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47 Cards in this Set
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Acetylsalicylic Acid,
List brand name: List class: |
Brand name: Bufferin, Anacin, APC
Class: Analgesic, Antipyretic, Anti-inflammatory |
Buff,
pain, heat, swell. |
|
Acetylsalicylic Acid,
Mechanism of Action: |
Blocks Thromboxane A2 decressing platelet aggregation.
|
platelet
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Acetylsalicylic Acid,
Indications and field use: |
Chest pain: symptoms of myocardial infarction.
ECG: Suggestive of MI Unstable angina, Pain Discomfort Fever in adults only. |
MI
|
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Acetylsalicylic Acid
Contraindications: |
Bleeding ulcer, hemorrhagic states, hemophilia, Hypersensitivity to Salicylates or NSAI's leading to Hypotension and/or bronchospasm, children or adolescents.
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clot
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Acetylsalicylic Acid
Adverse Reactions: |
Caution with asthma as anaphylactic reactions have occurred.
Skin eruptions. |
poison
|
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Acetylsalicylic Acid,
List brand name: List class: |
Brand name: Bufferin, Anacin, APC
Class: Analgesic, Antipyretic, Anti-inflammatory |
Buff, Anac,
pain, fever, swelling |
|
Acetylsalicylic Acid,
Mechanism of Action: |
Blocks Thromboxane A2 decressing platelet aggregation.
|
aggregation
|
|
Acetylsalicylic Acid,
Indications and field use: |
Chest pain: symptoms of myocardial infarction.
ECG: Suggestive of MI Unstable angina, Pain Discomfort Fever in adults only. |
MI
|
|
Acetylsalicylic Acid
Contraindications: |
Bleeding ulcer, hemorrhagic states, hemophilia, Hypersensitivity to Salicylates or NSAI's leading to Hypotension and/or bronchospasm, children or adolescents.
|
clot
non-steroid anti-inflamatory's |
|
Acetylsalicylic Acid
Adverse Reactions: |
Caution with asthma as anaphlacic reactions have occurred.
Skin eruptions. |
sepsis, skin
|
|
Acetylsalicylic Acid:
Adult Dose: Pediatric Dose: |
Cardiac 160-325mg
Pain/Discomfort/Fever 325mg |
cardiac
pain/discomfort/fever |
|
Adenosine:
Brand Name: Class: |
Adenocard
Antiarrhythmic, Endogenous Nucleoside. |
card
rhythm nucleoside |
|
Adenosine:
Mechanism of Action: |
Slows conduction through the AV node. Interrupts reentry pathways through the AV node.
Slows sinus rate. Large doses decreases peripheral vascular resistance. |
splits (and stops) the heart.
|
|
Adenosine:
Indications and field use. |
Conversion of Supra Ventricular tachycardia with no know atrial fib/flutter.
Wide complex tachycardia of uncertain origin unresponsive to Lidocaine. |
only the vents.
lido. |
|
Adenosine:
Contraindications: |
Sick sinus syndrome, 2nd or 3rd deg heart block without a functioning ventricular pacemaker.
Caution in Patents with asmtha, patents on theophyilline or methylyathes patents on dipyridonde or carbamazephine. Cardiac transplant patents are more sensitive. known atrial fib/flutter, pregnancy |
syndrome, block, theo, methy, dipy, or carb.
transplant atrial preg. |
|
Adenosine:
Adverse reactions: |
Transient disrhythmias- palpations, chest pain, hypotension, transient hypertension, facial flushing, sweating.
Respiratory dispenia- hyperventilation, tightness in throat, bronchospasim Central nervous system- lightheadedness, parasentisis, apprehension, blurred vision, neck/back pain. Gastrointestinal- nausea, metallic taste. |
disrhythmias
respiratory CNS gastro |
|
Adenosine:
Adult dose: |
Elevate site, 6mg rapid iv push then flush with 20ml normal saline flush may repeat in 1-2min with 12mg, 2 more times.
constant ECG monitor. |
Elevate fast push and flush
|
|
Adenosine:
Pediatric dose: |
Elevate site, 0.1mg/kg rapid IV push, then flush with 2-3ml normal saline to a max dose of 12mg. Constant ECG monitor.
Infant- Do not delay Cardioversion. |
Elevate fast push and flush
|
|
Amiodarone:
Brand name: Class: |
Cardarone
Antiarrhythmic |
card
rhythm |
|
Amiodarone:
Mechanism of Action: |
Effects sodium, potassium and calcium channels.
negative inotropic, chronotropic, dromotropic effects on the heart. Dilates coronary arteries. |
multiple effects on.
3 tropics. dilation. |
|
Amiodarone:
Indications and field use: |
treatment of shock refractory to VF, pulseless VT, polymorphic VT, and wide complex tachycardia of uncertain origin.
Control hemodynamicly STABLE VT when cardioversion is unsuccessful. adjunct to cardioversion of SVT and PSVT. rate control in atrial fib/flutter. |
low pressure due to fast ventricles.
adjunct to. rate control. |
|
Amiodarone:
Contraindications: |
Bradycardia,
2nd or 3rd deg. heart block, hypotension, Pulmonary congestion Cardiogenic shock. |
too slow,
no electrical flow, no pressure, no exchange, no pump. |
|
Amiodarone:
Adverse Reactions: |
Cardio- Bradycardia, hypotension, asystole/cardiac arrest, AV block, Torsades De Pointes,
GI and Hepatic- nausia, vomiting, abmormal liver function test. skin- slate blue other- fever, headache, dizziness, abnormal salivation, photo phobia. |
cardio- slow or no heart output.
av trouble French word. GI- sick skin- color Other- 6items |
|
Amiodarone:
Adult dose: |
Antiarrhymics are additive and proarrhythmic with Amiodarone.
