Flashcards in Meds Deck (127)
Epinephrine is considered what type of drug?
The vasopressor epinephrine is used in _________ at 1mg every 3-5 min and __________ at 2-10 mcg per min?
Cardiac arrest (Vfib, pulseless vt, pea, and a systole)
The vasopressor epinephrine is used in cardiac arrest (Vfib, pulseless vtach, pea, and a systole) at ______________ and refractory bradycardia at ____________?
1 mg every 3-5 min
2-10mcg per min
The vasopressor epinephrine (increase/decrease) cardiac output and can (increase/decrease) myocardial and coronary blood flow during CPR?
Increase CO and increase Myocardial/coronary blood flow.
After administering epinephrine it is standard to follow with a _____________ to help circulate the epinephrine in the body.
20ml flush of IV fluid
This vasopressor is used in replace of the 1st or 2nd dose of epinephrine?
40 units IV vasopressin
Vasopressin is a vasopressor used in lieu of which vasopressor?
1st or 2nd dose of epinephrine
Which vasopressor is a natural anti diuretic hormone which can prove to be a powerful vasoconstrictor at high doses?
Which vasopressor can be administered with a low BP (sys <70-100) and bradycardia after atropine?
Dopamine at 2-20 mcg/kg/min
The vasopressor ________ can be used in depressed cardiac function, cardiogenic shock, and hemodynamically significant hypotension
Dopamine at 2-20 mcg/kg/min
The vasopressor Dopamine can be used in which 3 situations, 1. depressed cardiac function 2. cardiogenic shock and 3 _______________ and at what dosage?
Hemodynamically significant hypotension - 2-20 mcg/kg/min
The vasopressor Dopamine can be used in which 3 situations, 1. depressed cardiac function 2. _____________ and 3 Hemodynamically sign. hypotension, and at what dosage?
Cardiogenic shock - 2-20mcg/kg/min
The vasopressor Dopamine can be used in which 3 situations, 1. ______________ 2. cardiogenic shock and 3 Hemodynamically sign hypotension, and at what dosage?
depressed cardiac function - 2-20 mcg/kg/min
This vasopressor is used after atropine
Dopamine at 2-20 mcg/kg/min
Dopamine is used to improve _____ , BP, hypotension, and bradycardia
Dopamine is used to improve _____ , cardiac output, hypotension, and bradycardia
Dopamine is used to improve _____ , BP, cardiac output, and bradycardia
Dopamine is used to improve _____ , BP, hypotension, and cardiac output
This vasopressor also goes by the name levophed
This vasopressor also goes by the name norepinephrine
Indications for this specific vasopressor __________ are - cardiogenic shock and severe hypotension not caused by hypovolemia
This vasopressor ________at ________ can help with cardiogenic shock and severe hypotension not caused by hypovolemia
Norepi at 0.1-0.5 mcg/kg/min
Norepinephrine at dosages of 0.1-0.5 mcg/kg/min can help with cardiogenic shock and _________?
Severe hypotension not caused by hypovolemia
Norepinephrine or levophed at dosages of 0.1-0.5 mcg/kg/min can help with severe hypotension not caused by hypovolemia and __________?
This vasopressor increases myocardial oxygen demand?
Norepi/Levophed have the ability to (increase/decrease) myocardial oxygen demand?
At what dose should norepi/levophed be given?
This vasopressor should never be mixed with sodium bicarb
The last pressor of choice should always be _______ and not mixed with sodium bicarb
This pressor is used in patients that have pump problems, syst bp of 70-100 and NO signs of shock
dobutamine @ 2-20ug/kg/min
Dobutamine is a _______ and has a dosage of _______
vasopressor and 2-20ug/kg/min
Dobutamine is used for shock (true or false)
Dobutamine at 2-20ug is used for a sys bp of ______ and NO signs of _______
70-100 and no signs of shock
This vasopressor is also a phosphodiesterase enzyme inhibitor
Inamrinone or Amrinone is used at what dosage"?
0.75 mg/kg over 2-3 minutes and not to exceed 1mg/kg
Inamrinone is also called ______ and has a dosage of _______ not to exceed _______
Amrinone - 0.75mg/kg over 2-3 minutes and not to exceed 1mg/kg
Amrinone is also called _______ and has a dosage of _____ and is not to exceed _____
inamrinone - 0.75mg/kg over 2-3minutes and not to exceed 1mg/kg
This vasopressor is an phosphodiesterase inhibitor used at 0.75 mg/kg and treats CHF that is refractory to diuretics, vasodilators, and inotropic agents.
Amrinone is used to treat CHF refractory to which 3 drugs
diuretics, vasodilators, and inotropic agents
If you have a patient with CHF and conventional diuretics, vasodilators, and inotropic agents fail which drug can be used?
