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Week 1 Flashcards

(29 cards)

1
Q

What is another name for epinephrine?

A

Adrenalin and Adrenaline

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2
Q

What class is epinephrine?

A

Sympathomimetic

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3
Q

What does epinephrine do?

A

Alpha 1, beta 1, beta 2 stimulation in a dose related manner.

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4
Q

Epinephrine is a first line drug for what?

A

V-Fib / Pulseless V-Tach
PEA
Asystole

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5
Q

What is the dose and route of epinephrine (1:10,000)?

A

1.0 mg q 3-5 minutes
IV, IO, ET
No maximum dose

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6
Q

What are the contraindications for epinephrine?

A

Hypovolemic shock
Hypertension
Coronary insufficiency

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7
Q

What are the side effects of epinephrine?

A

Hypertension
Tachycardia
Dysrhythmias

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8
Q

What is another name for lidocaine?

A

Xylocaine

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9
Q

What class is lidocaine?

A

Antidysrhythmic

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10
Q

What does lidocaine do?

A

Increases fibrillation threshold

Decreases ventricular irritability

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11
Q

When should you use lidocaine?

A

Second line drug for v-fib, pulseless v-tach
Optional for v-tach with pulse
First line for v-ectopy

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12
Q

What is the dose and route of lidocaine?

A

1.0-1.5 mg/kg
Max dose is 3.0 mg/kg
IV IO and ET

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13
Q

What are the contraindications for lidocaine?

A

Heart block
Bradycardia
Adam stokes syndrome

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14
Q

What are the side effects of lidocaine?

A

Lightheadedness
Blurred vision
Numbness
Hypotension

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15
Q

What are the special notes for lidocaine?

A

Overdose toxicity causes seizures.

Cut max dose in half for >70 yrs old or anyone with renal or hepatic failure.

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16
Q

What drug class is atropine sulfate?

A

Parasympatholytic

17
Q

What does atropine sulfate do?

A

Enhances sinus automaticity

Enhances AV conduction

18
Q

When do you use atropine sulfate?

A

First line for bradycardia
First line for heart blocks
Organophosphate poisoning

19
Q

What is the dose and route of atropine sulfate?

A

0.5 mg rapid IV or IO (ET normal speed)
Max 3.0 mg adult
Max 0.04 mg/kg pedi

20
Q

What are the contraindications for atropine sulfate?

A

Tachycardia and narrow angle glaucoma

21
Q

What are the side effects of atropine sulfate?

A

Tachycardia and dysthymia

Can cause reflex bradycardia if given too slow or in insufficient quantities.

22
Q

What is a trade name for adenosine?

23
Q

What class of drug is adenosine?

A

Antidysrhythmic

24
Q

What does adenosine do?

A

Interrupts re-entry pathways

Slows av conduction

25
When do you give adenosine?
First line for SVT (Supraventricular Tachycardia)
26
What is the dose and route for adenosine?
6 mg rapid IV or IO - if ineffective - 12 mg rapid IV or IO with a max of 18 mg
27
What are the contraindications for adenosine?
Heart blocks and SSS (Sick Sinus Syndrome)
28
What are the side effects of adenosine?
Chest pain Shortness of breath Nausea
29
What are the special notes for adenosine?
Transient period of asystole - no longer than 10 seconds.