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ASSOCIATES IN EMERGENCY CARE 24-25 > MODULE 3 MEDICATIONS > Flashcards

MODULE 3 MEDICATIONS Flashcards

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1
Q

CLASSIFICATION

ADENOSINE

A
  • ANTIDYSRHYTHMIC AGENT
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2
Q

DOSAGE
ADULT

ADENOSINE

A
  • FIRST DOSE: 6 MG RAPID IV/IO
  • SECOND DOSE: 12 MG RAPID IV/IO
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3
Q

DOSAGE
PEDIATRIC

ADENOSINE

A
  • FIRST DOSE: 0.1MG/KG IV/IO MAX 6MG
  • SECOND DOSE: 0.2MG/KG MAX 12MG
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4
Q

INDICATION

ADENOSINE

A
  • SVT/PSVT
  • WIDE COMPLEX - REGULAR TACHYCARDIA OF UNKNOWN ORIGIN (DIAGNOSTIC TREATMENT)
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5
Q

CONTRAINDICATION

ADENOSINE

A
  • CONFIRMED V-TACH, A-FIB, A-FLUTTER
  • KNOWN HYPERSENSITIVITY
  • WPW
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6
Q

ADVERSE EFFECTS

ADENOSINE

A
  • FEELING OF IMPENDING DOOM
  • SHORTNESS OF BREATH
  • CHEST PRESSURE
  • HYPOTENSION
  • FLUSHING
  • DIZZINESSS
  • NAUSEA
  • HEADACHE
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7
Q

CLASSIFICATION

AMIODARONE

A
  • ANTIARRHYTHMIC
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8
Q

DOSAGE
V-FIB/PULSELESS VT

AMIODARONE

A
  • FIRST DOSE: 300MG IV/IO (DILUTED IN 20-30ML D5W)
  • SECOND DOSE: 150MG (DILUTED IN 20-30ML D5W)
  • MAX TOTAL BOLUS 450M
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9
Q

DOSAGE
WIDE COMPLEX TACHYCARDIA W/PULSE

AMIODARONE

A
  • 150MG IV/IO DILUTED IN 50-100ML OVER 10 MIN
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10
Q

DOSAGE
MAINTANANCE INFUSION

AMIODARONE

A
  • 1MG/MIN
  • 100MG IN 100ML D5W
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11
Q

INDICATION

AMIODARONE

A
  • V-TACH (WITH & WITHOUT PULSE)
  • V-FIB
  • REFRACTORY V-TACH
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12
Q

CONTRAINDICATION

AMIODARONE

A
  • CARDIOGENIC SHOCK
  • HIGH DEGREE HEART BLOCK (2 MOBITZ II & 3)
  • IODINE ALLERGY
  • NONE IN CARDIAC ARREST
  • SA NODE DISFUCTIONS
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13
Q

ADVERSE EFFECTS

AMIODARONE

A
  • BRADYCARDIA
  • CONGESTIVE HEART FAILURE
  • HYPOTENSION
  • NAUSEA
  • VOMITING
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14
Q

CLASSIFICATION

ATROPINE

A
  • PARASYMPATHOLYTIC
  • ANTICHOLINERGIC
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15
Q

DOSAGE
ADULT BRADYCARDIA

ATROPINE

A
  • 1MG IV/IO/ET
  • EVERY 3-5MIN
  • MAX DOSE OF 3MG
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16
Q

DOSAGE
PEDIATRIC BRADYCARDIA

ATROPINE

A
  • 0.02 MG/KG IV/IO/ET
  • MINIMUM DOSE 0.1MG
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17
Q

DOSAGE
ADULT ORGANOPHOSPHATE POISONING

ATROPINE

A
  • 1-4MG IV/IO/ET/IM
  • EVERY 5-10 UNTIL ATROPINIZATION OCCURS
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18
Q

INDICATION

ATROPINE

A
  • SYMPTOMATIC BRADYCARDIA
  • ORGANOPHOSPHATE POISONING
  • NERVE AGENT POISONING
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19
Q

CONTRAINDICATION

ATROPINE

A
  • DYSRHYTHMIAS THAT ACCELERATE VENTRICULAR RATE AND DECREASE CARDIAC OUTPUT
  • EXAMPLES: A-FIB, A-FLUTTER, PAT W/ BLOCK
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20
Q

ADVERSE EFFECTS

ATROPINE

A
  • ATAXIA
  • BLURRED VISION
  • COMA
  • DELERIUM
  • DISORIENTATION
  • RESTLESSNESS
  • TACHYCARDIA
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21
Q

CLASSIFICATION

DILTAZEM (CARDIZEM)

