Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
|
Lidocaine What is the Class of Lidocaine? |
Lidocaine is an Antiarrhythmic Class 1 sodium channel blocker |
|
|
Lidocaine What are the actions of Lidocaine? |
Lidocaine is an amide-type local anesthetic. It is used to treat life-threatening ventricular arrhythmias. Lidocaine depresses depolarization and automaticity in the ventricles. Reduces the incidence of ventricular fibrillation. |
|
|
Lidocaine What are the Indications for Lidocaine? |
Lidocain is used in ventricular tachycardia and ventricular fibrillation refractory to Amiodarone. PVC's = Premature ventricular contractions |
|
|
Lidocaine What are the Contraindications for Lidocaine? |
Lidocaine is contraindicated in second-degree Mobitz II and third-degree blocks. Whenever PVCs occur in conjunction with bradycardia, the bradycardia should be treated first. |
|
|
Lidocaine What are the precautions for Lidocaine? |
Central nervous system depression may occur. Which includes, Decreased level of consciousness, irritability, confusion, muscle twitching, and eventually seizures. |
|
|
Lidocaine What are the side Effects of Lidocaine? |
Lidocaine may cause drowsiness, slurred speech, seizures, confusion, hypotension, bradycardia, heart blocks, nausea, and respiratory and cardiac arrest. |
|
|
Lidocaine What is the Dosage for Lidocaine? |
Initial dose of 1.0-1.5 mg/kg; repeat boluses every 3-5 minutes at half of initial dose, 0.5-0.75 mg/kg. Until max dose of 3.0 mg/kg is reached. Once the arrhythmia has been suppressed, a lidocaine drip should be initiated at 2-4 mg/min. |
|
|
Procainamide What class drug is Procainamide? |
Procainamide is an Antiarrhythmic |
|
|
Procainamide What are the actions for Procainamide? |
Procainamide is used to treat life-threatening ventricular arrhythmias refractory to other arrhythmias. Procainamide reduces the automaticity of the various pacemaker sites in the heart. Procainamide slows intraventricular conduction to a much greater degree than does Lidocaine. |
|
|
Procainamide
Indications for the use of Procainamide? |
Procainamide can be used to treat ventricular tachycardia with a pulse and PVCs.
Premature Ventricular Contractions |
|
|
Procainamide What are Contraindications for Procainamide use? |
Procainamide should not be administered to patients with severe conduction system disturbances, especially second and third degree heart blocks. |
|
|
Procainamide What is a Precaution of Procainamide? |
Hypotension |
|
|
Procainamide
What are side effects of Procainamide? |
Procainamide may cause drowsiness, seizures, confusion, hypotension, bradycardia, heart blocks, nausea, vomiting, and respiratory and cardiac arrest. |
|
|
Procainamide Dosage for Procainamide? |
Draw max dose of 17 mg/kg. Place it into 250 mL bag. Run @ 20-30 mg/min This should be discontinued if any of the following occur: 1. Arrhythmia is suppressed 2. Hypotension ensues 3. QRS complex is widened by 50% of original width. 4. A total of 17 mg/kg of medication has been administered. |
|
|
Amiodarone What class drug is Amiodarone? |
Amiodarone is a Class III Antiarrhythmic A potassium channel blocker, that affects all channels |
|
|
Amiodarone What are the actions of Amiodarone? |
Amiodarone is a first line anti-arrhythmic agent given during cardiac arrest to improve the rate of ROSC with refractory ventricular fibrillation and pulseless ventricular tachycardia. Amiodarone prolongs the action potential duration in all cardiac tissues |
|
|
Amiodarone What are the indications for amiodarone? |
Amiodarone is used in life-threatening cardiac arrhythmias such as ventricular tachycardia and ventricular fibrillation. |
|
|
Amiodarone What are the contraindications for Amiodarone use? |
Amiodarone is contraindicated in breastfeeding patients in cardiogenic shock and those with severe sinus node dysfunction resulting in marked sinus bradycardia, second or third degree AV block. |
|
|
Amiodarone What are precautions for use with Amiodarone? |
Amiodarone should be used with caution in patients that manifest heart failure because heart failure may be worsened by its Administration |
|
|
Amiodarone What are side effects of Amiodarone use? |
Hypertension, bradycardia. |
|
|
Amiodarone What is the dosage for Amiodarone? |
W/o pulse: 300 mg IV/IO, repeated at 150 mg every 3-5 minutes W/ a pulse: 150 mg IV/IO OVER 10 minutes, repeated as necessary. |
|
|
Magnesium Sulfate What class drug is magnesium sulfate? |
Magnesium sulfate is a antiarrhythmic. Also an electrolyte and a smooth muscle relaxant. |
|
|
Magnesium Sulfate
What are the actions of magnesium sulfate? |
Magnesium sulfate is a calcium channel blocker and blocks neuromuscular transmission.
It reduces the incidence of ventricular arrhythmias that may follow an acute myocardial infarction.
Used for years in the management of preterm Labor and the hypertensive disorders of pregnancy, such as preEclampsia and Eclampsia. |
|
|
Magnesium Sulfate What are the indications for magnesium sulfate? |
Magnesium sulfate is used in torsades de pointes, polymorphic ventricular tachycardia. Also given for severe bronchospasms. |
|
|
Magnesium Sulfate What are contraindications for magnesium sulfate use? |
Patients who are in Shock, have persistent severe hypertension, who have third degree AV block, known to have hypocalcemia. |
|
|
Magnesium Sulfate What precautions for magnesium sulfate use? |
Administer slow IV push. Check deep tendon reflexes. Caution in patients with known renal insufficiency. Hypermagnesia can occur. Have calcium salts available as an antidote in case of serious side effects. |
|
|
Magnesium Sulfate
What are side effects for magnesium sulfate? |
Magnesium sulfate can cause flushing, sweating, bradycardia, decreased deep tendon reflexes, drowsiness, respiratory depression, arrhythmias, hypotension, hypothermia, itching, and rash. |
|
|
Magnesium Sulfate What is the dosage for magnesium sulfate? |
1-2 g of Magnesium Sulfate diluted in 100mL, over 15 minutes as an IV/IO piggyback. Preterm Labor 2 g over 2-5 mins Torsades give 2 g IV push. |
