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CORONARY CARE DRUGS
drug test study guide
| Question | Answer |
|---|---|
| Adenosine is the first drug of choice for | PSVT (narrow complex) |
| Adenosine is given 6mg IV rapidly over ____, followed by _______ | 1-3 seconds, 20ml NS |
| How soon should a second dose of Adenosine be given (if indicated) | 12mg in 1-2 minutes |
| Adenosine is less effective if patients are taking | theophylline and caffeine. |
| Adenosine will not convert | A-fib and A-flutter |
| Amiodarone is indicated for | wide complex tachycardias |
| which drug is indicated for narrow complex? | adenosine |
| which drug is indicated for wide complex tachycardias? | amiodarone |
| beta blockers enhance | bradycardia and hypertension |
| amiodarone may cause what conditions that indicate a physician should be called? | hypotension, bradycadia, widening QRS and ARDS. |
| a loading dose of amiodarone for wide complex tach is | 150mg over 10 minutes |
| the amiodarone dose for cardiac arrest is | 300mg |
| atropine is indicated for | symptomatic bradycardia |
| atropine is given to | increase heart rate |
| the usual dose of atropine for symptomatic bradycardia is | 0.5mg |
| atropine may be repeated every | 3-5 minutes |
| what is the max dose of atropine? | 4mg/kg |
| digoxin depresses what node? | AV |
| digoxin prolongs | AV conduction |
| Digoxin should not be given if the HR is | <60 |
| loading dose of digoxin is | 0.5 - 1mg in divided doses |
| maintenance dose of digoxin is | 0.125mg - 0.5mg QD |
| maintenance dose of digoxin is ____ - 0.5mg QD | 0.125mg |
| 0.125mg - 0.5mg QD is the maintenance dose of | digoxin |
| dig toxicity includes | halos, blurry vision, seizures, EKG changes |
| what three drugs may increase serum dig concentrations? | quidine, amiodarone and verapamil |
| dig concentrations can be increased how much by quidine, amiodarone and verapamil? | 50-70% |
| Cardizem is a | calcium channel blocker |
| cardizem is indicated for | a-fib c RVR, SVT, a-flutter c RVR and multifocal atrial tachycardia |
| cardizem IV bolus is | 0.25mg/kg over 2 minutes |
| cardizem IV bolus is 0.25mg/kg over | 2 minutes |
| withhold IV dilitiazem if a patient goes into a 2nd degree AV block or 3rd degree heart block and tachy/brady syndrome or if | hypotension develops. |
| withold IV diltiazem if patient goes in to _____ or ______ and tachy/brady syndrome or if hypotension develops. | 2nd or 3rd degree blocks |
| hold iv diltiazem if a patient goes into 2nd or 3rd degree block AND _________ or if hypotension develops. | tachy/brady syndrome |
| Diltiazem is also referred to as | cardizem |
| cardizem is also referred to as | diltiazem |
| propanolol is also referred to as | inderal |
| inderal is also referred to as | propanolol |
| inderal's action is that of a | beta blocker |
| inderal is contrainticated in | CHF, brady, blocks, hypotension, asthma, DM |
| what beta blocker is contraindicated in asthma and DM? | inderal |
| Inderal is contraindicated in ____,bradycardia, _____, hypotension, asthma and ____ | CHF, blocks,DM |
| Inderal should/should not be stopped abruptly. | should not |
| abrupt withdrawal of inderal may exacerbate angina, MI, _________ or arrhythmias | hypertension |
| abrupt withdrawal of inderal may exacerbate ____, ____, _____ or __________ | angina, MI, hypertension or arrhythmias. |