosine

Question 1

Lidocaine classification

Answer 1

Ventricular antidisrhythmic

Question 2

Lidocaine trade name

Answer 2

Xylocane

Question 3

Lidocaine desired effect

Answer 3

Suppress ventricular ectopy,
raise v-fib threshold,
local anesthetic

Question 4

Lidocaine mechanism of action

Answer 4

Decrease automaticity and refractory period in cardiac arrest

Question 5

Lidocaine indications

Answer 5

Pulseless VT, stable VT, MI with ventricular ectopy, v-fib

Question 6

Lidocaine contraindications

Answer 6

Allergic to amide anesthetic

Ventricular escape rhythm

2nd and 3nd AV blocks

Sinus arrest

Question 7

Lidocaine adverse reactions

Answer 7

Seizure

Coma

Respiratory arrest

Hypotension

Question 8

Lidocaine adult dosing
Cardiac arrest

Answer 8

1 - 1.5 mg/kg IV/IO
0.5-0.75 mg/kg IV/IO
Max 3 mg/kg

Question 9

Lidocaine pediatric dosing
Cardiac arrest

Answer 9

1 mg/kg IV /IO

Question 10

Amiodarone trade name

Answer 10

Cordarone

Question 11

Amiodarone class

Answer 11

Antidisrhythmic

Question 12

Amiodarone desired effects

Answer 12

Treat SVT and ventricular dysrhythmias

Question 13

Amiodarone mechanism of action

Answer 13

Works on a myocardium to delay repolarization and depresses automaticity in the AV / SA node

Question 14

Amiodarone indications

Answer 14

V-fib, pVT, wide complex tachycardia

Question 15

Amiodarone contraindications

Answer 15

hypersensitivity,
2nd/3rd degree heart block,
Bradycardia
cardiogenic shock

Question 16

Amiodarone adverse reactions

Answer 16

Hypotension, arrhythmia, heart block, sinus arrest

Question 17

Amiodarone drug interactions

Answer 17

Increases digoxin levels and toxicity of lidocaine

Question 18

Amiodarone dosing adult
V-fib/pVT

Answer 18

300 mg diluted in 20 to 30cc IVP
150 mg diluted in 20 to 30 cc IVP

Question 19

Amiodarone dosing adult
Wide complex tachycardia

Answer 19

150 mg diluted in 20 to 30 cc

Question 20

Amiodarone pediatric dosing
V fib/ pVT

Answer 20

5 mg / kg diluted in 20 to 30 cc
Can repeat twice

Question 21

Amiodarone pediatric dosing
Wide complex

Answer 21

5 mg/kg diluted in 20 to 30 cc

Question 22

Atropine classification

Answer 22

Anticolinergic / parasympatholic

Question 23

Atropine trade name

Answer 23

Atropine

Question 24

Atropine desired effect

Answer 24

Accelerate heart rate in bradycardia
Dries mucus membranes in cholinergy poisoning

Question 25

Atropine mechanism of action Effect 1:

Answer 25

Blocks Parasympathetic action (vagal)

Question 26

Atropine mechanism of action Effect 2:

Answer 26

Increases SA node discharge

Question 27

Atropine mechanism of action Effect 3:

Answer 27

Enhances conduction through AV junction

Question 28

Atropine indications

Answer 28

Symptomatic bradycardia, 2nd degree type 1 heart block, cholinergic poisoning

Question 29

Atropine contraindications

Answer 29

AFib/aflutter with RVR 2ND degree type II AV block 3rd degree block Myocardial ischemia

Question 30

Atropine adverse reactions

Answer 30

Tachycardia delirium headache

Question 31

Atropine drug interactions

Answer 31

Do not mix with sodium bicarbonate

Question 32

Atropine special considerations

Answer 32

Rapid IVP prevents reflex bradycardia

Question 33

Atropine adult dose Bradycardia

Answer 33

1 mg rapid IVP every 3 to 5 minutes Max 3 mg

Question 34

Atropine adult dosing Cholinergic poisoning

Answer 34

2 mg rapid IVP/IM every 15 minutes

Question 35

Atropine pediatric dosing Bradycardia

Answer 35

0.02 mg / kg rapid IVP every 5 minutes Minimum 0.1 mg max 1 mg in children, Max 2 mg in adolescence

Question 36

Atropine pediatric dosing Cholinergic poisoning

Answer 36

0.05 mg/kg IVP every 15 minutes 1 mg IM every 15 minutes

Question 37

Adenosine classification

Answer 37

Antidisrrhythmic

Question 38

Adenosine desired effect

Answer 38

Convert SVT and stable regular monomorphic wide complex tachycardia

Question 39

Adenosine mechanism of action

Answer 39

Slow AV conduction and interrupt reentry pathways through AV / SA node

Question 40

Adenosine Indications

Answer 40

Convert tache arrhythmias

Question 41

Adenosine contraindications

Answer 41

2ND / 3rd degree AV block AFib/a flutter Hypersensitivity

Question 42

Adenosine adverse reactions

Answer 42

Headache Palpations Chest pain Shortness of breath Nausea / vomiting Hypotension

Question 43

Adenosine drug interactions

Answer 43

Caffeine/theophiline inhibits Persantin prolongs

Question 44

Adenosine precautions

Answer 44

Caution in heart transplant patients

Question 45

Adenosine adult dosing

Answer 45

6 mg rapid IVP plus 20cc flush 12 mg rapid IVP plus 20 cc flush

Question 46

Adenosine pediatric dosing

Answer 46

0.1 mg/kg rapid IVP and 10cc flush (Max 6 mg) 0.2 mg/kg wrap it IVP and 10cc flush (Max 12 mg)