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nwscc cardiac drugs
Cardiac Drugs up to date
| Question | Answer |
|---|---|
| What Classification is ASA (Aspirin)? | Antiplatlet, nonnarcotic analgesic, antipyretic |
| Prevents platelet aggrigation is the action of what medication? | Aspirin,ASA |
| What are the indications of Aspirin? | Chest pain, angina, MI |
| Anaphalaxis, bronchospasm, Bleeding, stomach irritation, and N/V are the adverse effects of what medication? | Aspirin,ASA |
| GI bleeding, active ulcer disease, hemorragic stroke, bleeding disorders, children with flu like symptoms, and sensitivity are the contraindications of what medication | Aspirin,ASA |
| What is the Dosage for aspirin,ASA for Chest pain/MI? | 4 81mg "baby" aspirin 324mg total or 1 325mg tablet |
| What are some trade names of Nitroglycerin? | Nitrolingual,Nitroquick,Nitro-Dur |
| What is the Classification of Nitroglicerin? | Antianginal agent |
| what are the Indications of Nitroglycerine? | Chest pain/Angina, Myocardial Ischemia |
| Relaxes Vascular smooth muscle reduces left ventricular wall systalic pressure is the action of what medication? | Nitroglycerin |
| What are the adverse effects of Nitrogycerin? | Headache, hypotension, bradycardia, lightheadedness, flushing, cardiovascular collapes, methemoglobinemia |
| what are the contraindications of nitrogycerin? | hypotension,profond bradycardia/tachycardia, increased ICP, intracranial bleeding,patients taking erectile dysfunction medications, and sensitivity to nitrates. |
| What is the dosage for nitrogycerin? | one 0.4mg tablet Sublingual, 5 min intervals 3 dose max One 0.4mg sublingual spray 5 min intervals, 3 spay max |
| An opiate Agonist is the classification of what medication? | Morphine Sulfate |
| What is the Action of Morphine Sulfate? | Binds with opioid receptors, reduces stimulation of the sympatetic nervous system caused by pain or anxiety. |
| Moderate to severe chest pain associated with Acute Coranary Syndrome, CHF, and Pulmonary Edema, are the Indications of what medication? | Morphine Sulfate |
| What are the Adverse Effects of Morphine Sulfate? | Resriratory depression, hypotension, N/V, dizziness, lightheadedness, sedation, Diaphorisis, euphoria,disphoria, worsening of bradycardia/heart blocks,seizures, cardiac arrest |
| Respiritory depression, shock, and sinsitivity are the contraindications of what medication? | Morphine Sulfate |
| What is the dosage of Morphine Sulfate for Pain? | 2.5mg-15mg IV/IO/IM |
| What is the dosage of Morphine Sulfate for Chest Pain? | 2mg-4mg slow IV/IO repeated every 5-15 minutes until patient relieved of chest pain |
| What are the trade names for Metoprolol? | Lopressor, Toprol XL |
| Metoprolol is in what Classification? | Beta adrenergic antagonist, antianginal, antihypertensive |
| Inhibits the streangth of the hearts contractions, as well as heart rate is the action of what medication? | Metoprolol |
| What are the indications for metoprolol? | Acute Coronary Syndrome, hypertension, SVT, A-fib/flutter, thyotoxicosis. |
| What are the Adverse Effects of Metoprolol? | Tiredness, dizziness, diarrhea, heart block, bradycardia, bronchospasm, drop in blood pressure. |
| Cardiogenic Shock, AV Block, bradycardia, and sensitivity are the contraindications of what medication? | Metoprolol |
| What is the adult dosage of Metoprolol? | 5mg slow IV/IO, over 5 min, repeat 5 min intervals up to 15mg |
| What is the Trade name for Atenolol? | Tenormin |
| What is the classification for Atenolol? | Beta adrenergic antagonist, antianginal, antihypertensive, class 2 antiarrhythmic |
| ACS, Hypertension, SVT, Atrial Flutter/Fibrillation are the indications of what medications | Atneolol (Tenormin) |
| What are the Adverse effects of Atenolol? | Bradycardia, brochospasm, hypotension |
| cardiogenic shock, AV Block, bradycardia, and sensitivity are the contraindications of what medication? | Atenolol (tenormin) |
| What is the ACS dosage for Atenolol? | 5mg IV/IO over 5 min repeat in 5 min |
| Atropine Sulfate has what Classification? | Anticholernergic, antimuscarinic. |
| What is the action of Atropine Sulfate? | competes reversably with acytycholine at the site of the muscarinic receptor |
| symptomatic bradycardia, asystole, and PEA is the indication of what medication? | Atropine Sulfate |
