Drug Quiz 6 - ACLS Drugs Flashcards Preview

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Flashcards in Drug Quiz 6 - ACLS Drugs Deck (87):
1

Cacl2 drug class

mineral/electrolyte

2

Cacl2 moa

increases myocardial contractility and ventricular automaticity

3

Cacl2 onset of action

immediate

4

Cacl2 peak effects

unknown

5

Cacl2 duration of effect

varies

6

Cacl2 half life

n/a

7

Cacl2 indications

hyperkalemia, hypocalcemia, ca2+ channel blocker toxicity, crush syndrome, hypermagnesemia, abdominal muscle spasms from brown recluse spiders or man of war jellyfish, CA secondary to suspected hyperkalemia or known dialysis pt

8

Cacl2 contraindications

hypercalcemia

9

Cacl2 side effects

bradycardia, respiratory depression, syncope, cardiac arrest

10

Cacl2 adult dose

8-16mg/kg or 500-1000 mg

11

Cacl2 pedi dose

20mg/kg

12

Cacl2 precautions

tissue necrosis, digitalis toxicity

13

Cacl2 drug interactions

ppt with nahco3, digitalis toxicity

14

dopamine hcl trade name

intropin

15

intropin generic

dopamine hcl

16

dopamine moa

a1 and b1 agonist

17

dopamine onset of action

<5 min

18

dopamine peak effects

5-8 min

19

dopamine duration of effect

<10 min

20

dopamine half life

2 min

21

dopamine indications

hypotension not called by hypovolemia, cardiogenic shock, symptomatic bradycardia

22

dopamine contraindications

hypovolemic shock where fluid have not been administered to maximum capacity, patients with adrenal gland tumor, tachydysrhythmias and VF

23

dopamine side effects

headache, dysrhythmias, palpitations, chest pain

24

dopamine low dose

2-5mcg/kg/min increases blood flow to gut

25

dopamine medium dose

5-10mcg/kg/min stimulates b1 effects

26

dopamine high dose

10-20mcg/kg/min stimulates a1 effects

27

dopamine precautions

protect from light

28

dopamine drug interactions

deactivated by alkaline solutions, maoi, hypotension with dilantin

29

mag s+ulfate drug class

electrolyte/mineral

30

mag sulfate moa

ca2+ channel blocker, causes cns depression and smooth muscle relaxation

31

mag onset of action

immediate iv, 1 hr im

32

mag peak effects

varies

33

mag duration of effect

1 hr

34

mag half life

n/a

35

mag indications

severe asthma, refractory VF or pulseless VT, torsades, post-mi prophylaxis, eclampsia

36

mag contraindications

3rd degree heart block, shock, severe hypertension, impaired renal function, hypocalcemia

37

mag side effects

bradycardia, respiratory depression, hypotension, flushing

38

mag adult asthma dose

2g in 100cc NS infused over 10 min

39

mag vt, vf, torsades no pulse adult dose

2g over 1-2 min

40

mag vt/torsades + pulse adult dose

1-2g in 50-100 cc NS, over 5-60 min

41

mag eclampsia dose

2-4g over 25 min

42

mag pedi asthma dose

25-50mg/kg over 15-30 min, max dose 2g

43

mag vt-no pulse pedi dose

25-50mg/kg max of 2g

44

mag vt+pulse pedi dose

25-50mg/kg max of 2g over 10-20 min

45

mag precautions

watch for resp. depression, have cacl2 available

46

mag drug interactions

digitalis

47

procainamide trade name

pronestyl

48

pronestyl generic name

procainamide

49

procainamide moa

na+ channel blocker, slows phases IV and 0 of cardiac cycle

50

procainamide onset of action

10-30 min

51

procainamide peak effects

15-20 min

52

procainamide duration of effect

3-6 hrs

53

procainamide half life

3 hrs

54

procainamide indications

persistent cardiac arrest secondary to vf, pvc's, and vt all refractory to lidocaine

55

procainamide contraindications

2/3rd degree heart blocks, pvc's with bradycardia

56

procainamide side effects

hypotension, bradycardia, heart blocks, respiratory and cardiac arrest

57

procainamide adult dose

100mg q5min at 20mg/min; maintenance 1-4mg/min

58

procainamide pedi dose

15mg/kg over 30-60 min

59

procainamide precautions

monitor bp; dc if dysrhythmia is suppressed, hypotension occurs, qrs widens by 50%, or 17 mg/kg has been administered

60

procainamide drug interactions

hypotension when taken with antihypertensives, neurotoxicity with lidocaine

61

sodium bicarb drug class

alkalinizing agent/electrolyte

62

sodium bicarb moa

the bicarb buffer formula

63

sodium bicarb onset of action

immediate

64

sodium bicarb peak effects

<15 min

65

sodium bicarb duration of effect

1-2 hrs

66

sodium bicarb half life

n/a

67

sodium bicarb indications

metabolic but not respiratory acidosis; tricyclic antidepressant OD

68

sodium bicarb contraindications

tums OD and routine cardiac arrest

69

sodium bicarb side effects

none

70

sodium bicarb dose

1 mEq/kg IV

71

sodium bicarb precautions

causes metabolic alkalosis in large quantities

72

sodium bicarb drug interactions

deactivates catecholaines and vasopressors, forms PPT with CaCl2

73

vasopressin trade name

pitressin

74

pitressin generic name

vasopressin

75

vasopressin drug class

vasopressor/hormone

76

vasopression moa

V1 R agonist, releases ca2+ from sarcoplasmic reticulum, sustained contractions by VSMC leading to vasoconstriction

77

vasopressin onset of action

varies

78

vasopressin peak effects

varies

79

vasopressin duration of effects

30-60 min

80

vasopressin half life

10-20 min

81

vasopressin indications

increase peripheral vascular resistance during cpr

82

vasopressin contraindications

none

83

vasopressin side effects

dysrhythmia, bradycardia, blanching of skin, htn, nausea

84

vasopressin adult dose

40 units iv, single dose, to replace 1st or 2nd dose of epi

85

vasopressin pedi dose

none

86

vasopressin precautions

caution with pt's with epilepsy, migraine, asthma, heart failure, angina; may increase myocardial o2 demand

87

vasopressin drug inteactions

none in acls