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CCAC Pharmacology > Med indcations > Flashcards

Med indcations Flashcards

1
Q

EPINEPHRINE CLASS:

A

SYMPATHETIC AGONIST

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2
Q

NITROGLYCERIN CLASS:

A

: ANTI-ANGINAL AGENT

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3
Q

EPINEPHRINE DOSE:

A

1:10,ooo | 1 mg IV/IO 3-5 minutes
1:1,ooo | 0.3 mg IM (AAC)
5 mg nebulizer (Stridor)
Pediatric: 0.01 mg/kg

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4
Q

EPINEPHRINE INDICATIONS:

A

1:10,ooo | Cardiac arrest
1:1,ooo | Asthma, anaphlaxis, COPD

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5
Q

EPINEPHRINE ADVERSE REACTIONS:

A

N/V, palpatations, headaches,
nervousness

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6
Q

EPINEPHRINE CONTRAINDICATIONS:

A

Hypersensitivity/allergic, tachycardia,
or hypertensive

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7
Q

NITROGLYCERIN CLASS:

A

: ANTI-ANGINAL AGENT

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8
Q

NITROGLYCERIN ADVERSE REACTIONS:

A

Dizziness, headache,
hypotension

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9
Q

NITROGLYCERIN DOSE:

A

04.mg SL 3-5 minutes,
IV nitroglycerin 10-50 mcg/min

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10
Q

NITROGLYCERIN CONTRAINDICATIONS:

A

Hypersensitivity/allergic, ED Meds
last 48 hours, hypotension, right
ventricular infarction

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11
Q

NITROGLYCERIN INDICATIONS:

A

Chest pain / ACS / CHF

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12
Q

NITROGLYCERIN MECHANISM OF ACTION:

A

Vasodilator, relaxes smooth muscle,
decreases preload & oxygen demand. D

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13
Q

NOREPINEPHRINE CLASS:

A

: SYMPATHETIC AGONIST

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14
Q

NOREPINEPHRINE MECHANISM OF ACTION:

A

Naturally occurring catecholamine that
acts on both the alpha and beta receptors
as a agonist. Potent vasoconstrictor,
increased blood pressure. Alpha effects
tend to be more profound

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15
Q

NOREPINEPHRINE INDICATIONS:

A

Shock (to maintain blood pressure/tissue
perfusion), severe hypotension, and
post resuscitation

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16
Q

NOREPINEPHRINE CONTRAINDICATIONS:

A

Hypersensitivity/allergic, tachycardia

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17
Q

NOREPINEPHRINE ADVERSE REACTIONS:

A

Palpations, anxiety, tachycardia,
tremors

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18
Q

NOREPINEPHRINE DOSE:

A

1-30 mcg/min via IV pump

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19
Q

NOREPINEPHRINE SPECIAL CONSIDERATION:

A

One of the strongest vasopressors
available, monitor blood pressure
closely.

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20
Q

DOPAMINE CLASS:

A

SYMPATHETIC AGONIST

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21
Q

DOPAMINE MECHANISM OF ACTION:

A

Dopamine is a sympathetic agonist that
acts on alpha1, beta1 and D1 + D2
(dopamine) receptors, which effect depends on thedose. Alpha1
: Vasoconstriction |Beta1
: Increased HR/contractility | D1+D2
:
increased blood flow, kidneys/intestines

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22
Q

DOPAMINE INDICATIONS:

A

Hypotension (severe), cardiogenic shock,
bradycardia (if atropine doesn’t work)

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23
Q

DOPAMINE CONTRAINDICATIONS:

A

Adrenal tumor, hypovolemic shock

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24
Q

DOPAMINE ADVERSE REACTIONS:

A

N/V, palpatations, headaches,
nervousness

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25
Q

DOPAMINE DOSE -

A

Titrate to Effect:
D1+D2: 2-5 mcg/kg/min
Beta1: 5-10 mcg/kg/min
Alpha1: 10-20 mcg/kg/min
Pedi: 2-20 mcg/kg/min
ALL IV DRIPS

26
Q

DOPAMINE SPECIAL CONSIDERATION:

A

Make sure your IV is patent and secured.
Fix hypovolemia before using dopamine.

