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48 Cards in this Set

  • Front
  • Back
Amiodarone (cordarone, Pacerone)
Class....
Antiarrthmic
Amiodarone (cordarone, pacerone)
Mechanism of action
Blocks sodium channels and myocardial potassium channels
Amiodarone (cordarone, pacerone)
Indacations
V-fib, Pulsless v-tach, unstable v-tach in pt's refactory to other therapy
Amiodarone (cordarone, pacerone)
Contraindacations
Known hypersensitivaty, cardiogenic shock, sinus bradycardia, 2 or 3rd degree av block
Amiodarone ( cordarone, pacerone)
Adverse reactions
Hypotension, bradycardia, prolongation of the P-R, QRS, and Q-T intervals
Amiodarone (cordarone, Pacerone)
Drug interactions
Digoxin- dig toxicoty
Antiarrthymics- increased serum levels
Beta Blockers and Calcum channel blockers- potentiate bradycardia, sinus arrest, av block
Amiodarone (cordarone, Pacerone)
Supplied
Ampules containing 150mg/3ml (50mg/ml) and perfilled syringes containing 150mg/3ml
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
Amiodrarone ( cordarone, Pacerone)
Special Considerations
Preganacy: catagory D
Monitor Hypotension or arrhythmias
Aspirin
Class
Platelet inhibitor
Anti-inflammatory
Aspirin
Mechinism
Prostaglandin Inhibitor
Aspirin
Indacations
New onset of CP segestive of acute MI / Sings, symptoms of recant CVA
Aspirin
Contraindications
Hypersensitivity, active ulcer disease, or asthma
Aspirin
adverse reactions
heart burn, GI bleeding, prolonged bleeding, n/v, whezzing
Aspirin
Interactions
use caution for people allergic to NSAIDs
Aspirin
Supply
81mg 160mg, 325mg (PO chewable tabletes)
Aspirin
Dosage
160mg - 325mg PO chewable
Aspirin
special considerations
Pregnacy- Catagory D
Not recommeded for Peds
Versed / Midazolam
Class
Short acting benzodiazapine, CNS depression
Versed / Midazolam
Mechinaism
Anxiolytic and sadative properties similar to other benzos, memory impairment.
Versed / Midazolam
indaications
sedation, anxiolytic prior to endotreachial or nasal intubation; administer for conscious sedation
Versed / Midazolam
Contraindications
Glaucoma, shock, coma, alcohol intoxication, overdose depressed vital signs, concomitant use with other CNS depreeants, barbiturates, alcohol, narcotics
Versed / Midazolam
advierse reactions
Hiccough, cough, oversedation, n/v, headache, blurred vision, hypotension, respiratory depression, and arrest
Versed / Midazolam
Drug interactions
should not be used in pt that have taken a CNS depressant.
Versed / Midazolam
supplied
2mg - 5mg or 10 ml vials
(1mg/ml) 1-2-5-10 ml vials (5mg/ml)
Versed / Midazolam
dosage
2.0-2.5mg slow IV over 2-3 minutes; may be repeated to total max of 0.1 mg/kg
Versed / Midazolam
duration of action
onset; 1-3 min IV and dose dependant
peak effect; variable
duration; 2-6 hours
Versed / Midazolam
Special Considerations
Pregnacy class D
immediatly prior to tubing
require continuous monitoring of respiratory and cardiac fuction. never administer as IV bolus
Atropine Sulfate
Class
Anticholinergic agent
Atropine Sulfate
Mechanism of action
Parasympatholyic, Increases heart rate in life-theatening bradyarrhythmias
Atropine Sulfate
Indications
unstable bradycardia, asystole, PEA, Organophosphate posioning, bronchospastic pulmonary disorders
Atropine Sulfate
Contraindactions
tachycardia, hypersensitivity, unstable cardiovascular status in acute hemorrhage and myocardial ischemia, narrow-angle glaucoma
Atropine Sulfate
Advierse Reactions
Headache, Dizziness, palpations, N/V, Tachycardia, arrythmias
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
Atropine Sulfate
supply
1mg/10ml
0.1mg/1ml
Neb 0.2% 1mg/5ml
0.5% 2.5ml inhaled
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
Atropine Sulfate
Duration
immediate onset
peak effect 1-2 min
duration 2-6 min
Atropine Sulfate
Special considerations
Pregancy C
moderite dosages cause pupil dilation
Epi 1;10000
Class
Sympathomimetic, Vasopressor used in shock
Epi 1; 10000
Mechinism
Direct acting alpha and beta agonist

Beta 1 ~inotropic, chrotropic dromotropic effects
Beta 2 ~ dilation of skeletal vascular
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
Epi 1; 10000
Contraindactions
Hypertension, Hypothermia, pulmanary edema, myocardial Ischimia, cardiogenic shock
Epi 1; 10000
Adverse reactions
hypertension, tachycardia, arrythmia, pulmonary edema, anxiety, restlessness, psychomotor agitation, Nausiea, headache, angina
Epi 1; 10000
drug intractions
Potensiates other sympthomedics deactivated by alkline salutions (ie; bi-carb) MAOI / Beta blockers may blunt effects
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
Epi 1; 10000
Duration
onset immeidate
peak few min
Epi 1: 10000
special considerations
Pregnacy C
increase in myocardial oxygyen demand
may cause syncope in asthmatic children
epi 1;10000
supply
1;10000 prefilled syringes containg 1mg/10ml or 0.1mg/ml