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30 Cards in this Set

  • Front
  • Back

Low HR with Hypertension = <60bpm

Epinephrine / Atropine

High HR of 150 BPM w/ hypertension

Adenosine


Digitalis

Hypotension w/ Rhythm

Coradone / Didocane


Procainamide

Hypotension needing pump

Digitalis


Hypotension need of plumbing

Vasopressin

Amiodarone - Cordarone (Indications)

PVC's, VT/VF, A-fib, SVT



Amiodarone - Cordarone

ANTI-Arrhythmatic used to get an organized rhythm



Amiodarone - Cordarone (Precautions)

Shock / vasodilation


Negative inotropic effects


Long-term use = Pulmonary Fibrosis

Lidocane (Indications)

Depresses automaticity


Depresses excitability


Raises V-Fib threshold


Decreases ventricular irrability

Lidocane (Precaution)

reduce maintence dose for impaired liver or left ventricular dysfunction


hypotension


Heart block


CNS Disturbances

Magnesium Sulfate (Action)

Slows muscle contraction and twitching

Magnesium sulfate (Indication)

Cardiac arrest w/ torsades de pointes or hypomagnesium state


Refractory VF


VF w/ ETOH Abuse


Life threatening ventricular arrhythmias


Acute Status Asthmaticus

Magnesium sulfate (Precaution)

Fall in blood pressure with rapid administration


Use w/ caution if renal failure is present

Procainamide - Pronestyl

Recurrent VF


Depresses automaticity


Depresses excitability


Raises Ventricular fib treshold


Decreases ventricular irrability

Adeonsine-Adenocard

Typically used after Lidocane in wide complex tachycardias of uncertain types...



PSVT - Ventricular tachy cardia (Parodixcal)

Adeonsine (Precaution)

Facial Flushing


Chest pain


Asystole or brady cardia periods



Less effective with people taking theophyllines (methylxanthine drugs)


Digitalis (Indication)

Slow ventricular response to a-fib or a-flutter


Third line choice for PSVT



(Paradoxical Supraventricular Tachycardia)

Digitalis (Precaution)

Toxic effects are common



May cause serious hypotension


Epinephrine (What it do?)

Increases HR



Increases BP



Decrease VF Threshold



Increase CPR effectiveness

Epinephrine (Indications?)

Cardiac arrest (VF, VT, asystole, PEA)


Symptomatic bradycardia


Sever hypotension


Anaphylaxis

Epinephrine (Doses)

1 mg every 3-5 mins


0.2 mg / kg for high doses


Endotracheal 2 -2.5 times normal dose


Atropine (What it do?)

Inhibits the actions of structures of innervated postganglionic sites (Smooth / cardiac muscles, SA/AV nodes)

Atropine (indications)

Sinus Brady Cardia


Organophosphate poisoning


May be beneficial in AV Block

Atropine (Precaution)

MI and hypoxia


Avoid in hypothermia


Not effective in 2nd type or 3rd degree block


Doses <0.5 can cause paradoxical slowing

Atropine Dosage

Brady cardia = 0.5 mg (Max 3mg)


Endotracheal = 2-3mg diluted in water of NS


Organophosphate posioning = Large doses 2-4 mg

Vasopressin (what it do)

Causes vasoconstriction with reduce blood flow, increasing core perfusion during cardiac arrest

Vasopressin Indication

alternative to epinephrine in adult refractory VF/VT


Alternative to epinephrine in asystole or PEA

Vasopressin Contraindication

Pont peripheral vasoconstrictor

What drug stops the Sa Node for 5-6 secs and reset rhythm?

Adenosine adenocard

What Drug can cause confusion?

Lidocane