Amrinone at 0.75 mg/kg over 2-3 minutes not to exceed 1mg/kg
Amrinone or Inamrinone has a dosage of 0.75mg/kg over what time period?
This vasopressor has a dosage of 50mcg/kg over 10 minutes
Milrinone is a vasopressor used over 10 minutes at what dosage?
Milrinone is used at 50mcg/kg over 10 minutes for Myocardial dysfunction, increased PVR & SVR, CHF in post op cardiovascular patients, and shock with high SVR (true or false)
Milrinone is used at 50mcg/kg over 10 minutes for ___________, increased PVR/SVR, CHF in post op heart patients, and shock with high SVR
Milrinone is used at 50mcg/kg over 10 minutes for myocardial dysfunction, increased ________, CHF in post op heart patients, and shock with high SVR.
Milrinone is used at 50mcg/kg over 10 minutes for myocardial dysfunction, increased SVR/PVR, ________________, and shock with high SVR
CHF in post op heart patients
Milrinone is used at 50mcg/kg over ten minutes for myocardial dysfunction, increased SVR/PVR, CHF in post op heart patients and _______________?
shock with high SVR
Amiodarone is classified as an __________
Amiodarone which is an Anti-arrhythmic is used for cardiac arrest at what dosages?
300mg 1st dose and 150 mg for the 2nd dose
Amiodarone is used for cardiac arrest (300mg 1st, 150mg 2nd) and tachycardia in what dose?
150mg over 10 minutes
Amiodarone is used as an antiarrhythmic, VF/VT pulseless (TorF)
Amiodarone is used in what dose managing tachycardia with a _______ QRS?
150mg over 10 minutes in a wide QRS >0.12
Amiodarone is used at 150mg over 10 minutes for _____________ with a _______ QRS?
tachycardia with a wide QRS >0.12
This antiarrhythmic is used in lieu of Amiodarone
Lidocaine is an anti-A that can be used for Ventricular Ectopy PVCs, Vtach, Wide complex tach, and refractory Vfib at what dose?
1-1.5mg/kg 1st, 0.5-0.75mg/kg 2nd not to exceed 3mg
Lidocaine is an anti-A that can be used for _______, vtach, widecomplex tach, and refractory vfib?
ventricular ectopy PVCs
Lidocaine is an anti-A that can be used for ventricular ectopy PVCs, ________, and refractory vfib?
Lidocaine is an anti-A that can be used for ventricular ectopy PVCs, widecomplex tach, and ____________?
In VF/VT the dosages for lidocaine are?
For refractory vfib the dosage of lidocaine is?
0.5-0.75mg/kg not to exceed 3mg
For ectopy, VT, or wide complex tach the dosage of lidocaine is?
0.5-0.75 mg/kg up to 1-1.5mg/kg not to exceed 3mg
Magnesium Sulfate is classified as an?
Magnesium Sulfate is used at what dosage for torsades, or suspected hypomagnesium state(malnutrition)?
1-2grams diluted in 10ml of D5W over 5-20 min
Magnesium sulfate is used in ____________ and a suspected hypomagnesium state (malnutrition)?
Magnesium Sulfate is used in torsades and ___________
suspected hypomagnesium state (malnutrition)
The drug Atropine is classified as an _______ and has what dosage?
Antiarrhythmic 0.5-1mg over 3-5 minutes
Atropine is an Anti-A used for what?
Atropine is used for bradycardia at what dose?
0.5mg-1mg over 3-5minutes
Atropine WILL NOT work on 2nd degree type 2, and 3rd degree heart block (TorF)
Atropine may worsen ischemia and should not be used in patients with tachycardia, afib, aflutter, and glaucoma. (TorF)
Atropine is used at 0.5-1mg for bradycardia and ________________
Atropine is used at 0.5-1mg for __________ and Asystole/PEA
Adenosine is classified as an _____________ and has what dosage?
Anti-A at 6mg rapid push followed by a 20ml flush, and can be repeated twice at 12mg
Adenosine is an anti-A used for PSVT, widecomplex tach, and to suppress SVT. (TorF)
Adenosine is an anti-a used for ________, wide complex tach, and to suppress svt. At what dose?
PSVT - 6mg rapid push followed by 20ml flush, and can be repeated 2 at 12mg
Adenosine is an anti-a used for PSVT, _________, and to suppress SVT at what dose?
wide complex tach - 6mg rapid push followed by a 20ml flush and can be repeated 2 at 12mg
Adenosine is an anti-a used for PSVT, widecomplex tach, and _____________ at what dose?
to suppress SVT - 6mg rapid push followed by a 20ml flush, and can be repeated 2 at 12mg
Procainamide is classified as an __________ and has what dosage?
