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Med card review for class Flashcards

1
Q

What are other names for Albuterol?

A

Proventil, Ventolin

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2
Q

MOA for Albuterol

A

Albuterol is a beta 2 agonist. Relaxes the smooth muscle in the bronchioles resulting in bronchodilation of the lungs.

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3
Q

Indications for Albuterol

A

Bronchospasm and wheezing (asthma, anaphylaxis, or COPD)

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4
Q

Contraindications for Albuterol

A

Tachycardia, hypertension, and dysrhythmias

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5
Q

Side effects for albuterol

A

tachycardia, hypertension, dysrthymias, n/v, lightheadedness, restlessness, headache, increased sputum, pulmonary edema

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6
Q

Dosage for Albuterol

A

2.5 mg in 3 ml solution.

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7
Q

Onset, peak, and duration of Albuterol

A

Onset 5-15 minutes
Peak 30 min-2hours
duration 3-4 hours

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8
Q

Other name for epinephrine

A

Adrenalin

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9
Q

Medication class for Epi

A

Sympathomimetic

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10
Q

MOA for epinephrine

A

Alpha and beta agonist. Alpha 1-vasoconstriction. Beta 1-positive inotrope, chronotropic, and dromotropic. Beta 2-bronchial smooth muscle relaxation. Blocks histamine receptors.

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11
Q

Indications for epinephrine

A

Cardiac arrest, anaphylaxis/allergic reaction, hypotension, symptomatic bradycardia, asthma

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12
Q

Contraindications for epi

A

Relative: tachycardia, hypertension, MI, hypovolemic shock.

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13
Q

Side effects of epi

A

Restlessness, tremor, headache, pulmonary edema, dysrhythmias, chest pain, hypertension, tachycardia, nausea, vomiting

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14
Q

Epi dose for adult allergic reaction and asthma

A

0.3-0.5 mg (1,1000) IM

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15
Q

Epi dose for anaphylaxis

A

0.3-0.5 (1;10,000) IV

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16
Q

Adult cardiac arrest dose for epi

A

1 mg of 1;10,000 epi IV/IO every 3-5 min

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17
Q

Pediatric cardiac arrest dose for epi

A

0.01 mg/kg (1;10,000) IV/IO every 3-5 minutes

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18
Q

Bradycardia or hypotension epi dose

A

2-10 mcg/min

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19
Q

Onset peak and duration of epi

A

Onset- immediate, peak-minutes, duration-several minutes

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20
Q

Other names for aspirin

A

ASA and acetylsalicylic acid

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21
Q

Aspirin medication class

A

Platelet inhibitor (antiplatelet) and NSAID

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22
Q

MOA for aspirin

A

Prevents platelet aggregration
(clumping). Has antipyretic and analgesic properties