300mg fast push without a pulse in d5w. 150mg over 10min with a pulse in d5w. After successful defib. 1.0mg/min for 6hrs, then up to 0.5mg/min for 18hrs. Max of 2.2 over 24hrs. |
fast push dead
slow push 1/2 dead infuse rate. |
|
Amiodarone:
Pediatric dose: |
with a pulse, 5mg/kg over 20-60 min. 15mg/kg max dose.
without a pulse, 75-150mg/kg fast IV push. |
1/2 adult dose
|
|
Atropine Sulfate:
Brand name: |
Atropine
|
same
|
|
Atropine Sulfate:
Class: |
Parasympatholtic, Antimuscarinic, anticholinergic, parasympathetic antagonist, parasympathetic blocker
|
5 items
|
|
Atropine Sulfate:
Mechanism of Action |
Competitive antagonist of acetylcholine, blocking parasympathetic response.
Increased Chronotriopic effect. |
vagal
|
|
Atropine Sulfate:
Indications and field use: |
symptomatic bradycardia
Asystole (after epi) PEA with Bradycardia (after epi) Acetylcholinesterase inhibitor poisoning. Bronchospasm, 3rd line |
slow or no heart
poison breathing |
|
Atropine Sulfate:
Contraindications: |
acute narrow angle Glaucoma (relative)
|
relative eye bp
|
|
Atropine Sulfate:
Adverse reactions: |
over stimulation of the sympathetic system, agitation, delirium.
|
remove the parasympathetic system..
|
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Atropine Sulfate:
Adult Dose: |
Bradycardia- 0.5-1.0mg rapid IV push every 3-5min to Max 3mg if symptoms profound (0.03-0.04mg/kg)
Asystole or PEA with Brady- 1.0mg rapid IV push every 3-5 Max 3mg. Cholinergic or Organo. poisoning- 2.0-5.0mg IV repeat in 5 min. unlimited max. Bronchospasm- 1.0mg SVN repeat in 30 min per med control. |
Bradycardia
asystole poisoning bronchospasm |
|
Atropine Sulfate:
Pediatric Dose: |
Bradycardia only- 0.02mg/kg (min 0.1mg)IV push after epi repeat 1 time.
Max single dose- Child 0.5mg Adolescent 1 mg Bronchospasm- 0.5 mg SVN. repeat 30min per med control. |
Bradycardia
Bronchospasm |
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Albuterol:
Brand Name: Class: |
Proventil, Ventolin.
Sympathomimetic, Bronchodilator. |
|
|
Albuterol:
Mechanism of Action: |
Beta agonist (b2), Relaxes Bronchial smooth muscle. relaxes Vascular and uterine smooth muscle. decreases airway resistance.
|
relax
|
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Albuterol:
Indications and field use: |
Treatment of bronchospasim
|
upper airway
|
|
Albuterol:
Contraindications: |
Synergistic with other Sympathomimetics.
Caution in Diabetes, hyperthyroidism, cerebriovascular disease. Trycyclic Antidreprents (TCA's) nad Monoamine oxidose inhibitors (MAO's). Other Sympathomimetics (relative). |
circulation
tca mao |
|
Albuterol:
Adverse Reactions: |
CV- Dysrhythmias, tachycardia, Peripheral Vasodilation.
Resp- bronchospasm (rare) CNS- tremors, Nervousness GI- Nausea, Vomiting Endocrine- Hyperglycemia |
CV
Resp CNS GI Endo |
|
Albuterol:
Adult Dose: |
2.5mg SVN
repeat per med control. |
SVN.
|
|
Albuterol:
Pediatric Dose: |
Under 40lbs Half premix (1.25mg) SVN + 1.5ml NS.
Repeat per med control. |
1/2
|
|
Bretylium Tosylate:
Brand Name: Class: |
Bretylol
Antiarrhythmic |
bret
cardiac |
|
Bretylium Tosylate-
Mechanism of action- |
Causes release of Norepinephrin, Depressed ventricular fibrillation and ectopy. Suppressed Vent Tachydysrhythmias from reentry
|
Nor
fig reentry |
|
Bretylium Tosylate-
Indications and field use- |
Ventricular Fibrillation, Pulseless VT, VT with a pulse, wide complex tachycardia of unknown origin AFTER other pharmacological therapy.
Lidocaine allergy |
VTs
lido |
|
Bretylium Tosylate-
Contraindications- |
NONE in life-threatening arrhythmias
|
how many?
|
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Bretylium Tosylate-
Adverse Reactions- |
CV: hypertension initially, hypotensioin 15-20 min ager administration.
increased sensitivity to catecholamines. angina or bradydysrhythmias. GI Nausea/vomiting after rapid IV. |
CV high then low
also sensitive pain and slow GI sick |
|
Bretylium Tosylate-
Adult Dose- |
pulseless 5mg/kg rapid, flush with 20ml NS. repeat at 10mg/kg rapid, thereafter repeat at 5-30 min to 35mg/kg/day infuse 2mg/min.
with a pulse 5mg/kg in 50-100 NS over 8-10, repeat 5-10mg/kg or infuse at 2mg/min. infuse at 1-2mg/min |
pulseless bolus,repeat. and infuse
w/pulse bolus diluted, repeat, and infuse |
|
Bretylium Tosylate-
Pediatric Dose- |
Same as adult (rarely given)
|
remember adult?
|