Anti-A at 20mg/min with a max of 17mg/kg
Procainamide is used for Stable/mono vtach, Reentry SVT, stable/wide complex tach at what dose?
20mg/min with a max dose of 17mg/kg
Procainamide is used for ____________, reentry svt, and stable/wide complex tach
stable mono vtach
Procainamide is used for stable/mono vtach, __________, and stable/wide complex tach.
Procainamide is used for stable/mono vtach, reentry svt, and ______________
stable/wide complex tach
Ibutilide is classified as an _______
Ibutilide is classified as an anti A at what dosage?
1mg IV over 10 minutes
Ibutilide is an anti A at 1mg IV over 10 minutes for SVT lasting less than _____
Ibutilide is an anti a used at 1mg IV over 10 minutes for?
SVT less that 48hrs
Digoxin is classified as ___________ at what dose?
anti-a at 4-6mcg/kg over 5 minutes
Digoxin is used as an anti a for at what dose?
Afib/aflutter 4-6mcg/kg over 5 minutes
Digoxin is used to slow the ventricular rate in _______
Afib and Aflutter
Digoxin has a dose of _____ and blood levels should be checked for toxicity.
4-6mcg/kg over 5 minutes
Isoproterenol is classified as an _________ at what dose?
Anti A - 2-10ug/minute
Isoproterenol is used as a temporary measure until pacing is available (TorF)
Isoproterenol is used at 2-10ug/min for torsades and ____________ poisoning
beta blocker poisoning
Isoproterenol is used at 2-10ug/min for __________ and beta blocker poisoning
Sodium Bicarb is classified as an _________
Sodium bicarb is used at what dose?
1m/Eq/Kg IV bolus
Sodium bicarb is used for hyperkalemia, bicarb responsiveness acidosis, and _________
prolonged resuscitation with adequate ventilation
Sodium bicarb is used at 1m/Eq/Kg for _________, bicarb responsiveness acidosis, and prolong resus. with adequate ventilation.
Sodium bicarb is used at 1m/Eq/Kg for hyperkalemia, ___________, and prolonged resus with ade ventilation
bicarb responsiveness acidosis
Sotalol is classified as a _________ and used for __________
Beta-Blocker and tachycardia
Sotalol is used for SVTs and Vent arrhythmias at what dosage?
Sotalol is used at 1-1.5mg/kg for _________ and vent arrhythmias
Sotalol is used at 1-1.5mg/kg for SVT and __________
Sotalol should be avoided in patients with _____________ because of its negative inotropic effects
Beta Blockers are most commonly used for High BP, abnormal heart rhythms, angina, and second heart attack (TorF)
Verapamil is classified as an ___________ at what dose?
Ca Channel blocker - 2.5-5mg over 2min 1st, and 5-10mg every 15-30 min with a max dose of 20 mg
Verapamil is used as an alternative for _________
Verapamil is used with a 1st dosge of 2.5-5mg and a 2nd dose of 5-10mg with a max dose of _____
Verapamil is used after Adenosine for SVT, narrow tach, and may control vent response in Afib, Aflut, or Multifocal atrial tachycardia (TorF)
Ca channel blockers main use are for ______
Diltazem is classified as an ________ at what dose?
Ca Chan blocker - 15-20mg over 2 minutes
Diltazem at 15-20mg is used for SVT after adenosine, and controlling Vrate in Afib / Aflutter (TorF)
Diltazem is used at 15-20mg for __________ after adenosine, and controlling vrate in Afib/aflutter
Diltazem is used at 15-20mg for SVT after adenosine, and controlling ____________ in __________
vrate in afib/aflutter
Morphine sulfate has a dosage of ________
2-4mg over 5 minutes
Morphine is used at 2-4mg for _______ and acute cardiogenic pulm edema
chest pain with acs unresponsive to nitrates
Morphine is used at 2-4mg for chest pain unresponsive to nitrates and ____________
cardiogenic pulm edema
Narcan has a dose of ____________
Narcan at 0.4-2mg is used for ___________ intoxication
Nitroglycerin has a dose of
12.5-25ug IV and 0.4mg spray or sublingual
Nitroglycerin is most commonly used for
antianginal for suspected chest pain
Glucagon can be used in treatment for toxic effects of _______________ and _____________
BetaBlockers and Ca Channel Blockers
Nicardipine is used for
Nitroprusside is used for ____________ at 50-100mg to 250ml D5W
ACE inhibitors reduce vascular resistance and blood volume by decreasing ____________ in preventing the conversion of angiotension 1 into angiotension 2
Total peripheral resistance