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Pharmacology Part 1
Pharmacology for test 1
| Question | Answer |
|---|---|
| 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
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