Occc Pharmacology - Cardiology

Front 1

Epinephrine

Back 1

Sympathomimetic

Cardiac arrest: 1 mg (1:10 000) q 3-5 min prn

Anaphylaxis: 0.3 to 0.5 mg (1:1 000) q 5-15 min prn

Front 2

Norepinephrine

Back 2

Sympathomimetic

For SBP<70mmHg 0.5-1.0 μg/minute (max of 30.0 μg/minute) diluted in D5W

Front 3

Dopamine

Back 3

Sympathomimetic / dopaminergic

For SBP 70-100 mmHg 2-5 mcg/kg/min up to 20 mcg/kg/min. Alpha 1 affects at 10-20 mcg/kg/min.

Front 4

Dobutamine

Back 4

Sympathomimetic

2-20 mcg/kg/min, inotropic without chronotropic

Front 5

Vasopressin

Back 5

Sympathomimetic (doesn't antagonize adrenergic receptors)

40U IV vasoconstrictor

Front 6

Metoprolol

Back 6

Beta Blocker

5mg slow IV bolus, 2 min another 5mg, 2 min another 5mg (if well tolerated). B2 and primarily B1 antagonist.

Front 7

Lidocaine

Back 7

Antidysrythmic - sodium channel blocker

1.0-1.5 mg/kg, repeated every 3-5 min at half dosage.

Front 8

Procainamide

Back 8

Antidysrhythmic - sodium channel blocker

100mg every 5 min at 20mg per min. Discontinue on affect, or 17mg/kg

Front 9

Adenosine

Back 9

Antidysrhythmic

6mg rapid IV bolus with flush. 12mg after 1-2 minutes, another 12mg after 1-2 minutes

Front 10

Diltiazem (Cardizem)

Back 10

Antidysrythmic - Calcium Channel Blocker

For rapid ventricular rates 0.25 mg/kg IV bolus slow, maintenance of 5-15 mg/hr. For PSVT, 0.25mg/kg slow.

Front 11

Amiodarone (Cordarone)

Back 11

Antidysrhythmic - potassium channel blocker

300mg IV, 150mg in 3-5 minutes prn

Front 12

Magnesium Sulfate

Back 12

Antidysrhythmic - calcium channel blocker

Vfib/Vtach - 1-2 mg in D5W slow or over 5-30 min for prophylaxis; Torsades des pointes - 5-10mg in 100mL of D5W at 1g/min.

Front 13

Atropine Sulfate

Back 13

Parasympatholytic

Bradycardia: 0.5mg every 3-5 minutes up to 3mg; Asystole - 1mg IV; Poisoning: 2-4mg.

Front 14

Aspirin

Back 14

Prevents thrombosis

160-325mg PO for chest pain

Front 15

Sodium Bicarbonate

Back 15

Alkalinizing agent / buffer

1 mEq/kg body weight IV, followed by half dose every 10 minutes.

Front 16

Morphine Sulfate

Back 16

Opioid analgesic

2-10 mg IV (4-6 for pain). 2mg q 2-3 minutes prn for pain.

Front 17

Nitrous Oxide

Back 17

Analgesic

Self-administered at 1:4 or 1:2 with oxygen.

Front 18

Furosemide (Lasix)

Back 18

Diuretic

20mg slow IV push, 40mg for patients taking lasix - x2 or x3 bolus if needed.

Front 19

Nitroglycerin

Back 19

Antianginal

0.4mcg per spray/tablet sublingual, q 3-5 minutes up to x3.

Front 20

Calcium Chloride

Back 20

Mineral

2-4mg/kg IV q 10 min prn.