Semester 1 cardiac drugs
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| Nitroglycerin Class | Vasodilator
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| Nitroglycerin Actions | Dilates vessels,decreases PVR,Decreases
02 demand on hear and cardiac workload
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| Nitroglycerin Indications | Chest pain, pulmonary edema w/CHF
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| Nitroglycerin Side effects & precautions | Hypotension,reflex tach,syncope
*IV and 12 lead first
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| Nitroglycerin Contraindications | ICP, Systolic B/P <90,HR <50-100> Viagra,Cialis
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| Nitroglycerin Dose | .4mg spray or tab sub-lingual repeatX2 every 5min
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| Aspirin Class | NSAID
anti platelet,analgesic,anti inflammatory, antipyretic
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| Aspirin Actions | reduces platelet stickiness,blocks pain in CNS,dilates vessels,reduces coronary artery vasoconstriction
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| Aspirin Indications | chest pain of cardiac origin
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| Aspirin Side effects & Precautions | none
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| Aspirin Contraindications | aspirin allergy, hemorrhagic stroke, aspirin induced asthma
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| Aspirin Dose | 325mg adult or 4 81mg childrens
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| Procainamide Class | Antiarrhythmic
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| Procainamide Actions | depresses depolarization, slows automaticity and conduction velocity
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| Procainamide Indications | PSVT uncontrolled by adenosine, a-fib w/ WPW, stable wide-complex tach
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| Procainamide Side effects & Precautions | blocks,hypotension,bradycardia,VT/VF/Asystole,reflex Tach, Wide QRS
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| Procainamide Contraindications | 2*&3* blocks,Torsades de Pointes, Dig Tox, Tricylic Antidepressant Toxicity
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| Procainamide Dose | 1-4mg/min after lidocaine not w/amiodarone stop pushing when arrhythmia is suppressed,hypotension, widened QRS, max dose of 17mg/kg
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| Epi 1:1 Class | Sympathomimetic
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| Epi 1:1 Actions | Alpha-vasoconstriction,increases BP,Beta1-Increases HR,Incraeses contraction strength,Beta2-bronchodilation
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| Epi 1:1 Indications | Asthmatic bronchospasm, allergic reaction/anaphylaxis, profound brady
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| Epi 1:1 Side effects & Precautions | tach,hypertension,arrhythmias,CP,MI Restlessness,nausea/vomiting Headache
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| Epi 1:1 Contraindications | Asthma Heart diseas or history of AMI,Arrhythmias, over 45, labor-NONE IN ALLERGIC REACTION
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| Epi 1:1 Dose | .3-.5mgSQ Asthma or Anaphylaxis 2-10mcg/min IVP 1mg in 250mlNS
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| Vasopressin Class | Antidiueretic Hormone
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| Vasopressin Actions | noradrenergic vasoconstriction
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| Vasopressin Indications | low resistance shock, alternate pressor for epi in CA
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| Vasopressin Side effects & Precautions | watch for cardiac ischemia and angina
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| Vasopressin Contraindications | responsive patients with coronary artery disease
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| Vasopressin Dose | 40U IV
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| Morphine Class | Narcotic
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| Morphine Actions | Vasodilator, CNS depressant, Decreas Anxiety, Decrease cardiac Workload, Alleviates pain
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| Morphine Indications | Pain control, Chest pain, pulmonary edema
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| Morphine Side effects & Precautions | resp depression,hypotension,brady,nausea vomiting, itching,vertigo
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| Morphine Contraindications | systolic b/p <90, sever resp depression, traumatic brain injury
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| Morphine Dose | 2-4mg slow push
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| Albuterol Class | Sympathomimetic
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| Albuterol Actions | Bronchodilation
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| Albuterol Indications | bronchospasm from asthma or COPD, allergic reation unresponsive to Epi or benadryl
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| Albuterol Side effects & Precautions | heart disease may cause tach,hypertension,restlessness
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| Albuterol Contraindications | pregnancy unless life threatening
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| Albuterol Dose | 2.5mg/3ml nebulizer
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| Dopamine Class | Sympathomimetic
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| Dopamine Actions | increases perfusion to kidneys, stimulates beta 1 increase rate and force, high doses cause constiction
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| Dopamine Indications | hypotension with cardiogenic shock, ROSC hypotension <90, symptomatic brady after atropine
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| Dopamine Side effects & Precautions | tach,necrosis,nausea/vomiting,hypertension,anxiety,angina,arrhythmias,plapitations
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| Dopamine Contraindications | hypovolemic shock,V-fib,tachydisrhthmias
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| Dopamine Dose | IV piggy back**brady 2-10mcg/kg min Cardiogenic shock/ROSC hypo 5-10mcg/kg min
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| Magnesium Sulfate Class | Electrolyte Anticonvulsant
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| Magnesium Sulfate Actions | Reverse magnesium deficiency, CNS depressant, Calcium channel blocker, Vasodilator
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| Magnesium Sulfate Indications | Asthma refractory to albuterol, eclamptic seizures, torsades de pointes, hypomagnesmia, dig tox dysrhythmias
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| Magnesium Sulfate Side effects & Precautions | reduced hr,hypotension,resp depression,hypothermia,circulatory collapse
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| Magnesium Sulfate Contraindications | heart blocks, myocardial damage
