Cardiac Meds Flashcards by Maria Pruneda

When is Epinephrine indicated?

Cardiac arrest

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Epinephrin dosage

1:10000 1.0mg (Adults) 0.01mg/kg (children)

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when is Norepinephrine (Levophed) indicated?

Hypotension

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Norepinephrine dosage

0.1-0.5 mcg/min.

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When is Phenylephrine indicated?

used to support BP in shock.

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Phenylephrine dosage

100-180mcg/min

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When is Isoproterenol (Isuprel) indicated?

shock resulting in bradycardias.

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Isoproterenol dosage

2mcg/mL

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When is Dopamine indicated?

Hemodynamically significant hypotension.

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Dopamine dosage

800mg in 500mL. 1600 mcg/mL.

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When is Dobutamine (Dobutrex) Indicated?

Short term management of CHF.

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Dobutamine dosage

2-20 mcg/kg/min

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When is Inamrinone indicated?

short term management of severe CHF refractory to diuretics, vasodilators, and conventional inotropic agents.

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Inamrinone dosage

5-10 mcg/kg/min

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When is Milrinone (Primacor) indicated?

short term management of CHF

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Milrinone dosage

50 mcg/kg

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When is vasopressin (pitressin) Indicated?

increase vascular resistance during CPR

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Vasopressin dosage

40 units

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When is Propranolol (Inderal) indicated?

Stable, narrow-complex tachycardias if rhythm remains uncontrolled or unconverted by adenosine or vagal maneuvers or recurrent SVT.
control ventricular rate in patients with a-fib or a-flutter
certain forms of polymorphic VT (associated with acute ischemia, familial long QT syndrome, catecholaminergic.

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Propranolol dosage

0.5-1.0mg

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When is metoprolol (Lopressor) Indicated?

used in pts with suspected or definite acute myocardial infarction who are hypertensive and do not have any contraindications. stable narrow complex tachycardias, control ventricular rate in pts with A-fib/a-flutter. certain forms of polymorphic VT.

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Metoprolol dosage

5mg

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When is Labetalol (Trandate, Normodyne) indicated?

acute management of hypertensive emergency.

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Labetalol dosage

20mg slowly by IV.
500mg can be added to 250mL of D5W

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When is Atenolol (tenormin) indicated?

stable, narrow-complex tachycardas control ventricular rates in pts with a-fib/a-flutter polymorphic VT.

Atenolol dosage

5 mg

When is Esmolol (Brevibloc) Indicated?

stable, narrow-complex tachycardias. controlled Ventricular rates in pts with a-fib/a-flutter. certain forms of polymorphic VT.

When is Lidocaine (Xylocaine) indicated?

Ventricular tachycardia and ventricular fibrillation refractory to amiodarone.

Lidocaine dosage

1.0-1.5 mg/kg

When is procainamide (Pronestyl) indicated?

Ventricular tachycardia with a pulse. It can be used in the treatment of pre-excited a-fib.

Procainamide dosage

20-50 mg/min

When is Adenosine (Adenocard) indicated?

Tachycardias refectory to vagal maneuvers including supraventricular tachycardia.

Adensoine dosage

1st dose 6mg 2nd dose 12mg

When is Verapamil (Isoptin, Calan) indicated?

only be given to narrow-complex tachardias.

Verapamil dosage

2.5-5mg

When is Diltiazem (cardizem) indicated?

Narrow-complex tachycardias.

Diltiazem dosage

15-20mg

When is Amiodarone (Cordone) Indicated?

Life threatening cardiac arrythmias such as ventricular tachycardia and ventricular fibrilation.

Amiodarone Dosage

intital dose 300mg. 150mg for repeated dosages.

When is phenytoin (Dilantin) Indicated?

used in life threating arrhythmias resulting from digitalis toxicity or tricyclic antidepressant overdose. ventricular arrythmias in the setting of acute myocardial infarction should first be treated.

Phenytoin dosage

100mg

When is Edrophonium chloride (Tensilon) Indicated?

PSVT refectory to vagal maneuvers and adenosine.

