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Acls > Meds > Flashcards

Meds Flashcards

0
Q

The vasopressor epinephrine is used in _________ at 1mg every 3-5 min and __________ at 2-10 mcg per min?

A

Cardiac arrest (Vfib, pulseless vt, pea, and a systole)

Refractory bradycardia

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1
Q

Epinephrine is considered what type of drug?

A

Vasopressor

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2
Q

The vasopressor epinephrine is used in cardiac arrest (Vfib, pulseless vtach, pea, and a systole) at ______________ and refractory bradycardia at ____________?

A

1 mg every 3-5 min

2-10mcg per min

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3
Q

The vasopressor epinephrine (increase/decrease) cardiac output and can (increase/decrease) myocardial and coronary blood flow during CPR?

A

Increase CO and increase Myocardial/coronary blood flow.

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4
Q

After administering epinephrine it is standard to follow with a _____________ to help circulate the epinephrine in the body.

A

20ml flush of IV fluid

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5
Q

This vasopressor is used in replace of the 1st or 2nd dose of epinephrine?

A

40 units IV vasopressin

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6
Q

Vasopressin is a vasopressor used in lieu of which vasopressor?

A

1st or 2nd dose of epinephrine

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7
Q

Which vasopressor is a natural anti diuretic hormone which can prove to be a powerful vasoconstrictor at high doses?

A

Vasopressin

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8
Q

Which vasopressor can be administered with a low BP (sys <70-100) and bradycardia after atropine?

A

Dopamine at 2-20 mcg/kg/min

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9
Q

The vasopressor ________ can be used in depressed cardiac function, cardiogenic shock, and hemodynamically significant hypotension

A

Dopamine at 2-20 mcg/kg/min

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10
Q

The vasopressor Dopamine can be used in which 3 situations, 1. depressed cardiac function 2. cardiogenic shock and 3 _______________ and at what dosage?

A

Hemodynamically significant hypotension - 2-20 mcg/kg/min

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11
Q

The vasopressor Dopamine can be used in which 3 situations, 1. depressed cardiac function 2. _____________ and 3 Hemodynamically sign. hypotension, and at what dosage?

A

Cardiogenic shock - 2-20mcg/kg/min

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12
Q

The vasopressor Dopamine can be used in which 3 situations, 1. ______________ 2. cardiogenic shock and 3 Hemodynamically sign hypotension, and at what dosage?

A

depressed cardiac function - 2-20 mcg/kg/min

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13
Q

This vasopressor is used after atropine

A

Dopamine at 2-20 mcg/kg/min

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14
Q

Dopamine is used to improve _____ , BP, hypotension, and bradycardia

A

cardiac output

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15
Q

Dopamine is used to improve _____ , cardiac output, hypotension, and bradycardia

A

bp

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16
Q

Dopamine is used to improve _____ , BP, cardiac output, and bradycardia

A

hypotension

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17
Q

Dopamine is used to improve _____ , BP, hypotension, and cardiac output

A

bradycardia

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18
Q

This vasopressor also goes by the name levophed

A

Norepinephrine

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19
Q

This vasopressor also goes by the name norepinephrine

A

levophed

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20
Q

Indications for this specific vasopressor __________ are - cardiogenic shock and severe hypotension not caused by hypovolemia

A

Norepinephrine/levophed

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21
Q

This vasopressor ________at ________ can help with cardiogenic shock and severe hypotension not caused by hypovolemia

A

Norepi at 0.1-0.5 mcg/kg/min

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22
Q

Norepinephrine at dosages of 0.1-0.5 mcg/kg/min can help with cardiogenic shock and _________?

A

Severe hypotension not caused by hypovolemia

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23
Q

Norepinephrine or levophed at dosages of 0.1-0.5 mcg/kg/min can help with severe hypotension not caused by hypovolemia and __________?

A

cardiogenic shock

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24
Q

This vasopressor increases myocardial oxygen demand?

A

Norepi/levophed

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25
Q

Norepi/Levophed have the ability to (increase/decrease) myocardial oxygen demand?

A

increase

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26
Q

At what dose should norepi/levophed be given?

