Med card review for class Flashcards
What are other names for Albuterol?
Proventil, Ventolin
MOA for Albuterol
Albuterol is a beta 2 agonist. Relaxes the smooth muscle in the bronchioles resulting in bronchodilation of the lungs.
Indications for Albuterol
Bronchospasm and wheezing (asthma, anaphylaxis, or COPD)
Contraindications for Albuterol
Tachycardia, hypertension, and dysrhythmias
Side effects for albuterol
tachycardia, hypertension, dysrthymias, n/v, lightheadedness, restlessness, headache, increased sputum, pulmonary edema
Dosage for Albuterol
2.5 mg in 3 ml solution.
Onset, peak, and duration of Albuterol
Onset 5-15 minutes
Peak 30 min-2hours
duration 3-4 hours
Other name for epinephrine
Adrenalin
Medication class for Epi
Sympathomimetic
MOA for epinephrine
Alpha and beta agonist. Alpha 1-vasoconstriction. Beta 1-positive inotrope, chronotropic, and dromotropic. Beta 2-bronchial smooth muscle relaxation. Blocks histamine receptors.
Indications for epinephrine
Cardiac arrest, anaphylaxis/allergic reaction, hypotension, symptomatic bradycardia, asthma
Contraindications for epi
Relative: tachycardia, hypertension, MI, hypovolemic shock.
Side effects of epi
Restlessness, tremor, headache, pulmonary edema, dysrhythmias, chest pain, hypertension, tachycardia, nausea, vomiting
Epi dose for adult allergic reaction and asthma
0.3-0.5 mg (1,1000) IM
Epi dose for anaphylaxis
0.3-0.5 (1;10,000) IV
Adult cardiac arrest dose for epi
1 mg of 1;10,000 epi IV/IO every 3-5 min
Pediatric cardiac arrest dose for epi
0.01 mg/kg (1;10,000) IV/IO every 3-5 minutes
Bradycardia or hypotension epi dose
2-10 mcg/min
Onset peak and duration of epi
Onset- immediate, peak-minutes, duration-several minutes
Other names for aspirin
ASA and acetylsalicylic acid
Aspirin medication class
Platelet inhibitor (antiplatelet) and NSAID
MOA for aspirin
Prevents platelet aggregration
(clumping). Has antipyretic and analgesic properties
Indications for Aspirin
Chest pain and suspected MI
Contraindications for aspirin
Bleeding disorders, active GI bleed, asthma.
Not recommended for peds
Side effects of aspirin
Excessive bleeding, reyes syndrome, bronchospasm, wheezes, N/V, epigastric distress
Dose for aspirin
160-324 po
Onset, peak, and duration of aspirin
Onset 5-30 minutes, peak: 1-3 hours, and duration 3-6 hours
Another name for amiodarone
Cordarone
Medication class for amiodarone
Antidysrhythmic (class 3)
MOA for amiodarone
Blocks sodium, potassium, and calcium channel.
Prolongs action potential and repolarization.
Decreases AV and SA node function.
Indications of amiodarone
V-tach with a pulse. Cardiac arrest (pulseless v-tach or v-fib)
Stable, regular complex tachycardia following failure to convert from vagal maneuvers or adenosine.
