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16 Cards in this Set
- Front
- Back
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Adenosine
Class/Pharmacology |
Class: Anti-arrhythmic
Pharmacology: Slows conduction through A-V node and can interrupt re-entry pathways through A-V node. Removed rapidly from circulation--half life less than 10 sec. Onset: 20-30 seconds |
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Adenosine
Contra-indications & Side Effects |
Contra-Indications: 2nd or 3rd degree heart block, hypersensitivity
Side Effects: Arrhythmias (short lasting), dizziness, numbness, |
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Adensoine
Indications/Dosages/Packaging |
Indications: PSVT (refractory to vagal maneuvers) PSVT assoc w/ WPW
Dosage: 6mg IVP into proximal port with 10ml flush from distal port rapidly. Followup: 12mg with same flush. May repeat once more to Packaged: 6mg in 2mL vial/pre-load 12mg in 4mL vial/pre-load |
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Calcium Chloride
Class/Pharmacology |
Class: Electrolyte
Pharmacology: Positive inotropic activity increases strength of myocardial contractions. Onset: Immediate |
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Calcium Chloride
Contra-indications & Side Effects |
Contra-indications: May precipitate digitalis toxicity, flush line before using sodium bicarbonate it will precipitate
Side-Effects: bradycardia, use caution in pts with cardiac disease |
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Calcium Chloride
Indications |
Pre-treatment for Verapamil
Black widow Bite Hydrofluric acid exposure Antidote for magnesium sulfate toxicity Calcium channel blocker overdose |
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Calcium Chloride
Dosages/Packaging |
2-4mg/kg IV/IO
Calcium Channel Blocker OD: 8-16mg/kg IV/IO Skin Exposure to acid/jelly fish: immerse area in 1 gram Packaged: 1g in 10mL |
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Isoproterenol
Class/Pharmacology |
Class: Adrenergic, Bronchodilator, Cardiac Stimulant
Pharmacology: Synthetic sympathomimetic similar to epinephrine--potent bronchodilator. Increased: heart rate, myocardial contractile force, myocardial oxygen demand, automaticity and irritability of heart Onset: Immediate. Duration: 1-2 hrs |
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Isoproterenol
Contra-Indications/Side Effects |
Contra-Indications: AMI, Tachycardias
Side Effects: Tachycardia, angina, caution to pts with ischemic heart disease--increased workload will increase area of infarct |
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Isoproterenol
Indications/Dosages/Packaging |
Indications: Bradycardia (rate <60bpm, systolic BP <90 and other signs of hypoperfusion) that is refractory to atropine, dopamine, and epinephrine.
Dosage: 2-10 mcg/min titrated to BP of 90 or HR >60 but <100 bpm. Packaging: 2mg in 10mL ampules Mix 2mg in 500mL (4mcg/ML concentration) |
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Labetalol
Class/Pharmacology |
Class: Beta Blocker
Pharmacology: beta-blocking effects on sinus node, av node, and ventricular muscle lead to bradycardia, delay in AV conduction, and depression of cardiac contractility. |
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Labetalol
Contra-indications/Side Effects |
Contra: bronchial asthma, cardiac failure, severe bradycardia
Side Effects: bradycardia, dizziness |
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Labetalol
Indications/Dosage |
Indications: To manage acute hypertension
Dosage: 20mg slow IV with 40-80mg every 10 minutes up to 300mg max |
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Fentanyl
Class/Pharmacology |
Class: Narcotic Analgesic
Pharmacology: potent synthetic narcotic agonist analgesic. Similar to morphine, but quicker action and less prolonged. Produces analgesia and sedation. |
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Fentanyl
Contra-Indications/Side Effects |
Contra: MAO inhibitors w/in 14 days
Side Effects: sedation, euphoria, convulsions |
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Fentanyl
Indications/Dosages |
Indications: To induce sedation during RSI. to control severe pain
Dosage: RSI: 25-100mcg slow IV over 2-3 minutes |
