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medic 17 drug cards > cardiac meds > Flashcards

cardiac meds Flashcards

(67 cards)

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1
Q

Aspirin

Name

A

Acetylsalicylic Acid

St Josephs Children

Bayer

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2
Q

Aspirin

Class

A

Analgesic, antipyretic, platelet inhibitor, anti-inflammatory

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3
Q

Aspirin

Description

A

Aspirin inhibits agents that cause the production of inflammation, pain and fever. It relieves mild to moderate pain by acting on the peripheral nervous system, lowers body temperature in fever and powerfully inhibits platelet aggregation

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4
Q

Aspirin

Indication

A

Chest pain suggestive of an MI

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5
Q

Aspirin

Contraindications

A

Hypersensitivity to salicylates, active ulcer disease, asthma

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6
Q

Aspirin

Precautions

A

Bleeding disorders

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7
Q

Aspirin

Dosage/Route

A

324mg PO (chewable)

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8
Q

Atropine

Name

A

Atropine

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9
Q

Atropine

Class

A

parasympatholytic

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10
Q

Atropine

Description

A

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

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11
Q

Atropine

Indications

A

Hemodynamically significant bradycardia, and organophosphate poisoning

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12
Q

Atropine

Contraindications

A

None in the emergency setting. 2nd degree type 2 and above heart blocks are class 2b (not recommended)

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13
Q

Atropine

Precautions

A

AMI, glaucoma

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14
Q

Atropine

Dosage/Route

A

Symptomatic bradycardia: 0.5-1.0mg IV/IO ET. Repeat 3-5 mins to 3mg
Pedi: 0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5 min up to 1 mg

Organophosphate Poisoning: 2-5 mg IV/IM/IO/10 to 15 mins
Pedi: 0.05mg/kg IV/IM/IO/10-15 mins

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15
Q

Dobutamine

Name

A

Dobutrex

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16
Q

Dobutamine

Class

A

Sympathomimetic

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17
Q

Dobutamine

Description

A

Dobutamine is a synthetic cetecholamine and beta agent that increases the strength of cardiac contraction without appreciably increasing rate

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18
Q

Dobutamine

Indication

A

To increase cardiac output in congestive heart failure/cardiogenic shock

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19
Q

Dobutamine

Contraindications

A

Hypersensitivity to sympathomimetic amines, ventricular tachycardia and hypovolemia without fluid resuscitation

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20
Q

Dobutamine

Precautions

A

Atrial fibrilation or preexisting hypertension

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21
Q

Dobutamine

Dosage/Route

A

2-20 mcg/kg/min IV

Pedi: 2-20 mcg/kg/min IV

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22
Q

Dopamine

Name

A

Intropin

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23
Q

Dopamine

Class

A

Sympathomimetic

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24
Q

Dopamine

Description

A

Dopamine is a naturally occurring catecholamine that increases cardiac output without appreciably increasing myocardial oxygen consumption. It maintains renal and mesenteric blood flow while inducing vasoconstriction and increasing systolic blood pressure

