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54 Cards in this Set
- Front
- Back
Trade name of Adenosine?
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Adenocard
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Adenosine's category?
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Antidysrhythmic
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Actions of Adenosine?
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Slows conduction thru AV breaking "circus electrical pattern"
Chemical cardioversion |
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Indications of Adenosine?
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SVT, PSVT
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Contraindications of Adenosine?
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2nd or 3rd degree heart block, sick sinus syndrome
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Side effects of Adenosine?
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Chest pain, flushing, headache, SOB, dizzy, nausea, cardiac arrest
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Route of Adenosine?
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IVP
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Dosage of Adenosine?
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Adults: 6mg rapid IVP followed by 20ml of NS flush, repeat 12mg within 1-2 min of initial dose followed by NS flush. 3rd dose may be given.
Peds: 0.1mg/kg initial (max 6mg). Repeat at 0.2mg/kg(max 12mg) |
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Clinical considerations of Adenosine?
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Short half life (5 sec.) Must push rapidly thru proximal IV port followed by NS flush. Does not convert A-fib, A-flutter, V-tach. Reduce initial dose to 3mg for pts. on dipyridamole, carbamazepine (Tegretol), and pts. with transplanted hearts. Highter dose required for pts. taking theophylline, caffeine, theobromine.
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Trade name of Albuterol?
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Proventil, Ventolin
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Generic name of Albuterol?
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Albuterol Sulfate
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Category of Albuterol?
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Bronchodilator
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Actions of Albuterol?
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Bronchodilator, beta effects
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Indications of Albuterol?
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Asthma, COPD, anaphylaxis
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Contraindications of Albuterol?
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Use caution with cardiovascular patients
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Side effects of Albuterol?
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Palpitations, anxiety, nausea, tachycardia
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Route of Albuterol?
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Neubelizer
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Dose of Albuterol?
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2.5mg/3ml given via neubelizer. O2 level minimum 8 lpm
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Clinical considerations of Albuterol?
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May be combined with atrovent
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Category of Aspirin?
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Platelet inhibitor
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Actions of Aspirin?
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Inhibits clotting of arteries
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Indications of Aspirin?
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Chest pain or discomfort associated with MI or angina, ACS
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Contraindications of Aspirin?
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Consider history of ulcers, use caution with asthma
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Side effects of Aspirin?
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GI upset, excessive bleeding with injury
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Route of Aspirin?
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PO
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Dose of Aspirin?
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4 baby aspirins (324mg, 81mg each)
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Clinical considerations of Aspirin?
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Reduces ACS mortality, reinfarction, nonfatal stroke
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Generic name of Atropine?
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Atropine Sulfate
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Category of Atropine?
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Parasympathetic blocker and anticholinergic
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Actions of Atropine?
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Increase firing of SA node, conduction thru AV by opposing vagus nerve, blocks acetycholine receptor sites, decreases bronchiole secretions
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Indications of Atropine?
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Symptomatic bradycardias, some use in 2nd degree type II and 3rd degree heart blocks though pacing is preferred. Asystole, organophosphate poisoning, nerve agent poisoning
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Contraindications of Atropine?
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Tachycardias
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Side effects of Atropine?
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Tachycardias, V-fib, anticholinergic syndrome (delirium, coma, flushed/hot skin, blurred vision, pupillary dilation, urinary retention, dry mouth)
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Route of Atropine?
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IVP (fast), ET, IO
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Dose of Atropine?
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Adults: 0.5 - 1mg q 5 min.
Maximum dose 3mg (0.04mg/kg). Minimum dose 0.5. Organophosphate antidote: 2mg, repeat at 2 to 3 mg until symptoms reside Peds: 0.02mg/kg. maximum 1mg. Minimum 0.1mg/kg |
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Clinical considerations of Atropine?
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Dose less then minimum acceptable or slow IVP will produce paradoxical effects
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Generic name of Atropine?
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Atropine Sulfate
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Category of Atropine?
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Parasympathetic blocker and anticholinergic
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Actions of Atropine?
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Increase firing of SA node, conduction thru AV by opposing vagus nerve, blocks acetycholine receptor sites, decreases bronchiole secretions
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Indications of Atropine?
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Symptomatic bradycardias, some use in 2nd degree type II and 3rd degree heart blocks though pacing is preferred. Asystole, organophosphate poisoning, nerve agent poisoning
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Contraindications of Atropine?
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Tachycardias
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Side effects of Atropine?
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Tachycardias, V-fib, anticholinergic syndrome (delirium, coma, flushed/hot skin, blurred vision, pupillary dilation, urinary retention, dry mouth)
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Route of Atropine?
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IVP (fast), ET, IO
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Dose of Atropine?
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Adults: 0.5 - 1mg q 5 min.
Maximum dose 3mg (0.04mg/kg). Minimum dose 0.5. Organophosphate antidote: 2mg, repeat at 2 to 3 mg until symptoms reside Peds: 0.02mg/kg. maximum 1mg. Minimum 0.1mg/kg |
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Clinical considerations of Atropine?
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Dose less then minimum acceptable or slow IVP will produce paradoxical effects
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Generic name of Toradol?
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Ketorolac
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Category of Toradol?
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NSAID
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Actions of Toradol?
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Analgesic, anti-inflammatory, antipyretic
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Indications of Toradol?
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Mild to moderate pain
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Contraindications of Toradol?
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Drug allergies to Aspirin or NSAIDs, Hx of GI bleeding, ulcers, renal insufficiency or pts. who may need immediate surgical intervention (i.e. obvious fx's), pts. taking anticoagulants (ex. Coumadin)
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Side effects of Toradol?
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Edema, HTN, rash, nausea, heartburn, constipation, diarrhea, drowsiness, dizziness
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Route of Toradol?
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IM, IV
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Dose of Toradol?
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30-60mg IM, 15-30 IV
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Clinical considerations of Toradol?
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Long term use produces GI side effects and renal impairment
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