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Deck Medicina ACLS > Meds II > Flashcards

Meds II Flashcards

1
Q

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

A

Sotalol

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2
Q

1st drug for most forms of stable, narrow SVT

A

Adenosine

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3
Q

Dose:

100 mg over 5 min (1.5 mg/kg)

A

Sotalol

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4
Q

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

A

Aspirin

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5
Q

Used in respiratory and neurologic depression from opiates

A

Narcan or

Naloxone Hydrochloride

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6
Q

A calcium channel blocker used for hypertensive emergency

A

Nicardipine

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7
Q

Anti angina for suspected ischemic pain

A

Nitroglyceride

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8
Q

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

A

Ace Inhibitors

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9
Q

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

A

Sotalol

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10
Q

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

A

Adenosine

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11
Q

Dose 160 mg - 325 mg non enteric coated by chewing

A

Aspirin

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12
Q

Adjuvant therapy of acute pulmonary edema without symptoms of shock

A

Lasix or Furesomide

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13
Q

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

A

Lidocaine

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14
Q

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

A

Ace inhibitors

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15
Q

Administered to all patients with suspected myocardial infarction or unstable angina

A

Beta Blockers

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16
Q

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

A

Propranolol

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17
Q

IV bolus: 12.5 - 25 mcg

Infusion: 10 mcg/min

A

Nitroglycerine

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18
Q

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

A

Nitroprusside

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19
Q

This medication cannot be used with phosphodiesterase inhibitors for ED

A

nitroglycerine

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20
Q

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

A

CA channel blockers

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21
Q

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

A

Dobutamine

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22
Q

Beta Adrenergic Agonist

Temporizing agent if external pacer not available for symptomatic bradycardia

A

Isoproterenol

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23
Q

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

A

Inamrinone

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24
Q

ADP antagonist

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

A

Clopidogrel

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25
Q

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

A

Ibultilide

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26
Q

Used in post op Cardiovascular surgical patients with CHF

A

Milrinone

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27
Q

Hypertensive Crisis

Reduces afterload

A

Nitroprusside

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28
Q

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

A

Digoxin

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29
Q

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

A

Isoproterenol

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30
Q

Used in increased ICP pressure in neurological emergencies

A

Mannitol

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31
Q

Used in cardiac arrest when torsades is present

A

Mg Sulfate

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32
Q

Used in respiratory depression and due to effects of benzodiazepines

A

Flumazenil

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33
Q

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

A

rtPA

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34
Q

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

A

Verapamil

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35
Q

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

A

Sodium Bicarb

36
Q

Mechanism of action is ascending loop of henle

A

loop diuretics: bumex (bunetomide), Ederin, Furosemide

37
Q

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

A

K Sparing Diuretics: Spironolactone, amiloride

38
Q

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

A

Mannitol

39
Q

Loading dose: 300-600 mg orally, then maintenance

A

Clopidegrel

40
Q

Interfers with reabsorption in distal tubule and early collecting duct

A

Thiazide

41
Q

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

A

Diamox, Acetazolamide

42
Q

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

A

Glucose, osmotics, isosobide, mannitol, urea

43
Q

Used for chest pain when unresponsive to nitrates;

A

Morphine

44
Q

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

A

Dopamine

45
Q

Dose: 40 units IV

A

Vasopressin

46
Q

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

A

Procainamide

47
Q

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

A

Epinephrine

48
Q

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

A

Amiodarone

49
Q

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

A

Procainamide

50
Q

Infusion dose: 0.1 - 0.5 mcg/kg/min

A

Epinephrine or norepinephrine

51
Q

2-10 mcg/kg per minute via IV infusion

A

Dopamine

52
Q

IV infusion of 2-10 mcg/min

A

Epinephrine IV infusion dose for bradycardia

53
Q

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

A

Atropine

54
Q

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

A

Amiodarone

55
Q

Dose: VF/VT 300 mg

Followed by 150 mg every 3-5 min

A

Amiodarone

56
Q

This drug can be used in anyphalaxic shock

A

Epinephrine

57
Q

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

A

Norepinephrine or levophed

58
Q

Anti cholinergic medicine; may be beneficial in AV nodal block

A

Atropine

59
Q

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

A

Vasopressin

60
Q

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

A

Atropine

61
Q

Used in cardiogenic shock

A

norepinephrine

62
Q

Used in symptomatic bradycardia as alternative to dopamine when atropine fails

A

Epinephrine

63
Q

This antiarrhythmic should be avoided if prolonged QT or CHF

A

Procainamide

64
Q

Alternative vasopressor to epinephrine in adult shock or refractory VFf

A

Vasopressin

65
Q

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

A

Adenosine

66
Q

Alternative to amiodarine in cardiac arrest from VF/VT

A

Lidocaine

67
Q

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

A

Narcan

68
Q

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

A

Ace inhibitors

69
Q

Anti angina for suspected ischemic pain

A

Nitroglyceride

70
Q

IV bolus dose: 12.5 to 25 mcg

A

nitroglyceride

71
Q

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

A

Diltiazem

72
Q

Used in severe CHF that is refractory to normal treatments

A

Inamrinone

73
Q

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

A

Heparin

74
Q

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

A

Ibutilide

75
Q

Phosphodiesterase inhibitor

A

Inamrinone

76
Q

Another name for Levophed is?

A

norepinephrine

77
Q

Can be used in stable wide complex tachycardia of unknown origin

A

Procainamide

78
Q

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

A

Vasopressin

79
Q

Max dose total is 17 mg/kg

A

Procainamide

80
Q

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

A

Adenosine

81
Q

What are the 5 H’s?

A 
Hypoxia
Hypovolemia
Hyper/Hypo kalemia
Hydrogen Ion
Hypothermia
82
Q

What are the 5 T’s?

A

Toxins
Cardiac Tamponade
Thrombosis: Pulmonary or Coronary
Tension pneumothorax

83
Q

First dose is 150 mg over 10 minutes

A

Amiodarone

84
Q

100 mg over 5 minutes

A

Sotalol

85
Q

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

A

Procainamide

86
Q

This antiarrhythmic should be avoided if prolonged QT or CHF

A

Procainamide

87
Q

If your LV ejection factor is less than 40%

A

Ace inhibitors

Deck Medicina ACLS (10 decks)

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