Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Drugs > On board drugs > Flashcards

On board drugs Flashcards

(51 cards)

Start Studying
1
Q

What class is Furosemide:

A

Loop diuretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Another name for Furosemide:

A

Lasix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What route is Furosemide given:

A

IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the dose for Furosemide:

A

Adult: .5-1 mg/kg over 1-2 min if no response, double the dose to 2 mg/kg slowly over 1-2 min

Pedi: 1 mg/kg/dose (max total dose: 6 mg/kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the drug action for Furosemide:

A

A potent diuretic that inhibits sodium and chloride reabsorption at the proximal and distal tubules and the ascending loop of henle; decreases osmotic gradient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the indications for Furosemide:

A

Acute pulmonary edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the precautions for Furosemide:

A

Monitor B/P and ECG closely, document urine output, give after Nitro if it was given

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the side effects of Furosemide:

A

Hypotension, electrolyte imbalance (hypochloremia, hypokalemia, hyponatremia, hypocalcaemia, hyperglycemia), dry mouth, and ototoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the contraindicatoins for Furosemide:

A

Anuria, hypersensitivity, hypovolemia/dehydration, severe electrolyte depletion (hypokalemia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is another name for Vasopressin:

A

Pitressen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What class is Vasopressin:

A

Naturally occuring antidiuretic hormone (ADH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the dose for Vasopressin:

A

Adult: CPR, 40 U only one time; this replaces the 1st or 2nd dose of Epi

Pedi: Currently not recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the drug action of Vasopressin:

A

Potent peripheral vasoconstrictor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the indications for Vasopressin:

A

Alternate pressor for Epi for patients in cardiac arrest, low resistance shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the precautions for Vasopressin:

A

In responsive Pt, watch for the development of cardiac ischemia and angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the side effects for Vasopressin:

A

Chest pain, abdominal distress (stimulates contraction of the smooth muscle of the digestive tract), bronchoconstriction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the contraindications for Vasopressin:

A

Responsive patients with coronary artery disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is another name for Amiodarone:

A

Cordarone, Palerone, Nextrerone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What drug class is Amiodarone:

A

Therapeutic class: Antiarrhythmic

Pharmacologiv class: Benzofuran Dernative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What route is Vasopressin given:

A

IVP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What route is Amiodarone given:

22
Q

What is the dose for Amiodarone:

Study These Flashcards
A

Adult: Cardiac arrest: 1st 300 mg IV/IO; 2nd (if needed) 150 mg

Pedi: Refactory VF, pulseless VT: 5 mg/kg IV/IO (15 mg/kg 24 hrs) max: 300 mg

23
Q

What is the drug action of Amiodarone:

Study These Flashcards
A

Complex drug alters movement of sodium, calcium, and potassium through normal channels

It has alpha and beta clockers; increase refactory period of all cardiac tissue

Slows repolarization and dcreases automaticity

24
Q

What are the indications for Amiodarone:

