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CORONARY CARE DRUGS
drug test study guide
Question | Answer |
---|---|
Adenosine is the first drug of choice for | PSVT (narrow complex) |
Adenosine is given 6mg IV rapidly over ____, followed by _______ | 1-3 seconds, 20ml NS |
How soon should a second dose of Adenosine be given (if indicated) | 12mg in 1-2 minutes |
Adenosine is less effective if patients are taking | theophylline and caffeine. |
Adenosine will not convert | A-fib and A-flutter |
Amiodarone is indicated for | wide complex tachycardias |
which drug is indicated for narrow complex? | adenosine |
which drug is indicated for wide complex tachycardias? | amiodarone |
beta blockers enhance | bradycardia and hypertension |
amiodarone may cause what conditions that indicate a physician should be called? | hypotension, bradycadia, widening QRS and ARDS. |
a loading dose of amiodarone for wide complex tach is | 150mg over 10 minutes |
the amiodarone dose for cardiac arrest is | 300mg |
atropine is indicated for | symptomatic bradycardia |
atropine is given to | increase heart rate |
the usual dose of atropine for symptomatic bradycardia is | 0.5mg |
atropine may be repeated every | 3-5 minutes |
what is the max dose of atropine? | 4mg/kg |
digoxin depresses what node? | AV |
digoxin prolongs | AV conduction |
Digoxin should not be given if the HR is | <60 |
loading dose of digoxin is | 0.5 - 1mg in divided doses |
maintenance dose of digoxin is | 0.125mg - 0.5mg QD |
maintenance dose of digoxin is ____ - 0.5mg QD | 0.125mg |
0.125mg - 0.5mg QD is the maintenance dose of | digoxin |
dig toxicity includes | halos, blurry vision, seizures, EKG changes |
what three drugs may increase serum dig concentrations? | quidine, amiodarone and verapamil |
dig concentrations can be increased how much by quidine, amiodarone and verapamil? | 50-70% |
Cardizem is a | calcium channel blocker |
cardizem is indicated for | a-fib c RVR, SVT, a-flutter c RVR and multifocal atrial tachycardia |
cardizem IV bolus is | 0.25mg/kg over 2 minutes |
cardizem IV bolus is 0.25mg/kg over | 2 minutes |
withhold IV dilitiazem if a patient goes into a 2nd degree AV block or 3rd degree heart block and tachy/brady syndrome or if | hypotension develops. |
withold IV diltiazem if patient goes in to _____ or ______ and tachy/brady syndrome or if hypotension develops. | 2nd or 3rd degree blocks |
hold iv diltiazem if a patient goes into 2nd or 3rd degree block AND _________ or if hypotension develops. | tachy/brady syndrome |
Diltiazem is also referred to as | cardizem |
cardizem is also referred to as | diltiazem |
propanolol is also referred to as | inderal |
inderal is also referred to as | propanolol |
inderal's action is that of a | beta blocker |
inderal is contrainticated in | CHF, brady, blocks, hypotension, asthma, DM |
what beta blocker is contraindicated in asthma and DM? | inderal |
Inderal is contraindicated in ____,bradycardia, _____, hypotension, asthma and ____ | CHF, blocks,DM |
Inderal should/should not be stopped abruptly. | should not |
abrupt withdrawal of inderal may exacerbate angina, MI, _________ or arrhythmias | hypertension |
abrupt withdrawal of inderal may exacerbate ____, ____, _____ or __________ | angina, MI, hypertension or arrhythmias. |