A

0.1-0.5mcg/kg/min

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27
Q

This vasopressor should never be mixed with sodium bicarb

A

Dobutamine

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28
Q

The last pressor of choice should always be _______ and not mixed with sodium bicarb

A

dobutamine

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29
Q

This pressor is used in patients that have pump problems, syst bp of 70-100 and NO signs of shock

A

dobutamine @ 2-20ug/kg/min

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30
Q

Dobutamine is a _______ and has a dosage of _______

A

vasopressor and 2-20ug/kg/min

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31
Q

Dobutamine is used for shock (true or false)

A

False

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32
Q

Dobutamine at 2-20ug is used for a sys bp of ______ and NO signs of _______

A

70-100 and no signs of shock

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33
Q

This vasopressor is also a phosphodiesterase enzyme inhibitor

A

Inamrinone (amrinone)

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34
Q

Inamrinone or Amrinone is used at what dosage”?

A

0.75 mg/kg over 2-3 minutes and not to exceed 1mg/kg

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35
Q

Inamrinone is also called ______ and has a dosage of _______ not to exceed _______

A

Amrinone - 0.75mg/kg over 2-3 minutes and not to exceed 1mg/kg

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36
Q

Amrinone is also called _______ and has a dosage of _____ and is not to exceed _____

A

inamrinone - 0.75mg/kg over 2-3minutes and not to exceed 1mg/kg

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37
Q

This vasopressor is an phosphodiesterase inhibitor used at 0.75 mg/kg and treats CHF that is refractory to diuretics, vasodilators, and inotropic agents.

A

Inamrinone/amrinone

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38
Q

Amrinone is used to treat CHF refractory to which 3 drugs

A

diuretics, vasodilators, and inotropic agents

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39
Q

If you have a patient with CHF and conventional diuretics, vasodilators, and inotropic agents fail which drug can be used?

A

Amrinone at 0.75 mg/kg over 2-3 minutes not to exceed 1mg/kg

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40
Q

Amrinone or Inamrinone has a dosage of 0.75mg/kg over what time period?

A

2-3minutes

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41
Q

This vasopressor has a dosage of 50mcg/kg over 10 minutes

A

Milrinone

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42
Q

Milrinone is a vasopressor used over 10 minutes at what dosage?

A

50mcg/kg

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43
Q

Milrinone is used at 50mcg/kg over 10 minutes for Myocardial dysfunction, increased PVR & SVR, CHF in post op cardiovascular patients, and shock with high SVR (true or false)

A

True

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44
Q

Milrinone is used at 50mcg/kg over 10 minutes for ___________, increased PVR/SVR, CHF in post op heart patients, and shock with high SVR

A

Myocardial Dysfunction

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45
Q

Milrinone is used at 50mcg/kg over 10 minutes for myocardial dysfunction, increased ________, CHF in post op heart patients, and shock with high SVR.

A

SVR/PVR

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46
Q

Milrinone is used at 50mcg/kg over 10 minutes for myocardial dysfunction, increased SVR/PVR, ________________, and shock with high SVR

A

CHF in post op heart patients

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47
Q

Milrinone is used at 50mcg/kg over ten minutes for myocardial dysfunction, increased SVR/PVR, CHF in post op heart patients and _______________?

A

shock with high SVR

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48
Q

Amiodarone is classified as an __________

A

Anti-Arrhythmic

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49
Q

Amiodarone which is an Anti-arrhythmic is used for cardiac arrest at what dosages?

A

300mg 1st dose and 150 mg for the 2nd dose

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50
Q

Amiodarone is used for cardiac arrest (300mg 1st, 150mg 2nd) and tachycardia in what dose?

A

150mg over 10 minutes

51
Q

Amiodarone is used as an antiarrhythmic, VF/VT pulseless (TorF)

A

True

52
Q

Amiodarone is used in what dose managing tachycardia with a _______ QRS?

A

150mg over 10 minutes in a wide QRS >0.12

53
Q

Amiodarone is used at 150mg over 10 minutes for _____________ with a _______ QRS?

A

tachycardia with a wide QRS >0.12

54
Q

This antiarrhythmic is used in lieu of Amiodarone

A

Lidocaine

55
Q

Lidocaine is an anti-A that can be used for Ventricular Ectopy PVCs, Vtach, Wide complex tach, and refractory Vfib at what dose?

A

1-1.5mg/kg 1st, 0.5-0.75mg/kg 2nd not to exceed 3mg

56
Q

Lidocaine is an anti-A that can be used for _______, vtach, widecomplex tach, and refractory vfib?

A

ventricular ectopy PVCs

57
Q

Lidocaine is an anti-A that can be used for ventricular ectopy PVCs, ________, and refractory vfib?

