Mrs Feilds Acls

Front 1

Dopamine
Action:

Back 1

Used to Raise Blood Pressure

Front 2

Dopamine
Indication:

Back 2

Hemodynamically significant hypotension in the absence of hypovolemia (not perfusing vital Organs)

Front 3

Hemodynamically significant hypotension

Back 3

Systolic < 90 with poor perfusion,oliguria, or changes in mental status

Front 4

oliguria

Back 4

low urine output

Front 5

Dopamine
Cardiac dose
Increases cardiac output, HR and BP

Back 5

5-10 mcg/kg/min

Front 6

Dopamine
Indiated for symptomatic bradycardia after max dose of _______

Back 6

Atropine

Front 7

Dopamine
Precautions:

Back 7

-Increases heart rate, may result in myocardial ischemia
-May induce or worsen ventricular dysrhthmias

Front 8

Dobutamine:
Action

Back 8

Increases cardiac output

Front 9

Dobutamine
Indications:

Back 9

Patients with pulmonary congestion and Left Ventricular dysfunction who can't tolerate vasodilators

Front 10

Dobutamine
Dosage:

Back 10

2-20 mcg/kg/min

Front 11

Dopamine
Action:

Back 11

Used to Raise Blood Pressure

Front 12

Dopamine
Indication:

Back 12

Hemodynamically significant hypotension in the absence of hypovolemia (not perfusing vital Organs)

Front 13

Hemodynamically significant hypotension

Back 13

Systolic < 90 with poor perfusion,oliguria, or changes in mental status

Front 14

oliguria

Back 14

low urine output

Front 15

Dopamine
Cardiac dose
Increases cardiac output, HR and BP

Back 15

5-10 mcg/kg/min

Front 16

Digitalis (Digoxin, Lanoxin)
Actions:

Back 16

Increases contractility
Decreases Heart Rate

Front 17

Digitalis
Controls these dysrhythmias

Back 17

Controls ventricular response to A-fib & A flutter

Front 18

Nitroprusside (Nipride)
Indications:

Back 18

Hypertensive emergencies

Front 19

Nitroprusside (Nipride)
Actions:

Back 19

Reduces BP Rapidly
Easily titrated
Well tolerated
Can be rapidly reversed (D/C infusion)

Front 20

Nitroglycerin (NTG)
Indication:

Back 20

Angina, Acute MI, CHF

Front 21

Nitroglycerin (NTG)
Dosage:

Back 21

1 tablet Sublingual q 5 min x 3

Front 22

Nitroglycerin (NTG)
Unstable Angina

Back 22

IV dosage titrated

Front 23

Definition
Unstable Angina

Back 23

Chest pain at rest

Front 24

Nitroglycerin (NTG)
with CHF

Back 24

IV Dose-treatment of choice for CHF patients with ischemic heart disease

Front 25

Nitroglycerin (NTG)
with MI

Back 25

Used with ASA (Aspirin) & thrombolytics in acute MI

Front 26

Nitroglycerin (NYG)
Precautions:

Back 26

Headache
hypotension
interaction with other drugs
nausea
syncope

Front 27

Nitroglycerin (NYG)
Big Precaution

Back 27

Nitroglycerin (NYG) and sexual enhancement drugs do not mix DEADLY
obtain history
do not administer if within three days of use

Front 28

Beta Blockers

Back 28

Inderal
Tenormin
Lopressor

Front 29

Beta Blockers
ACtions:

Back 29

Depresses the pumping function of the heart
1)Decrease HR
2)Decrease BP
3)Decrease myocardial contractility
4)Decrease myocardial O2 consumption

Front 30

Lasix
Action

Back 30

Loop Diuretic
vasodilation just prior to diuresis (watch for hypotension)

Front 31

Lasix
Indication:

Back 31

Pulmonary congestion associated with left ventricular

Front 32

Lasix
Dosage:

Back 32

20-40 mg IV

Front 33

Thrombolytics
Actions:

Back 33

Dissolve clots
(clot Busters)
USe of thrombolytic should be initiated ASAP after onset of pain

Front 34

Thrombolytics
Indications:

Back 34

Pain of AMI (acute Myocardial Infarction)
< 70 years old
6-12 hrs from onset of pain

Front 35

Thrombolytics
Precautions:

Back 35

Bleeding
Chest Pain
Reperfusion dysrhythmias

Front 36

Thrombolytics
Contraindication

Back 36

Hemorrhagic stroke
Bleeding disorders

Front 37

ASA

Back 37

Aspirin-Now one of our most important immdeiate interventions

Front 38

ASA

Back 38

Apirin alone started within 24 hours of onset of AMI reduces overall mortality to almost the same degree as thrombolytics

Front 39

Acute COronary Syndrome

Back 39

Acute MI
AMI=Necrosis of heart muscle

Front 40

Acute Coronary Syndrome
Precipitatin Events

Back 40

Rest, sleep, usual activities, morning hours

Front 41

Acute MI
Signs and Symptoms

Back 41

1) Chest pain
2)Radiating pain to shoulders, arms,neck, jaw, or back
3)Prolonged "indigestion"
4)Absense of chest pain(Sometimes)

Front 42

Acute MI
Diagnosis:

Back 42

Based on patients history
signs and symptoms
serial ACG's
Blood chemistrys

Front 43

Blood chemistries of MI

Back 43

cardiac enzemes, Troponin

Front 44

Acute MI
Early Treatment

Back 44

1) O2 decreases extent of ST changes
2) cardiac monitor-VFib most common
3)IV access
4) Pain relief
5)ASA
6)Thrombolytic therapy