Drug name Cagle 2009 Word Scramble

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DRUG NAME	CLASS	THERAPEUTIC EFFECTS	Uses/INDICATIONS	CONTRAINDICATIONS	SIDE EFFECTS	DOSE	Administration	DESCRIPTION
Adenosine Adenocard	Atrial Antidysrythmic	Slows SVT, decreases electrical conduction through the AV node	Narrow complex SVT and WPW	2nd & 3rd AV block , sick sinus syndrome	chest pain, hypotension, SOB	6 mg rapid IVP, followed by 20 ml flush, elevate arm repeat @ 12 mg times 2 ( 6-12-12 )
Amiodarone Cordarone	Vent. Antidysrhythmic	Used in place of Lidocaine for VT and VF ( alters the NA and K in the cardiac cells)	VF and VT refractory SVT	Bradycardia, hypotension, cardiogenic shock	Bradycardia , hypotension	300mg IVP, repeat @ 150 mg for pulseless arrest, 150 mg for wide complex tach over 10 min. Mix infusion 900 mg /500 ml run 1 mg /min for first 6 hours then 0.5 mg for next 18 hrs.
Aspirin N/A	Antiplatelet	Decreases platelet aggregation	Suspected MI	GI bleed, hemorragic stroke	Irritation, N/V	1-4, 81 mg or 1, 325 mg chewable tabs
Atropine Sulfate N/A	Parasympathetic Blocker	Blocks parasympathetic system from being stimulated ( blocks the 10th cranial nerve- vagus nerve)	Symptomatic Bradycardia, asystole, PEA	Tachycardia	Tachycardia, Paradoxical Bradycardia	0.5-1 mg IV for symptomatic Bradycardia, 1 mg IV or ET for PEA or Asystole NOT to exceed 0.04 mg/kg ( 3 mg or 3 doses)
Diltiazem Cardizem	Calcium Channel Blocker	Slows conduction through the AV node. Slows the Ventricular Rate	AF, Atrial Flutter with RVR	AMI, Heart blocks, Hypotension	Chest pain, hypotension, Bradycardia	0.25mg/kg slow IVP over 2 mins , may be repeated in 15 mins, @ 0.35 mg/kg
Dopamine Intropin	Sympathetic Agent	Increases the rate and force of cardiac contractions,( has alpha and beta effects)	Hemodynamically significant hypotension in the absence of hypovolemia, cardiogenic shock	V-fib , Tachydyshrythmias	Hypertension, Heart Ischemia	2-20 mcg/kg/min, mixed 400mg/250ml or 800mg/500ml= 1600mcg/ml concentration
Epinephrine Adrenaline	Sympathetic Agent	Used to restore electrical activity in asystole, lowers fibrillation threshold	VF, VT, PEA and Asystole	None for arrest	Tachycardia, Hypertension, VT, V-Fib	1mg of 1:10,000 IV, IO, ET q 3-5 min.for any pulseless arrest NO MAX DOSE
Lidocaine Xylocaine	Vent. Antidysrhythmic	Raises fibrillation threshold , decreases ventricular automaticity	PVC,VT, VF	2nd & 3rd AV block , hypersensitivity	Bradycardia, Blurred vision, Confusion	1-1.5 mg/kg IV, IO, or ET not to exceed 3mg/kg for cardiac arrest, VF, Pulseless VT, Infuse @ 2-4 mg/min, Mix 1G/250ml or 2G/500ml, 0.5-0.75mg/kg for wide complex tach(sick heart)
Magnesium Sulfate N/A	Electrolyte	Relaxes smooth muscle	Refractory VT ( Torsades de Pointe/ polymorphic VT )	heart blocks, resp. depression	hypotension, resp. arrest	1-2G in 50-100 ml of NS run of 5-60 min IV
Morphine Sulfate N/A	Analgesic	Potent analgesic	MI pain, and pulmonary edema	head injury, hypotension, resp. depression	syncope, euphoria, resp. depression	2-4mg slow IVP max 10 mg in field Titrate to effect
Nitroglycerine N/A	Vasodilator	Dilates arterioles and veins, decreases preload and afterload	Ischemic Chest Pain	Hypotension, Recent CVA, Viagra use	hypotension, H/A, postural syncope	0.3-0.4 mg SL tabs or spray
Oxygen N/A	Gas, Oxygen, USP	Oxygen is required for the efficient breakdown of glucose and other nutrient materials necessary for metabolism. Increased concentration of oxygen in the alveolus subsequently leads to increased oxygen saturation of hemoglobin.	Hypoxia or suspected hypoxia. Oxygen is indicated in all forms of trauma, medical emergencies, chest pain, respiratory difficulty, childbirth and for any critical patient	No contraindications Oxygen should be used cautiously in patients with chronic obstructive pulmonary disease and in neonates. Prolonged high concentrations of oxygen in these patients may be harmful	CNS: None under normal barometric pressure CV: None Resp: Prolonged high flow oxygen without humidification may cause drying of mucus membranes. Use humidified oxygen when possible GI/GU: None	Adult dose: 35% (COPD) - 100% Pediatric dose: Same as for adult. Neonatal dose: Not to exceed 40%	Administered via: nasal cannula (1-6 lpm - 24-44%), simple facemask (6-10 lpm - 40 – 60%),venturi mask (4-12 lpm - 24-50%), partial rebreather mask (6-10 lpm - 35-60%), non-rebreather mask (6-15 lpm - 60 – 95%), BVM (with reservoir) (15 lpm - 40-90/100%)
Sodium Bicarbonate N/A	Buffer Agent	Reverses acidosis	Long arrest interval ( over 10 mins)	CHF, alkalosis	Metabolic Alkalosis	1mEq, repeat @ 0.5 mEq in 10 mins.
Vasopressin Pitressin	Antidiuretic Hormone	Stimulates smooth muscles, used as alternative to Epinephrine	VT, PEA and Asystole	Responsive pt.with CAD	Chest Pain, Tremors	40 units one time dose

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