Med indcations

Question 1

EPINEPHRINE CLASS:

Answer 1

SYMPATHETIC AGONIST

Question 2

NITROGLYCERIN CLASS:

Answer 2

: ANTI-ANGINAL AGENT

Question 3

EPINEPHRINE DOSE:

Answer 3

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

Question 4

EPINEPHRINE INDICATIONS:

Answer 4

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

Question 5

EPINEPHRINE ADVERSE REACTIONS:

Answer 5

N/V, palpatations, headaches,
nervousness

Question 6

EPINEPHRINE CONTRAINDICATIONS:

Answer 6

Hypersensitivity/allergic, tachycardia,
or hypertensive

Question 7

NITROGLYCERIN CLASS:

Answer 7

: ANTI-ANGINAL AGENT

Question 8

NITROGLYCERIN ADVERSE REACTIONS:

Answer 8

Dizziness, headache,
hypotension

Question 9

NITROGLYCERIN DOSE:

Answer 9

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

Question 10

NITROGLYCERIN CONTRAINDICATIONS:

Answer 10

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

Question 11

NITROGLYCERIN INDICATIONS:

Answer 11

Chest pain / ACS / CHF

Question 12

NITROGLYCERIN MECHANISM OF ACTION:

Answer 12

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

Question 13

NOREPINEPHRINE CLASS:

Answer 13

: SYMPATHETIC AGONIST

Question 14

NOREPINEPHRINE MECHANISM OF ACTION:

Answer 14

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

Question 15

NOREPINEPHRINE INDICATIONS:

Answer 15

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

Question 16

NOREPINEPHRINE CONTRAINDICATIONS:

Answer 16

Hypersensitivity/allergic, tachycardia

Question 17

NOREPINEPHRINE ADVERSE REACTIONS:

Answer 17

Palpations, anxiety, tachycardia,
tremors

Question 18

NOREPINEPHRINE DOSE:

Answer 18

1-30 mcg/min via IV pump

Question 19

NOREPINEPHRINE SPECIAL CONSIDERATION:

Answer 19

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

Question 20

DOPAMINE CLASS:

Answer 20

SYMPATHETIC AGONIST

Question 21

DOPAMINE MECHANISM OF ACTION:

Answer 21

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

Question 22

DOPAMINE INDICATIONS:

Answer 22

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

Question 23

DOPAMINE CONTRAINDICATIONS:

Answer 23

Adrenal tumor, hypovolemic shock

Question 24

DOPAMINE ADVERSE REACTIONS:

Answer 24

N/V, palpatations, headaches,
nervousness

Question 25

DOPAMINE DOSE -

Answer 25

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

Question 26

DOPAMINE SPECIAL CONSIDERATION:

Answer 26

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

Question 27

AMIODARONE CLASS:

Answer 27

: ANTI-DYSRHYTHMIC

Question 28

AMIODARONE MECHANISM OF ACTION:

Answer 28

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

Question 29

AMIODARONE INDICATIONS:

Answer 29

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

Question 30

AMIODARONE CONTRAINDICATIONS:

Answer 30

Hypersensitivity/allergic, bradycardia

Question 31

AMIODARONE ADVERSE REACTIONS:

Answer 31

Dizziness, drowsiness

Question 32

AMIODARONE DOSE:

Answer 32

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

Question 33

AMIODARONE SPECIAL CONSIDERATION:

Answer 33

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

Question 34

LIDOCAINE CLASS

Answer 34

: ANTI-DYSRHYTHMIC

Question 35

LIDOCAINE MECHANISM OF ACTION:

Answer 35

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

Question 36

LIDOCAINE INDICATIONS:

Answer 36

V-Tach / V-Fib

Question 37

LIDOCAINE CONTRAINDICATIONS:

Answer 37

Hypersensitivity/allergic, bradycardia

Question 38

LIDOCAINE ADVERSE REACTIONS:

Answer 38

Anxiety, N/V, drowsy

Question 39

LIDOCAINE DOSE:

Answer 39

1 mg/kg IV/IO

Question 40

LIDOCAINE SPECIAL CONSIDERATION:

Answer 40

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

Question 41

ATROPINE CLASS:

Answer 41

ANTI-CHOLINERGIC AGENT

Question 42

ATROPINE MECHANISM OF ACTION:

Answer 42

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

Question 43

ATROPINE INDICATIONS:

Answer 43

Organophosphate poisoning, symptomatic bradycardia.

Question 44

ATROPINE CONTRAINDICATIONS:

Answer 44

Hypersensitivity/allergic, tachycardia

Question 45

ATROPINE ADVERSE REACTIONS:

Answer 45

Tachycardia, flush, hot skin

Question 46

ATROPINE DOSE:

Answer 46

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.

Question 47

ATROPINE SPECIAL CONSIDERATION:

Answer 47

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

Question 48

ADENOSINE CLASS:

Answer 48

: ANTIDYSRHYTHMIC

Question 49

ADENOSINE MECHANISM OF ACTION:

Answer 49

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

Question 50

ADENOSINE INDICATIONS:

Answer 50

SVT | Rapid tachycardias

Question 51

ADENOSINE CONTRAINDICATIONS:

Answer 51

Bradycardia, hypersensitivity/allergic

Question 52

ADENOSINE ADVERSE REACTIONS:

Answer 52

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

Question 53

ADENOSINE DOSE:

Answer 53

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

Question 54

ADENOSINE SPECIAL CONSIDERATION:

Answer 54

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.

Question 55

DILTIAZEM CLASS:

Answer 55

: CALCIUM CHANNEL BLOCKER

Question 56

DILTIAZEM MECHANISM OF ACTION:

Answer 56

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

Question 57

DILTIAZEM INDICATIONS:

Answer 57

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

Question 58

DILTIAZEM CONTRAINDICATIONS:

Answer 58

Bradycardia, hypersensitivity/allergic, hypotension

Question 59

DILTIAZEM ADVERSE REACTIONS:

Answer 59

Bradycardia, hypotension, dizziness, lightheadedness, syncope

Question 60

DILTIAZEM DOSE:

Answer 60

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

Question 61

DILTIAZEM SPECIAL CONSIDERATION:

Answer 61

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