A
  • CALCIUM CHANNEL BLOCKER
  • ANTIDYSRHYTHMIC
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22
Q

DOSAGE

DILTAZEM (CARDIZEM)

A
  • INITAL: 0.25MG/KG IV/IO OVER 5MIN (MAX 20MG)
  • REPEAT IN 15MIN: O.35MG/KG IV/IO OVER 5MIN (MAX 25MG)
  • MAINTENANCE INFUSION: 5-15MG/HR
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23
Q

INDICATION

DILTAZEM (CARDIZEM)

A
  • STABLE UNCONTROLLED A-FIB/A-FLUTTER WITH SUSTAINED RATES >120BPM
  • SECOND LINE MEDICATION FOR STABLE REGULAR-NARROW COMPLEX TACHYDYSRHTHMIAS (SVT/PSVT)
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24
Q

CONTRAINDICATION

DILTAZEM (CARDIZEM)

A
  • HEART FAILURE
  • HIGH DEGREE HEART BLOCK (2nd DEGREE: II or 3rd DEGREE)
  • HYPOTENSION
  • SHOCK
  • V-TACH
25
Q

ADVERSE EFFECTS

DILTAZEM (CARDIZEM)

A
  • DYSRHTHMIAS
  • HEADACHES
  • HYPOTENSION
  • NAUSEA
  • VOMITING
26
Q

CLASSIFICATION

DOPAMINE

A
  • INOTROPIC AGENT
  • SYMPATHOMIMETIC
  • VASOPRESSOR
27
Q

DOSAGE
ADULT

DOPAMINE

A
  • 5-20 MCG/KG/MIN IV DRIP TITRATED TO SYSTOLIC BP OF 0F 90
  • INITIAL DOSE OF 5MCG/KG/MIN
28
Q

DOSAGE
PEDIATRIC

DOPAMINE

A
  • 2-20 MCG/KG/MIN IV DRIP TITRATED TO AGE SPECIFIC SYSTOLIC BP
  • INITIAL RATE OF 2 MCG/KG/MIN
29
Q

INDICATION

DOPAMINE

A
  • CARDIOGENIC SHOCK
  • SHOCK (ALL ETIOLOGIES)
  • SYMPTOMATIC BRADYCARDIA (AFTER ATROPINE ADMINISTRATION)
30
Q

CONTRAINDICATION

DOPAMINE

A
  • PRE-EXISTING TACHYDYSRHTHMIAS
  • UNCORRECTED HYPOVOLEMIA
31
Q

ADVERSE EFFECTS

DOPAMINE

A
  • ANGINAL PAIN
  • HYPERTENSION
  • TACHYDYSRHTHMIAS
  • NAUSEA
  • VOMMITING
32
Q

CLASSIFICATION

LIDOCANE

A
  • ANTIDYSRHTMIC
  • SODIUM CHANNEL BLOCKER
33
Q

DOSAGE
ADULT VT W/PULSE

LIDOCANE

A
  • 0.5 -1.5 MG/KG IV/IO MAX 3MG/KG
  • REPEAT DOSES ARE HALF OF INITIAL DOSE
34
Q

DOASGE
ADULT VT/VF W/O PULSE

LIDOCANE

A
  • 1-1.5 MG/KG IV/IO BOLUS
  • REPEAT EVERY 5-10MIN
  • MAX 3MG/KG
  • REPEAT DOSES ARE HALF OF INITIAL DOSE
35
Q

DOSAGE
PEDIATRIC VT WITH/WITHOUT PULSE

LIDOCANE

A
  • 1MG/KG IV/IO
  • EVERY 5-10MIN
  • MAX 3MG/KG
36
Q

DOSAGE
ADULT IO ADMIN FOR NUMBING

LIDOCANE

A
  • 20 - 40 MG SLOW IO PUSH
37
Q

INDICATION

LIDOCANE

A
  • V-TACH WITH/WITHOUT PULSLE
  • V-FIB
  • IO NUMBING
  • DECREASE INTREACRANIAL PRESSURE WITH RSI
  • REDUCE ERADIC VENTRICULAR ECTOPY
38
Q

CONTRAINDICATION

LIDOCANE

A
  • ACCELERATED IDIOVENTRICULAR RHYTHMS
  • AV BLOCK
  • IDIOVENTRICULAR ESCAPE RHYTHEMS
  • SINUS- BRADY/ARREST/BLOCK
  • STOKE-ADAM SYNDROME
  • WOLFF-PARKINSON-WHITE (WPW)
39
Q

ADVERSE EFFECTS
(TOXICITY)

