Week 10

Question 1

Calcium gluconate

Answer 1

Calcium gluconate Electrolyte

MOA: increase cardiac contractility & automaticity. Stabilize cardiac cells

IND: Hyperkalemia, hypocalcemia, calcium channel block , antidote for Mag, abdominal spasms due to Portuguese Man bites & spiders

CON: Dig patients, sensitivity, Hypokalmeia, Hypercalcemia

Adverse: hypotension

Dose/Route: 15-30ml(1.5-3)g over 10 min IV
Pedi: 60-100 mg/kg

Special: line should be flushed before bi-carb provided. Non-necrotic, less bioavailability.

Question 2

Calcium Chloride

Answer 2

calcium chloride Electrolyte

MOA: increases calcium, increase cardiac contractility & automaticity. Stabilize cardiac cells

IND: Hyperkalemia, hypocalcemia, Calcium channel blocker OD, antidote for Mag, abdominal spasms due to Portuguese Man of war bites & spiders

CON: Dig patients, sensitivity, Hypokalmeia, Hypercalcemia, acute MI

Adverse: hypotesion, extravasation = necrosis, N/V, bradycardia, syncope

Dose/Route: 2-4mg/kg 10% solution IV
Pedi: 5-7mg/kg 10% solution IV

Special: line should be flushed before bi-carb provided, chalks from sodium bicarb and interacts with EPI, Necrotic, prego C

Question 3

Dobutamine

Answer 3

dobutamine Sympathomimetic

Brand: Dobutrex

MOA: Beta 1 selective adrenergic receptors; increase cardiac contractility, with little chronotropic activity

IND: decreases cardiac output due to M.I., bradydysrhythmia with heart block Cardiogenic shock, CHF

CON: hypovolemia, sulfa sensitivity

Adverse: headache, HTN, palpitations, dysrhythmias, nausea, hypotension.

Dose/Route: 2-20 mcg/kg/min drip IV/IO
Pedi—same

Special: line should be flushed before bi-carb provided, prego class B

Question 4

Furosemide

Answer 4

furosemide Loop Diuretic

Brand: Lasix

MOA: decrease preload and fluid. Reabsorption of NaCl, diuresis, vasodilation. Works in the loop of henley

IND: CHF, Pulmonary Edema

CON: dehydration, sensitivity or hypersensitivity to sulfa, pregnancy, dehydration

Adverse: hypotension, K+ depletion, n/v, headache, dysrhythmia, dehydration

Dose/Route: 40-80mg PO/IV/IO
Twice the pt’s dose
Pedi: 0.5-2mg/kg slow push IV/IO

Special: Photosensitive, if pushed too fast can cause transient or permanent hearing lose