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37 Cards in this Set
- Front
- Back
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Which drugs can be given via Endotracheal Tube?
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Narcan
Atropine Vasopressin Epinepherine Lidocaine |
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How are these meds given via ETT?
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-2-2.5 times the usual dose
-dilute with 5-10 cc water or NS |
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What are ACE Inhibitors?
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-Any class of drug that blocks the effects of Angiotensin-Converting Enzyme, preventing the formation of angiotensin II and therefore preventing a rise in BP. 'PRIL DRUGS
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What are the indications for ACE Inhibitors?
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-Hypertension (blocks vasocontriction)
-Helps prevent LV remodling (enlargement) in post MI and CHF |
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What are the precautions of ACE Inhibitors?
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-Hypersensitivity to ACE Inhibitors (use ARBS)
-Hypotension |
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When should ACE Inhibitors be started?
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-Should be started 24 hours after onset of symptoms.
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What are the indications for Adenosine (Adenocard)?
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-Slows AV conduction
-Effective in terminating SVT caused by AV and Sinus Node reentry pathways -Will not convert SVT with A-fib, A-flutter or VT, but is used to diagnose these. |
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What are the precautions when giving Adenosine (Adenocard)?
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-Neck, throat, chest discomfort during conversion that usually resolves quickly
-A BRIEF PERIOD OF ASYSTOLE (UP TO 15 SEC) IS COMMON. |
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What is the dose of Adenosine?
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-6 mg RAPID IV push followed by a 20cc NS flush
-May repeat in 1-2 minutes with 12 mg if needed x2. |
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What are the indications for using Amiodarone (Cordarone)?
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-Recommended first choice for treatment of V-fib and VT
-Seek expert consultation for use in atrial arrythmias |
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What are the precautions when using Amiodarone (Cordarone)?
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-Hypotension, Bradycardia, AV Block
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What is the dose of Amiodarone (Cordarone) in V-fib/pulseless VT?
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-300 mg IV push. May repeat with 150 mg in 3-5 minutes
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What is the dose of Amiodarone (Cordarone) in V-Tach?
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-150 mg, diluted in 100 ml D5W, over 10 minutes.
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What is the maximum dose of Amiodarone?
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-2.2 grams in 24 hours.
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What are the indications for Aspirin?
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-Platelet inhibitor
-Used for all patients with ACS |
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What are the precautions when using Aspirin?
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-Ulcer disease, asthma, hypersensitivity to ASA
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What does Atropine do?
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-Enhances sinus node automaticity and AV conduction.
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What are the indications of Atropine?
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-Initial treatment for symptomatic sinus bradycardia or wenkebach.
-2nd line treatment for Asystole |
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What are the precautions when using Atropine?
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-Rebound tachycardia
-Not recommended for second degree type II or third degree heart block (speeds up SA node only) |
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What is the dose of Atropine for Asystole/PEA?
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-1 mg
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What is the dose of Atropine for Bradycardia?
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-0.5 mg
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How often can you give Atropine?
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-Give Q 3-5 minutes up to a total of 3 mg (or 0.04 mg/kg)
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What are Beta-Blockers?
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-'OLOL DRUGS
-Blocks that ability of catecholamines to bind with beta-adrenergic receptors. |
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What are the indications for Beta-Blockers?
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-Decrease heart rate, blood pressure, myocardial contractility and myocardial oxygen demand
-Used to treat angina, hypertension, and to control arrhythmias |
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What are the Adverse Effects of Beta Blockers?
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-Hypotension
-CHF -Bronchospasm |
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What is Digitalis (Digoxin, Lanoxin) do?
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-Slows ventricular response in atrial flutter/fib
-Not a good rescue drug, better for maintenance. |
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What are the precautions when using Digoxin?
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-Visual disturbances
-Arrythmias -nausea |
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What is the dose of Digitalis?
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-Loading = 10-15 mcg/kg
-Repeat Q 6 hrs up to 1 mg |
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What are the indications for Diltiazem?
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-It is a calcium channel blocker that controls ventricular rate in A-fib/flutter
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What are the precautions when using Diltiazem?
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-Avoid in WPW
-Heart Block -Bradycardia |
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What is the dose of Diltiazem?
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-15-20 mg bolus over 2 minutes
-May repeat in 15 minutes x 1 -Followed by a maintenance infusion at a rate of 5-15 mg/hr. |
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What are the indications for Dopamine (Inotropin)?
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--It is a catecholamine that is a potent vasoconstrictor in moderate and high doses
-It is used to increase blood pressure -Second-line for symptomatic bradycardia (after atropine) |
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What are precautions when using Dopamine (Inotropin)?
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-Arrhythmias and tachycardia
-Injection site necrosis |
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What is the usual dose of Dopamine (Inotropin)?
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-Usual rate is 2-10 mcg/kg/min
-Titrate to patient response, taper slowly. |
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What are the indications for Epinepherine?
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-Increases cerebral and coronary perfusion
-Increases BP, HR, and contractility -First-line for VF, pulseless VT, PEA, and Asystole. |
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What are the precautions for Epinepherine?
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-Increases O2 demand
-Hypertension -Arrhythmias |
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What is the dose for Epinepherine?
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-1 mg Q 3-5 minutes
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