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CC exam 1 drugs
| Term | Definition |
|---|---|
| what is used for symptomatic bradycardia, cardiac arrest, and hypotension? | epinephrine |
| what are the s/sx of epinephrine? | palpitations, HTN, difficulty breathing, HA |
| what is used for symptomatic bradycardia, cardiac arrest, and hypotension? | epinephrine |
| what are the s/sx of epinephrine? | palpitations, HTN, difficulty breathing, HA |
| when do give epinephrine and how much? | after a shockable rhythm or hypotension 1 mg q 3-5 mins or 0.05mcg/min |
| what causes edema, petechiae, confusion/aggression in elderly? | lidocaine |
| what does lidocaine do? | depresses conduction in ischemic myocardium |
| how do we give lidocaine? | 1-1.5 mg @ 25-50 mg/min with continuous monitoring or 0.5-0.75mg then reduce by 50% after 24 hrs |
| what is the 1st line drug for V arrhythmias and used for CPR and A-fib? | amiodarone |
| what are s/sx of amiodarone? | hypotension, increased liver enzymes, involuntary movements, prolonged QT, SJS |
| how do we give amiodarone? | 150mg over 10 mins and then infuse @1mg/min |
| what is the 1st line drug for torsades? | mag sulfate |
| mag sulfate causes what s/sx? | hypocalcemia, hyporeflexia, resp. tract paralysis, flushing |
| what is the dose for torsades and refractory PSVT? | torsades- 1-2g over 15 mins PSVT- 3-4g over 30 sec, use extreme caution |
| what drug is 1st line for bradycardia w/sx? | atropine |
| what is the dose for atropine? | 0.5 mg q3-5 mins for max of 3 dose |
| what is the classification of atropine and its s/sx? | anticholinergic can't see,pee, spit, or shit |
| what drug is used for cardiac arrest, hypotension and bradycardia? | dopamine |
| what parameters do we use for dopamine dosage? | <2= renal damage >10= vasodilation |
| what does dopamine do? | increases HR/BP |
| s/sx to warn when using dopamine? | chest pain, HTN, tachycardia, HA, widen QRS complex |
| what is the dosage for dopamine? | 2-10 mcg IV and titrate for responsiveness |
| what drug slows impulse formation in SA node and conduction in AV node? | adenosine |
| what is the 1st line drug for SVT and diagnosis of tachyarrhythmias? | adenosine |
| what do we monitor after giving adenosine? | dyspnea, cardiac arrest, complete AV block, bronchospasms in asthmatics |
| how do give adenosine | Dr present, 6 mg rapid> 20 ml flush failed attempt= 12 mg x2 w/ 20ml flush |
| what tachyarrhythmic is used for atrial arrhythmias, PSVT, and stable A-fib | cardizem |
| what do we monitor for after given cardizem? | bradycardia, peripheral edema, cough, heart block, liver toxicity |
| what electrolyte raises blood pH? | sodium bicarb |
| we use sodium bicarb for what? | cardiac arrest w/ or w/out hyperkalemia (asystole) |
| what do not want to happen with sodium bicarb? | cellulitis, tissue necrosis, metabolic alkalosis |
| what drug is used for hyper/hypo-calcemia | calcium chloride |
| what does calcium chloride do for the body? | causes muscle contractions |
| what should warn pts of with calcium chloride? | burning sensation and vasodilation |
| what vasopressor is used for hypotensive state after resuscitation? | norepinephrine- levophed |
| what is the solution and amount we mix with for norepi-levophed? | 4 mg in 250ml D5W or NS |
| how do we give norepinephrine-levophed? | initial dose= 8-12 mcg/min then maintenance IVof 2-4mcg and titrate |
Created by:
mlivingdyer
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