Meds II

Question 1

An anti-arrhythmic used in treatment of SVT arrhythmias & ventricular arrhythmias in pts without structural heart disease

Answer 1

Sotalol

Question 2

1st drug for most forms of stable, narrow SVT

Answer 2

Adenosine

Question 3

Dose:

100 mg over 5 min (1.5 mg/kg)

Answer 3

Sotalol

Question 4

Blocks platelet aggregation by blocking formation of thromboxane; reduces ACT mortality and reinfarction

Answer 4

Aspirin

Question 5

Used in respiratory and neurologic depression from opiates

Answer 5

Narcan or

Naloxone Hydrochloride

Question 6

A calcium channel blocker used for hypertensive emergency

Answer 6

Nicardipine

Question 7

Anti angina for suspected ischemic pain

Answer 7

Nitroglyceride

Question 8

Prevents conversion of angiotensin I to angiotensin II to reduce mortality and improve LV dysfunction in post AMI

Answer 8

Ace Inhibitors

Question 9

This drug will cause toxicity in patients with renal failure; it is an antiarrhythmic

Answer 9

Sotalol

Question 10

Dose: 6 mg rapidly over 1-3 seconds; 2nd dose 12 mf in 1-2 minutes

Answer 10

Adenosine

Question 11

Dose 160 mg - 325 mg non enteric coated by chewing

Answer 11

Aspirin

Question 12

Adjuvant therapy of acute pulmonary edema without symptoms of shock

Answer 12

Lasix or Furesomide

Question 13

Alternative to amiodarone in cardiac arrest from VT/VF in stable monomorphic VT with preserved left ventricular function

Answer 13

Lidocaine

Question 14

These are given with low doses orally and steadily increased to achieve full dose in 24-48 hrs; within 1st 24 hrs of onset of AMI
Should be given orally

Answer 14

Ace inhibitors

Question 15

Administered to all patients with suspected myocardial infarction or unstable angina

Answer 15

Beta Blockers

Question 16

This is a beta blocker which is the only one that can be used with SV

Answer 16

Propranolol

Question 17

IV bolus: 12.5 - 25 mcg

Infusion: 10 mcg/min

Answer 17

Nitroglycerine

Question 18

Reduces afterload in heart failure and acute pulmonary edema and mitral or aortic valve regurgitation

Answer 18

Nitroprusside

Question 19

This medication cannot be used with phosphodiesterase inhibitors for ED

Answer 19

nitroglycerine

Question 20

Inhibits myocardial and smooth muscle contraction to reduce vascular resistance and BP

Answer 20

CA channel blockers

Question 21

This medication can be used for pump problems associated with CHF or pulmonary congestion with SBP > 70-100 mmHG & no signs of shock

Answer 21

Dobutamine

Question 22

Beta Adrenergic Agonist

Temporizing agent if external pacer not available for symptomatic bradycardia

Answer 22

Isoproterenol

Question 23

Used in severe CHF refractory to diuretics, vasodilators, or inotropics

Answer 23

Inamrinone

Question 24

ADP antagonist

Adjunctive anti platelet therapy for ACS used in STEMI or high risk of non ST elevation

Answer 24

Clopidogrel

Question 25

Very short duration of action & treats SVT arrhythmias such as A Fib or A Flutter that is less than 48 hrs old

Answer 25

Ibultilide

Question 26

Used in post op Cardiovascular surgical patients with CHF

Answer 26

Milrinone

Question 27

Hypertensive Crisis | Reduces afterload

Answer 27

Nitroprusside

Question 28

Used to slow ventricular response in A Fib or A flutter; toxic effects common with serious arrhythmias

Answer 28

Digoxin

Question 29

Used in refractory torsades unresponsive to Mg Sulfate; not used for cardiac arrest treatment

Answer 29

Isoproterenol

Question 30

Used in increased ICP pressure in neurological emergencies

Answer 30

Mannitol

Question 31

Used in cardiac arrest when torsades is present

Answer 31

Mg Sulfate

Question 32

Used in respiratory depression and due to effects of benzodiazepines

Answer 32

Flumazenil

Question 33

Not for routine use in cardiac arrest; used with ST elevation or new BBB when less than 12 hrs from onset

Answer 33

rtPA

Question 34

Alternative drug for reentry SVT with narrow QRS, adequate BP, and LV function

Answer 34

Verapamil

Question 35

Not recommended for routine use in cardiac arrest but may be used if prolonged resucitation

Answer 35

Sodium Bicarb

Question 36

Mechanism of action is ascending loop of henle

Answer 36

loop diuretics: bumex (bunetomide), Ederin, Furosemide

Question 37

Works on tubules in kidneys and interferes with Na and Cl reabsorption

Answer 37

K Sparing Diuretics: Spironolactone, amiloride

Question 38

Doses come in strengths of 5, 10, 15, 20, 25%

Answer 38

Mannitol

Question 39

Loading dose: 300-600 mg orally, then maintenance

Answer 39

Clopidegrel

Question 40

Interfers with reabsorption in distal tubule and early collecting duct

Answer 40

Thiazide

Question 41

Carbonic Anyhydrase Inhibitor, not a primary diuretic but can be used in glaucoma, met alkalosis, altitude sickness

