New OSF-St. James New Protocol Medications Flashcards
1
Q
Class of amiodarone.
A
Class III antidysrhythmic. Acts as an AV node blockade agent. This prolongs the PRI and QTI. Used in life threatening tachydysrhythmias.
2
Q
Contraindications of amiodarone.
A
- sinus bradycardia (don’t want to knock out the conduction of SA to AV nodes)
- Second/third degree heart block (same reasoning as above)
- CHF (decreased HR leads to stagnant blood in pulmonary circuit, increasing risk of pulmonary edema)
3
Q
Class of calcium chloride.
A
Electrolyte
4
Q
Indications for calcium chloride
A
- hyperkalemia
- hypocalcemia
- calcium channel blocker OD
- cardiac arrest w/Renal Failure Hx
5
Q
Contraindications of calcium chloride
A
- Digitalis toxicity
* *Outline mechanism/why the calcium is contraindicated in dig**
6
Q
Dose of Calcium chloride
A
1 mg IV/IO slow push
7
Q
Magnesium sulfate class
A
- mineral/electrolyte
8
Q
Mechanism of action for magnesium
A
- CNS depressant
- anticonvulsant
- antiarrhythmic
- Magnesium acts a PHYSIOLOGIC calcium channel blocker**
9
Q
Indications for magnesium
A
- Torsades
- hypomagnesemia
- hypertension
- anticonvulsant for eclampsia/pre-eclampsia
- preterm labor
- severe asthma
10
Q
Contraindications of magnesium
A
- heart block
- shock
11
Q
Relative contraindications of magnesium
A
- hypoTN
- bradycardia
- arrythmias
- decreased RR
12
Q
Dose of magnesium
A
- 2 mg slow IV (no faster than 1gm/min)
- Hold if BP is less than 130/80 in the OB patient