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25
Dopamine Indication
Nonhypovolemic hypotension (70-100mmHg) and cardiogenic shock
26
Dopamine Contraindications
Hypovolemic hypotension without aggressive fluid resuscitation, tachydysrhythmias, ventricular fibrilation, and pheochromocytoma
27
Dopamine Precautions
Ensure adequate fluid resuscitation of the hypovolemic patient
28
Dopamine Dosage/Route
2-20 mcg/kg/min, 5 mcg/kg/min starting cardiac dose, titrated to effect Pedi: 2-20 mcg/kg/min, 5 mcg/kg/min starting cardiac dose
29
Diltiazem name
Cardizem
30
Diltiazem Class
Calcium channel blocker
31
Diltiazem Description
Diltiazem is a slow calcium channel blocker similar to verapamil. It dilates coronary and peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vascular resistance
32
Diltiazem Indications
Supraventricular tachydysrhythmias (atrial fibrilation, atrial flutter, and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina
33
Diltiazem Contraindications
hypersensitivity, sick sinus syndrome, 2nd or 3rd degree heart block, systolic BP
34
Diltiazem Precautions
CHF (especially with beta blockers), conduction abnormalities
35
Diltiazem Dosage/Route
0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5-10 mg/hr not to exceed 15mg/hr over 24 hours Pedi: not used
36
Epinepherine Name
Adrenalin
37
Epinepherine Class
Sympathomimetic
38
Epinepherine Description
Epi is a naturally occurring catecholamine that increases heart rate, cardiac contractile force, myocardial electrical activity, systemic vascular resistance, and systolic blood pressure and decreases overall airway resistance and automaticity. It also, through bronchial artery constriction may reduce pulmonary congestion and increase tidal volume and vital capacity
39
Epinepherine Indications
To restore rhythm in cardiac arrest, severe allergic reaction, severe SOB, bradycardia 3rd line except peds
40
Epinepherine Contraindications
Narrow angle glaucoma, hemorrhagic, traumatic or cardiac shock
41
Epinepherine Dosage/Route Arrest
1mg of 1:10,000 IV 3-5 min (ET: 2-2.5 mg of 1:1,000) Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1000) all subsequent doses 0.1 mg/kg IV/IO no max
42
Epinepherine Dosage/Route bradycardia
(2-5 mcg/min) IV drip mix 1mg/250cc pedi: 0.01 mg/kg
43
Isoproterenol name
Isuprel
44
Isoproterenol Class
Sympathomimetic
45
Isoproterenol Description
Isoproterenol is a synthetic sympathomimetic that results in increased cardiac output by increasing the strength of cardiac contraction and somewhat increasing rate
46
Isoproterenol Indication
Bradycardia refractory to atropine when pacing is not available
47
Isoproterenol Contraindications
cardiogenic shock
48
Isoproterenol Precautions
tachydysrhythmias and those associated with digitalis and acute myocardial infarction
49
Isoproterenol Dosage/Route
Bradycardia: 2-10 mcg/min titrated to cardiac rate Pedi: 0.1 mcg/kg/min titrated to cardiac rate
50
Metoprolol name
Lopressor
51
Metoprolol Class
Beta Blocker
52
Metoprolol Description
Metoprolol is a beta-adrenergic blocking agent that reduces heart rate, cardiac output, and BP
53
Metoprolol Indications
AMI, Recurrent or unconverted SVT
54
Metoprolol Contraindications
Cardiogenic shock, sinus bradycardia 0.24, asthma or COPD, inferior wall MI
55
Metoprolol Precautions
hypersensitivity, hepatic or renal impairment, CHF controlled by digitalis and diuretics, AV conduction defects, diabetics, or peripheral vascular disease
56
Metoprolol Dosage/Route
5mg slow IV q 5 min up to 3 doses while watching the PT heart rate and blood pressure
57
Milrinone name
Primacor
58
Milrinone Class
Cardiac Inotrope, Vasodilator
59
Milrinone Description
Milrinone is related to amrinone and increases the strength of cardiac contraction without increasing rate, increasing cardiac output without increasing oxygen demand
60
Milrinone Indications
CHF, or pediatric septic shock
61
Nitroglycerin Name
Nitrostat
62
Nitroglycerin Class
Nitrate
63
Nitroglycerin Description
Nitro is a rapid smooth muscle relaxant that reduces peripheral vascular resistance, blood pressure, venous return and cardiac workload.
64
Nitroglycerin Indications
Chest pain associated with angina and acute myocardial infarction, and acute pulmonary edema.
65
Nitroglycerin Contraindications
Hypersensitivity, tolerance to nitrates, severe anemia, head trauma, hypotension, increased ICP, patients taking ED drugs, glaucoma and shock
66
Nitroglycerin Precautions
May induce headache that is sometimes severe. Nitroglycerin is light sensitive and will lose potency when exposed to the air
67
Nitroglycerin Dosage/Route
1 tablet (0.4 mg/ 1-150gr) SL. may be repeated 3-5 minutes up to 3 doses. or 1 inch of nitropaste

medic 17 drug cards (75 decks)

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