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Stack #128370
| Question | Answer |
|---|---|
| Vasopressin - action | vasoconstriction |
| Dopamine- action | stimulates beta1, alpha and dopaminergic receptors |
| Atropine- action | blocks the action of acetylcholine |
| Adensoine- action | slow conduction throught the AV node |
| Metoprolol- indicated for which rhythms | atrial fast rhythms: Atrial tachycardia, atrial fibrillation, atrial flutter |
| Levophed- side effect | high dose may result in arterial insufficiency to extremities |
| Diltiazem- action | blocks calcium channels |
| Lasix- which factor of CO does it primarily affect | decreases preload |
| Amiodarone- action | increases the lenght of refractory period |
| Magnesium sulphate | may be indicated for Torsades de Pointes |
| Dopamine- action at a beta dose | increases FOC |
| Dopamine- action at an alpha dose | causes vasoconstriction |
| Nitroglycerin- action | primarily venous vasodilation |
| Nipride- action | primarily arterial vasodilation |
| Levophed- dose | alpha dose 5-20+ mcg/min |
| Amiodarone-administration | given as a bolus dose followed by a continous infusion |
| Adenosine- administration | must be followed by a rapid NS flush |
| Potassium Chloride- dose | 20- 40 mEq in 100 cc of fluid to infuse via a central line |
| Lidocaine-action | a ventricular antiarrhythmic |
| Adenosine- indication | atrial tachycardia |
| Atropine- indication | symptomatic sinus bradycardia |
| Amiodarone- indications | atrial and ventricular arrhythmias |
| Metoprolol- indications | atrial fibrillation |
| Lidocaine- indications | ventricular arrhythmias |
| Pacing- indications | 2nd degree, type II AV block or 3 degree AV block |
| Synchronized Cardioversion- one indication | unstable atrial tachycardia |
| Defibrillation- one indication | ventricular fibrillation |
| Epinephrine & Atropine- indication | asystole |
| Dopamine- beta 1 dose | 5-10 mcg/kg/min |
| Dopamine-mixed dose | 10-20 mcg/kg/min |
| Dopamine-high dose | greater than 20 mcg/kg/min |
| Dobutamine- therapeutic dose | 5-15 mcg/kg/min |
| Levophed- alpha dose | greater than 5 mcg/min |
| Atropine-cardiac arrest | 1mg IV push |
| Atropine- symptomatic bradycardia | 0.5 mg IV push |
| Adenosine- dose | 6mg IV push initial dose |
| Metoprolol- dose | 5 mg IV push |
| Amiodarone-dose | 150-300 mg bolus, followed by a continuous infusion |
| Calcium Gluconate-dose | 1-2 gm IV in 100 cc of IV fluid to infuse over 1 hour |
| Morphine Sulphate- initial dose | 2-4 mg IV push |
| Versed- initial dose | 1-4 mg IV push |
| Sodium bicarbonate- dose | preloaded syringe (50cc) IV push |
| Dopamine- one nursing consideration | causes tissue extravasation |
| Dobutamine-action | increases FOC with minimal increase to HR |
| Epinephrine- action | causes bronchodilation |
| Levophed- clinical indication | vasodilation due to leaky capillaries |
| Nipride- one nursing consideration | drug breaks down when exposed to light- cover in foil |
| Nitroclycerine- one indication | angina |
| Atropine- side effect | may cause dry mouth |
| Adenosine- side effect | may cause brief episode of bradycardia or asystole |
| Metoprolol- side effect | may blocks beta 2 receptors, bronchoconstriction |
| Diltiazem- one indication | varient angina |
| Amiodarone- nursing consideration | may cause a lengthened QT interval |
| Magnesium Sulfate- nursing consideration | if corrected first other electrolyes are more easily corrected |
| Succinylcholine- one indication | intubation |
| Mannitol- nursing consideration | requires monitoring of serum osmolality |
| Morphine- side effect | decreased GI motility |
| Versed- action | CNS depressant |
| drugs that decrease preload | Lasix, Nitroglycerine |
| drugs that increase contractility | Dopamine, Milrinone |
| drugs thatincrease afterload | Vasopressin, Levophed |
| drugs that decrease afterload | calcium channel blockers, Nipride |
| agent which increases preload | NS bolus |
| drugs that decrease heart rate | Metroprolol, Diltiazem |
| Drugs that increases heart rate. | Atropine, epinephrine |
| Medications that decrease afterload | Nitroglycerine, Nipride |
| Lasix -classification | loop diuretic |
