Term
| Trade Name for Streptokinase |
|
Definition
|
|
Term
| Streptokinase--drug class |
|
Definition
| Fibrinolytic (thrombolytic enzyme) |
|
|
Term
| Streptokinase--Mechanism of Action |
|
Definition
| Converts plasminogen to plasmin, which aids in the dissolution of blood clots. |
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Term
| Streptokinase--Contraindications |
|
Definition
-Active internal bleeding
-Cerebrovascular accident w/in 2 mos
-Intracranial or intraspinal surgery
-Severe, uncontrolled HTN (syst > 180, diast > 110)
-Significant trauma (sp. head)
-Prolonged CPR |
|
|
Term
| Streptokinase--Indications |
|
Definition
-AMI
-Pulmonary Embolism
-DVT (deep venous thrombosis)
-Arterial Thrombosis
-Embolism |
|
|
Term
| Streptokinase--Precautions |
|
Definition
-May cause severe bleeding
-Use one IV line exclusively for admin |
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|
Term
| Streptokinase--Available Forms |
|
Definition
|
|
Term
|
Definition
-AMI, infuse 1.5 mil units/45 mL w/in 60 mins
-Embolism/Thrombosis, admin loading dose of 250,000 units via IV into a peripheral vein over 30 min |
|
|
Term
| How does streptokinase come prepared? |
|
Definition
| 250,000 or 750,000 or 1.5 million units powder in a vial that must be reconstituted |
|
|
Term
| How is streptokinase administered? |
|
Definition
|
|
Term
| Pediatric dosage of streptokinase. |
|
Definition
| Safety in pediatric Pts has not been established. |
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Term
| Side-effects of streptokinase. |
|
Definition
-Bleeding
-Allergic rxn
-HypoTN
-Chest pain
-Reperfusion dysrhythmias
-Abdominal pain |
|
|
Term
| Streptokinase interacts with... |
|
Definition
-Anticoagulants
-Agents that alter platelet fxn (aspirin, NSAIDs)
-Thrombolytic agents
-Agents that alter coagulation |
|
|
Term
| Trade name for t-PA (altepase). |
|
Definition
|
|
Term
|
Definition
| Same as streptokinase, converts plasminogen to plasmin. |
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
| Indications for t-PA admin. |
|
Definition
-Acute ischemic stroke
-AMI caused by occlusion
-Pulmonary thrombosis/embolism |
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|
Term
| Contraindications for t-PA admin. |
|
Definition
-Intracranial hemorrhage or Hx thereof
-Recent intraspinal or intracranial surgery
-Serious head trauma
-Previous stroke
-Hx of severe HTN
-Seizure w/ stroke
-Active internal bleed
-Trauma surgery w/in 10 days
-Pt > 75 y/o |
|
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Term
| Precaution of t-PA admin. |
|
Definition
| Recommended min. of 3 patent IV sites prior to admin |
|
|
Term
|
Definition
| One vial powder to be reconstituted with one vial sterile water. |
|
|
Term
| How does t-PA come prepared? |
|
Definition
| 100 mg, 50 mg, or 2 mg/vial |
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|
Term
| How is t-PA administered? |
|
Definition
|
|
Term
| What is the adult dosage of t-PA for cardiac problems? |
|
Definition
| 0.9 mg/kg infused over 60 min w/ 10% of total dose pushed as an IV bolus over 1 min (MTD 100 mg). |
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Term
| What is the adult dosage of t-PA for suspected CVA? |
|
Definition
| 15 mg IV bolus, followed by 0.75 mg/kg infusion over 30 min |
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|
Term
| What is the ped dosage of t-PA? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are the side effects of t-PA? |
|
Definition
-HypoTN
-Bleeding
-Fever
-NV
-Easy bruising/bleeding |
|
|
Term
| What are the signs of t-PA toxicity? |
|
Definition
-Syncope
-Vision changes
-Coughing/vomiting blood
-Slurred speech |
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|
Term
|
Definition
| Do not use with other anticoagulants (ex. Warfarin, Aspirin, etc.) |
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|
Term
| This is the generic name for aspirin. |
|
Definition
|
|
Term
|
Definition
| Prevents the formation of thromboxane and inhibits the production of prostaglandins. |
|
|
Term
|
Definition
-Antiplatelet (inhibits the production of thromboxane)
-Analgesic (blocks the synthesis of prostaglandins and prevents sensitization of pain receptors)
-Antipyretic (lowers temp via vasodilation) |
|
|
Term
| What are the indications of aspirin admin? |
|
Definition
-Ischemic chest pain
-Stroke (?) |
|
|
Term
| Contraindications of aspirin admin. |
|
Definition
-Reye's
-Pt w/ GI bleed
-Alcoholics
-Hemophilia
-Nose polyps