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23
Q

Indications for Aspirin

A

Chest pain and suspected MI

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24
Q

Contraindications for aspirin

A

Bleeding disorders, active GI bleed, asthma.
Not recommended for peds

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25
Side effects of aspirin
Excessive bleeding, reyes syndrome, bronchospasm, wheezes, N/V, epigastric distress
26
Dose for aspirin
160-324 po
27
Onset, peak, and duration of aspirin
Onset 5-30 minutes, peak: 1-3 hours, and duration 3-6 hours
28
Another name for amiodarone
Cordarone
29
Medication class for amiodarone
Antidysrhythmic (class 3)
30
MOA for amiodarone
Blocks sodium, potassium, and calcium channel. Prolongs action potential and repolarization. Decreases AV and SA node function.
31
Indications of amiodarone
V-tach with a pulse. Cardiac arrest (pulseless v-tach or v-fib) Stable, regular complex tachycardia following failure to convert from vagal maneuvers or adenosine.
32
Contraindications for amiodarone
Cardiogenic shock, 2nd or 3rd degree AV block, sick sinus syndrome
33
Side effects of amiodarone
ARDS, pulmonary edema, dyspnea, heart failure, bradycardia, hypotension, prolonged QT interval, burning at IV site, steven johnson syndrome
34
Dose for amiodarone
Adult v-fib or pulseless v-tach; 300 mg IVP followed by 150 IVP after 3-5 minutes Wide complex tachycardia: 150 ml in 100ml over 10 minutes Pediatric v-fib or pulseless v-tach; 5mg/kg IVP, repeat once in 3-5 minutes
35
Amiodarone Onset, peak, and duration
Onset-30min-2hrs. Peak-3-7 hours. Duration-Unknown, 40 day half life
36
Another name for lidocaine
Xylocaine
37
Medication class for Lidocaine
Anti dysrhythmic, local anesthetic
38
MOA for lidocaine
Cardiac-Decreases automaticity by slowing rate of depolarization in phase 4
39
Indications for lidocaine
Cardiac arrest: v-fib and pulseless v-tach Wide complex tachycardia Local anesthetic for procedures such as IO (2-3mg IO)
40
Contraindications for lidocaine
2nd or 3rd degree AV block. Stokes adam syndrome
41
Side effects for lidocaine
Respiratory arrest, hypotension, bradycardia, dysrhythmias, AV block, cardiac arrest, seizures, AMS
42
Dosage for lidocaine
Adult cardiac arrest VT/VF: 1-1.5mg/kg IVP repeat once at 0.5-0.75mg/kg V-tach with pulse: 1-4mg/min Pediatric Cardiac arrest (VT/VF): 1mg/kg repeat once (not the prefered antidysrhythmic)
43
Onset, peak, duration for lidocaine
Onset: 1-5 minutes, Peak-5-10 minutes, Duration 15min-2hrs
44
Calcium chloride
Calcium Gluconate
45
Medication class for CC/CG
Electrolyte
46
MOA for CC/CG
Counteracts toxicity of hyperkalemia by stabilizing the membranes of cardiac cells
47
Indications for CC/CG
Hyperkalemia, hypermagnesemia, hypocalcemia, beta blocker overdose, calcium channel overdose
48
Contraindications for CC/CG
Hypercalcemia, digitalis toxicity, V-fib
49
Side effects for CC/CG
Cardiac arrest, dysrhythmias, hypotension, bradycardia, tissue necrosis at injection site, artery spasm, and metallic taste
50
Dose for CC/CG
Adult:500-1000 mg IV (0.5-1 gram)
51
Pediatric dose for CC/CG
20 mg/kg IV
52
Onset, peak, and duration for CC/CG
Onset-2 minutes, peak-varies, Duration-Chloride (25 min) and Gluconate (1 hr)
53
Another name for Adenosine
Adenocard
54
Medication class for Adenosine
Anti-dysrhythmic
55
Mechanism of action for Adenosine
Slows conduction through the AV node
56
Indications for Adenosine
Narrow complex tachycardia
57
Contraindications for Adenosine
2nd or 3rd degree AV block, sick sinus syndrome, broncho-constrictive lung disease, drug induced tachycardia Not effective in converting Wide complex tachycardia, a-fib, a-flutter Wolff Parkinson White syndrome
58
Side effects of Adenosine
Does not have an effect if pushed slowly so needs to be pushed FAST. Bronchospasm, palpitations, flushing, nausea, diaphoresis. There will be a period of dysrhythmia or asystole
59
Dosage for Adenosine
Adult; 6 mg fast IVP followed by 10cc flush, if no response, may repeat at 12 mg fast IVP. Peds; 0.1 mg/kg rapid IVP. Repeat with double dose
60
Onset, peak, and duration of Adenosine
Onset-immediate, Peak-seconds, duration-12 seconds Half life of 10 seconds
61
Medication name; Atropine
62
Medication class for Atropine
Anticholinergic and vagolytic
63
MOA for Atropine
Inhibits action of acetylcholine Blocks vagal effects Inhibits muscarinic receptors
64
Indications for atropine
Bradycardia, organophosphate poisoning, nerve agent exposure, BB or CCB overdose
65
Contraindications for Atropine
Tachycardia, MI, glaucoma, hypothermic bradycardia, hemorrhage. If using to treat bradycardia, won't work on transplanted heart or AV block.
66
Side effects of Atropine
paradoxical bradycardia when too low of dose is pushed, or pushed too slow. Palpitations, headache, tachycardia, dry mouth/nose/skin, blurry vision, flushed skin
67
Dosage for Atropine
Adult bradycardia: 1mg IV every 3-5 min up to 3 mg Peds bradycardia:
68

Medication Administration (3 decks)

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