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50 Cards in this Set

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What is Adenosine given for?
Narrow Complex PSVT
What is the dose for Adenosine
6mg rapid IV push over 1-3 seconds followed by NS bolus of 20ml. A second dose may be given in 1-2 of 12ml and a third dose may be given of 12ml after 1-2.
What is Amiodarone given for?
recurrent vfib and recurrent hemodynamically unstable vtach
Arrest dose of Amiodarone
300mg IV/IO push (recommended dilution in 20-30ml of D5W) may be followed with 150mg IV push in 3-5 minutes.
Non-Arrest dose of Amiodarone
Rapid infusion: 150mg IV over first 10 minute. may be repeated every 10 minutes.
Slow infusion: 360mg IV over 6 hours.
Maintenance: 540mg IV over 18 hours
Asprin is given for
any pt with cardiac related symptoms
Dosage for asprin
160-325mg
Atropine sulfate is given for
first drug for sinus bradycardia
Organophosphate poisoning
Dosage for atropine in sinus bradycardia
0.5mg IV every 3-5 minutesas needed. Do not exceed total dose of 0.04mg/kg or a total of 3mg
ETT dosage for atropine
2-3mg diluted in 10ml of NS
Atropine dosage for organophospate poisoning
extremely large dosages may be needed (2-4mg or higher)
Beta blockers are given for
suspected MI and unstable angina
Metoprolol tartrate is a _____ and its dosage is
Beta Blocker (suspected MI/unstable angina)

initial IV of 5mg slow IV at 5min intervals to a total of 15mg

Oral dose to follow IV: 50mg BID for 24 hours, then increase to 100mg BID
Atenolol is a _______ and its dosage is
Beta Blocker (suspected MI/unstable angina)

5mg slow IV (over 5 minutes)
wait 10 minutes give second dose of 5mg slow IV
in 10 min if well tolerated may start 50mg PO; then give 50mg PO q 12 h x 2 then 100mg daily
Propranolol is a _______ and its dosage is
Beta Blocker (suspected MI/unstable angina)

total dose of 0.1mg/kg by slow IV push, divide by 3 equal dosages at 2-3 minute intervals. dont exceed 1mg/min

repeat in 2 minutes after total dose if necessary
Esmolol is a ____ and its dosage is
Beta Blocker (suspected MI/unstable angina)

0.5mg/kg over 1 min followed by 4min infusion at 50ug/kg /min. max 0.3mg/kg/min for total of 200ug/kg
Labetalol is a ______ and its dosage is
Beta Blocker (suspected MI/unstable angina)

10mg IV push over 1-2 minutes
may repeat or double ever 10minutes to a max dose of 150mg.

Or give initial dose as bolus and start infusion at 2-8mg/min
Diltiazem is a ___________ and is used for
Calcium channel blocker

used to control ventricular rate in Afib and Aflutter.
use after adenosine to treat refractory reentry of SVT in pt w/ narrow QRS complex and adequate blood pressure
Diltiazem dosage is
15-20mg (.25mg/kg) IV over 2 minutes

may give another IV dose in 15 minutes at 20-25mg (0.35mg/kg) over 2 minutes
Dopamine is used for
second line (after atropine) for symptomatic bradycardia

use for hypotension 70-100mmHg with signs/symptoms of shock
Dosage for dopamine is
Infusion rate is 2-20ug/kg/min

titrate to pt response, taper slowly
Epinephrine is used for
1) cardiac arrest
2) symptomatic bradycardia
3) severe hypotension
4) anaphylaxis, severe allergic reactions
Arrest dose for epinephrine
IV/IO dose: 1mg every 3-5 minutes. follow each dose with 20ml Flush. elevate arm 10-20sec after administratrion
Highest dose recommended for epinephrine such as Beta blocker or calcium channel blocker overdose
0.2mg/kg
Dosage of epinephrine for continuous infusion. Also used in profound bradycardia or hypotension
1mg epi (1ml of 1:1000 solution) to 500ml NS or D5W. Initial infusion rate at 1ug/min titrated to effect. typical dose is 2-10ug/min
Epinephrine ETT dose
2-2.5mg diluted in 10ml NS
Alteplase is a ______ and is used for
AMI in adults with time from onset of symptoms <12hours

