Week 3 Flashcards

0
Q

What do you use diltiazem for?

A

Optional 2nd line for SVT

1st line for atrial fib, atrial flutter w/RVR > 150 BPM

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1
Q

What kind of drug is diltiazem?

A

Calcium channel blocker/antidysrhythmic

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2
Q

What is the dosage for diltiazem?

A

0.25 mg/kg slow IV over 2 minutes. If ineffective, 0.35 mg/kg slow IV over 2 minutes

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3
Q

What are the contraindications of diltiazem?

A
Heart blocks
Shock
SSS
V-tach
Wolff-Parkinson-White syndrome
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4
Q

What are the side effects of diltiazem?

A
Bradycardia
Hypotension
Headache
Dizziness
Nausea
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5
Q

What is another name for diltiazem?

A

Cardizem

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6
Q

What is dopamine?

A

Sympathomimetic

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7
Q

What do you use dopamine for?

A

Drug of choice for hypotension in absence of hypovolemia
Drug of choice for cardiogenic shock
3rd line for bradycardia

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8
Q

What are the dosages of dopamine? And their effect?

A

1-20 mcg/kg/min IV
1-5 mcg/kg/min - dopaminergic
5-10 mcg/kg/min - beta1 effect
10-20 mcg/kg/min - alpha1 effect

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9
Q

What are the contraindications of dopamine?

A

Tachydysrhythmias
V-fib
Hypovolemic
Pheochromocytoma

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10
Q

What are the side effects of dopamine?

A

Hypertension
Tachydysrhythmias
Increased myocardial o2 demand

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11
Q

What is another name for dopamine?

A

Intropin

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12
Q

What is procainamide?

A

Antidysrhythmic/Sodium channel blocker

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13
Q

What does procainamide do?

A

Slows conduction in ventricular muscle mass

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14
Q

What is procainamide for?

A

1st line for stable v-tach

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15
Q

What is the dosage for procainamide?

A

20mg/min IV drip

Max dose is 17 mg/kg

16
Q

What are the contraindications for procainamide?

A

Heart blocks
Digitalis toxicity
Torsades de pointes

17
Q

What are the side effects of procainamide?

A

Bradycardia
Hypotension
Widening of QRS complex

18
Q

What are the special notes for procainamide?

A

Reasons to stop administering?

  1. QRS widens by 50%
  2. Max dose reached
  3. Dysrhythmia suppressed
  4. Hypotension
19
Q

What is another name of procainamide?

A

Pronestyl

20
Q

What is magnesium sulfate?

A

Electrolyte

CNS depressant

21
Q

What is magnesium sulfate for?

A

1st line for eclamptic seizures
1st line for torsades de pointes
Optional for v-fib

22
Q

What is the dosage for magnesium sulfate?

A

1-4 g IV

23
Q

What are the contraindications for magnesium sulfate?

A

Shock

Heart blocks

24
Q

What are the side effects of magnesium sulfate?

A

Hypotension
Decreased respirations
Decrease HR

25
Q

What are the special notes for magnesium sulfate?

A

Use with caution with other CNS depressants