Term
Metoprolol Tartrate
Brand Name: |
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Definition
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Term
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Definition
Beta Blocker, beta -1 selective; antihypertensive,
antidysrhythmic
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Term
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Definition
Decreases heart rate, conduction velocity,
myocardial contractility, and cardiac output.
Used to control ventricular response in SVT (PSVT, atrial flutter).
Considered second line agent after adenosine, diltiazem, or digitalis derivative.
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Term
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Definition
PSVT, atrial flutter, atrial fibrillation,
reduces myocardial ischemia and
damage in patients with AMI
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Term
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Definition
Heart failure, second or
third degree AV block, first degree heart block
(if PR interval is equal or greater than 0.24 seconds),
sick sinus syndrome, cardiogenic shock,
bradycardia
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Term
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Definition
Weakness, dizziness, depression, bronchospasm, wheezing, dyspnea, bradycardia, pulmonary edema, CHF, AV blocks, hypotension, heart failure, nausea, indigestion.
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Term
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Definition
May cause a decrease in alertness, may
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Worsen s/s of heart failure in some
patients
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Term
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Definition
Adult: 5 mg slow IV push at 5 minute intervals to a total of 15 mg. hypertension dose is 100 mg daily po. Not to exceed 450 mg/day
Pedi: Safety not established
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Term
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Definition
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Term
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Definition
Beta Blocker (beta-1 selective), Antidysrhythmic |
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Term
Atenolol
Mechanism of Action:
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Definition
Decreases heart rate, myocardial contractility, and
cardiac output.
Inhibits dilation of bronchial smooth muscle.
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Term
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Definition
To reduce myocardial ischemia and damage in acute myocardial infarction patients; paroxysmal SVT, atrial flutter, atrial fibrillation, hypertension.
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Term
Atenolol
Contraindications:
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Definition
Heart failure, cardiogenic shock, bradycardia,
lung disease, hypotension, 2nd or 3rd degree
heart block.
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Term
Atenolol
Adverse Effects:
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Definition
Dizziness, bronchospasm, bradycardia, AV conduction delays, hypotension, myocardial infarction, heart failure.
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Term
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Definition
Anti-hypertensive effects may be potentiated
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When taken with Ca+ channel blockers or
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MAOI’s, Sympathomimetic drugs may be
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Antagonized, hypoglycemia may be masked
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Term
Atenolol
Dose & Administration:
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Definition
Adult: 5 mg slow IV (over 5 minutes).
Wait 10 minutes. Give second dose of 5 mg over
5 minutes.
Pedi: Not Recommended.
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Term
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Definition
Beta Blocker, Antihypertensive |
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Term
Propanolol
Mechanism of action:
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Definition
Beta adrenergic blocker, reducing inotropic,
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Chronotropic & dromotropic effects of the heart
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By antagonizing cardiac beta receptors
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Is non selective
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Term
Propanolol
Contraindications:
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Definition
Sinus bradycardia, 2nd or 3rd degree heart block
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Sick sinus syndrome (if no pacer present)
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Asthma, cardiogenic shock, CHF
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Pulmonary edema
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Term
Propanolol
Dose & Administration
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Definition
1 to 3 mg infused at 1 mg/min
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Term
Heparin Sodium
Drug Class:
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Definition
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Term
Heparin Sodium
Mechanism of Action:
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Definition
Prevents conversion of fibrogen to fibrin.
Affects clotting factors IX, XI, XII, plasmin.
Does not destroy existing clots.
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Term
Heparin Sodium
Contraindications:
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Definition
Hypersensitivity, active bleeding, recent intracranial/
intraspinal/eyes surgery,
severe hypertension,
bleeding tendencies, severe thrombocytopenia
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Term
Heparin Sodium
Dose & Administration
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Definition
Adult: 60I units/kg IV bolus with max dose of 4000 units. Continuous infusion is given following the bolus at a rate of 12 units/kg/hr round to the nearest 50
Pedi: Not recommended
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Term
Heparin Sodium
Adverse Effects:
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Definition
Pain, anaphylaxis, shock, hematuria, GI bleeding, hemorrhage, thrombocytopenia, bruising.
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Term
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Definition
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Term
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Definition
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Term
Furosemide
Mechanism of Action:
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Definition
Blocks the absorption of sodium and chloride at the distal and proximal tubules and the loop of Henle, causing increased urine output
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Term
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Definition
CHF, Pulmonary edema, hypertensive crisis
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Term
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Definition
Hypovolemia, anuria, hypotension (relative contraindication) hypersensitivity, hepatic coma, suspected electrolyte imbalances.
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Term
Furosemide
Adverse Effects:
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Definition
Dizziness, headache, ECG changes, weakness,
orthostatic hypotension, dysrhythmias, nausea,
vomiting, diarrhea, dry mouth, may exacerbate
hypovolemia and hypokalemia, hyperglycemia
(due to hemoconcentration)
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Term
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Definition
Lithium and digitalis toxicity may develop
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Due to changes in water balance. **Many
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Negative consequences when incorrectly given
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To patients with pneumonia**
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Term
Furosemide
Dose & Administration:
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Definition
Adult: 0.5 – 1 mg/kg IV over 1 – 2 minutes.
If no response, double the dose to 2 mg/kg slowly over
1 -2 minutes. EMS standard dose is 40 mg for patients
not taking Lasix, and double home dose up to 80 mg
if patients are taking home Lasix.
Pedi: 1 mg/kg IV/IO
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