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| Magnesium Sulfate Dose | 1-4mg IV seizure,torsades w/pulse 1-2g in50-100ml D5W w/.5-1ghr following dose, pulseless arrest and status asthmaticus 1-2g in 10ml D5W
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| Furosemide Class | loop diuretic
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| Furosemide Actions | decreases osmotic gradient, diuretic that inhibits sodium and chloride reabsorption
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| Furosemide Indications | acute pulmonary edema
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| Furosemide Side effects & Precautions | hypotension,ototoxity,electrolyte imbalance
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| Furosemide Contraindications | anuria,severe electrolyte depletion,dehydration
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| Furosemide Dose | .5-1mg/kg then double dose if no response
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| Levophed Class | sympathomimetic
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| Levophed Actions | alpha and beta1 adrenergic agonist, vasoconstrictor
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| Levophed Indications | neurogenic shock,inotropic support,cardiogenic shock,rosc w/BP less than 90, BP less than 70
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| Levophed Side effects & Precautions | fetal anoxia,large vein
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| Levophed Contraindications | hypovolemia
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| Levophed Dose | 8-12mcg/min IV piggyback
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| Epi 1:10 Class | sympathominetic
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| Epi 1:10 Actions | alpha vasoconstriction,beta 1 HR increase, Beta 2 bronchodilation, increases BP
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| Epi 1:10 Indications | aArdiac arrest, anaphylaxis refractory to epi 1:1, pedi brady
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| Epi 1:10 Side effects & Precautions | caution w/ anaphylaxis COPD,CHF,over 45
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| Epi 1:10 Contraindications | none
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| Epi 1:10 Dose | 1mg IV for Cardiac arrest, .1mg-.mg anaphylaxis, brady 2-10mcg
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| Lidocaine Class | ventricle anti arrhythmic
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| Lidocaine Actions | suppress excitabilty and automaticity
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| Lidocaine Indications | Ventricular rhythms of irritability PVCs with AMI,Runs of Vtac,Prophylaxis, cardioversion vtach after defib
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| Lidocaine Side effects & Precautions | reduce dose in older than 65 or CHF, treat Bradys first caine allergies
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| Lidocaine Contraindications | ventricular escape beats,bradys, heart blocks
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| Lidocaine Dose | vfib pulesless v tach-1.5mg/kg, unstable v tach 1-1.5mg/kg, stable v tach 1mg/kg, salvos runs of vtach or PVCs 1mg/kg repeat doses .5-.75mg/kg
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| Atrovent Class | anticholinergic(againts parasympathetic)
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| Atrovent Actions | bronchodilations,drys secretions
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| Atrovent Indications | bronchospasm after albuterol dose
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| Atrovent Side effects & Precautions | rash,blurred vision---glaucoma
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| Atrovent Contraindications | allergies to soy/nuts or atropine, bronchoconstriction due to allergic reaction
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| Atrovent Dose | .5mg in 2.5ml NS with albuterol
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| Sodium Bicarb Class | buffer, alkalanizing agent, electrolyt supplement
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| Sodium Bicarb Actions | buffers metabolic acidosis,pushes potassium into cells,neutralizes acidosis,urinary excretion
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| Sodium Bicarb Indications | tricyclic overdose,crush injuries,CArdiac arrest in PEA/asys and ROSC, hyperkalemic cardiac arrest with renal failure, DKA, aspirin overdose,methanol ingetsion
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| Sodium Bicarb Side effects & Precautions | metabolic alkalosis,necrosis
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| Sodium Bicarb Contraindications | alkalosis, pulmonary edema, not used in all cardiac arrest
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| Sodium Bicarb Dose | 1mEq/kg
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| Fentanyl Class | synthetic narcotic, opioid analgesic
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| Fentanyl Actions | binds w/ receptor sites for analgesic effects,concious sedation
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| Fentanyl Indications | pain control, RSI
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| Fentanyl Side effects & Precautions | resp depression,brady,hypo/hypertension
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| Fentanyl Containdications | resp depression,brady,cardiac dysrhythmias,hypotension,head injury
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| Fentanyl Dose | 1-2mcg/kg
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| Calcium Chloride Class | electrolyte
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| Calcium Chloride Actions | helps electrical current in heart,helps muscle contraction, vasoconstriction,increases BP
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| Calcium Chloride Indications | hyperkalemia,hypoalcemia,magnesium OD,Calcium channel blocker OD
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| Calcium Chloride Side effects & Precautions | brady,hypotension,necrosi,svasospasm
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| Calcium Chloride Contraindications | cardiac arrest,dig tox,hypercalemia
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| Calcium Chloride Dose | 5-10ml of a 10%solution
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| Amiodarone Class | antiarrhythmic
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| Amiodarone Actions | slows repolarization,decreases automaticity,alpha beta blocker, inhibits sympathetic
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| Amiodarone Indications | VF/VT cardiac arrest unresponsive to shock and vasopressor, unstable VT,wide QRS tach
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| Amiodarone Side effects & Precautions | hypotension,block,brady
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| Amiodarone Contraindications | trauma,dont give w/ drugs that prolong QT,iodine allergy,pulmonary/hepatic/thyroid disease,2nd3rd degree block
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| Amiodarone Dose | 300mg then 150mg 150mg for wide QRS
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