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Cardiology Meds > Meds, dose, gtt Rate, Ect. > Flashcards

Meds, dose, gtt Rate, Ect. Flashcards

0
Q

Dose and administration for Cardiac EPI

Pulseless arrest.

A

Iv 1 mg Q 3-5 min. Follow with 20 mL NS.

Elevate arm.

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1
Q

Dose and administration for Cardiac EPI.

ET TUBE

A

2-2.5 mg diluted in 10 mL of NS

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4
Q

CARDIAC EPI PROFILE.

A

Catecholamine stimulates A&B ADRENERGIC receptors.
-rapid injection = rapid increase in bp, ventricular contraction, HR.
Vasoconstrictor.

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5
Q 
EPI (cardiac epi) 1:10,000 (pg. 1589) 
What is the
Class, 
Indication
Contraindication
A

sympathomimetic

  • Cardiac arrest, PEA, vFib, symptomatic Brady.
  • hypovolemic shock. (Fill the tank first)
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6
Q

EPI is initial drug choice for:

A

Bronchoconstriction
Hypotension (from anaphylaxis)
All forms of cardiac arrest.

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7
Q

Dose and administration for Cardiac EPI

Continuous infusion for pulseless arrest.

A

Add 1 mg of EPI (1 ml of 1:1000) to 500 mL of NS or D5W.
Infuse at
0.1-0.5 mcg/kg/min titrate to responce.

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8
Q

ATROPINE.
Class
Indication
Contraindication

A 
Anticholinergic agent
IN- symptomatic brady 
- organophosphate poisening
CON- tachy, hypersensitivity, 
        -hypothermic brady.
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9
Q

PROFILE: Atropine

A

Parasympatholytic: inhibits ACH at muscorinic receptor sites.
Blocks vagal effects to ⬆️ HR.

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10
Q

ATROPINE.

Dose and administration:

A

Symptomatic BRADY: 0.5mg Q 3-5 min max 3mg.

RSI: 0.01-0.02 mg/kg IV/IO max 0.5 mg

Poisening: 1-2 mg Q 5-15min until effect.

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11
Q

WHAT ARE SOME Special considerations for

ATROPINE?

A

Follow ET-T with PPV.

Makes pupils unreactive. Pupil response is not useful for neuro status.

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12
Q

Adenosine! (Adenocard)
Class
Indications
Contraindications

A

-Antidysrhythmic
Ind.
-PSVT (wpw),TRIAL in:wide complex tach.(May convert rhythm to sinus)
Cont.
-drug induced tach, 2nd or 3rd degree blocks, HYPERSENSITVITY,
A flutter, a fib, v tach, wpw with a fib/flutter. It will not convert to sinus.

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13
Q

Adverse effects

adenosine.

A

Shortness of breath, torsades, ventricular ectopy, light headedness, palpitations, chest pain. Hypotension.
DUH! Youre stopping their heart for a few seconds!

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14
Q

Dose and administration

Adenosine:

A

1st: 6 mL rapid iv. Follow with 20 mL flush.
2nd: 12 mg may be given in 1-2 min if needed.
Trandelenburg, clamp above injection port, flush, unclamp.

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15
Q

Some special stuff.

Adenosine.

A

May produce bronchoconstriction in pts with asthma or bronchopulmonary disease.
-Pt taking theophylline or caffeine ⬆️dose.

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16
Q

AMIODERONE!
class
indications
Contraindications

A
  • C3 antidysrhythmic
  • IND: 1st treatment and prophylaxis of recurring V-FIB, & V-TACH.
  • CON: cardio shock, 2nd or 3rd block,brady, SENSITIVITY (also to iodine)
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17
Q

Amioderone (cordarone)

Profile

A

Beta adrenergic and calcium channel clocker activity.

Basically, slows down the heart.

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18
Q

AMIODERONE

Adverse reactions.

A

Hypotension, brady, headache, abnormal salivation.

19
Q

Dose and administration:

Amioderone.

A

Adult: pulseless arrest- cpr,defib, vasopressors, 300 mg IVP, 2nd dose at 150 mg IVP.
Bad dysrhythmia: 150 mg IV / 10min Q 10 min.
Maintenance drip: 1 mg/ min for 6 hours.

20
Q

Adenosine Profile.