A

widecomplex tach

58
Q

Lidocaine is an anti-A that can be used for ventricular ectopy PVCs, widecomplex tach, and ____________?

A

refractory vfib

59
Q

In VF/VT the dosages for lidocaine are?

A

1-1.5mg/kg

60
Q

For refractory vfib the dosage of lidocaine is?

A

0.5-0.75mg/kg not to exceed 3mg

61
Q

For ectopy, VT, or wide complex tach the dosage of lidocaine is?

A

0.5-0.75 mg/kg up to 1-1.5mg/kg not to exceed 3mg

62
Q

Magnesium Sulfate is classified as an?

A

Antiarrhythmic

63
Q

Magnesium Sulfate is used at what dosage for torsades, or suspected hypomagnesium state(malnutrition)?

A

1-2grams diluted in 10ml of D5W over 5-20 min

64
Q

Magnesium sulfate is used in ____________ and a suspected hypomagnesium state (malnutrition)?

A

torsades

65
Q

Magnesium Sulfate is used in torsades and ___________

A

suspected hypomagnesium state (malnutrition)

66
Q

The drug Atropine is classified as an _______ and has what dosage?

A

Antiarrhythmic 0.5-1mg over 3-5 minutes

67
Q

Atropine is an Anti-A used for what?

A

Bradycardia

68
Q

Atropine is used for bradycardia at what dose?

A

0.5mg-1mg over 3-5minutes

69
Q

Atropine WILL NOT work on 2nd degree type 2, and 3rd degree heart block (TorF)

A

True

70
Q

Atropine may worsen ischemia and should not be used in patients with tachycardia, afib, aflutter, and glaucoma. (TorF)

A

True

71
Q

Atropine is used at 0.5-1mg for bradycardia and ________________

A

Asystole/PEA

72
Q

Atropine is used at 0.5-1mg for __________ and Asystole/PEA

A

Bradycardia

73
Q

Adenosine is classified as an _____________ and has what dosage?

A

Anti-A at 6mg rapid push followed by a 20ml flush, and can be repeated twice at 12mg

74
Q

Adenosine is an anti-A used for PSVT, widecomplex tach, and to suppress SVT. (TorF)

A

True

75
Q

Adenosine is an anti-a used for ________, wide complex tach, and to suppress svt. At what dose?

A

PSVT - 6mg rapid push followed by 20ml flush, and can be repeated 2 at 12mg

76
Q

Adenosine is an anti-a used for PSVT, _________, and to suppress SVT at what dose?

A

wide complex tach - 6mg rapid push followed by a 20ml flush and can be repeated 2 at 12mg

77
Q

Adenosine is an anti-a used for PSVT, widecomplex tach, and _____________ at what dose?

A

to suppress SVT - 6mg rapid push followed by a 20ml flush, and can be repeated 2 at 12mg

78
Q

Procainamide is classified as an __________ and has what dosage?

A

Anti-A at 20mg/min with a max of 17mg/kg

79
Q

Procainamide is used for Stable/mono vtach, Reentry SVT, stable/wide complex tach at what dose?

A

20mg/min with a max dose of 17mg/kg

80
Q

Procainamide is used for ____________, reentry svt, and stable/wide complex tach

A

stable mono vtach

81
Q

Procainamide is used for stable/mono vtach, __________, and stable/wide complex tach.

A

reentry svt

82
Q

Procainamide is used for stable/mono vtach, reentry svt, and ______________

A

stable/wide complex tach

83
Q

Ibutilide is classified as an _______

A

antiarrhythmic

84
Q

Ibutilide is classified as an anti A at what dosage?

A

1mg IV over 10 minutes

85
Q

Ibutilide is an anti A at 1mg IV over 10 minutes for SVT lasting less than _____

A

48hrs

86
Q

Ibutilide is an anti a used at 1mg IV over 10 minutes for?

A

SVT less that 48hrs

87
Q

Digoxin is classified as ___________ at what dose?

A

anti-a at 4-6mcg/kg over 5 minutes

88
Q

Digoxin is used as an anti a for at what dose?

A

Afib/aflutter 4-6mcg/kg over 5 minutes

89
Q

Digoxin is used to slow the ventricular rate in _______

A

Afib and Aflutter

90
Q

Digoxin has a dose of _____ and blood levels should be checked for toxicity.

