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60 Cards in this Set
- Front
- Back
Xylocaine HCL
trade name and dose? |
Lidocaine
bolus-50-100mg IV push(not to exceed 300mg) drip premixed 2gm/500 D5W delivered at drip rate 1mg/min=15ml/hr 2mg/min=30ml/hr 3mg/min=45ml/hr 4mg/min=60ml/hr |
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Procainamide HCL
trade name and dose? |
pronestyl
bolus 50mg IV push drip 1gm/250 D5W delivered at drip rate 1mg/min=15ml/hr 2mg/min=30ml/hr 3mg/min=45ml/hr 4mg/min=60ml/hr |
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Procainamide
class, indications, effects on? |
antiarrhythmics, sodium channel blocker(1A)
tx-PAC, PVC, PAT, maint of NSR post conversion from a-fib and a-flutter decreases- HR, BP, contractility, conductivity, afterload |
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Lidocaine
class, indications, effects on? |
antiarrhythmic, anesthetic
IV- ventricular arrhythmias Local- anesthetic decreases conductivity, pain |
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cordarone
trade name and dose? |
amiodarone HCL
300mg IV push may consider 2nd dose of 150 mg |
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Amiodarone HCL
class, uses and effects on? |
class III antiarrythmics
recurrent V-fib and recurrent unstable V-tach decreases-HR, BP, afterload increases- RR vasodilates-relaxes vascular smooth muscle |
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Magnesium Sulfate
trade name and dose |
mag. sulfate
1-2 grams diluted in 10ml D5W or NS over 1-2 min |
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Magnesium Sulfate
Tx of? effects on? |
Tx of V-tach, V-fib and TORSADES DE POINTES
decreases HR, BP, RR |
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Atropine
dose? |
.5-1.0mg IV push not to exceed 2mg
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Atropine
class? tx? effects on? contraindications? |
antiarrhythmic, anticholinergic, antimuscarinic
tx-symptomatic bradycardia and bradycardic dysrhythmias (heart block) and TO BLOCK VAGAL REFLEX. increases- HR, BP contraindicated-acute MI-may promote V-fib and increase O2 demand |
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Milrinone lactate
trade name and dose? |
Primacor
loading dose=50mcg/kg.10min infusion=.5mcg/kg/min (usually mixed to 200mcg/ml concentration) |
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Primacor
class? indications? effects on? |
inotropics
pts w/ acute decompensated Heart failure and AMI increases CO, w/ mild increases in HR and MVO2 decreases PCWP and vascular resistance |
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Dopamine
brand? concentration, dose and effects with? |
Inotropin
concentration 400mg/250 D5W dopaminergic= 1-2 mcg/kg/min, may increase renal perfusion and decrease SVR Beta-adrenergic= 5-15 mcg/kg/min increases CO and SV may also cause tachycardia alpha adrenergic->20mcg/kg/min increases CO, SV, HR(tachycardia), contractility, decreases renal perfusion, |
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dopamine
class? uses? |
inotropics, vasopressors, adrenergics
pts w/ low CO and renal insufficiency, severe hypotension and shock, effects are quick onset but short duration |
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Dobutrex
trade and dose? |
dobutamine
dose- (mix 500mg/250 D5W or NS) 2.5-10 mcg/kg/min |
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dobutamine
class, indications, effects? |
direct acting inotropics, adrenergics
short term mgmt of heart failure or depressed contractility from surgical procedures increases CO and SV decreases preload and afterload contraindicated w/ hypertrophy and cardiomyopathies |
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phenylephrine
brand and dose |
neosynephrine
mixed 10mg/100D5W=100mcg/ml or 40mg/250=160mcg/ml IV push 50-100 mcg IV drip 40-60 mcg/min |
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Neosynephrine
class, indications, contraindications? |
sympathomimetic, vasopressor
used for rapid vasoconstriction w/ rapid increase in BP, used in severe hypotension and shock DO NOT use w/ severe HTN and V-tach |
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Norepinephrine
Brand and dose? |
Levophed
dose=4mg/250 D5W or NS(16mcg/ml)Initial IV dose 8-12 mcg/min adjust to maintain normal BP |
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Levophed
class, uses, contraindications, effects? |
sympahomimetic adrenergic agent, +inotropic and + chronotropic
used for potent peripheral and arterial vasoconstriction (shock and severe hypotension, cardiogenic shock) contraindication-do not use w/ mesenteric or peripheral vascular thrombosis increases- BP, SVR, pulmonary pressures and CO **last drug of choice d/t potency** |
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epinephrine
brand and dose? |
adrenaline
dose= mix 1mg/250 NS or D5W infusion is 1-8 mcg/min(start w/ lower doses as effects are immediate) |
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adrenaline
class, indications, contraindications, effects? |
antiasthmatic, bronchodilator, vasopressor, adrenergic
used w/ severe shock and cardiac arrest or for mgmt of airway w/ severe allergic rx contraindications- Hx of HTN, hyperthyroidism and w/ digitalis increases HR, contractility *located in code cart* |
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Nipride
trade and dose? |
nitroprusside
mix 50mg/250 D5W ONLY, infuse at rate of .5-10 mcg/kg/min, **always cover w/ foil to protect from light source** |
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Nitroprusside
class, indications, contraindications, effects? |
antianginals, nitrates
used in HTN emergencies potent vasodilator, decreases SVR, increases venous filling pressure DO NOT use w/ coarctation of AO |
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prochlorperazine
brand and dose? |
Compazine
dose 5-10 MG IV push |
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compazine
class, indication, contraindications |
antiemetics
used for pre op nausea control or severe vomiting, do not use w/ CHF, valvular disease or heart block |
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Metoclopramide
brand name, class, uses, dose? |
Reglan, antiemetic
used for N/V, do not use w/ seizures, renal failure or pts w/ bowel perforations Dose-10 mg over 2 min |
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Promethazine
brand name, class, uses, dose? |
Phenergan, antiemetic
used as mild sedative, N/V Do not use w/ pts w/ reactions to antihistamines, use caution w/ cardiac patients w/ tachycardia Dose- 12.5-25 MG IV push |
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Heparin
dose? |
in lab=50-80units/kg supplied in 1000u/ml.
