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Cardiac Strip meds

Calhoun Nursing- 4th Semester

QuestionAnswer
Sinus Bradycardia- Med 1 -Atropine 0.5 mg IV push (Can repeat every 3 to 5 mins for a total dosage up to 3 mg (to increase Heart Rate to 60 bpm)
Sinus Bradycardia- Med 2 -Epinephrine or dopamine drip 2 to 10 mcg/min
Sinus Tachycardia- All Meds Beta Blockers (olol’s,)Nitroglycerin or Morphine
Premature Atrial Contraction- Med only 1 Procainamide (Pronestyl)
Atrial Flutter- All Meds Digoxin(Lanoxin),Quinidine, Esmolol,(Brevibloc),Diltiazem (Cardizem) Amiodarone (Cordarone)
Atrial Fibrillation- All Meds Digoxin, Diltiazem (Cardizem), Metoprolol (Lopressor),Amiodarone (Cordarone), Heparin (Lovenox) Drip, Coumadin used 3 weeks before and 4 weeks after Cardioversion
What should the INR Values be for a person on Coumadin with Atrial fibrillation 2-3 secs
SupraVentricular Tachycardia (or Atrial Tachycardia)- Med 1- Adenosine (Adenocard): 6 mg over 1-3 secs, then 20 mL flush, then elevate the arm ; If patient does not convert to a stable rhythm in 1-2 mins, then give another, 12 mg over 1-3 secs, then 20 mL flush, then elevate arm, can repeat again 1 more time for a Total of 30 mg
SupraVentricular Tachycardia (or Atrial Tachycardia)- Med 2 Procainamide or Amiodarone
SupraVentricular Tachycardia (or Atrial Tachycardia)- Meds 3 Discharged Home Calcium Channel blockers,or Amiodarone orDigoxin
Junctional Rhythm- Med 1 Atropine 0.5 mg IV push (Can repeat every 3 to 5 mins for a total dosage up to 3 mg
Junctional Rhythm- Med 2 Start Epinephrine or dopamine drip 2 to 10 mcg/min
Sinus Rhythm With PJC(Premature Junctional Contraction) -Usually no treatment -Observation
Premature Ventricular Contraction:Potassium Channel Blocker: Amiodarone (Cordarone) drug of choice):150 mg IV over first 10 min (15mg/min)
Premature Ventricular Contraction: Sodium Channel Blocker: Procainamide (Pronestyl): 20-30 mg IV, not to exceed 17 mg/kg, followed by infusion of 1-4 mg/min
Premature Ventricular Contraction: Sodium Channel Blocker: Lidocaine (old drug of choice): 1-1.5 mg/kg IV bolus, Then 0.75/kg IV bolus 5-10 min to a loading dose of 3 mg/kgFollowed by 2-4 mg/min infusion
Premature Ventricular Contraction: Beta Blocker: Sotolol (Betapace) Initial dose of 80 mg orally twice daily, Then may be increased every 2-3 days, to 240-320 mg daily in 2-3 divided doses
Ventricular Tachycardia:Potassium Channel Blocker: Amiodarone (Cordarone) drug of choice): 150 mg IV over first 10 min (15mg/min)
Ventricular Tachycardia:Sodium Channel Blocker: Lidocaine (old drug of choice): 1-1.5 mg/kg IV bolus, Then 0.75/kg IV bolus 5-10 min to a loading dose of 3 mg/kgFollowed by 2-4 mg/min infusion
Ventricular Tachycardia- Med- Discharged Home Fluconide, Sotolol (Betapace), Amiodarone(Cordarone)
Ventricular Fibrillation:Drug therapy includes: Vasopressin -Epinephrine -Check Magnesium levels -Check Blood Gases
Asystole:Drug therapy includes: -Epinephrine-Atropine
Idioventricular Rhythm: Atropine 0.5 mg IV push (Can repeat every 3 to 5 mins for a total dosage up to 3 mg (to increase Heart Rate to 60 bpm)
Idioventricular Rhythm: Start Epinephrine or dopamine drip 2 to 10 mcg/min
1st or 2nd Degree AV Block Treatment Asymptomatic: -Observation -Monitor to make sure then don't go into a 2nd or 3rd degree block-Drug studies may be ordered to rule out cause
3rd Degree Heart Block or (Complete Heart Block) -May receive a Temporary pacemaker-Then a permanent pacemaker-Atropine-Dopamines
Created by: maliakaye5
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