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48 Cards in this Set
- Front
- Back
Amiodarone (cordarone, Pacerone)
Class.... |
Antiarrthmic
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Amiodarone (cordarone, pacerone)
Mechanism of action |
Blocks sodium channels and myocardial potassium channels
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Amiodarone (cordarone, pacerone)
Indacations |
V-fib, Pulsless v-tach, unstable v-tach in pt's refactory to other therapy
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Amiodarone (cordarone, pacerone)
Contraindacations |
Known hypersensitivaty, cardiogenic shock, sinus bradycardia, 2 or 3rd degree av block
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Amiodarone ( cordarone, pacerone)
Adverse reactions |
Hypotension, bradycardia, prolongation of the P-R, QRS, and Q-T intervals
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Amiodarone (cordarone, Pacerone)
Drug interactions |
Digoxin- dig toxicoty
Antiarrthymics- increased serum levels Beta Blockers and Calcum channel blockers- potentiate bradycardia, sinus arrest, av block |
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Amiodarone (cordarone, Pacerone)
Supplied |
Ampules containing 150mg/3ml (50mg/ml) and perfilled syringes containing 150mg/3ml
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Amiodarone ( cordarone, pacerone)
Dosage |
V-fib/pulsless V-tach, unresponsive to CPR, defib, and vasopressors 300mg IV/IO can be repeated 3-5 min later 150mg MAX dose 2.2g/kg
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Amiodrarone ( cordarone, Pacerone)
Special Considerations |
Preganacy: catagory D
Monitor Hypotension or arrhythmias |
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Aspirin
Class |
Platelet inhibitor
Anti-inflammatory |
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Aspirin
Mechinism |
Prostaglandin Inhibitor
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Aspirin
Indacations |
New onset of CP segestive of acute MI / Sings, symptoms of recant CVA
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Aspirin
Contraindications |
Hypersensitivity, active ulcer disease, or asthma
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Aspirin
adverse reactions |
heart burn, GI bleeding, prolonged bleeding, n/v, whezzing
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Aspirin
Interactions |
use caution for people allergic to NSAIDs
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Aspirin
Supply |
81mg 160mg, 325mg (PO chewable tabletes)
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Aspirin
Dosage |
160mg - 325mg PO chewable
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Aspirin
special considerations |
Pregnacy- Catagory D
Not recommeded for Peds |
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Versed / Midazolam
Class |
Short acting benzodiazapine, CNS depression
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Versed / Midazolam
Mechinaism |
Anxiolytic and sadative properties similar to other benzos, memory impairment.
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Versed / Midazolam
indaications |
sedation, anxiolytic prior to endotreachial or nasal intubation; administer for conscious sedation
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Versed / Midazolam
Contraindications |
Glaucoma, shock, coma, alcohol intoxication, overdose depressed vital signs, concomitant use with other CNS depreeants, barbiturates, alcohol, narcotics
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Versed / Midazolam
advierse reactions |
Hiccough, cough, oversedation, n/v, headache, blurred vision, hypotension, respiratory depression, and arrest
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Versed / Midazolam
Drug interactions |
should not be used in pt that have taken a CNS depressant.
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Versed / Midazolam
supplied |
2mg - 5mg or 10 ml vials
(1mg/ml) 1-2-5-10 ml vials (5mg/ml) |
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Versed / Midazolam
dosage |
2.0-2.5mg slow IV over 2-3 minutes; may be repeated to total max of 0.1 mg/kg
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Versed / Midazolam
duration of action |
onset; 1-3 min IV and dose dependant
peak effect; variable duration; 2-6 hours |
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Versed / Midazolam
Special Considerations |
Pregnacy class D
immediatly prior to tubing require continuous monitoring of respiratory and cardiac fuction. never administer as IV bolus |
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Atropine Sulfate
Class |
Anticholinergic agent
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Atropine Sulfate
Mechanism of action |
Parasympatholyic, Increases heart rate in life-theatening bradyarrhythmias
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Atropine Sulfate
Indications |
unstable bradycardia, asystole, PEA, Organophosphate posioning, bronchospastic pulmonary disorders
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Atropine Sulfate
Contraindactions |
tachycardia, hypersensitivity, unstable cardiovascular status in acute hemorrhage and myocardial ischemia, narrow-angle glaucoma
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Atropine Sulfate
Advierse Reactions |
Headache, Dizziness, palpations, N/V, Tachycardia, arrythmias
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Atropine Sulfate
Drug Interactions |
When administered with digoxin, colonergic, physostigmine affects inhanched When atropine and pralidoxime are used together, the signs of atropinization (flushing, mydriasis, tachycardia, dryness of the mouth and nose) may occur. Procanimide, quinadine, antipsychotis, benzos, antidepressions
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Atropine Sulfate
supply |
1mg/10ml
0.1mg/1ml Neb 0.2% 1mg/5ml 0.5% 2.5ml inhaled |
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Atropine Sulfate
Dosage |
Asystoly or bradycardia PEA 1mg IV repeat 3-5 min max 3 doses or 3mg
ETT admin 2-3mg in 10ml of water or NS Unstable bradycardia 0.5 mg IV every 3-5 min NOT to exceed 3mg Organophosphate poisoning 2-4mg or higher may be needed |
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Atropine Sulfate
Duration |
immediate onset
peak effect 1-2 min duration 2-6 min |
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Atropine Sulfate
Special considerations |
Pregancy C
moderite dosages cause pupil dilation |
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Epi 1;10000
Class |
Sympathomimetic, Vasopressor used in shock
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Epi 1; 10000
Mechinism |
Direct acting alpha and beta agonist
Beta 1 ~inotropic, chrotropic dromotropic effects Beta 2 ~ dilation of skeletal vascular |
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Epi 1; 10000
inducations |
Cardiac arrest, v-tach, v-fib, asystolye, plusless v-tach, PEA, symptomatic bradycardia, severe hypotension, severe bradycardia, when atropine and pacing does not work, asthma
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Epi 1; 10000
Contraindactions |
Hypertension, Hypothermia, pulmanary edema, myocardial Ischimia, cardiogenic shock
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Epi 1; 10000
Adverse reactions |
hypertension, tachycardia, arrythmia, pulmonary edema, anxiety, restlessness, psychomotor agitation, Nausiea, headache, angina
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Epi 1; 10000
drug intractions |
Potensiates other sympthomedics deactivated by alkline salutions (ie; bi-carb) MAOI / Beta blockers may blunt effects
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Epi 1;10000
Dosage |
anaphyalaxis 0.1mg/1ml IV,IO over 5 min
Cardiac arrest 1mg/10ml q 3-5min during CPR, follow with 20ml flush OD 0.2mg/kg beta, and calcium channal blocker ETT 2-2.5mg diluted in 10ml of NS down et tube |
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Epi 1; 10000
Duration |
onset immeidate
peak few min |
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Epi 1: 10000
special considerations |
Pregnacy C
increase in myocardial oxygyen demand may cause syncope in asthmatic children |
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epi 1;10000
supply |
1;10000 prefilled syringes containg 1mg/10ml or 0.1mg/ml
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