IV drip is premixed 25000units/250D5W(100u/ml) |
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Heparin Sodium
class, indications, contraindication, reversed with, monitor what___and maintain at____? |
anti-coagulant
anti-thrombolytic for interventional cases, facilitates thrombin and prevents conversion of fibrinogen to fibrin contraindicated w/ bleeding disorders and open ulcerated wounds. Monitor ACT keep >250secs |
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Protamine sulfate
uses, contraindications, dose? |
reverses Heparin
do not use in pts w/ allergy to iodine or on diabetics on NPH insulin Dose=1mg per 90units of heparin, max dose of 50mg in 10min, give slowly over 10min, stored in HCRU |
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Diphenhydramine
brand name, class, uses, dose? |
Benadryl, H1 antagonist antihistamine, used for vertigo or motion sickness
dose 25-50mg IV push |
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Solumedrol
class, use and dose? |
intermediate acting coritcosteroid, antiasthmatic, used to treat and prevent allergic reactions in the cath lab.
dose 125 mg IV over 3 min |
|
Solucortef
class, use and dose? |
antiasthmatic, short acting corticosteroid, used to treat and prevent allergic reactions in the cath lab
dose= 100mg over 3 min |
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Cimetadine
brand name, class, uses, dose? |
Tagamet, histamine H2 antagonist used for symptomatic relief of gastroesophageal reflux, contraindicated w/ asthma
dose= 300mg/50ml D5W, administer slowly IV drip or tachycardia will result |
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Furosemide
brand name, class, uses, contraindications, dose, side effect, special consideration? |
Lasix, loop diuretic
used for pts w/ acute pulm. edema, acute renal failure, mgmt of pts in CHF, HTN Do not use w/ electrolyte depletion dose= 20-40 mg slowly over 2-3min, repeat in 6 hours. **rapid onset of action** Do not store in light **side effect=hypokalemia** |
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Mannitol
|
facilitate excretion of contrast, and prophylaxis for acute renal failure. Tx of closed head injury to decrease cerebral edema and intracranial pressure.
dose-12.5-25 grams, IV drip w/ filter at modest rate |
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IV nitroglycerine
uses and dose? |
Potent vasodilator used to control symptomatic pt.
dose 10-100mcs/min. Titrate to control chest pain while keeping SBP > 100mmHG. Mixed 50mg/250ml to get 200mcg/ml |
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nitrostat
use and dose? |
sublingual form of nitro to alleviate chest pain from angina. 1-2 tabs under tongue
|
|
nitropaste
use? |
transdermal form of nitro used to control/prevent chest pain over long term
|
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abciximab
brand name, class, indications, contraindications, dose? |
Reopro, IIbIIIa inhibitor used for TX of acute coronary syndrome(unstable angina w/ non-Q wave MI) and in pts undergoing PCI.
Contraindicated w/ Hx of abnormal bleeding within 30 days, severe HTN, major surgery or hemorrhagic stroke last 6wks, HX or s/s of aortic dissection, acute pericarditis, dependency on renal dialysis, PLATELET COUNT <100,000, concomitant use of similar drug. DOSE-use chart, FILTER! **refrigerated** |
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Tirofiban
brand name, uses, contraindications, dose? emory protocol? |
aggrastat, platelet modifying drug, same as reopro, old school, check creatine clearance. Reduce dose by 1/2 in renal impairment.