Edrophonium Chloride dosage

5mg initially, secondary 10mg.

When is Magnesium sulfate indicated?

used in torsade de pointes

Magnesium sulfate dosage

1-2g

When is Atropine Sulfate indicated?

Atropine is used in hemodynamically significant bradycardia with a pulse.

Atropine Sulfate dosage

0.5mg

When is digoxin indicated?

In the emergency setting, digoxin is used in the following stabel narrow-complex regular tachycardias, or to controll VT.

Digoxin dosage

0.25mg

When is Heparin Indicated?

used to inhibit clot formation in acute coronary syndrome.

Heparin Dosage

Adult dosage (acute STEMI and unstable angina) 60 units/kg Adult dosage (NSTEMI and unstable angina) 60-70 U/kg

When is Enoxaparin (Lovenox) indicated?

used to inhibit colt formation in ACS

Enoxaparin dosage

Adult dosage (STEMI) 30mg.

When is Colpidogrel (Plavix) indicated

used for treatment of ACS

clopidogrel dosage

ACS non-ST-segment elevation 300mg followed by 75mg. STEMI-75 mg Recent MI-75mg

When is Abciximab (repro) indicated?

cardiac ischemia

Abciximab dosage

0.25mg/kg

When is Eptifibatide (Integrilin) indicated?

ACS

Eptifibatide dosage

180mcg/kg

When is Tirofiban (Aggrastat) Indicated?

ACS

Tirofiban dosage

0.4mcg/kg/min

When is streptokinase (streptase) Indicated?

ACS

Streptokinase dosage

1.5 million units over an hour.

When is Anistreplase (Eminase, Apsac) indicated?

ACS

Anistreplase dosage

30 units

When is Alteplase, tissue plasminogen Activator (Activase) indicated?

ACS

Activase dosage

100mg

When is Tenecteplase (TNKase) indicated?

ACS

Tenecteplase dosage

based on weight.

When is Reteplase Recombinant (Retavase) indicated?

ACS

Retavase dosage

10 units

When is sodium bicarb indicated?

used in selected overdoses and poisonings.

Sodium bicarb dosage

1 mEq/kg

When is Morphine Sulfate indicated?

used for sever pain associated with myocardial infarction, kidney stones, and so froth.

Morphine sulfate dosage

2-10mg

When is Nitrous Oxide (Nitronox, Entonox) indicated?

CNS depressant

Nitrous Oxide dosage

self administered

When is Furosemide (Lasix) indicated?

is used as an adjunct to nitroglycerin and ACE inhibitors in CHF and pulmonary edema.

Lasix dosage

40 mg

When is Bumetanide (Bumex) indicated?

used as an adjunct for Nitroglycerin.

Bumax doasgae

0.5-1.0 mg

When is Nitroglycerin (Nitrostat) indicated?

used for chest pain associated with acute coronary syndrome and acute pulmonary edema. CHF.

Nitroglycerin dosage

0.4mg

When is Nicardipine (Cardene) indicated?

hypertensive emergency

Nicardipine dosage

5mg/hr.

When is Clevidipine (cleviprex) indicated?

hypertensive emergencies

Clevidipine dosage

1-2 mg/hr

When is Nifedipine (Procardia, Adalat) indicated?

chronic hypertension and angina pectoris.

Nifedipine Dosage

10-20 mg

When is Enalaprilat (Vasotec) indicated?

hypertension and CHF

Enalaprilat dosage

1.25-5mg

When is Captopril (Capoten) Indicated?

Hypertension and CHF.

Capropril dosage

12.5-25mg

When is Sodium Nitroprusside (Nitropress, Nipride) indicated?

hypertensive emergency

Nitroprusside dosage

50mg

When is Hydralazine (Apresoline) Indicated?

hypertensive emergencies.

Hydralazine dosage

10-20mg

When is Calcium chloride indicated?

acute hyperkalemia, acute hypocalcemia.

Calcium Chloride dosage

2-4mg

Cardiac Meds Flashcards

(99 cards)