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Pharmacology Part 1

Pharmacology for test 1

QuestionAnswer
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, elevat
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
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
Atenolol Tenormin Beta Blocker Blocks beta receptors from being stimulated Hypertension and tachycardia Bradycardia, Bradycardia , hypotension 5 mg slow IVP over 5 min , Repeat in 10 min.
Atropine Sulfate N/A Parasympathetic Blocker Blocks parasympathetic system from being stimulated ( blocks the 10th cranial nerve- vagus nerve) Symptomatic Bradycardia, asystole, PEA, Tachycardia, Paradoxical Bradycardia 0.5-1 mg IV for symptomatic Bra
Digoxin Lanoxin Atrial Antidysrhythmic Increases vagal tone, decreases SA node rate, increases contractility CHF V-fib, V-tach Blurred vision, seizures 10-15 mcg/kg NOT a Field Drug
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 repea
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, He
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 pulsel
Furosemide Lasix Loop Diuretic Potent Diuretic works in the loop of Henley Pulmonary edema electrolyte depletion, dehydration electrolyte disturbances 20-40mg IVP slow
Isoproterenol Isuprel Pure Beta Agent Pure beta agent , increases the heart rate Symptomatic Bradycardia refractory to Atropine and TCP V-tach, V-fib, ischemic heart disease, cardiac arrest Angina and Hypotension 1 mg in 250ml run @ 2-10mch/min or t
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 c
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
Metoprolol Lopressor Beta Blocker Blocks beta receptors from being stimulated Suspected AMI, hypertension High level blocks and CHF Bradycardia, hypotension 5 mg slow IVP @ 5 min intervals, Max 15 mg
Midazolam Versed Benzodiazepine Conscious sedation Elective intubations, cardioversions CNS and Resp. depression hypotension, resp. depression 1-2.5 mg slow IVP
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
Naloxone Narcan Narcotic Antagonist reverses the side effects of narcotic overdose Narcotic overdose None Tachycardia, Hypertension 0.4-0.8 mg any route , Max 10 mg in the field
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 Atmospheric Gas Reverses hypoxia Hypoxia, CP, Cardiac arrest None None 2-15 L by NC or Mask
Procainamide Pronestyl Vent. Antidysrhythmic Used when pt is refractory to Lidocaine PVC,VT, VF, PSVT 2nd &3rd AV block, Torsades, Digitalis Toxicity Hypotension, Bradycardia, AV block 30-50 mg/min in cardiac arrest, Max 17mg/kg or 1G, Infusion 1 G
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
Verapamil Isoptin Calcium Channel Blocker Decreases artrial automaticity and AV conduction Velocity AF, Atrial Flutter with RVR Sinus brady, 2nd & 3rd AV block , V-tach N/V, Complete heart block 2.5-5 mg slow IV over 2 min, repeat 5-10 mg in 10-15 m
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
Verapamil Isoptin Calcium Channel Blocker Decreases artrial automaticity and AV conduction Velocity AF, Atrial Flutter with RVR Sinus brady, 2nd & 3rd AV block , V-tach N/V, Complete heart block 2.5-5 mg slow IV over 2 min, repeat 5-10 mg in 10-15 m
Created by: Chitmc00s