A

Formed from ATP breakdown.
⬇️electrical conduction (inotropy)
⬇️chronotropy (hr)
Does not convert: a-fib, a-flutter, or vt.

21
Q

Lidocain. (Xylocaine)
Class
Indications
Contraindications.

A

Local anesthetic& antidysrhythmic
IND- cardiac arrest: from vt or vFib.
Stable VT, and wide complex tach.
CON- hypersensitivity, 2nd or 3rd degree block with no pacemaker.

22
Q

lidocaine:

Profile.

A

Decreases automaticity
Suppressing premature ventricular complexes.
Can switch with Amioderone in cardiac arrest from vT or vFib.

23
Q

Lidocaine

Adverse reactions.

A

Hypotension, blurred vision, light headed, brady, low LOC, seizures.

24
Q

Dose and administration:
Lidocaine
Cardiac arrest.

A

vTach or vFib cardiac arrest:

1-1.5 mg /kg Q 5-10 minutes. Max 3 mg/kg

25
Q

Dose and administration:
Lidocaine
Stable vT- wide complex tach

A

.5 mg/kg max 1mg /kg max 3 mg

26
Q

Lidocaine

Maintenance drip.

A

1-4 mg/min

27
Q

Lidocaine

RSI

A

1-2 mg/kg (max 100mg)

28
Q

Procainamide
Class
Indications
Contraindications

A

Antidysrhythmic
IND: Stable vTach & wide complex tach
Con: 2nd & 3rd AV block, torsades,digTox. Heart block.

29
Q

PROCAINAMIDE: profile

A

Reduces ectopic beats
Slows ventricular conduction
Can help control PVC,

30
Q

Procainamide

Adverse reactions.

A

Hypotension, brady, pvc, vTch, vFib, asystole. ⬇️cns.

31
Q

Dose and administration:

Procainamide.

A

20-50 mg IV, max 17mg,

Maintainance drip at 1-4 mg/min (1g in 250 mL of NS or d5w.)

32
Q

Dose and administration for Cardiac EPI. And continuous infusion.

Profound Brady or hypotension.

A

Adult: 2-10 mcg/min infusion titrate to responce.

C-I: 0.1-1 mcg/kg/min higher dose may be effective

33
Q

Special considerations.

Do not use pre filled syringes for…..

A

EPI INFUSIONS!

34
Q

DILTIZEM cardizem
class
indications
Contraindications

A

CCB
-Control V-rate in aFib and aFlutter
Atrial tach, and PSVT.
CON: wide QRS tach, 2nd or 3rd av block, hypotension, hypersensitivity, wpw, vTach, MI.

35
Q

Diltiazem

Adverse reactions:

A

A flutter, av block, bradycardia, hypotenaion, chest pain, dysrythmias.

36
Q

Diltiazem

Profile.

A

Slows conduction
Coronary and peripheral vasodilation
Use after adenosine in SVT pts with normal qrs and bp.

37
Q

Dose and administration:

Diltiazem

A

.25mg/kg SIVP Q 15 minutes
Maintenance drip at
Dilute 125 mg in 100 mL of solution. Infuse 5-15 mg/ hr titrate to HR.

38
Q

Special crap.

Diltiazem

A

Do not give with furozemide.
Caution with renal pts
Caution with a BB.

Conversion of SVT to NS = PAC.

39
Q

Verapamil(isoptin)
Class
Indication
Contraindication

A

CCB
IND: SVT, a flutterRVR, a fibRVR, unstable angina.
CON: Hypersensitivity, sick sinus syndrome, 2nd or 3rd degree heart block.

40
Q

Verapamil (isoptin)

Profile.

A

Antidysrhythmic, antianginal,& antihypertensive. Keeping Ca + ions from moving across cell membrane.
May be used after Adenosine as an alternate drug.

41
Q

Verapamil (isoptin)

Adverse reaction.

A

Dizziness,
Headache,
N.V
Hypotension bradycardia

42
Q

Do not give ———–

With Verapamil?

A

BB.
May increase serum level of dig.
May have a hypotensive effect.

43
Q

Verapamil
Dose and administration.
.

A

2.5-5 mg SIVP Q 5-10 mg Q 15 max 30 mg

Cardiology Meds (1 decks)

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