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Drugs ECG
| Question | Answer |
|---|---|
| Oxygen | given to all patients with acute chest pain that may be due to cardiac ischemia, suspected hypoxemia of ay case, and cardiopulmonary arrest. Treatment of the hypoxemia may prevent cardiac arrest. Masks and nasal cannulas used to administer it. |
| Epinephrine | indicated in the management of cardiac arrest. The chance of successful defibrillation is enhanced by administration of epinephrine and proper oxygenation. |
| Isoproterenol (Isuprel) | produces an overall increase in heart rate and myocardial contractility, but newer agents have replaced it in most clinical settings. It is contraindicated in the routine treatment of cardiac arrest. |
| Dopamine (Intropin) | indicated for significant hypotension in the absence of hypovolemia. It should be used at the lowest dose that produces adequate perfusion of vital organs |
| Significant Hypotension | present when systolic blood pressure is less than 90 mmHg with evidence of poor tissue perfusion, oliguria, or changes in mental status. |
| Beta Blockers | reduce heart rate, blood pressure, myocardial contractility, and myocardial oxygen consumption, make them effective in the treatment of angina pectoris and hypertension, prevents atrial fibrillation, atrial flutter, and paroxysmal supraventricular tachyca |
| Propranolol | a beta blocker, beta blockers the adverse effects of them are hypotension, congestive heart failure, and broncho-spasm |
| Metopolol | another beta blocker, beta blockers the adverse effects of them are hypotension, congestive heart failure, and broncho-spasm |
| Atenolol | one of the four beta blockers, beta blockers the adverse effects of them are hypotension, congestive heart failure, and broncho-spasm |
| Esmolol | again another beta blocker, beta blockers the adverse effects of them are hypotension, congestive heart failure, and broncho-spasm |
| Lidocaine | the drug choice for the suppression of ventricular ectopy, including ventricular tachycardia and ventricular flutter. Excess dose can make neurological changes, myocardial depression, and circulatory depression. |
| Neurological Toxicity (Related to Lidocaine) | manfested as drowsiness, disorientation, dcreased hearing ability, paresthesia, and muscle twitching, and eventual seizures |
| Verapamil | used in the treatment of paroxysmal supraventricular tachycardia (PSVT), effective in terminating more than 90% of episodes of PVST in adults and infants. Also useful in slowing ventricular response to atrial flutter and fibrillation. Hypotension could oc |
| Digitalis | increases the force of cardiac contraction as well as cardiac output. Patients require constant monitoring for signs and symptoms of toxicity like yellow vision, nausea, vomiting, and drowsiness |
| Digitalis Toxicity | common with an incidence of up to 20% |
| Morphine Sulfate | the traditional drug of choice for the pain and anxiety asociated with acute myocardial infarction. High doses cause respiratory depression |
| Nitroglycerin | a powerful smooth muscle relaxant effective in relieving angina pectoris. Effective for both exertional and rest angina. Hypotension may occur and patients should be instructed to sit or lie down while taking it |
| Headache | a common consequence following the administration of nitroglycerin |
Created by:
SKIrismay07
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