Medication

Question 1

Beta Blocker (Metoprolol, Atenolol etc) act to block the body’s ______-__________ system and reduce ______ ______

Answer 1

Fight or flight system

heart rate

Question 2

Labetalol is utilized to reduce _______ _____ acutely in patients suspected of acute stroke

Answer 2

blood pressure

Question 3

Beta Blockers are utilized orally to control __________, decrease chronic ______ on the __________ and other cardiac indications.

Answer 3

hypertension, workload on the myocardium

Question 4

Beta Blockers Contraindications

Do not give to patients with AMI if sign of ___________ __________ or low _______ _________ is present

Answer 4

Heart failure or low cardiac output

Question 5

Beta Blockers should not be given with _________ or ___________ _________

Answer 5

Bradycardia or heart block

Question 6

Beta Blockers should not be given simultaneously with _________ _________ ________ (such as Diltiazem or Verapamil) as severe hypotension and/or heart block can occur

Answer 6

calcium channel blocker

Question 7

Beta Blockers can be given slowly while monitoring the patient’s response to the medication T/F

Answer 7

True

Question 8

Acute care environment Dosage for Metoprolol

Answer 8

5 mg IV every 5 minutes as tolerated to a maximum of 3 doses. Titrate to Heart rate and blood pressure response.

Question 9

Acute care environment Dosage for Atenolol

Answer 9

5 mg IV over 5 mins. 2nd dose after 10 minutes given over 5 minutes

Question 10

Acute care environment Dosage for Propranolol (to slow the heart rate in SVT)

Answer 10

0.5-1.0 mg over 1 minute, repeat as needed to a total dose of 0.1 mg/kg

Question 11

Acute care environment Dosage for Esmolol

Answer 11

0.5 mg/kg over 1 minute followed by an infusion of 0.05 mg/kg per minute to a maximum dose of 0.3 mg/kg

Question 12

Acute care environment Dosage Labetalol

Answer 12

10 mg IV push over 1-2 minutes: may repeat or double every 10 minutes to a maximum dose of 150 mg

Question 13

Digoxin is used to slow ventricular response in ________ _________.

Answer 13

atrial fibrillation

Question 14

Digoxin is available as an oral preparation and is frequently used as a _______ __________ __________ medication

Answer 14

atrial fibrillation maintenance

Question 15

Digoxin can be used as a 2nd or 3rd line medication for ________ ________________

Answer 15

re-entry Supraventricular Tachycardias

Question 16

Digoxin Loading dose is

Answer 16

4-6 mcg/kg given slowly over 5 mins.

Question 17

Diltiazem is a ___________ _________ Blocker

Answer 17

Calcium Channel

Question 18

Diltiazem is used to control the rate in ________ _________ and ______ ________

Answer 18

Atiral Fibrillation and Atrial Flutter

Question 19

Diltiazem can stop arrhythmias that require the AV node to continue such as __ ______ _______ ___

Answer 19

AV nodal Reentry SVT

Question 20

Diltiazem cause ________ _______ relaxation that results in ___________, decreases the amount of force generated by myocardial contraction, and drecreases _______ ______ and decreases conduction at the AV nodal level

Answer 20

smooth muscle vasodilation, heart rate

Question 21

Diltiazem Dosage

Answer 21

15-20 mg IV over 2 minutes. Another dose of 20-25 over 2 minutes and mantenance infusion at 5-15 mg/hour. Dose titrated to desired Heart rate

Question 22

Diltiazem side effect is

Answer 22

Hypotension

Question 23

Diltiazem should not be use in patients with

Answer 23

Wolff-parkinson-white (WPW), AV nodal blockif that patients does not have a pacemaker or with sick sinus syndrome

Question 24

Lidocaine is used as an alternative in ________ ______ from __/_____

Answer 24

Cardiac arrest from VF/pVT

Question 25

Lidocaine dosage For Cardiac Arrest

Answer 25

1-1.5 mg/kg IV or IO. It can be repeated at 5-10 min intervals to a maximum of 3 doses (2nd and 3rd dosese are given at half dose) or total of 3 mg-kg

Question 26

Lidocaine can be given as a infusion for stake Ventricular Tachycardia what is the maintenance infusion rate

Answer 26

1-4 mg/kg

Question 27

When is Magnesium Sulfate used

Answer 27

Torsades De Pointes with documented Prolonged QT interval during the Patients Normal Sinus Rhythm.

Question 28

What is a side effect to Magnesium Sulfate?

Answer 28

Severe Hypotension

Question 29

Procainamide is used for the treatment of a number of arrhythmia’s including…

Answer 29

stable Ventricular Tachycardia, Stable reentry SVT, Stable Wide complex rhythm that have unknown origin and Atrial fibrillation with a fast rate in patients with WPW.

Question 30

Procainamide dosage is

Answer 30

20 mg/min via IV infusion until Arrhythmia subsides, Patient become hypotensive, QRS complex wides by 50% or the maximum dose of 17 mg/kg has been administered.

Question 31

Procainamide cautions include

Answer 31

If renal or cardiac dysfunction the dose should be decreased to a maximum dose of 12 mg/kg
QT interval should be monitored closely.

Question 32

Verapamil is what class of drug

Answer 32

Calcium Channel blocker

Question 33

Verapamil is used to treat/terminate

Answer 33

reentry SVT (narrow complex tachycardia) in patients with good left ventricular function.

Question 34

Verapamil intial dose dosage

Answer 34

2.5-5 mg IV bolus over 2 mins.

Question 35

Verapamil 2nd dose dosage

Answer 35

repeat dose after 15-30 mins and is 5-10 mg given slowly

Question 36

Maximum dose for Verapamil is

Answer 36

20 mg

Question 37

Extreme caution must be exercised when verapamil is given in conjunction with beta blockers as severe what can occur?

Answer 37

Severe Bradycardia and Hypotension.