Answer 41

Diamox, Acetazolamide

Question 42

Is a diuretic that is freely filtered at glomerulus which slows absorption

Answer 42

Glucose, osmotics, isosobide, mannitol, urea

Question 43

Used for chest pain when unresponsive to nitrates;

Answer 43

Morphine

Question 44

Dose: 2-20 mcg/kg/min with low SBP below 70-100 mmHg

Answer 44

Dopamine

Question 45

Dose: 40 units IV

Answer 45

Vasopressin

Question 46

Dose: 20-50 mg/min with max dose of 17 mg/kg

Answer 46

Procainamide

Question 47

Dose: 1 mg every 3-5 minutes (1:10,000 solution)

Answer 47

Epinephrine

Question 48

Dose: 300 mg IV/IO can be followed by 150 mg after 3-5 min

Answer 48

Amiodarone

Question 49

This anti-arrhythmic should be avoided if a prolonged QT interval is present or CHF

Answer 49

Procainamide

Question 50

Infusion dose: 0.1 - 0.5 mcg/kg/min

Answer 50

Epinephrine or norepinephrine

Question 51

2-10 mcg/kg per minute via IV infusion

Answer 51

Dopamine

Question 52

IV infusion of 2-10 mcg/min

Answer 52

Epinephrine IV infusion dose for bradycardia

Question 53

First dose 0.5 mg bolus; repeat every 3-5 min; max 3 mg

Answer 53

Atropine

Question 54

Has alpha & beta blocking properties & used in patients with life threatening arrhythmias and hemodynamically unstable VT

Answer 54

Amiodarone

Question 55

Dose: VF/VT 300 mg | Followed by 150 mg every 3-5 min

Answer 55

Amiodarone

Question 56

This drug can be used in anyphalaxic shock

Answer 56

Epinephrine

Question 57

Can be used in cardiogenic shock or vasopressor; used in hemodynamically significant hypotension as agent of last resort

Answer 57

Norepinephrine or levophed

Question 58

Anti cholinergic medicine; may be beneficial in AV nodal block

Answer 58

Atropine

Question 59

Has half life of 10-20 min and can be used in septic shock, or vasodilatory shock

Answer 59

Vasopressin

Question 60

Doses can range from 0.5 mg if mild to 1.0 mg if urgent in IV push up to 3 mg max

Answer 60

Atropine

Question 61

Used in cardiogenic shock

Answer 61

norepinephrine

Question 62

Used in symptomatic bradycardia as alternative to dopamine when atropine fails

Answer 62

Epinephrine

Question 63

This antiarrhythmic should be avoided if prolonged QT or CHF

Answer 63

Procainamide

Question 64

Alternative vasopressor to epinephrine in adult shock or refractory VFf

Answer 64

Vasopressin

Question 65

Dose: 6 mg rapidly over 1-3 seconds; 2nd dose 12 mg in 1-2 min

Answer 65

Adenosine

Question 66

Alternative to amiodarine in cardiac arrest from VF/VT

Answer 66

Lidocaine

Question 67

Dose: IV is .04 to .4 mg/min

Answer 67

Narcan

Question 68

Given with low dose orally and steadily increased to achieve full dose in 24-48 hrs

Answer 68

Ace inhibitors

Question 69

Anti angina for suspected ischemic pain

Answer 69

Nitroglyceride

Question 70

IV bolus dose: 12.5 to 25 mcg

Answer 70

nitroglyceride

Question 71

Do not use for wide QRS tachycardia of uncertain origin or drug induced tachycardia

Answer 71

Diltiazem

Question 72

Used in severe CHF that is refractory to normal treatments

Answer 72

Inamrinone

Question 73

Anti coagulant therapy used in ACS for UA/STEMI that inhibits thrombin indirectly by factor X and forms antithrombin III

Answer 73

Heparin

Question 74

Effective for conversion of A Fib or A flutter for brief duration which should be monitored on ECG constantly; monitor ECG continuously up to 4-6 hrs after and have defib nearby

Answer 74

Ibutilide

Question 75

Phosphodiesterase inhibitor

Answer 75

Inamrinone

Question 76

Another name for Levophed is?

Answer 76

norepinephrine

Question 77

Can be used in stable wide complex tachycardia of unknown origin

Answer 77

Procainamide

Question 78

May be used as alternative vasopressor to epinephrine during a shock refractory VF

Answer 78

Vasopressin

Question 79

Max dose total is 17 mg/kg

Answer 79

Procainamide

Question 80

An antiarrythmic that does not convert a fib or a flutter or VT

Answer 80

Adenosine

Question 81

What are the 5 H's?

Answer 81

``` Hypoxia Hypovolemia Hyper/Hypo kalemia Hydrogen Ion Hypothermia ```

Question 82

What are the 5 T's?

Answer 82

Toxins Cardiac Tamponade Thrombosis: Pulmonary or Coronary Tension pneumothorax

Question 83

First dose is 150 mg over 10 minutes

Answer 83

Amiodarone

Question 84

100 mg over 5 minutes

Answer 84

Sotalol

Question 85

Max dose is 17 mg/kg or if QRS duration increases

Answer 85

Procainamide

Question 86

This antiarrhythmic should be avoided if prolonged QT or CHF

Answer 86

Procainamide

Question 87

If your LV ejection factor is less than 40%

Answer 87

Ace inhibitors