Cardiology Spring 2016 Quiz 1 Flashcards
(32 cards)
Adenosine
Class
Antidysrhythmic
Adenosine
Brand
Adenocard
Adenosine
MOA
- Slows SVTs
- Decreases conduftion through the AV node w/out causing negative inotropic effects
- Acts on sinus pacemaker cells and vagal nerve terminal to decrease chronotropic effects
Adenosine
Indications
Narrow complex SVT
Adenosine
Contraindications
- Drug induced tachy
- 2nd & 3rd degree block
- hypersensitivity
- AFib & AFlutter (will not work on these)
- WPW
Adenosine
Adverse Reactions
- Light Headed
- Diaphoresis
- Palpitations
- Chest Pain
- Flushing
- Hyoptensions
- Sinus Brady/Pause
- Metallic Taste
- Asystole
- Block
Adenosine
Dose/Route
Adult:
1st- 6mg RAPID IV push
2nd- 12mg IV, IO with procedure
Pedi:
1st- 0.1mg/kg RAPID IV Push
2nd: 0.2mg/kg RAPID IV Push , MAX single dose 12mg (<50kg)
Adenosine
Specials
- Preg. Class C
- May produce prief period of asystole
- Caffine inhibits interaction
- Proximal Vein
- Large bore catheters
- Push FAST and elevate
Atropine Sulfate
Brand
N/A
Atropine Sulfate
Class
Anticholinergic
Atropine Sulfate
MOA
- Inhibits actions of acetylcholine at postganglionic parasympathetic receptor sites
- Blocks parasympathetic stimulation
Atropine Sulfate
Indications
- Symptomatic Bradycardia
- Organophosphate or Nerve gas poisoning
Atropine Sulfate
Contraindications
- Hypersensitivity
- Unstable cardiovascular status
Atropine Sulfate
Adverse Reactions
- Tachy
- Palpitations
- Dysrhythmias
- Headache
- Dizziness
- N/V
Atropine Sulfate
Dose/Route
Bradycardia:
Adult: 0.5mg q3-5min. up to 3mg MAX single dose IV/IO
Pedi: 0.02mg/kg repeated once up to 1mg IV/IO
Poisoning:
Adult: 3-5mg q5-15min. IV/IO
Pedi: 0.02-0.05mg/kg IV/IO
RSI: 0.01-0.02mg/kg max singel dose 0.5mg IV/IO
Atropine Sulfate
Specials
- Preg. Class C
- Causes Pupil Dilation
- 1st Ling drug for symptomatic Brady
- DON’T use in heart transplant patients
- Use in RSI to prevent vagal Nerve activation
Diltiazem
Brand
Cardizem
Diltiazem
Class
Calcium Channel Blocker
Diltiazem
MOA
- Slows down Conduction
- Increases AV node refractory
- Causese Coronary/Peripheral Vasodialation
- Used after Adenosine for reentry SVT in Pt. w/ Narrow QRS
- Blocks Calcium
- Decreases ventricular response
Diltiazem
Indications
- A.Flutter
- Recurrent SVT
Diltiazem
Contraindications
- Wide QRS complex
- 2nd & 3rd degree heart block
- Hypotension
- Cardiogenic shock
- Hypersensitivity
- Dysrhythmias assoc. w/ reentry (WPW)
- Short PR intervals
- V.Tach
- MI
- Lg. amount of Depressants
Diltiazem
Adverse Reactions
- A.Flutter
- 1st & 2nd degree heart block
- Bradycardia
- Hypotension
- Syncope
- N/V
- Dizziness
- Headache
Diltiazem
Dose/Route
Adult:
1st- 0.25mg/kg IV q2min.
2nd- 0.35mg/kg
Pedi: 5-15mg/hr IV drip
Diltiazem
Specials
- Preg. Class C
- Caution w/renal & hepatic Pt.
- Pt. on Beta Blockers
- must be refridgerated
- shelf life of 1month post room-temp.
- Ca++ antidote
- Atropine (to support HR)