| What are the Adverse Effects of Atropine Sulfate? | Decreased secretions resulting in dry mouth and hot skin temperature, intense facial flushing, blurred vision/dialation of pupils, tachycardia, and restlessness |
| What are the contraindications of Atropine Sulfate? | Acute MI, Myasthenia gravis, GI obstruction, slosed angle glaucoma, sensitivity. |
| What dosage of Atropine Sulfate would you administer for sympomatic bradycardia in an adult? | 0.5mg IV every 3-5 min 3mg max |
| What dose of Atropine Sulfate would you administer for an adolescent with sympomatic bradycardia? | 0.02 mg/kg (min dose 0.1mg)(max 1mg/dose)a max of 2mg |
| What dose of Atropine Sulfate would you administer for an pediatric with sympomatic bradycardia? | 0.02 mg/kg (min dose 0.1mg/dose)(max 0.5mg/dose) 1mg max |
| What dose of Atropine Sulfate would you administer for PEA/Asystole? | 1mg IV/IO every 3-5 min. max 3mg |
| What is the Adult Cardiac Arrest dosage for Epinephrine? | 1mg (1:10000) IV/IO every 3-5 min |
| What is the pediatric cardiac arrest dosage for Epinephrine? | 0.01mg/kg (1:10000) IV/IO every 3-5 min PRN |
| What dosage of Epinephrine would you give for adult symptomatic bradycardia? | 2-10 mcg/min infusion |
| What dose of Epinephrine would you administer for a pediatric patient with sympomatic bradycardia? | 0.01 mg/kg every 3-5 min, max dose of 1mg |
| What is the Generic Name for Inotropin? | Dopamine |
| Dopamine is in what classification? | Adrenergic Agonist, inotropic, Vasopressor |
| Dopamine has what action? | stimulates alpha and beta adrenergic receptors. |
| Hypotension, and decreased cardiac output associated with cardiogenic and septic shock, symptomatic bradycardia unresponsive to atropine, hypotension after return of spontainious circulation following arrest are the indications of what medication. | Dopamine |
| Dopamine has what adverse effects? | Tachycardia, arrhythmias, skin/soft tissue necrosis, severe hypertension, angina, dyspnea, headache, and N/V. |
| What are the contraindications of Dopamine? | pheochromocytoma, VT/VF, or other ventricular Arrhythmias and sensitivity |
| what is the dosage for Dopamine? | 2-20 mcg/kg/min titrate to effect. |
| What is the trade name for Adenosine? | Adenocard |
| What is the classification of Adenosine? | Antiarrhythmic |
| Slows the conduction of electrical impulses at the AV Node is the action of what medication? | Adenosine |
| What is the indication for Adenosine? | Stable reentry SVT |
| Adenosine has what adverse effects? | sense of impending doom, flushing, chest pressure, throat tightness,and numbness |
| What are the contraindications of adenosine? | Sick sinus syndrome, 2nd/3rd degree block, and cardiogenic shock. |
| What is the adult dosage of Adenosine? | Initial dose of 6 mg IVP, repeat if needed with 12 mg Rapid IV/IO, repeat 3rd dose with 12 mg rapid IVP. follow each administration with 20 ml saline flush. (6,12,12) |
| What is the trade name for Amnioderone? | Cordarone |
| Amnioderone is in what Class? | Antiarrhythmic, class III |
| What is the action of Amniodorone? | Delays repolorization and increase the duration of the action potential |
| What are the indications of Amniodorone? | Ventricular Arrhythmias, 2nd line agent for atrial arrhythmias, |
| What are the adverse effects of Amniodorone? | Burning at the IV site, hypotension, bradycardia. |
| What are the contraindications of Amniodorone? | Sick sinus syndrome, 2nd/3rd Degree Heart Block, Cardiogenic Shock |
| What is the dosage of Amniodorone for VF/VT for an adult? | 300 mg IV/IO, repeat if needed with 150 mg in 3-5 min |
| What is the dosage of Amniodorome for stable tachycardia? | 150 mg in 100 ml D5W IV/IO over 10 min,may repeat in 10min up to max 2.2 G over 24 hours |
| What is the Generic name for Xylocaine? | Lidocaine |
| What is the Classification for Lidocaine? | Antiarrhythmic,class 1b |
| What action does Lidocaine have? | Sodium Channel Blocker, increases recovery period for repolerazation, supresses automaticity in the ventricles. |
| Ventricular Fibrillation and Ventricular Tachycardia are the indications of what medication? | Lidocaine |
| Toxicity, seizures, cardiac arrhythmias, hypotension, cardiac arrest,and injection site pain are adverse effects of what medication> | Lidocaine |
