Set 4 Flashcards
What is the class of amiodarone?
Anti-dysrhythmic
What is the action of amiodarone?
Potassium channel blocker
What is amiodarone used for?
OPT VTach
OPT 2nd line VFib, SVT
What is the dose of amiodarone?
VFib: 300mg
Tach: 150mg over 10mins
MAX 450mg
What are the contraindications of amiodarone?
Coronary insufficiency
Bradycardia
Heart-blocks
What are the side effects/notes of amiodarone?
Bradycardia
Heart-blocks
Hypotension
What is another name for labetalol?
Normadyne
What is the class of labetalol?
A, B, adrenergic blocker
What is the action of labetalol?
BP reduction w/o reflex tachycardia
What is labetalol used for?
Hypertensive crisis (220/110)
What is the dose of labetalol?
20mg SLOW (IV, IO) over 2mins (10-20% systolic BP reduction)
What are the contraindications of labetalol?
Cardiogenic shock
Bradycardia
Heartblocks
Active asthma attack
What are the side effects/ notes of labetalol?
Bradycardia
Hypotension
Dizziness
Headache
What is the class of sodium bicarbonate?
Buffer
What is sodium bicarbonate indicated for?
Long downtime >20mins w/o pulse
Hyperkalemia
TCA overdose
What is the dose of sodium bicarbonate?
1mEq/kg (IV, IO)
q 0.5mEq/kg PRN
What are the contraindications of sodium bicarbonate?
Metabolic/ respiratory alkalosis
What are the side effects/notes of sodium bicarbonate?
Metabolic alkalosis, seizures
Tissue necrosis w/ infiltration
What is another name for diazepam?
Valium
What is the class of diazepam?
Benzodiazepine
What is diazepam used for?
Seizure
Sedative agent
Premed for cardioversion
What is the dose of diazepam?
5mg (IV, IO)
MAX 30mg
What are the contraindications of diazepam?
Comatose state
Head injury
What are the side effects/ notes of diazepam?
Respiratory depression, hypotension
Respiratory depression reversed with romazicon (flumazenil)