Must be diluted-12.5mg/50ml vial and 250ml bag(remove 50 from bag and inject 50 from vial.)=50mcg/ml Dose-use chart, EMORY protocol-for interventional procedures--> loading dose of 10mcs/kg over 3min(from bag) followed by maint. drip of 0.1 mcs/kg/min for 12-24 hrs post procedure. Dosing protocol for unstable angina=0.4 mcg/kg/min over 30 mins from the bag followed by 0.1 mcg/kg/min for 12 hours(verify w/ DR.) **refrigerated?** |
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Eptibatide
uses and dose? |
integralin, platelet modifier similar to reopro and aggrastat with like contraindications-add creatine >4.0!
dose-acute coronary syndrome and PCI=180 mcg/kg followed by infusion of 2.0 mcg/kg/min for 18-24 hrs DO NOT DILUTE! supplied in 10ml bolus vial and 100ml infusion vials. **refrigerated?** |
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What do you need to do before administration of anticoagulants?
|
check serum creatinine and platelet account.
|
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Creatinine clearance formulas?
|
male= (140-age)(wt in kg)/ 72x(serum creatine)
females= (140-age)(wt in kg)(0.85)/ 72x(creatinine) |
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To safely administer sedation you must have what 4 things?
|
oxygen, suction, crash cart, airway kit
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Meperidine
brand name, class, schedule, indications, dose? |
demerol-narcotic analgesic
for moderate to severe pain. CNS depressant class II dose-IV 25-50mg, onset 1-5min, lasting 2-4hr. |
|
Morphine Sulfate
class, schedule, use, dose? |
narcotic analgesic(opioid)-schedule II.
used for severe pain drug of choice for chest pain CNS depressant dose-2-10mg IV q4-6hrs peak effects in 15-20 min, duration 3-7 hrs **vaso and veno dilator** |
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Sublimaze
brand name, class, schedule, uses, dose? |
Fentanyl-narcotic(opioid analgesic), schedule II
used for severe pain and anxiety, synthetic-stronger than morphine Dose-25-50 mcg, IV slowly over 2 min max dose 100mcg, onset of action 1 min. check pts weight |
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Innovar
AKA, indications, dose? |
fentanyl/droperidol-used for sedation/analgesia for surgical and diagnostic procedures. CNS depressant. synthetic opioid.
Dose- .5-2 ml slowly over 2 min, onset immediate, lasts 30-60 min |
|
Narcotic antagonist?
uses and dose? |
Narcan(naloxone)
to reverse respiratory and CNS depression d/t narcotic overodosage Dose-0.1-1 mg,IV. onset 1-2 min |
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Midazolam
brand name, class, uses, dose? |
Versed-benzodiazepines
used for sedative as well as analgesic effects(short diagnostic procedures) dose-1-2mg,IV slowly. max dose is 4 mg, short acting CNS depressant |
|
Diazepam
brand name, class, uses, dose? |
Valium- benzodiazepine
An anxiolytic, muscle relaxant, a sedative/hypnotic and CNS depressant. Dose- 2-5 mg,IV slowly max dose is 10mg. |
|
What does CNS depressant mean? What are side effects of narcotics and benzo's?
|
these drugs decrease HR, RR, BP and respirations, compromise airway and may cause confusion, restlessness, nausea and vomiting.
|
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Benzodiazepine antagonist?
|
Romazicon(flumazenil)
Used for complete or partial reversal of the effects of benzodiazepines. Dose-0.2 mg, administered over 15secs, repeated, if necessary every 60 seconds until desired level of consciousness is achieved. No more than 1mg at a time or no more than 3mg in one hour. |
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drip rate calculation formula?
|
dose x 60 x kg/ supply
example: dopamine 400mg/250ml=1600mcg/ml(concentration) order:11mcg/kg/min 11mcg X 60 x 50kg/1600mcg/ml=20ml/hr |
|
delivery dependent on body weight?
delivered in mcg/kg/min |
dopamine=400mg/250ml=1600mcg/ml
dobutrex=500mg/250ml=2000mcg/ml nipride=50mg/250ml=200mcg/ml primacor=50mg/250ml=200mcg/ml |
|
delivery independent on body weight?
deliverd in mg or mcg/min |
Nitro=50mg/250ml=200mcg/ml
Neo=10mg/100ml=100mcg/ml Epi=1mg/250ml=4mcg/ml Lidocaine=2grams/500ml=4mg/ml Pronestyl=1gram/250ml=4mg/ml Levophed=4mg/250ml=16mcg/ml |
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CLcr and CRs
What do they stand for and what is the unit of measurement? |
creatinine clearance in ml/min
serum creatinine in mg/dl |
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1mg=____mcg
1gram=______mg 1kg=_____lbs |
1mg=1000mcg
1gram=1000mg 1kg=2.2lbs |