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47 Cards in this Set
- Front
- Back
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What is the brand name for Adenosine? |
Adenocard |
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What is the classification for Adenosine? |
Antiarrhythmic (misc) |
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What is the action for Adenosine? |
Slows AV conduction. Adenosine exerts its effects by decreasing conduction through the AV node. |
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What is the indications for Adenosine? |
Symptomatic PSVT, including that associated with accessory bypass tracts (Wolf-Parkinson-White syndrome). Regular monomorphic wide-complex tachycardia. |
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What are the contraindications for Adenosine? |
2nd or 3rd degree heart block, sick sinus syndrome, known hypersensitivity |
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What are the side effects for Adenosine? |
Severe bradycardia, V-fib, V-tach, atrial fib, asystole, complete heart block, bronchospasm |
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What is the dose for Adenosine? |
6mg IO. If no change after 1-2 mins, administer 12mg IO |
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What is the class for Amiodarone? |
Class III antiarrhythmic |
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What is the action of Amiodarone? |
Prolongs action potential phase 3 |
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What are the indications for Amiodarone? |
1. Life-threatening recurrent V-fib 2. Recurrent hemodynamically unstable V-tach 3. Can be considered for A-fib with RVR, if onset is less than 48 hours |
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What are the contraindications for Amiodarone? |
Severe sinus node dysfunction causing marked sinus bradycardia. 2nd or 3rd degree AV block. Hypersensitivity to iodine. Cardiogenic shock. Neonatals or infants. Pregnancy. Breast-feeding. |
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What are the side effects for Amiodarone? |
Arrhythmias, prolonged QT interval, bradycardia, severe AV block, complete sinus arrest, Torsades de pointes, cardiogenic shock, hypotension, severe CHF, pulmonary intoxicity, ARDS |
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What is the dose for Amiodarone? |
V-Fib/Pulseless V-tach: 300mg IV/IO, may be repeat 150mg IV. Rapid IV/IO if pulseless/no BP, otherwise administer over 10 mins Wide complex tachycardia: 150mg IV/IO over 10 mins A-fib with RVR: 150mg IV/IO over 10 mins |
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What is the generic name for Cardizem? |
Diltiazem |
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What is the class for Cardizem? |
Class IV antiarrhythmic; Calcium channel blocker |
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What is the action for Cardizem? |
Inhibits the influx of calcium ions during membrane depolorazation of cardiac and vascular smooth muscle |
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What are the indications for Cardizem? |
To control rapid ventricular response associated with atrial fibrillation and flutter. Paroxysmal supraventicular tachycardia. |
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What are the contraindications for Cardizem? |
Severe hypotension and cardiogenic shock, wide complex tachycardia, v-tach, conduction system disturbances, 2nd or 3rd degree block, sick sinus syndrome, a-fib or atrial flutter associated with WPW syndrome or short PR syndrome. |
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What is the dose for Cardizem? |
0.25 mg/kg over 2 mins Repeat dose after 15 mins of 0.35mg/kg |
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What are the side effects for Cardizem? |
Bradycardia, 1st and 2nd degree AV block, arrhythmia |
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What is the class for Lidocaine? |
Class I Antiarrhythmic |
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What is the action for Lidocaine? |
Suppress ventricular ectopic activity, increases ventricular fibrillation threshold, reduces velocity of electrical impulse through conductive system |
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What are the indications for Lidocaine? |
Malignant PVCs, V-tach, v-fib, prophylaxis of arrhythmias associated with acute MI and thrombolytic therapy, premeditation prior to RSI. |
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What are the contraindications for Lidocaine? |
High-degree heart blocks, WPW, PVCs in conjunction with bradycardia, Strokes-Adams syndrome. Ventricular dysrhythmias associated with tricyclic antidepressant overdose. |
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What is the dose for Lidocaine? |
1-1.5 mg/kg for pulseless 0.5-0.75 mg/kg for pulse 2-4 mg/kg for drip |
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What are the side effects for Lidocaine? |
Seizures, resp arrest, arrhythmia exacerbation, status asthmaticus, heart block, bradycardia, coma, anaphylaxis, methemoglobinemia, convulsions, widening of QRS |
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What are the generic name for Nipride? |
Nitroprusside |
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What is the class for Nipride? |
Antihypertensive; vasodilator |
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What is the action of Nipride? |
Rapid lowing of BP. Decreased cardiac preload and after load. |
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What are the indications of Nipride? |
Hypertension crisis |
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What are the contraindications of Nipride? |
Hypersensitivity, decreased cerebral perfusion |
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What is the does of Nipride? |
0.3 mcg/kg/min |
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What are the side effects of Nipride? |
Cyanide toxicity, dizziness, headache, blurred vision, tinnitus, dyspnea, hypotension, palpations, acidosis, nausea, vomiting |
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What is the brand name for Procainamide? |
Pronestyl |
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What is the class for Procainamide? |
Class 2 Antiarrhythmic |
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What is the action for Procainamide? |
Slows conduction through myocardium, elevates v-fib threshold, and suppresses ventricular ectopic activity |
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What are the indications for Procainamide? |
Persistent cardiac arrest due to v-fib and refractory to Lidocaine, PVCs refractory to Lidocaine, v-tach refractory to Lidocaine |
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What are the contraindications for Procainamide? |
High-degree heart blocks, PVCs in conjunction with bradycardia |
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What is the dose for Procainamide? |
30 mg/min, max dose 17 mg/kg |
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What are the side effects for Procainamide? |
Anxiety, nausea, convulsions, widening of QRS |
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What is the classification for Vasopressin? |
ACLS drug, antidiuretic hormone |
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What are the actions of Vasopressin? |
Non-adrenergic peripheral vasoconstrictor. Direct stimulation of smooth muscle. |
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What are the indications for Vasopressin? |
Asystole, PEA, V-fib, V-tach without a pulse |
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What are the contraindications of Vasopressin? |
None in cardiac arrest |
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What are the dose for Vasopressin? |
40 Units IV push |
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What are the side effects for Vasopressin? |
None in cardiac arrest |
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What is the brand name for Amiodarone? |
Cordarone |
