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31 Cards in this Set

  • Front
  • Back
Class of digoxin
Cardiac Glycoside
Action of digoxin
Rapid acting, used in the treatment of CHF and rapid atrial dysrhythmias. It increases the force and velocity of myocardial contraction and cardiac output. It also decreases conduction through AV node which decreases HR
Indications for digoxin
Increase cardiac output in CHF, stabilize supraventricular tachydysrhythmias
Dose of digitalis
0.25 to 0.5mg slow IV
Contra for digitalis
hyper, V-Fib, or V-tach except due to CHF
Precautions for digoxin
Reduce if digoxin taken within 2 weeks, potentiated by an MI and with hyopkalemia, hyopcalcaemia, advanced heart disease, incomplete HB, cor pulmonale, hyperthyroidism, resp. impairment, children/elderly/debilitated patients, hypomagnesaemia
Side effects of digitalis
H/A, hallucinations, dysrhythmias, hyoptension, AV block, NV
Class for lidocaine
Action for lidocaine
Antidysrhythmic that suppresses automaticity and raises stimulation threshold of ventricles. Causes sedation, anticonvulsant and analgesia.
Indications for Lido
Pulseless V-Tach, V-fib
Ventricular tachycardia with pulse
Doses for lidocaine
Pulseless V-tach, V-Fib: 1-1.5 mg/kg IV rep 3-5 min to 3mg/kg, 2-4mg/min drip after resuscitation.
Vent. tachy with pulse: 1-1.5 mg/kg slow IV repeat @ half dose 5-10 min to 3 mg/kg
Contra for lido
Hyper, supracentricular dysrhythmias, stokes-adams syndrome, 2nd or 3rd degree HB, bradycardias
Precautions for lidocaine
hepatic/renal impairment, CHF, hypoxia, resp. depression, hypovolemia, myasthenia gravis, shock, debilitated patients, elderly, family history of malignagt hypothermia
Side effects of Lidocaine
Dizziness, wild excitment, psychosis
High doses: resp. drepression, convulsion, bradycardia, HB, CV collapse, NV
Action of activated charcoal
A specially prepared charcoal that will absorb and bind toxins from the GI tract
Indication for AC
Acute ingested poisining
Dose for AC
1g/kg PO with 6-9oz. water
Contra for AC
uncontrolled airway, ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol, methanol
Precautions for AC
only after emesis or in cases where emesis is contraindicated
Side Effects
vomiting in rapid admnin. abd cramping/bloating
Action for benadryl
blocks histamine release, reducing bronchoconstriction, vasodilation, and edema
Indications for benadryl
anaphylaxis, allergic reaction, dystonic reaction
Dose for benadryl
25-50mg IV IM PO
Contra for benadryl
asthma and lower resp. disease
Precautions/Sideeffects: for benadryl
may induce hyoptension, HA, palpitations, tachycardia, sedation, drowsiness, and or disturbed coordination
Class for lasix
Loop diuretic
Action for lasix
Rapid acting diuretic and hypersensitive that inhibits sodium reabsorbption by kidney. vasodilating reduces venous return and cardiac workload
Indications for furosemide
CHF and pulmonary edema
Dose for Furosemide
40-120 mg slow IV
Precautions for lasix
infants, elderly, hepatic impairment, nephritic syndrome, cardiogenic shock assoc with AMI, gout, or patients recieving digitalis or potassium depleting steroids
side effects for furosemide
hyoptension, dizziness, electrolyte imbalance, hyopvolemia, dehydration, NV, acute pancreatitis