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50 Cards in this Set
- Front
- Back
What is Adenosine given for?
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Narrow Complex PSVT
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What is the dose for Adenosine
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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.
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What is Amiodarone given for?
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recurrent vfib and recurrent hemodynamically unstable vtach
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Arrest dose of Amiodarone
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300mg IV/IO push (recommended dilution in 20-30ml of D5W) may be followed with 150mg IV push in 3-5 minutes.
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Non-Arrest dose of Amiodarone
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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 |
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Asprin is given for
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any pt with cardiac related symptoms
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Dosage for asprin
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160-325mg
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Atropine sulfate is given for
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first drug for sinus bradycardia
Organophosphate poisoning |
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Dosage for atropine in sinus bradycardia
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0.5mg IV every 3-5 minutesas needed. Do not exceed total dose of 0.04mg/kg or a total of 3mg
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ETT dosage for atropine
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2-3mg diluted in 10ml of NS
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Atropine dosage for organophospate poisoning
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extremely large dosages may be needed (2-4mg or higher)
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Beta blockers are given for
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suspected MI and unstable angina
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Metoprolol tartrate is a _____ and its dosage is
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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 |
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Atenolol is a _______ and its dosage is
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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 |
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Propranolol is a _______ and its dosage is
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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 |
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Esmolol is a ____ and its dosage is
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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 |
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Labetalol is a ______ and its dosage is
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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 |
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Diltiazem is a ___________ and is used for
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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 |
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Diltiazem dosage is
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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 |
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Dopamine is used for
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second line (after atropine) for symptomatic bradycardia
use for hypotension 70-100mmHg with signs/symptoms of shock |
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Dosage for dopamine is
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Infusion rate is 2-20ug/kg/min
titrate to pt response, taper slowly |
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Epinephrine is used for
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1) cardiac arrest
2) symptomatic bradycardia 3) severe hypotension 4) anaphylaxis, severe allergic reactions |
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Arrest dose for epinephrine
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IV/IO dose: 1mg every 3-5 minutes. follow each dose with 20ml Flush. elevate arm 10-20sec after administratrion
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Highest dose recommended for epinephrine such as Beta blocker or calcium channel blocker overdose
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0.2mg/kg
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Dosage of epinephrine for continuous infusion. Also used in profound bradycardia or hypotension
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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
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Epinephrine ETT dose
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2-2.5mg diluted in 10ml NS
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Alteplase is a ______ and is used for
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AMI in adults with time from onset of symptoms <12hours
Acute ischemic stroke. |
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Reteplase is a ______ and is used for
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AMI in adults with time from onset of symptoms <12hours
Acute ischemic stroke. |
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Streptokinase is a ______ and is used for
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AMI in adults with time from onset of symptoms <12hours
Acute ischemic stroke. |
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Tenecteplase is a ______ and is used for
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AMI in adults with time from onset of symptoms <12hours
Acute ischemic stroke. |
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Dosage for Alteplase for AMI
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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) |
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Dosage for Alteplase for Acute Ischemic stroke
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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.
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Dosage for Reteplase is
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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 |
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Dosage for streptokinase is
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1.5million U in a 1 hour infusion
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dosage for tenecteplase is
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bolus: 30-50mg, weight adjusted
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Lidocaine is given for
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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 |
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arrest dose for lidocaine from VT/VF (also include ETT dose)
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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 |
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Lidocaine perfusing arrhythmia dose. for stable VT, wide-complex tach of uncertain type, significant ectopy
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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 |
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Lidocaine maintenance infusion
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1-4mg/min (30-50ug/kg/min) can dilute in D5W, D10W, or NS
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Magnesium Sulfate is given for
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1)cardiac arrest only if torsades or suspected hypomagnesmia is present
2) life-threatening v-arrythmias due to digitalis toxicity |
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Magnesium sulfate arrest dose
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1-2mg (2-4ml of 50% solution) diluted in 10ml of D5W IV/IO over 5-20 minutes
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Magnesium sulfate dose for Torsades w/ pulse or AMI w/ hypomagnesemia
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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 |
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Morphine sulfate is given for
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chest pain with ACS unresponsive to nitrates.
acute cardiogenic pulmonary edema |
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Morphine dosages are
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2-4mg IV over 1-5 minutes. repeate every 5-30minutes.
repeat dose: 2-8mg at 5-15min intervals |
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Nitroglycerine is given for
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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 |
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IV dose for Nitroglycerine is
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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 |
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Sublingual dose for Nitro
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1 tablet (0.3-0.4mg) repeated for total of 3 dosages at 5min intervals
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Aerosol spray dosage for Nitro
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1-2 sprays for 0.5-1second at 5min intervals. max 3 sprays within 15 minutes.
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Vasopressin is used for
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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) |
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Dosage for vasopressin
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ONE DOSE 40 U IV/IO push may replace either first or second dose of epi.
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