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25 Cards in this Set
- Front
- Back
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Adenosine:
Names/Class/Action |
-Adenocard
-Endogenous nucleoside -Slows electrical conduction through the AV node, and inhibits re-entry pathway, converting SVT to NSR |
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Adenosine:
Indications |
SVT: Supraventricular Tachycardia
(S-127, S-163) |
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Adenosine:
Dosage/Route (Adult) |
-6mg RIVP, followed by 20ml fluid bolus
-12mg RIVP, followed by 20ml fluid bolus If no sinus pause, MRx1 in 1-2" If patient has hx of bronchospasm or COPD: Dosing is BHO |
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Adenosine: (Peds)
Dosage/Route |
-PDC RIVP, follow with 20ml NS BHPO
-PDC RIVP, follow with 20ml NS BHPO If no sinus pause MRx1 BHPO |
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Adenosine:
Contraindications |
-2nd and 3rd Degree AV Block
-Sick Sinus Syndrome (without pacemaker) |
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Adenosine:
Side Effects |
-SOB/Dyspnea
-Chest Pressure/Palpitations -Mild Hypotension -Dizzy/Lightheadedness/Headache -Nausea -Transient Arrhythmias |
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Adenosine:
Special Info |
-Concentration: 6mg/2ml
-Do not give third dose if patient has pause followed by return to SVT -Effective in WPW -RIVP is necessary because drug is metabolized very quickly. Use large bore IV in large proximal vein -Use 20ml syringe for NS flush -Obtain ECG before, during and after giving med -Transient arrythmias may be expected after each use -D/C med is 2nd or 3rd degree block develops -Only works for SVT -Caffeine and Theophylline acts as antagonist; max dose may be required |
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Albuterol:
Name/Class/Action |
-Albuterol (Proventil, Ventolin)
-Sympathomimetic -Activates beta-2 adrenergic receptors to relax brochial smooth muscles -Bronchodilation, relieves bronchospasms, and reduces airway resistance |
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Albuterol:
Onset/Duration |
Onset- 5 min
Peak- 1 hour Duration- 2-4 hours |
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Albuterol:
Indications |
-Respiratory Distress Asthma/COPD/Respiratory Origin
-Allergic Reaction/Anaphylaxis -Burns |
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Albuterol:
Dosage/Route (Adult) |
6ml (0.083%) via nebulizer. MR
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Albuterol:
Dosage/Route (Peds) |
PDC via nebulizer. MR
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Albuterol:
Contraindications |
None
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Albuterol:
Side Effects |
Tachycardia/Palpitations
Dizziness, Headache Tremors, Nervousness |
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Albuterol:
Special Info |
Concentration- 2.5mg/3ml
-Use with 4-6 liters of O2 for handheld -Use with 6-10 liters of O2 for mask and ET -Keep upright to prevent spillage -Becomes Unstable in temps >77 degrees, if drug is discolored or precipitated, discard -Causes minimal cardiac stimulation -Use caution with pregnancy -Check lung sounds, O2 sat, capnography, and RR beforeand after admin of Albuterol to determine effectiveness |
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Aspirin:
Name/Class/Action |
-Aspirin, ASA (Acetylsalicylic Acid)
-Salicylate -Inhibits the normal tendency for platelets to accumulate inside injured or occluded cardiac arteries thereby promoting better blood flow through vessels to better perfuse the heart. |
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Aspirin:
Onset/Duration |
Onset-15-30 min
Duration- Days (antiplatelet effects) |
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Aspirin:
Indications |
Discomfort/pain of ? cardiac origin
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Aspirin:
Dosage/Route |
Adult Only:
-162mg PO (two 81mg tabs) |
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Aspirin:
Contraindications |
None
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Aspirin:
Side Effects |
-GI upset
-Occult bleeding |
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Aspirin:
Special Info |
Concentration: 81mg tabs
-Tablets can be chewed or swallowed -ASA decomposes at high temps or high humidity/moisture. Pills may crumble or have "vinegar" smell -Give even if patient has taken ASA -Give if patient had pain or discomfort of suspected caridac origin that they self medicated 9ntg0 and are pain free now -Can give if pt. on anticoagulants -Use with caution on the following: 1. Third trimester pregnancy 2. GI bleed or ulcers 3. CVA or bleeding disorders 4. Cross sensitivity to other non-steroid anti-inflammatory agents |
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Atropine:
Name/Class/Action |
-Atropine Sulfate
-Anticholinergic -Competes with acetylcholine for receptor sites blocking the PNS response at SA & AV nodes -Increases heart rate by increasing electrical conduction through the heart -Inhibits secretions by decreasing PNS effects on bronchial, salivary, sweat and GI glands |
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Atropine:
Indications |
-PEA with Bradycardia
-Unstable Bradycardia: Narrow complex OR wide complex if pacing unavailable -Unstable Bradycardia in Peds Organophosphate poisoning |
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Atropine:
Dosage/Route |
Adult:
-1mg IVP; MR x2 in 3-5" to max of 3mg OR 2mg ET; MR x2 in 3-5" to max 6mg -0.5 mg IVP for pulse <60 bpm_MR q3-5" to max of 3mg OR 1mg ET for pulse < 60 bpm_MR q 3-5" to max of 6mg PEDS: <9 y/o HR <60; 9-14 y/o <40 -PDC IV/IO/ET; MR x1 in 5" Adult: -2mg IVP/IM; MR q3-5" x2; MR q3-5 prn BHO OR 4mg ET; MRq 3-5" x2; MR q 3-5" prn BHO PEDS -PDC IV/IO/IM/ET MRq3-5" x2; MR q3-5" prn BHO |
