EKG Drugss
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Oxygen | Should be given to all patients with acute chest pain that may be due to cardiac ischemia, suspected hypoxemia of any case and cardiopulmonary arrest. For patients breathing spontaneously, masks and nasal cannulas can be used to administer this drug.
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Epinephrine | Indicated in the management of cardiac arrest. The chance of successful difribillation is enhanced by administration of this drug.
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Digitalis | increases force of cardiac contractions and output. High toxicity and patients need to be monitored constantly for symptoms of toxicity.
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Dopamine | indicated for significant hypotension in the absence of hypovolemia. Should be used at the lowest dose that produces adequate perfusion of vital organs.
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Beta Blockers | Reduce heartrate, blood pressure, myocardial contractility and myocardial oxygen consumption which make them useful in treating angina pectoris and hypertension. Side affects are hypotension, congestive heart failure,and broncho- spasm.
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Isoproterenol | Increases heart rate and myocardial contractility. Newer agents have replaced it. Contraindicated in the routine treatment of cardiac arrest.
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Morphine sulfate | Traditional drug of choice for the pain and anxiety of myocardial infarction. Controlled substance has a tendency of abuse.
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Lidocaine | Used for supression of ventricular ectopy. excessive doses can cause neurological changes, myocardial depression, and circulatory depression. Causes neurological toxicity.
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Verpamil | used to treat paroxysmal supraventricular tachycardia. 90% effective in adult and children. slow ventricular response to atrial flutter and fibrillation. Hypotension may occur.
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Nitroglycerin | Powerful muscle relaxant. Used for angina pectorus. side effect: headache. Hypotension may occur, patient should be laying or sitting when taking this drug.
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