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20 Cards in this Set
- Front
- Back
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Atropine sulfate (trade, class, MoA) |
Trade: atropine Class: anticholinergic MoA: a potent parasympatholytic that inhibits the actions of acetylcholine at receptor sites, suppressing the parasympathetic nervous system, reversing SLUDGE and increasing heart rate. |
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Atropine sulfate indications |
Symptomatic bradycardia, nerve agent exposure, organophosphate exposure, pre-intubation in children |
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Atropine sulfate contraindications |
Tachycardia, AMI,narrow or closed angle glaucoma, type 2nd or 3rd degree heart block, myasthenia gravis, GI obstruction |
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Atropine sulfate adverse |
Tachycardia, anticholinergic effects,paradoxical bradycardia if pushed too slowly or in too small a dose, dysrhythmias |
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Atropine sulfate (onset, duration, dose) |
Onset: rapid Duration: symptomatic bradycardia: 0.5 mg IV/IO every 3-5 min to max dose of 3 mg. Organophosphate and nerve poisoning: 1-2 mg IV as needed to decrease cholinergic symptoms |
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Digoxin (trade, class, MoA) |
Trade: lanoxin Class: cardiac glycoside MoA: alters ion transport across myocardial cell membrane causing an increase in intracellular calcium. This increases contractillity while decreasing heart rate
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Digoxin indications |
CHF, control ventricular rates in A-fib and a-flutter, narrow complex psvt |
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Digoxin contraindications |
VF, VT, heart block, bradycardia, MI |
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Digoxin adverse |
Dysrhythmias, visual disturbances, seizures, GI disturbances |
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Digoxin (onset, duration, dose) |
Onset: 5-30 min IV Duration: 3-4 day Dose: individualized |
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Diltiazem (trade, class, MoA) |
Trade: cardizem Class: calcium channel blocker MoA: blocks calcium moving into myocardial celss, slowing conduction, increasing AV node refractoriness, and dilating coronary and peripheral arteries |
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Diltiazem indications |
PSVT/ SVT, A-fib or a-flutter with ventricular rate over 120 (not from WPW, etc.), multi-focal A-tach |
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Diltiazem Contraindications |
Hypotension, heart block, heart failure, V-tach, AMI,cardiogenic shock, CHF |
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Diltiazem adverse |
Bradycardia, hypotension, heart block, A-flutter, chest pain, CHF,ventricular dysrhythmias, syncope |
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Diltiazem (onset, duration, dose) |
Onset: 2-5 min Duration: 1-3 hours Dose: 0.25 mg/kg IV/IO over 2 min. Repeated at 0.35 mg/kg overt 2 min if needed |
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Dobutamine (trade, class, MoA) |
Trade: dubotrex Class: sympathomimetic MoA: agonize beta 1 and to a lesser degree beta 2 and alpha 1 receptors, increasing cardiac contractillity and stroke volume without increasing heart rate, thus increasing cardiac output. |
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Dobutamine indications |
CHF, cardiogenic shock |
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Dobutamine contraindications |
Suspected drug induced shock, hypotension with signs of shock, idiopathic hypertrophic subaortic stenosis. Use with caution in HTN, recent MI, dysrhythmias, or hypovolemia |
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Dobutamine adverse |
HTN, tachycardia, PVCs, hypotension, palpitations, dysrhythmias |
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Dobutamine (onset, duration, dose) |
Onset: 1-2 min (peaks after 10) Duration: 10-15 min Dose: 2 to 20 mcg/kg/min IV/IO based on inotropic effect. Doses higher than 20 mcg/kg/min that cause cause HR increase of more than 10% can exacerbate an MI |
