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25 Cards in this Set
- Front
- Back
Adenosine
Class |
Endogenous Nucleoside
|
|
Adenosine
Action |
*Slows electrical impulses through the AV node and inhibits re-entry pathway converting SVT to NSR
*Onset= 30 sec *Duration= 1-2 minutes |
|
Adenosin
Indications |
SVT
|
|
Adenosine
Contraindications |
* 2nd and 3rd degree av heart blocks
* Sick Sinus Syndrome (without implanted pacemaker) |
|
Adenosine
Side Effects |
*SOB/Dyspnea; may cause bronchospasms in pt's with asthma (BHPO)
*Chest Pressure/Palpitations; May be acute in some pt's for brief period *Dizzy/lightheaded/headache *Nausea *Transient arrythmias; (bradycardias, AV Blocks, Sinus Pause, Ventricular Ectopy) Generally not trated and are self limititng |
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Aspirin
Class |
Salicilate
|
|
Aspirin
Action |
* Inhibits the normal tendency for platelets to accumulate inside injured or occluded cardiac arteries thereby promoting better blood flow through the vessels to better profuse the heart
*onset= 15 to 30 minutes *duration= several days antiplatelet effect |
|
Aspirin
Contraindication |
NONE
|
|
Aspirin
Side Effects |
*GI Upset - indigestion, N/V, heartburn, Epigastric Pn
*Occult Bleeding |
|
Atropine
Class |
Anticholinergic
|
|
Atropine
Action |
*Competes with acetylcholine for receptor sites blocking the PNS response at the SA & AV nodes
*increses heart rate by increaseing electrical conduction through heart *Inhibits secretions by decreasing PNS effect on Bronchial, salivary, sweat and GI glands *onset= 1 to 2 minutes IV *Duration= 2-6 hours |
|
Atropine
Indications |
*Asystole - Pea wiht bradycardia <60
*Unstable Bradycardia *OPP poisoning |
|
Atropine
Contraindications |
NONE
|
|
Atropine
Side Effects |
*Tachycardia/palpations
*Dry mouth/ N/V / *Pupil Dilation/ Blurred Vision *Flushed/ Hot/ Dry skins |
|
Dopamine
intropin Class |
Sympathomimetic
Both alpha and beta properties |
|
Dopamine
intropin Action |
*in low doses, selectively dilates blood vessels supplying brain, kidneys, heart and GI tract
*in med to high doses, increases cardiac output by increasing contractility and stroke volume thereby increasing blood pressure *at high doses causes vasoconstriction ad increased heart rate *Onset= 5min *duration= Effects stop approx 10 minutes after drip is stopped |
|
Dopamine
intropin Indications |
*discomfort/pain of suaspected cardiac origin with associated shock
*Shock- normovolemic (neurogenic, anaphilactic, septic) *bradycardia after max atropine |
|
Dopamine
intropin Contraindications |
NONE
|
|
Dopamine
intropin Side Effects |
*at high infusion rates, hypertension & vasoconstriction may occur
*at low rate hypotension may occur *tachycardias/ palpitations *increased myocarial O2 demand |
|
EPI
Class |
sympathomimetic (both alpha and beta effects
|
|
Epi
Action |
*on the bronchi- bronchodilation (beta 2)
*on the heart- ^increased heart rate beta1 - chronotropic ^increased contractility - inotropic ^increased AV conduction- dromotropic ^increased automaticity- dromotropic *Onset- IV/ET 1-2min, SC 5-10min *duration 5-10min |
|
EPI
Indications RESPRITORY |
*resp distres with brochospasms
*allergic reaction with severe resp distress / bronchospasm or exsposure to allergen with precious severe reaction and onset of any allergic symptoms. *resp distress with stridor in pediatric pt's |
|
Epi
Indications |
*Respritory distress with bronchospasms
*allergic reaction / anaphylaxis with severe resp distree/ bronchospasm or exsposure to allergen with previous severe reaction and onset to any allergic symptoms *anaphylaxis *pulseless rhythms, cardiac arrest, unmonitored arrest *resp. distress in pediatric with stridor |
|
EPI
contraindications |
NONE
|
|
EPI
Side Effects |
*anxiety/restlessness
*Palpit |