| What are the contraindications of Lidocaine? | AV Block, Bleeding, thrombocytopenia, sensitivity. |
| What is the PVT/VF dosage for Lidocaine? | 1-1.5 mg/kg IV/IO may repeat with half the original dose 0.5-0.75 mg/kg IV/IO. max 3 mg/kg |
| What is the Purfusing Ventricular Rhythms dosage for Lidocaine? | 0.5-0.72 mg/kg IV/IO, Max 3 mg/kg |
| What is the Classification of Vasopressin | Nonadrenergic vasoconstrictor |
| What Action does Vasopressin have? | Vasoconstriction, independant of adrenergic receptors. |
| Refractory VF, Pulseless VT, Asystole PEA, Vasodialation, and Shock are indications for what medication? | Vasopressin |
| Cardiac Ischemia and angina are the adverse effects of what medication? | Vasopressin |
| What are the Contraindication(s) for Vasopressin? | responsive patients with cardac disease. |
| what is the dosage for vasopressin? | 40 U single dose IV/IO |
| What is the generic name for Lasix | Furosemide |
| What class is Furosemide? | Loop diuretic |
| What action does Furosemide have? | Inhibits the absorbtion of the sodium and choride ions and water in the loop of Henle |
| What adverse effects can Furosemide (Lasix) have? | Vertigo, dizzinessm weakness, orthostatic hypotension, hypokalemia, thrombophlebitis. |
| What are the indications for Furosemide (lasix)? | Pulmonary Edema, CHF, Hypertensive emergency |
| what are the contraindications for Furosemide? | Sensitivity to sulfonamides/furosemid |
| What is the dosage for Furosemide (Lasix)? | 40 mg IV/IO slowly of a 1-2 min period |
| What is the Trade name for Digoxin? | Lanoxin |
| Digoxin has what classification? | Cardiac Glycoside |
| What is the action of Digoxin? | Inhibite the sodium-potassium-adenosine triphosphatase membrane pump, resulting in an increase in calcium inside the heart muscle cell, therefore increases the force of contraction. |
| CHF, control ventricular rate in chronic A-fib/flutter, and narrow complex SVT are the indications for what medication? | Digoxin (lanoxin) |
| What are the adverse effects for Digoxin? | Headache, weakness, GI disturbances,arrhythmias,N/V, diarrhea, vision disturbances, |
| What are the contraindications for Digoxin? | Digitalis allergy, VT/VF, Heart block, sick sinus syndrome, tachycardia without heart failure, pulse less than 50, MI, Ischemic heart disease. |
| What is the dosage for Digoxin? | Varries by Patient. |
| What is the classification of Magesium Sulfate? | Electrolyte, totolytic, Mineral |
| What is the action of Magnesium sulfate? | Naturally occuring mineral. controls seizures by blocking periphrial neuromuscular transmission. cofactor n neurochemical transmission and muscular excitability. |
| Torsades de points, cardiac arrhythmias associated with hypomagnesimia, preclampsia, eclampsia, and status asthmaticus are indications for what medication? | Magnesium Sulfate |
| What are the adverse effects of Magnesium Sulfate? | Magnesium toxicity,(S/S flushing, diapharisis, muscle peralysis, weakness, hypothermia, cardiac, CNS, or respiritory depression.) |
| What are the contraindications for Magnesium Sulfate? | AV Block, GI Obstruction |
| What is the dosage of Magnesium Sulfate for torsades de points? | 1-2 G IV/IO infussed over 5-10 min |
| What is the dosage of Magnesium Sulfate for Eclampsia/Preclampsia? | 4-6 g IV/IO infused over 20-30 min followed by infusssion of 1-2 g/hr |
| What is the Trade name for Diazapam? | Valium |
| What classification is Diazapam? | Benzodiazepine (schedule C-IV) |
| What is the Action of Diazapam? | Binds to the benzodazapine receptor and enhances GABA effects. produces any level of CNS depression (sedation, skeletal, muscle relaxant, anticonvulsant.) |
| Anxiety, skeletal, alcohol withdrawal, seizures are the indications for what medication? | Diazapam (Valium) |
| What are the adverse effects of Diazapam? | Respiritory depression, drowsiness, fatigue, headache, injection site pain, confusion, nausea, hypotension,and oversedation. |
| What are the contraindications of Diazapam? | Acute-angle glaucoma, CNS depression, Alcohol intoxication, sensitivity |
| What is the dosage of Diazapam for Anxiety? | 2-10 mg slow IV/IM |
| What is the dosage of Diazapam for seizure? | 5-10 mg slow IV/IO every 10-15 min, max 30 mg (adult) |
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