Study These Flashcards
A

VF/VT cardiac arrest unresponsive to CPR, shock and vasopressor

Recurrent, hemodynamically unstable VT, option in stable wide QRS tachycardia

25
What are the side effects of Amiodarone:
Rapid infusion may lead to hypotension, headache, heart block, bradycardia, CHF, liver and thyroid abnormalities. Dizziness, flushing, and abnomal salivation
26
What are the precautions for Amiodarone:
Dont administer with other drugs that prolong QT interval, may potentiate bradycardia and hypotension with beta blockers and calcium channel blockers
27
What are the contraindicatoins for Amiodarone:
In patients hypersensitive to drug or to iodine, in pts in cardiogenic shock, 2nd or 3rd degree AV block, brady unless pacemaker present, dont administer with other drugs that prolong QT intervals, trauma pts, use cautiously in pts with pulmonary, hepatic, or thyroid disease
28
What is the drug class for Procainamide:
Antidysrhythmic (IA)
29
What route is Procainamide given:
IVPB (after lidocaine and not if amiodarone is given)
30
What dose is Procainamide:
Adult: 20-50 mg/min IV for urgent ventricular rhythms- max total 17 mg/kg (1gm) Pedi: Loading dose 15 mg/kg IVPB over 30-60 min
31
What are the drug actions of Procainamide:
Increases effects of skeletal muscle relaxants, other antiarrhythmics
32
What are the indications for Procainamide:
Reentry SVT (PSVT) uncontrolled by adenosine and vagal maneuvers if normotensive, atrial fib with rapid rate in WPW syndrome, stable wide-complex regular tachy with a pulse- usually after lidocaine
33
What are the precautions for Procainamide:
Be very aware of the potent vasodilating and negative inotropic effects, montior B/P and pulse ox, have pt on cardiac monitor with 12 lead, use with caution with other drugs that prolong QRS interval
34
What are the side effects of Procainamide:
Hypotension in pts with imparied LV function, bradycardia, reflex tachycardia, heart block, VT/VF/Asystole, QRS widening, less frequently PR and QT prolongation, CNS-rare
35
What are the contraindications for Procainamide:
2nd and 3rd degree clocks (complete heart blocks) without pacemaker, digitalis toxicity, torsades de pointes, tricyclic antidepressant toxicity, prexisting hypotension
36
What is the class of Dopamine:
Sympathomimetic
37
What route is Dopamine given:
Always IVPB
38
What is the dose for Dopamine:
Adult: Bradycardia: 2-10 mcg/kg per min, Cardiogenic shock: 5-10 mcg/kg per min, Post cardiac arrest hypotension: 5-10 mcg/kg per min Pedi: Not used
39
What are the drug actions for Dopamine:
In low doses (renal doses): dopaminergic effects- increases perfusion to kidneys and abdominal organs In moderate doses (cardiac doses): stimulate beta 1 receptors causing beta 1 adrenergic effects that increase the rate and force of ventricular contractoins High doses (vasopressor doses): alpha adrenergic effect producing peripheral arterial and venous contriction
40
What are the precautions for Dopamine:
Monitor B/P and pulse ox, have patient on monitor with 12 lead and large bore IV, monitor urinary output, dont mix with sodium bicarb, use infusion pump if possible, correct hypovolemia 1st- dont use vaseopressors
41
What are the indications for Dopamine:
Hemodynamically significant hypotension in the absence fo hypovolemia, hypotension (SBP 70 to 90) with S/S of cardiogenic shock, post cardia arrest (ROSC) treatment of hypotenisve SBP \<90, systemic bradycardia if atropine ineffective (2nd line drug)
42
What are the side effects of Dopamine:
Tachycardia- dose related, hypertension, increased myocardial oxygen demand- angina, headache, nausea/vomitting, palpitations, ventricular arrhythmias- esp with high dose, tissue necrosis
43
What are the contraindications for Dopamine:
Hypvoloemic shock, tachydysrhythmias, v-fib, patients with pheochromocytoma (adrenal gland tumor)
44
What is another name for Lidocaine HCL:
Xylocaine
45
What drug class is Lidocaine:
Ventricular Anti-Arrhythmic
46
What route is Lidocaine given:
IV/IO
47
What is the dose for Lidocaine:
Adult: V-fib/pulseless V-tach: 1.5 mg/kg; unstable V-tach: 1-1.5 mg/kg, stable V-tach: 1 mg/kg, salvos or runs of V-tach or PVCs 1 mg/kg; repeat doses at .5-.75 mg/kg; ETT dose is 2-2.5 X IV dose max dose is 3 mg/kg Pedi: 1 mg/kg 10-20 min half life
48
What are the indications for Lidocaine:
Ventricular rhythms of irritability: PVCs (usually \>6 min) with AMI, runs of V-tach, V-fib
49
What are the precautions for Lidocaine:
Consider reduced dose if \>65 y.o., or those with PMHX of liver disease or CHF, beware of "caine" allergies, short half life- hang a GTT post bolus of re-bolus, continually montior ECG, B/P and LOC
50
What are the side effects for Lidocaine:
Toxicity: Early- drowsy, dizzy, lightheaded. Late- hypotension, bradycardia, seziure, change in LOC
51
What are the contraindicatoins for Lidocaine:
Ventricular escape beats/rhythms associated with bradycardia or heart blocks

Drugs (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions