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54 Cards in this Set

  • Front
  • Back
Trade name of Adenosine?
Adenocard
Adenosine's category?
Antidysrhythmic
Actions of Adenosine?
Slows conduction thru AV breaking "circus electrical pattern"
Chemical cardioversion
Indications of Adenosine?
SVT, PSVT
Contraindications of Adenosine?
2nd or 3rd degree heart block, sick sinus syndrome
Side effects of Adenosine?
Chest pain, flushing, headache, SOB, dizzy, nausea, cardiac arrest
Route of Adenosine?
IVP
Dosage of Adenosine?
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)
Clinical considerations of Adenosine?
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.
Trade name of Albuterol?
Proventil, Ventolin
Generic name of Albuterol?
Albuterol Sulfate
Category of Albuterol?
Bronchodilator
Actions of Albuterol?
Bronchodilator, beta effects
Indications of Albuterol?
Asthma, COPD, anaphylaxis
Contraindications of Albuterol?
Use caution with cardiovascular patients
Side effects of Albuterol?
Palpitations, anxiety, nausea, tachycardia
Route of Albuterol?
Neubelizer
Dose of Albuterol?
2.5mg/3ml given via neubelizer. O2 level minimum 8 lpm
Clinical considerations of Albuterol?
May be combined with atrovent
Category of Aspirin?
Platelet inhibitor
Actions of Aspirin?
Inhibits clotting of arteries
Indications of Aspirin?
Chest pain or discomfort associated with MI or angina, ACS
Contraindications of Aspirin?
Consider history of ulcers, use caution with asthma
Side effects of Aspirin?
GI upset, excessive bleeding with injury
Route of Aspirin?
PO
Dose of Aspirin?
4 baby aspirins (324mg, 81mg each)
Clinical considerations of Aspirin?
Reduces ACS mortality, reinfarction, nonfatal stroke
Generic name of Atropine?
Atropine Sulfate
Category of Atropine?
Parasympathetic blocker and anticholinergic
Actions of Atropine?
Increase firing of SA node, conduction thru AV by opposing vagus nerve, blocks acetycholine receptor sites, decreases bronchiole secretions
Indications of Atropine?
Symptomatic bradycardias, some use in 2nd degree type II and 3rd degree heart blocks though pacing is preferred. Asystole, organophosphate poisoning, nerve agent poisoning
Contraindications of Atropine?
Tachycardias
Side effects of Atropine?
Tachycardias, V-fib, anticholinergic syndrome (delirium, coma, flushed/hot skin, blurred vision, pupillary dilation, urinary retention, dry mouth)
Route of Atropine?
IVP (fast), ET, IO
Dose of Atropine?
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
Clinical considerations of Atropine?
Dose less then minimum acceptable or slow IVP will produce paradoxical effects
Generic name of Atropine?
Atropine Sulfate
Category of Atropine?
Parasympathetic blocker and anticholinergic
Actions of Atropine?
Increase firing of SA node, conduction thru AV by opposing vagus nerve, blocks acetycholine receptor sites, decreases bronchiole secretions
Indications of Atropine?
Symptomatic bradycardias, some use in 2nd degree type II and 3rd degree heart blocks though pacing is preferred. Asystole, organophosphate poisoning, nerve agent poisoning
Contraindications of Atropine?
Tachycardias
Side effects of Atropine?
Tachycardias, V-fib, anticholinergic syndrome (delirium, coma, flushed/hot skin, blurred vision, pupillary dilation, urinary retention, dry mouth)
Route of Atropine?
IVP (fast), ET, IO
Dose of Atropine?
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
Clinical considerations of Atropine?
Dose less then minimum acceptable or slow IVP will produce paradoxical effects
Generic name of Toradol?
Ketorolac
Category of Toradol?
NSAID
Actions of Toradol?
Analgesic, anti-inflammatory, antipyretic
Indications of Toradol?
Mild to moderate pain
Contraindications of Toradol?
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)
Side effects of Toradol?
Edema, HTN, rash, nausea, heartburn, constipation, diarrhea, drowsiness, dizziness
Route of Toradol?
IM, IV
Dose of Toradol?
30-60mg IM, 15-30 IV
Clinical considerations of Toradol?
Long term use produces GI side effects and renal impairment