Set 3 Flashcards

1
Q

What is the class of diltiazem?

A

Calcium channel blocker

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2
Q

What is diltiazem used for?

A

AFib/ AFlutter with RVR >150

2nd line SVT

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3
Q

What is the dose for diltiazem?

A

0.25mg/kg SLOW (IV, IO)
over 2mins
q: 0.35 mg/kg after 15mins

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4
Q

What are the contraindications for diltiazem?

A
Heart-blocks 
Shock 
SSS
VTach
Wolff Parkinson White Syndrome
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5
Q

What are the side effects of diltiazem?

A
Hypotension 
Bradycardia
Dizziness 
Headache
Nausea
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6
Q

What is another name for dopamine?

A

Intropin

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7
Q

What is the class of dopamine?

A

Sympathomimetic

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8
Q

What is dopamine used for?

A

DOC Cardiogenic shock, hypotension w/out hypovolemia.

3rd line bradycardia

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9
Q

What is the dose for dopamine?

A

1-20mcg/kg/min (IV Infusion)
1-5= dopaminergic
5-10= B1 (HR)
10-20= A1 (BP)

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10
Q

What are the contraindications for dopamine?

A

VFib
Tach-Dys >150
Hypovolemia
Pheochromocytoma

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11
Q

What are the side effects/ notes of dopamine?

A

Tachy-Dys, hypertension.

Increase myocardial O2 demand.

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12
Q

What is another name for procainamide?

A

Pronestyl

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13
Q

What is the class of procainamide?

A

Anti-dysrhythmic

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14
Q

What is the action of procainamide?

A

Slows conduction in the ventricular muscle mass.

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15
Q

What is procainamide used for?

A

1st line stable VTach (monomorphic)

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16
Q

What is the dose of procainamide?

A

20mg/min

MAX 17mg/kg

17
Q

What are the contraindications of procainamide?

A

Heart-blocks
Digitalis toxicity
Torsades De Pointes

18
Q

What are the side effects/ notes of procainamide?

A

Bradycardia, hypotension, widening of the QRS complex.

D/C if
QRS widens >50%
Dysthymia is suppressed
Max is reached
Hypotension develops
19
Q

What is the class of magnesium?

A

Electrolyte

20
Q

What is the action of magnesium?

A

CNS depressant

21
Q

What is magnesium used for?

A

Torsades De Pointes
OPTIONAL VFib
DOC eclamptic seizure

22
Q

What is the dose of magnesium?

A

1-4G SLOW (IV, IO)

MAX 4G

23
Q

What are the contraindications of magnesium?

A

Shock

Heart-blocks

24
Q

What are the side effects/ notes of magnesium?

A

Decrease in HR/RR
Hypotension

CAUTION if they have CNS depressants in system already.

25
Q

What is another name for diltiazem?

A

Cardizem