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20 Cards in this Set
- Front
- Back
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CLASS
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PARASYMPATHOLYTIC (ANTICHOLINERGIC)
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ACTIONS
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1. BLOCKS ACETYCHOLINE RECEPTORS( DECREASES PARASYMPATHETIC TONE AND THUS INCREASES HEART RATE)
2. DECREASES GI SECRETIONS |
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INDICATIONS
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1. SYMPTOMATIC BRADYCARDIA
2. PVC'S 3. HYPOTENSION 4. DECREASED LOC 5. ASYSTOLE AND SYMPTOMATIC HEART BLOCKS 5. ORGANOPHOSPAHTE POISONING |
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CONTRAINDICATIONS
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NONE WHEN USED IN EMERGENCY SITUATIONS
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PRECAUTIONS
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1. TOTAL DOSE OF 0.04 MG/ KG OR 3 MG SHOULD NOT BE EXCEEDED, EXCEPT IN CASES OF ORGANOPHOSPHATE POISONINGS
2. A-FIB & A-FLUTTER WITH RAPID VENTRICULAR RESPONSE 3. GLAUCOMA & COPD(HYPERTENSION CAN WORSEN 4. USE WITH CAUTION IN 2ND DEGREE II AND 3RD DEGREE HEART BLOCKS IN AMI PT |
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SIDE EFFECTS
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1. PALPITATIONS
2. TACHYCARDIA 3. DRY MOUTH 4. PAPILLARY DILATION 5. BLURRED VISION 6. URINARY RETENTION (ESPECIALLY OLDER MALES) |
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S/S OF OVERDOSE
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HOT, BLIND, DRY, RED, AND MAD
"HOT AS A HARE, BLIND AS A BAT, DRY AS A BONE, RED AS A BEET, MAD AS A HATTER" |
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BRADYCARDIA DOSAGE
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0.5-1.0 MG EVERY 3-5 MINUTES TO MAX
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ASYSTOLE DOSAGE
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1 MG EVERY 3-5 MINUTES TO MAX
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ORGANOPHOSPHATE POISONING DOSAGE
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2-5 MG
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MINIMUM DOSAGE
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0.5 MG
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MAXIMUM DOSAGE
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3 MG
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ROUTE
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1. IV
2. IM 3. ET |
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HOW SUPPLIED
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PREFILLED SYRINGE 1.0MG/ 10 ML
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PEDIATRIC BRADYCARDIA DOSAGE
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0.01-0.03MG/ KG
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PEDIATRIC ORGANOPHOSPHATE
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0.05 MG/ KG
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MINIMUM PEDIATRIC DOSAGE
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0.1 MG
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MAXIMUM PEDIATRIC DOSAGE
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0.5 MG
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PEDIATRIC NEWBORN DOSAGE
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NOT INDICATED IN NEWBORNS
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REASON FOR AVOIDANCE IN HIGH DEGREE HEART BLOCKS
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CAUSES AN INCREASED ATRIAL RATE AND CAN CAUSE:
1. DECREASED VENTRICULAR ESCAPE BEATS 2. INCREASED ACTIVITY FROM DAMAGED MUSCLE CELLS; THIS CAUSES AN INCREASED INCIDENCE OF VF OR VT TO OCCURING ORIGINATED FROM DAMAGED MYOCARDIUM TISSUE, SINCE THERE IS A DAMAGE TO HIS AND PURKINJE PATHWAYS |