| Mannitol- classification | osmotic diuretic |
| Sodium bicarbonate- classification | alkalizing agent |
| Propofol- classification | sedative/anesthetic agent |
| Versed- classification | sedative, benzodiazepine |
| Morphine- classification | narcotic analgesic |
| Calcium Chloride- classification | electrolyte |
| Amiodarone- classification | antiarrhythmic |
| Atropine- classification | anticholenergic |
| A patient in flash pulmonary edema would require this drug. | Lasix |
| Vasopessin - indication | ventricular fibrillation arrest |
| Sodium Bicarbonate -indication | metabolic acidosis |
| Sodium Bicarbonate- nursing consideration | monitor ABGs frequently |
| Propofol -on set | quick, 40 seconds |
| Potasium chloride- indication | hypokalemia |
| Pavulaon- indication | to faciliated mechanical ventilation |
| NMBA -nursing consideration | requires train of four testing |
| Norepinephine -nursing consideration | may cause tissue necrosis |
| Nipride- action | causes vasodilation, venous and arterial, primarily arterial. |
| Nipride- nursing consideration | titrate slowly to avoid sudden hypotension |
| Milrinone- classification | cardiac inotrope |
| Metroprolol - indication | post op cardiac protection |
| Mannitol- nursing consideration | may result in electrolyte imbalances due to high urine output |
| Magnesium sulphate- dose | 1-2 gm in 100 cc IV fluid to infuse over 1 hours |
| Ativan - classification | benxodiazepine, sedative |
| Ativan- nursing consideration | should be titrated acordint to sedation scale |
| Lidocaine- action | depresses automaticity in the ventricles |
| Fentanyl- classification | narcotic analgesic |
| Fentanyl- nursing consideration | causes less hypotenstion than morphine |
| Epinephrine- nursing consdieration | causes ain increase in myocardial oxygen demand |
| Epinephrine - action | positve inotrope, positive chronotrope |
| Adensoine- two indications | to terminated Atrial Tachycardia & to slow down rhythm for easier diagnosis |
| Amiodarone- nursing consideration | long term use may cause pulmonary fibrosis |
| Atropine - side effect | pupil dilation |
| Atropine - dose for symptomatic bradycardias | 0.5 mg IV push |
| Calcium- action | cardiac contractility |
| Calcium - action | blood coagulation |
| Hypocalcemia | lenghthened QT interval |
| Diltiazem - classification | calcium channel bblocker |
| Diltiazem - action | dilates arteries |
| Diltiazem - action | slows conduction through AV node |
| Diltiazem - indication | stable artrial tachy rhthyms |
| Dobutamine - classification | inotrope, sympathomimetic |
| Dobutamine - action | little to no change in HR |
| Dobutamine - administration | continuous infusion |
| Dobutamine - administration | measured in mcg/kg/min |
| Epinephrine - classification | sympathomimetic |
| Epinephrine - administration | prelaoded syringe for cardiac arrest |
| Epinephrine - administration | may be given IV push or continuous infusion |
| Fentanyl- units of measurement | mcg/h for continuous infusion |
| Fentanyl - dose IV push | 25-100 mcg |
| Lasix - action | inhibist the re-absorption of Na+ in the ascending loop of henle |
| Lasix- indication | fluid overload |
| Lasix - indication | pulmonary edema |
| Lasix - administration | IV push, IV bolus, IV continuous infusion |
| Lorazepam - action | CNS depressant |
| Lorazepam - nursing considerations | longer acting than versed |
| Mannitol - indication | cerebral edema |
| Metoprolol - classification | beta blocker |
| Metoprolol - action | blocks beta 1 receptor sites on the heart |
| Milrinone - indication | venticular failure |
| Morphine - action | blocks pain receptor sites along the spinal cord |
| Morphine - indication | moderate to severe acute pain |
| Morphine - nursing consideration | may cause hypotension |
| Nitroglycerin - classification | vasodilator |
| Nitroglycerin - one action | vaodiles coronary arteries |
| Nitroglycerin - indication | prevents infarct from enlarging |
| Nitroglycerin - nursing consideration | may cause headache due to hypotension |
| Propofol - nursing consideration | contains lipids, monitor triglycerides |
| Propofol - nusing considerations | no analgesic effect |