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Medic 15 Drugs > Cardiac Meds > Flashcards

Cardiac Meds Flashcards

1
Q

Aspirin (Acetylsalicylic Acid)

Class

A

Analgesic, Antipyretic, Platelet Inhibitor, Anti-inflammatory

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2
Q

Aspirin (Acetylsalicylic Acid)

Indication

A

Chest pain suggestive of an MI, mild pain age>16

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3
Q

Aspirin (Acetylsalicylic Acid)

Contraindications

A

Hypersensitivity to salicylates, active ulcer disease, asthma

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4
Q

Aspirin (Acetylsalicylic Acid)

Dosage

A

324mg PO (chewable)

Pain: 324-650 mg PO

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5
Q

Atropine

Class

A

Parasympatholytic

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6
Q

Atropine

Description

A

Blocks the parasympathetic nervous system, specifically the vagal effects on heart rate. May increase myocardial oxygen demand. Decreases airway secretions.

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7
Q

Atropine

Indications

A

Bradycardia, WMD Agents, organophosphate poisoning

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8
Q

Atropine

Dosage Symptomatic Bradycardia

A

Adult: .5-1 mg IV/IO. Repeat 3-5mins up to 3mg

Double dose in endotracheal tube, max 6mg

Pedi: (See color chart) .02 mg/kg IV.

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9
Q

Atropine

Dosage Organophosphate Poisoning

A

Adult: 1-2mg IV/IM/IO or as directed by Med Control
Pedi: .02 mg/kg IV/IM/IO or as directed by Med Control

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10
Q

Dopamine (Intropin)

Class

A

Sympathomimetic

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11
Q

Dopamine (Intropin)

Description

A

Naturally occuring catecholamine that increases cardiac output without appreciably increasing mycardial oxygen consumption. It maintains renal and mesenteric blood flow while inducing vasoconstriction and increasing systolic blood pressure

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12
Q

Dopamine (Intropin)

Indications

A

Nonhypovolemic hypotension (70-100mmHg) and cardiogenic shock

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13
Q

Dopamine (Intropin)

Containdications

A

Hypovolemic hypotension without aggressive fluid resuscitation, tacydysrhythmias, ventricular fibrillation, and pheochromocytoma

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14
Q

Dopamine (Intropin)

Precautions

A

Ensure adequate fluid resuscitation of the hypovolemic patient

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15
Q

Dopamine (Intropin)

Dosage

A

Adult: 2-20 mcg/kg/min starting cadiac dose, titrated to effect
Pedi: same

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16
Q

Diltiazem (Cardizem)

Class

A

Calcium Channel Blocker

17
Q

Diltiazem (Cardizem)

Description

A

Slow calciun channel blocker similar to verapamil. It dilates coronary and peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vasculer resistance

18
Q

Diltiazem (Cardizem)

Indications

A

Narrow complex tachycardia

Mainly A-fib/A-flutter

19
Q

Diltiazem (Cardizem)

Contraindications

A

wide complex tachycardia and WPW

20
Q

Diltiazem (Cardizem)

Dosage

A

Adult: .25 mg/kg IV over 2 mins, may repeat as needed with .35 mg/kg

Pedi: none

21
Q

Nitroglycerin (Nitrostat)

Class

A

Nitrate

22
Q

Nitroglycerin (Nitrostat)

Description

A

Rapid smooth muscle relaxant that reducesperipheral vascular resistance, blood pressure, venous return, and cardiac workload

23
Q

Nitroglycerin (Nitrostat)

Indictions

A

Chest pain associated with angina and acute myocardial infarction, and acute pulmonary edema

24
Q

Nitroglycerin (Nitrostat)

Contraindications

A

Hypersensitivity, tolerance to nitrates, severe anemia, head trauma, hypotension, increased ICP, patients taking ED drugs, glaucoma, and shock

25
Q

Nitroglycerin (Nitrostat)

Precautions

A

May induce headache that is sometimes severe. Light sensitivity and will lose potency when exposed to air

26
Q

Nitroglycerin (Nitrostat)

Dosage

A

1 tablet (.4mg) SL. May be repeated 3-5mins up to 3 tablets
1 inch of topical ontment
.4mg (one spray) SL up to 3 sprays/25mins

27
Q

Norepinephrine

Indication

A

Sepsis - hypotension SBP < 90

28
Q

Norepinephrine

Adult dose

A

Sepsis: 1-10 mcg/kg/min IV/IO

29
Q

Norepinephrine

Pedi dose

A

Sepsis: 0.1-2 mcg/kg/min IV/IO

Medic 15 Drugs (12 decks)

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