LIDOCANE

A
  • MAY CAUSE CLINICAL EVIDENCE OF TOXICITY
  • EARLY SIGNS:
    • ALTERED MENTAL STATUS
    • ANXIETY
    • BRADYCARDIA
    • TROUBLE BREATHING
    • NAUSEA
  • LATE SIGNS:
    • COMA
    • WIDENING OF QRS COMPLEX
    • HALLUCINATIONS
    • HEARING LOSS
    • PROLONGED P-R INTERVAL
40
Q

CLASSIFICATION

METOPROLOL

A
  • BETA BLOCKER
41
Q

DOSAGE

METOPROLOL

A
  • 5MG IVP OVER 5MIN
  • REPEAT EVERY 5
42
Q

INDICATION

METOPROLOL

A
  • A-FIB/A-FLUTTER WITH SUSTAINED RATE OVER 120BPM
  • ACUTE CORONARY SYNDROME ASSOCIATED W/STEMI TACHYCARDIA
  • REFRACTORY PSVT/SVT
43
Q

CONTRAINDICATION

METOPROLOL

A
  • ASTHMA ATTACK OR COPD EXACERBATION
  • SYSTOLIC LESS THAN 90
  • HR LESS THAN 100
  • HIGH DEGREE HEART BLOCK (2ND OR 3RD DEGREE AV BLOCK)
  • SHOCK
44
Q

ADVERSE EFFECTS

METOPROLOL

A
  • CHF
  • CNS CHANGES
  • DYSRYTHMIAS
  • HYPOTENSION
  • NAUSEA
  • VOMITING
45
Q

CLASSIFICATION

VERAPAMIL

A
  • CALCIUM CHANNEL BLOCKER
  • ANTIDYSRHYTHMIC
46
Q

DOSAGE

VERAPAMIL

A
  • INITIAL: 2.5-5MG IV/IO OVER 2 MIN
  • REPEAT: 5-10MG IN 15-30MIN
  • MAX OF 20MG
47
Q

INDICATION

VERAPAMIL

A
  • STABLE UNCONTROLLED A-FLUTTER OR FIBRILATION WITH RVR
  • SECOND LINE MEDICATION FOR STABLE NARROW COMPLEX TACHYDYSRHYTHMIAS (PSVT/SVT)
48
Q

CONTRAINDICATION

VERAPAMIL

A
  • HEART FAILURE
  • HIGH DEGREE HEART BLOCK
  • HYPERSENSITIVITY
  • V-TACH
  • SHOCK
  • WPW
  • SICK SINUS SYNDROME
49
Q

ADVERSE EFFECTS

VERAPAMIL

A
  • HEADACHES
  • HYPOTENSION
  • DYSRHYTHMIAS
  • NAUSEA
50
Q

CLASSIFICATION

EPINEPHRINE

A
  • ADRENERGIC CATECHOLAMINE
  • SYMPATHOMIMETIC (VASOPRESSOR)
51
Q

DOSAGE
ADULT CARDIAC ARREST

EPINEPHRINE

A
  • 1MG (1:10,000) IV/IO
  • EVERY 3-5MIN
52
Q

DOSAGE
PEDIATRIC CARDIAC ARREST

EPINEPHRINE

A
  • 0.01MG/KG (1:10,000) IV/IO EVERY 3-5MIN
53
Q

DOSAGE
ROSC

EPINEPHREN

A
  • 0.1 - 0.5 MCG/KG/MIN
  • STANDARD CONCENTRATION = 1MG EPI/250ML NS
54
Q

DOSAGE
SYMPTOMATIC (UNSTABLE) BRADYCARDIA ADULT

EPINEPHREN

A
  • 2-10 MCG/MIN
  • 1MG EPI IN 250ML D5W
55
Q

DOSAGE
SYMPTOMATIC (UNSTABLE) BRADYCARDIA PEDIATRIC

EPINEPHREN

A
  • 0.01MG/KG (1:10,000) IV/IO
  • REPEAT EVERY 3-5MIN
56
Q

INDICATION

EPINEPHRINE

A
  • CARDIAC ARREST
  • ROSC
  • SYMPTOMATIC BRADYCARDIA
  • ANAPHYLAXIS
  • BRONCHIAL ASTHMA
  • STRIDOR
57
Q

CONTRAINDICATION

EPINEPHRINE

A
  • HYPERTENSION
  • NONE IN CARDIAC SETTING
58
Q

ADVERSE EFFECTS

EPINEPHRINE

A
  • TACHYDYSRHYTHMIAS
  • HYPERTENSION
  • HEADACHE
  • TREMORS
  • NERVOUSNESS
  • REBOUND EDEMA
  • MAY INDUCE EARLY LABOR IN PREGNANT WOMEN

ASSOCIATES IN EMERGENCY CARE 24-25 (9 decks)

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