Cardiology, Drugs

Front 1

Dose for Epi in adult CA

Back 1

1mg

Front 2

Indications for Epinephrine

Back 2

-Bronchospasm
-Anaphylactic Reactions
-Cardiac Arrest
(Pulseless VT, VF, asytole, PEA)

Front 3

Mechanism of Action for Epi.

Back 3

-Increased BP, HR, and bronchodilates by binding w/ both alpha and beta receptors

Front 4

Contraindications for Epi.

Back 4

-Cardiovascular disease.
-Hypertension.
-Cerebrovascular disease
-Shock Sec. to causes other that anaphylactic shock.
-preagnant women in active labor.

Front 5

Dose for Epinephrine in pediatric Cardiac arrest.

Back 5

-0.01mg/kg (1:10,000) IV/IO 3-5min no max. 0.1ml/kg
-0.1mg/kg (1:1,000)ET 0.1ml/kg

Front 6

Epi Dose in Adult Symptomatic Bradycardia.

Back 6

2-10mcg/min(1:10,000) Infusion.

Front 7

Epi dose in pedi symptomatic bradycardia.

Back 7

0.01mg/kg (1:10,000) IV/IO q 3-5min max 1mg.
0.1mg/kg ET.

Front 8

Epi dose for asthma and allergic reactions. Adult

Back 8

0.3-0.5mg (1:1000) IM/Sub-Q q 10-15min Max 1mg

Front 9

Epi dose for asthma and allergic reactions. pedi

Back 9

0.01mg/kg (1:1000) IM/Sub-Q
Max 0.5mg

Front 10

Epi dose for anaphylactic shock.
Adult

Back 10

0.1mg (1:10,000) IV over 5min or
IV infusion of 1-4mcg/min, titrate to effect.

Front 11

Epi dose for anaphylactic shock
Pedi

Back 11

IV infusion of 0.1-1mcg/kg/min (1:10,000) titrate to effect.

Front 12

Class of Amiodarone

Back 12

Class III antiarrhythmic

Front 13

Mechanism of Action of Amiodarone

Back 13

Acts directly on the myocardium to delay repolarization and increase the duration of the action potential.

Front 14

Indications for Amiodarone

Back 14

-Ventricular Arrhythmias.
-Second-line agent for atrial arrhythmias

Front 15

contraindications of amiodarone

Back 15

-Sick sinus syndrome.
-Second and third degree blocks
-Cardiogenic shock

Front 16

VF, PVT dose for amiodarone, adult

Back 16

300mg IV/IO, followed by 150mg in 3-5 mins, max 450mg

Front 17

VF, PVT dose for amiodarone in pedi

Back 17

5mg/kg, repeat 5mg/kg IV/IO up to 15mg/kg

Front 18

amiodarone infusion rates for adult with a-fib, PVC's, wide complex tachycardias.

Back 18

150mg in 100ml NS, over 10min.
may repeat in 10 min. max 2.2g in 24hr

Front 19

pedi amiodarone infusion for stable pt. w/ afib, pvc's

Back 19

5mg/kg over 20-60 min, may repeat in 5mg/kg up to 15mg/kg max dose 300mg

Front 20

Mechanism of Action of Atropine

Back 20

Competes reversibly with acetylcholine at the site of muscarinic receptors.

Front 21

Indications for Atropine

Back 21

-Symptomatic bradycardia.
-Nerve agent exposure.
-Organophosphate poisoning

Front 22

Contraindications for Atropine

Back 22

-Acute MI
-Myasthenia gravis
-GI obstruction
-Closed-angle glaucoma
-Know sensitivity

Front 23

Atropine for Symptomatic bradycardia in adult

Back 23

0.5 mg IV/IO q 3-5min to max dose of 3mg

Front 24

Atropine for symptomatic bradycardia in adolescent

Back 24

0.02mg/kg
Max single dose of 1mg
minimum dose 0.1mg
Max total 2mg

Front 25

Atropine for symptomatic bradycardia in pedi

Back 25

0.02mg/kg
max single dose 0.5
minimum 0.1mg
max total 1mg

Front 26

Aberrant

Back 26

Abnormal.