A

4-6mcg/kg over 5 minutes

91
Q

Isoproterenol is classified as an _________ at what dose?

A

Anti A - 2-10ug/minute

92
Q

Isoproterenol is used as a temporary measure until pacing is available (TorF)

A

True

93
Q

Isoproterenol is used at 2-10ug/min for torsades and ____________ poisoning

A

beta blocker poisoning

94
Q

Isoproterenol is used at 2-10ug/min for __________ and beta blocker poisoning

A

torsades

95
Q

Sodium Bicarb is classified as an _________

A

anti-a

96
Q

Sodium bicarb is used at what dose?

A

1m/Eq/Kg IV bolus

97
Q

Sodium bicarb is used for hyperkalemia, bicarb responsiveness acidosis, and _________

A

prolonged resuscitation with adequate ventilation

98
Q

Sodium bicarb is used at 1m/Eq/Kg for _________, bicarb responsiveness acidosis, and prolong resus. with adequate ventilation.

A

Hyperkalemia

99
Q

Sodium bicarb is used at 1m/Eq/Kg for hyperkalemia, ___________, and prolonged resus with ade ventilation

A

bicarb responsiveness acidosis

100
Q

Sotalol is classified as a _________ and used for __________

A

Beta-Blocker and tachycardia

101
Q

Sotalol is used for SVTs and Vent arrhythmias at what dosage?

A

1-1.5mg/kg

102
Q

Sotalol is used at 1-1.5mg/kg for _________ and vent arrhythmias

A

SVT

103
Q

Sotalol is used at 1-1.5mg/kg for SVT and __________

A

ventricular arrhythmias

104
Q

Sotalol should be avoided in patients with _____________ because of its negative inotropic effects

A

poor perfusion

105
Q

Beta Blockers are most commonly used for High BP, abnormal heart rhythms, angina, and second heart attack (TorF)

A

True

106
Q

Verapamil is classified as an ___________ at what dose?

A

Ca Channel blocker - 2.5-5mg over 2min 1st, and 5-10mg every 15-30 min with a max dose of 20 mg

107
Q

Verapamil is used as an alternative for _________

A

Adenosine

108
Q

Verapamil is used with a 1st dosge of 2.5-5mg and a 2nd dose of 5-10mg with a max dose of _____

A

20mg

109
Q

Verapamil is used after Adenosine for SVT, narrow tach, and may control vent response in Afib, Aflut, or Multifocal atrial tachycardia (TorF)

A

True

110
Q

Ca channel blockers main use are for ______

A

suppressing SVT

111
Q

Diltazem is classified as an ________ at what dose?

A

Ca Chan blocker - 15-20mg over 2 minutes

112
Q

Diltazem at 15-20mg is used for SVT after adenosine, and controlling Vrate in Afib / Aflutter (TorF)

A

True

113
Q

Diltazem is used at 15-20mg for __________ after adenosine, and controlling vrate in Afib/aflutter

A

SVT

114
Q

Diltazem is used at 15-20mg for SVT after adenosine, and controlling ____________ in __________

A

vrate in afib/aflutter

115
Q

Morphine sulfate has a dosage of ________

A

2-4mg over 5 minutes

116
Q

Morphine is used at 2-4mg for _______ and acute cardiogenic pulm edema

A

chest pain with acs unresponsive to nitrates

117
Q

Morphine is used at 2-4mg for chest pain unresponsive to nitrates and ____________

A

cardiogenic pulm edema

118
Q

Narcan has a dose of ____________

A

0.4-2mg

119
Q

Narcan at 0.4-2mg is used for ___________ intoxication

A

opiate

120
Q

Nitroglycerin has a dose of

A

12.5-25ug IV and 0.4mg spray or sublingual

121
Q

Nitroglycerin is most commonly used for

A

antianginal for suspected chest pain

122
Q

Glucagon can be used in treatment for toxic effects of _______________ and _____________

A

BetaBlockers and Ca Channel Blockers

123
Q

Nicardipine is used for

A

Hypertensive emergencies

124
Q

Nitroprusside is used for ____________ at 50-100mg to 250ml D5W

A

hypertensive crisis

125
Q

ACE inhibitors reduce vascular resistance and blood volume by decreasing ____________ in preventing the conversion of angiotension 1 into angiotension 2

A

Total peripheral resistance

126
Q

Diuretics such as mannitol is used for increased ______

A

ICPS - massive head bleeds

Acls (1 decks)

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