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Basic Medications
| Question | Answer |
|---|---|
| Morphine: | IV, Analgesic, opioid/narcotic, short acting Narcan reversal |
| Diazepam: | Oral/IV, Sedation, (Valium), Benzodiazepine class Flumazenil reversal |
| Midazolam: | IV, sedation, (Versed), Benzodiazepine class Flumazenil reversal |
| What is a benzodiazepine reversal agent? | Flumazenil |
| Meperidine: | IM, Analgesic, (Demerol), narcotic/opioid, Dont use with asthma or breathing problems Narcan reversal |
| Fentanyl: | IV, Analgesic,(Sublimaze) narcotic/opioid, |
| Lanoxin: | Digox Digitek, Treats heart hailure. helps it beat stronger/regular/ and atrial fib |
| Milrinone: | Vasodilator, (Primacor) |
| Plavix: | Blood clot preventor, blood thinner, (clopidogrel) stroke/heart attack |
| Coumadin: | (Warfarin), Blood thinner, Prevent clots, |
| Lasix: | (Furosemide), Diuretic may be given to CHF |
| Dopamine: | (Intropin) causes more intense contractions, raise BP, Heart failure |
| Penicillin: drugs end in "cillin" | (Amoxicillin), antibiotic, |
| Inderal: | (Propranolol)(Metoprolol)(Lopressor) beta blocker, treats high BP, angina, and afib |
| Acetylcholine: | Helps with muscular contractions |
| Dobutamine: | (Dobutrex) stimulates cardiac muscle, used for low cardiac output |
| Verapamil: | (Isoptin) Calcium channel block/anti hypertensive drug/ treats high BP severe angina, and arrhythmia |
| Benadryl: | (Diphenhydramine) antihistamine |
| Prednisone: | (Deltasone) Glucocorticoid, Steroid, treats inflammation |
| Solumedrol: | (Methylprednisolone), Glucocorticoid, Steroid, treats inflammation |
| Decadron: | (Dexamethasone) Glucocorticoid, Steroid, treats inflammation |
| Abciximab: | (Reopro) Blood thinner, clot preventer Glycoprotein IIb/IIIa inhibitors |
| Protamine: | Heparin reversal, dont use on diabetics |
| Cimetadine: | (Tagamet) Antacid and antihistamine |
| Drug class Ia , Ib, Ic: | Sodium channel blockers aka Na blockers |
| Drug class II: | Beta 1 channel blockers |
| Drug class III: | Potassium channel blockers aka K blockers |
| Drug class IV: | Calcium channel blockers aka Ca blockers |
| Ia: Na blockers; prolongs action potential | Procainamide, quinidine |
| Ib: Na blockers; shortens action potential | Lidocaine |
| Ic: Na blockers; | Fecainide, propafenone |
| Beta 1 blockers: | inderal, timolol, metoprolol |
| K blockers: | Amiodarone, sotalol |
| Ca blockers: | Diltiazem, verapamil, nifedipine |
| Nifedipine: | (procardia) Ca blocker, treats high BP, angina, |
| Heparin antagonist: | Protamine |
| Demerol/morphine antagonist: | Naloxone (narcan) |
| Midazolam antagonist: | Romazicon, flumazenil |
| tPA antagonist: | amicar, aminocaprolc |
| Warfarin antagonist: | Vitamin K |
| Stimulate: low BP due to vasodilation? | stimulate alpha 1 |
| stimulate: Asthma with broncho-constriction | stimulate beta 2 |
| Stimulate: Cardiac depression with low HR | Stimulate beta 1 |
| Stimulates what? Alpha 1 | Vascular smooth muscle |
| Stimulates what? Beta 1 | Heart muscle and AV node |
| Stimulates what? Beta 2 | Lung bronchioles |
| Adrenergic ANS receptors: Alpha 1 adrenergic? | Arteriolar vasoconstriction |
| Adrenergic ANS receptors: Beta 1 adrenergic? | +chronotropic and +inotropic |
| Adrenergic ANS receptors: Beta 2 adrenergic? | Bronchodilation (lung) |
| Adrenergic ANS receptors: Parasympathetic? | - Chronotropic |
| 1mg of epie for every 250ml (true or false) | True |
| Dopamine: low dosage? | CHF dose to raise HR, BP and urinary flow 1-4 |
| Dopamine: Mid dosage? | in shock, increases CO 4-10 |
| Dopamine: High dosage? | Peripheral vasoconstrictor 10+ |
| Vasopressin is not recommended for? | asystole and PEA |
| Vasopressin dosage? | 1 time, 40 units IV push |
| Examples of pressor agents are? | Dopamine,Aramine |
| What beta adrenergic agonist is used in the cath lab to stress a pt.'s heart? | Isoproternol (Isuprel) |
| Dosage: Epinephrine: | 1mg |
| Dosage: Amiodarone: | 300mg |
| Dosage: Lidocaine: | 1-1.5mg |
| Dosage Magnesium Sulfate: | 1-2 g IV |
| Dosage: Procainamide: | 20-50mg |
| Dosage: Bicarbonate: | 1mEq |
| ACLS 1st line drug to terminate narrow complex tachycardia in stable pt.? | Adenosine |
| Half life of injected IV adenosine is? | 5 sec |
| First dose of adenosine? | 6mg |
| Second dose of adenosine? | 12mg |
| What may amiodarone cause? | Hypotension and Bradycardia |
| Class III drug similar to amiodarone? | Sotalol (betapace) |
| Elimination half life of amiodarone? | 4-8 weeks |
| The effects of IV lidocaine? | Ventricular arrhythmias, not for atrial converts unidirectional block to bidirectional reduces effective refractory period of purkinje fibers |
| Too rapid an injection of Procainamide may cause? | Hypotension |
| Procainamide doage in cardiac arrest? | 20-50mg SLOWLY |
| Acet;ylsalicylic acid: | Aspirn |
| Abciximab: | Reopro |
| Eptifibatide: | Integrilin |
| Aggrastat: | Tirofiban |
| Thrombin inhibitor? | Bivalirudin (anigomax) |
| Most common adverse effects of NITRO | Headache, Hypotension |
Created by:
IdAhOmEyEr
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