27
Q

AMIODARONE CLASS:

A

: ANTI-DYSRHYTHMIC

28
Q

AMIODARONE MECHANISM OF ACTION:

A

Prolongs the action potential and
refractory period, slows electrical
conduction rate. Sodium, calcium,
potassium channel blocker

29
Q

AMIODARONE INDICATIONS:

A

V-tach, V-fib, wide complex
rapid tachycardia

30
Q

AMIODARONE CONTRAINDICATIONS:

A

Hypersensitivity/allergic, bradycardia

31
Q

AMIODARONE ADVERSE REACTIONS:

A

Dizziness, drowsiness

32
Q

AMIODARONE DOSE:

A

Arrest: 150-300 mg IV/IO
Stable: 150mg over 10 mins via IV/IO drip

33
Q

AMIODARONE SPECIAL CONSIDERATION:

A

Vitals and ECG before and after
administering with cardiac monitoring,
this medication has a half life of 45 days.

34
Q

LIDOCAINE CLASS

A

: ANTI-DYSRHYTHMIC

35
Q

LIDOCAINE MECHANISM OF ACTION:

A

Sodium channel blocker
that decreases ventricular
irritability and reduces the
speed of impulses.

36
Q

LIDOCAINE INDICATIONS:

A

V-Tach / V-Fib

37
Q

LIDOCAINE CONTRAINDICATIONS:

A

Hypersensitivity/allergic,
bradycardia

38
Q

LIDOCAINE ADVERSE REACTIONS:

A

Anxiety, N/V, drowsy

39
Q

LIDOCAINE DOSE:

A

1 mg/kg IV/IO

40
Q

LIDOCAINE SPECIAL CONSIDERATION:

A

Cardiac monitoring, consider
12-lead ECG after administering,
use a different IV site if giving
after amiodarone

41
Q

ATROPINE CLASS:

A

ANTI-CHOLINERGIC AGENT

42
Q

ATROPINE MECHANISM OF ACTION:

A

Potent parasympatholytic, that inhibits
actions of acetylcholine. Thus indirectly,
increased HR and AV conduction, decreases
GI secretions and dilates pupils.

43
Q

ATROPINE INDICATIONS:

A

Organophosphate poisoning,
symptomatic bradycardia.

44
Q

ATROPINE CONTRAINDICATIONS:

A

Hypersensitivity/allergic, tachycardia

45
Q

ATROPINE ADVERSE REACTIONS:

A

Tachycardia, flush, hot skin

46
Q

ATROPINE DOSE:

A

Bradycardia: 0.5-1 mg IV/IO every 3-5
mins as needed.
Organophosphate OD: 2mg, then 4mg,
then 8 mg, can be given every 5 minutes
until desired effect achieved.

47
Q

ATROPINE SPECIAL CONSIDERATION:

A

Your RSI protocol may include atropine
to be given prior to intubation to decrease
chance of reflex bradycardia.

48
Q

ADENOSINE CLASS:

A

: ANTIDYSRHYTHMIC

49
Q

ADENOSINE MECHANISM OF ACTION:

A

Derived from the breakdown of ATP,
adenosine slows AV conduction,
decreases HR, acts as a “chemical
cardioversion”

50
Q

ADENOSINE INDICATIONS:

A

SVT | Rapid tachycardias

51
Q

ADENOSINE CONTRAINDICATIONS:

A

Bradycardia, hypersensitivity/allergic

52
Q

ADENOSINE ADVERSE REACTIONS:

A

Palpitations, near-syncope,
dizzness, lightheadedness, chest
pain, flushing, anxiety.

53
Q

ADENOSINE DOSE:

A

Adult: 6 mg, rapid IV/IO push. Can be
followed up by 12 mg.
Pediatrics: 0.1 mg/kg

54
Q

ADENOSINE SPECIAL CONSIDERATION:

A

While giving drug press print button
on monitor to have print out of the effect
on ECG. Do your best to get IV placement
in AC or higher with larger bore.

55
Q

DILTIAZEM CLASS:

A

: CALCIUM CHANNEL
BLOCKER

56
Q

DILTIAZEM MECHANISM OF ACTION:

A

A calcium channel blocker, slows AV
conduction, results in decreased HR/BP.
Decreased oxygen demand on heart.

57
Q

DILTIAZEM INDICATIONS:

A

Rapid atrial fibrillation, rapid atrial flutter,
can be used as second line treatment after
adenosine for SVT.

58
Q

DILTIAZEM CONTRAINDICATIONS:

A

Bradycardia, hypersensitivity/allergic,
hypotension

59
Q

DILTIAZEM ADVERSE REACTIONS:

A

Bradycardia, hypotension,
dizziness, lightheadedness, syncope

60
Q

DILTIAZEM DOSE:

A

0.25 mg/kg IV/IO (common dosing
would be 15 mg IV/IO in adult for
example)

61
Q

DILTIAZEM SPECIAL CONSIDERATION:

A

Watch closely for hypotension or
bradycardia after administering, use
cardiac monitoring and consider a
12-lead ECG.

CCAC Pharmacology (12 decks)

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