Acute ischemic stroke.
Reteplase is a ______ and is used for
AMI in adults with time from onset of symptoms <12hours

Acute ischemic stroke.
Streptokinase is a ______ and is used for
AMI in adults with time from onset of symptoms <12hours

Acute ischemic stroke.
Tenecteplase is a ______ and is used for
AMI in adults with time from onset of symptoms <12hours

Acute ischemic stroke.
Dosage for Alteplase for AMI
Accelerated infusion (1.5hours).
give 15mg IV bolus. then 0.75mg/kg over next 30minutes (dont exceed 50mg). then 0.5 mg/kg over 60minutes (not to exceed 35mg)
Dosage for Alteplase for Acute Ischemic stroke
give 0.9mg/kg (max of 90mg) infused over 60minutes. Give 10% of total dose as an initial IV bolus over 1 minute. Give remaining 90% over next 60 minutes.
Dosage for Reteplase is
give first 10 U IV bolus over 10min.
30min later give 10 U IV bolus over 2min.
give NS flush before and after each bolus.
give heparin and aspirin conjunctively
Dosage for streptokinase is
1.5million U in a 1 hour infusion
dosage for tenecteplase is
bolus: 30-50mg, weight adjusted
Lidocaine is given for
1)alternative to amioderone in cardiac arrest
2)stable monomorphic VT w/ preserved ventricular function
3) stable polymorphic VT with normal baseline QT interval and preserved LV function when ischemia is treated and electrolyte balance is corrected
4) can be used for stable polymorphic VT with baseline QT-interval prolongation if torsades is suspected
arrest dose for lidocaine from VT/VF (also include ETT dose)
intial dose of 1-1.5mg/kg IV/IO.
for refractory BF give additional 0.5 to 0.75mg/kg IV push. repeat in 5-10 minutes. max 3 dosages or total of 3mg/kg

ETT dose is 2-4mg/kg
Lidocaine perfusing arrhythmia dose. for stable VT, wide-complex tach of uncertain type, significant ectopy
dose range from 0.5-0.75mg/kg up to 1-1.5mg/kg.
repeate 0.5-0.75mg/kg every 5-10minutes. max total dose of 3mg/kg
Lidocaine maintenance infusion
1-4mg/min (30-50ug/kg/min) can dilute in D5W, D10W, or NS
Magnesium Sulfate is given for
1)cardiac arrest only if torsades or suspected hypomagnesmia is present
2) life-threatening v-arrythmias due to digitalis toxicity
Magnesium sulfate arrest dose
1-2mg (2-4ml of 50% solution) diluted in 10ml of D5W IV/IO over 5-20 minutes
Magnesium sulfate dose for Torsades w/ pulse or AMI w/ hypomagnesemia
loading dose of 1-2g mixed in 50-100ml of D5W over 5-60minutes IV.

follow with 0.5-1 g/hour IV. titrate to control torsades
Morphine sulfate is given for
chest pain with ACS unresponsive to nitrates.
acute cardiogenic pulmonary edema
Morphine dosages are
2-4mg IV over 1-5 minutes. repeate every 5-30minutes.

repeat dose: 2-8mg at 5-15min intervals
Nitroglycerine is given for
1) initial antianginal for suspected ischemic pain.
2) for initial 24-48hours in pt with AMI or CHF, persistant/recurrent ischemia, or hypertension
3) >48 hours with recurring angina/pulmonary congestion
4) hypertension urgency with ACS
IV dose for Nitroglycerine is
IV bolus: 12.5-25 ug
Infusion: start at 10-20ug/min. titrate to effect. increase by 5-10ug/min every 5-10min until desired effect.
Dilute in D5W or NS
Sublingual dose for Nitro
1 tablet (0.3-0.4mg) repeated for total of 3 dosages at 5min intervals
Aerosol spray dosage for Nitro
1-2 sprays for 0.5-1second at 5min intervals. max 3 sprays within 15 minutes.
Vasopressin is used for
1) alternative to epi in treatment of adult-shock-refractory VF
2) alternative to epi in asystole, PEA
3) useful for hemodynamic support in vasodilatory shock (septic shock)
Dosage for vasopressin
ONE DOSE 40 U IV/IO push may replace either first or second dose of epi.