Contraindications for amiodarone
Cardiogenic shock, 2nd or 3rd degree AV block, sick sinus syndrome
Side effects of amiodarone
ARDS, pulmonary edema, dyspnea, heart failure, bradycardia, hypotension, prolonged QT interval, burning at IV site, steven johnson syndrome
Dose for amiodarone
Adult v-fib or pulseless v-tach; 300 mg IVP followed by 150 IVP after 3-5 minutes
Wide complex tachycardia: 150 ml in 100ml over 10 minutes
Pediatric v-fib or pulseless v-tach; 5mg/kg IVP, repeat once in 3-5 minutes
Amiodarone Onset, peak, and duration
Onset-30min-2hrs. Peak-3-7 hours. Duration-Unknown, 40 day half life
Another name for lidocaine
Xylocaine
Medication class for Lidocaine
Anti dysrhythmic, local anesthetic
MOA for lidocaine
Cardiac-Decreases automaticity by slowing rate of depolarization in phase 4
Indications for lidocaine
Cardiac arrest: v-fib and pulseless v-tach
Wide complex tachycardia
Local anesthetic for procedures such as IO (2-3mg IO)
Contraindications for lidocaine
2nd or 3rd degree AV block. Stokes adam syndrome
Side effects for lidocaine
Respiratory arrest, hypotension, bradycardia, dysrhythmias, AV block, cardiac arrest, seizures, AMS
Dosage for lidocaine
Adult cardiac arrest VT/VF: 1-1.5mg/kg IVP repeat once at 0.5-0.75mg/kg
V-tach with pulse: 1-4mg/min
Pediatric Cardiac arrest (VT/VF): 1mg/kg repeat once (not the prefered antidysrhythmic)
Onset, peak, duration for lidocaine
Onset: 1-5 minutes, Peak-5-10 minutes, Duration 15min-2hrs
Calcium chloride
Calcium Gluconate
Medication class for CC/CG
Electrolyte
MOA for CC/CG
Counteracts toxicity of hyperkalemia by stabilizing the membranes of cardiac cells
Indications for CC/CG
Hyperkalemia, hypermagnesemia, hypocalcemia, beta blocker overdose, calcium channel overdose
Contraindications for CC/CG
Hypercalcemia, digitalis toxicity, V-fib
Side effects for CC/CG
Cardiac arrest, dysrhythmias, hypotension, bradycardia, tissue necrosis at injection site, artery spasm, and metallic taste
Dose for CC/CG
Adult:500-1000 mg IV (0.5-1 gram)
Pediatric dose for CC/CG
20 mg/kg IV
Onset, peak, and duration for CC/CG
Onset-2 minutes, peak-varies, Duration-Chloride (25 min) and Gluconate (1 hr)
Another name for Adenosine
Adenocard
Medication class for Adenosine
Anti-dysrhythmic
Mechanism of action for Adenosine
Slows conduction through the AV node
Indications for Adenosine
Narrow complex tachycardia
Contraindications for Adenosine
2nd or 3rd degree AV block, sick sinus syndrome, broncho-constrictive lung disease, drug induced tachycardia
Not effective in converting Wide complex tachycardia, a-fib, a-flutter
Wolff Parkinson White syndrome
Side effects of Adenosine
Does not have an effect if pushed slowly so needs to be pushed FAST. Bronchospasm, palpitations, flushing, nausea, diaphoresis.
There will be a period of dysrhythmia or asystole
Dosage for Adenosine
Adult; 6 mg fast IVP followed by 10cc flush, if no response, may repeat at 12 mg fast IVP.
Peds; 0.1 mg/kg rapid IVP. Repeat with double dose
Onset, peak, and duration of Adenosine
Onset-immediate, Peak-seconds, duration-12 seconds
Half life of 10 seconds
Medication name; Atropine
Medication class for Atropine
Anticholinergic and vagolytic
MOA for Atropine
Inhibits action of acetylcholine
Blocks vagal effects
Inhibits muscarinic receptors
Indications for atropine
Bradycardia, organophosphate poisoning, nerve agent exposure, BB or CCB overdose
Contraindications for Atropine
Tachycardia, MI, glaucoma, hypothermic bradycardia, hemorrhage.
If using to treat bradycardia, won’t work on transplanted heart or AV block.
Side effects of Atropine
paradoxical bradycardia when too low of dose is pushed, or pushed too slow. Palpitations, headache, tachycardia, dry mouth/nose/skin, blurry vision, flushed skin
Dosage for Atropine
Adult bradycardia: 1mg IV every 3-5 min up to 3 mg
Peds bradycardia: