Cardiac Flashcards
Ketamine provides…
Analgesia, amnesia, sedation, and no respiratory depression
Ketamine antidote
None. O/D treated symptomatically
Paralytic antidote
Sugammedex
Succinylcholine
Short acting
Used in RSI
S/E: lethal hyperkalemia
C/I: renal disease, hx malignant hyperthermia
Vecuronium
Medium acting
Use: continuous infusion
Onset: 30 seconds, Duration: 25-30 min
Rocuronium
Medium acting
Use: intubation in renal disease
Store in fridge
Cisatracurium
Long acting
Onset: 1-3 min, duration: 50-60 min
Etomidate
Supplements anesthesia in intubation, no analgesia
Need practitioner present who can intubate
No cardiac effects
Dexmedetomidine
Provides sedation, amnesia, and analgesia Use: ETOH W/D No respiratory depression Monitor BP, HR, SaO2 Onset: 2-6 min EXPENSIVE
Benzodiazepine antidote
Flumazenil
Benzodiazepines
Better for long term sedation
*drug holidays
Stays in fat tissue
Propofol
Sedative
Use: head trauma, stroke
Short acting
Lipid based
Change med and tubing q12h
IV doses: 0.3 mg/kg/hr (titrate)
0.3-4 mg/kg/hr
max: 3mg/kg/hr
Green urineVasopressin
Given w/ norepinephrine Not usually titrated Caution in CAD Use: shock Infuse at low dose 0.03 units/min
Norepinephrine
Levophed!
Action: vasoconstriction, increase BP and CO
Use: open heart, cardiogenic shock
S/E: peripheral cyanosis
Low doses: <2 mcg/kg/min
Beta1 stimulation, positive inotrope positive chronotrope
High doses: >4 mcg/min
Vasoconstriction, increased SBP, increased PVR
Epinephrine
Action: stimulates alpha (high doses) and beta (low doses)
Relaxes smooth muscle
Use: post open heart, anaphylaxis (epipen), IV vasopressin in shock
*ACLS: 1st drug in cardiac arrest 1mg IVP