Front 27

absolute refractory period

Back 27

Corresponds with the onset of the QRS complex to approximately the peak of the T wave; cardiac cells cannot be stimulated to conduct an electrical impulse, no matter how strong the stimulus.

Front 28

Afterload

Back 28

Pressure or resistance against which the ventricles must pump to eject blood.

Front 29

Arteriosclerosis

Back 29

A chronic disease of the arterial system characterized by abnormal thickening and hardening of the vessel walls.

Front 30

Atherosclerosis

Back 30

A form of Arteriosclerosis in which the thickening and hardening of the vessel walls ar caused by a buildup o fatty deposits in ht inner lining of large and middle sized muscular arteries.

Front 31

Ascites

Back 31

Marked abdominal swelling from a buildingup of fluid in the peritoneal cavity

Front 32

Ectopic

Back 32

Impulse originating from a source other than the SA node.

Front 33

Malignant Hypertension

Back 33

Severe hypertension with signs of acute and progressive damage to end organs such as the heart, brain, and kidneys.

Front 34

Preload

Back 34

Force exerted by the blood on the walls of the ventricles at the end of diastole.

Front 35

Primary Hypertension

Back 35

High blood pressure for which no cause is identifiable: also called essential hypertension.

Front 36

Pulse pressure

Back 36

Difference between the systolic and diastolic blood pressures.

Front 37

Pulsus alternans

Back 37

A beat-to-beat difference in the strenght of a pulse.

Front 38

Pulsus paradoxus

Back 38

A fall in systolic blood pressure of more than 10 mmHg during inspiration.

Front 39

Reciprocal change

Back 39

Mirror image ECG changes seen in the wall of the heart opposite the location of an infarction.

Front 40

Reentry

Back 40

Spread of an impulse through tissue already stimulated by that same impulse.

Front 41

Relative refractory period

Back 41

Corresponds with the downslope of the T wave, Cardiac cells can be stimulated to depolarize if the stimulus is strong enough.

Front 42

Retrograde

Back 42

Moving backwards or moving in the opposite direction to that which is considered normal.

Front 43

Secondary hypertension

Back 43

High blood pressure that has identifiable cause, such as medications or an underlying disease or condition.,

Front 44

Cardiac Output is defined as

Back 44

the amount of blood the heart ejects each minute.

Front 45

CO=

Back 45

Stroke volume x Heart rate.
CO=SVxHR

Front 46

Stroke volume is defined as

Back 46

the amount of blood ejected with each contraction.

Front 47

Stroke volume=

Back 47

Stroke Volume= End-diastolic volume- end-systolic volume
SV=EDV-ESV

Front 48

Blood Pressure=

Back 48

COx peripheral vascular resistnce

Front 49

Pulsus alternans

Back 49

is a beat-to-beat difference in the strenght of a pulse.

Front 50

Electrical alternans

Back 50

is a beat-to-beat difference in the amplitude on the ECG.

Front 51

Pulsus paradoxus

Back 51

occurs when the systolic blood pressure falls more than 10mmHg with inspiration.

Front 52

paroxysmal nocturnal dyspnea (PND)

Back 52

is a sudden onset of difficulty breathing in which the pt suddenly awakens from sleep.
PND is oftern associated with LVF.

Front 53

Wolff-Parkinson-White syndrome

Back 53

is the most common type of preexcitation syndrome.
PR interval is short because the impulse travels very quickly across the accessory pathway, bypassing the normal delay in the AV node.
Delta wave is seen as an initial sluring of the QRS complex.

Front 54

normal PR interval time

Back 54

120-200ms .12-.20sec

Front 55

normal ORS

Back 55

under 100ms .10sec

Front 56

normal Q-T interval

Back 56

340-440ms .34-.44 sec