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37 Cards in this Set

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