-VonWillebrand's
-Breast feeding
-Blood clotting disorders |
|
|
Term
| What are the precautions of aspirin admin? |
|
Definition
| Lethal dose achieved at 400 mg/kg |
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|
Term
| Aspirin is available in what forms? |
|
Definition
|
|
Term
| What is the adult dosage of aspirin for ischemic chest pain? |
|
Definition
| 324 mg, chewed and swallowed |
|
|
Term
|
Definition
| 15-30 min after ingestion |
|
|
Term
| Side effects of aspirin admin? |
|
Definition
|
|
Term
| What are the signs of aspirin toxicity? |
|
Definition
-"Classic" signs are tachycardia, febrile, and tachypnea
-Hepatotoxicity
-Anemia
-Forms concentrations in the stomach |
|
|
Term
| What is the generic name of nitroglycerine? |
|
Definition
| Nitrostat, Tridil (IV form) |
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|
Term
| Nitro is what class of drugs? |
|
Definition
|
|
Term
| What is the site of action of Nitro? |
|
Definition
|
|
Term
|
Definition
| Breaks down Nitric Oxide (NO) |
|
|
Term
|
Definition
-Relaxes smooth muscle
-Decreases preload/afterload
-Dilates coronary arteries |
|
|
Term
| Indications for nitro admin. |
|
Definition
-Ischemic chest pain
-Pulmonary edema (incl. CHF)
-HTN crisis |
|
|
Term
| Contraindications of nitro admin. |
|
Definition
-HypoTN
-Bradycardia
-ED drugs w/in 24 hr |
|
|
Term
| Precautions of nitro admin. |
|
Definition
| Pt w. inferior (R. sided) AMI |
|
|
Term
| Nitro is available in what forms? |
|
Definition
| Spray, tablet, solution, paste |
|
|
Term
| How does nitro come prepared? |
|
Definition
|
|
Term
|
Definition
| Sublingual, oral, IV, topical |
|
|
Term
| What is the adult dosage of nitro for chest pain? |
|
Definition
| 0.4 mg sublingual, q 5 min (as long as systolic stays > 90 mm Hg) |
|
|
Term
| What is the adult dosage of nitro for edema? |
|
Definition
| 0.4-0.16 mg sublingual q 5 min (as long as diastolic stays > 100 mm Hg) |
|
|
Term
| What is the pediatric dosage of nitro? |
|
Definition
|
|
Term
| What is the onset, and peak effect of nitro? |
|
Definition
| 1-4 min onset, 8 min peak |
|
|
Term
| What are the side-effects of nitro admin? |
|
Definition
-HA
-HypoTN
-Reflex tachycardia |
|
|
Term
| If you admin nitro, and the Pt complains of a throbbing headache, it means... |
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Definition
| The Pt has received a therapeutic level of nitro (no more is needed). |
|
|
Term
| What is the sign of Nitro toxicity? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the adult dosage of morphine for pain? |
|
Definition
| 2-4 mg slow IV over 1-5 min every 5-30 min, titrate to effect |
|
|
Term
| What is the adult dosage of morphine for STEMI? |
|
Definition
| 2-4 mg IV, may give additional doses at 2-8 mg @ 15 min intervals |
|
|
Term
| What is the adult dosage of morphine for NSTEMI? |
|
Definition
| 1-5 mg IV, only if symptoms are not relieved by nitrates, or if symptoms reoccur. |
|
|
Term
| What is the pediatric dosage of morphine? |
|
Definition
| 0.1-0.2 mg/kg IV, MTD 15 mg |
|
|
Term
| What is the trade name for adenosine? |
|
Definition
|
|
Term
| Adenosine belongs to what class of meds? |
|
Definition
|
|
Term
|
Definition
• Slows tachycardias associated with AV node via modulation of the autonomic NS
• Slows conduction through the AV node, and blocks reentry pathways |
|
|
Term
| Indications for adenosine use. |
|
Definition
• SVTs (including WPW) refractory to vagal maneuvers
• Stable monomorphic wide complex tachycardia |
|
|
Term
| Contraindications for adenosine use. |
|
Definition
• 2nd or 3rd Degree HB
• Sick sinus syndrome
• Known AFib/AFlut (won’t harm, but won’t fix)
• Irregular wide-complex tachycardias |
|
|
Term
| Precautions for adenosine use. |
|
Definition
| May cause refractory bronchospasm (so use cautiously in COPD and asthma Pts) |
|
|
Term
| How does adenosine come prepared? |
|
Definition
|
|
Term
| What is the adult dosage of adenosine? |
|
Definition
| 6 mg rapid IV bolus followed by 20 mL flush and extremity elevation. |
|
|
Term
| How may adenosine be readministered? |
|
Definition
| If no response in 1-2 min to initial bolus, admin 12 mg. |
|
|
Term
| What is the onset of adenosine? |
|
Definition
|
|
Term
| What is the duration of adenosine? |
|
Definition
| 10 sec (so must administer very quickly, usually simultaneously with partner pushing NS flush) |
|
|
Term
| What are the side effects of adenosine? |
|
Definition
• Flushing
• Chest pain
• Dyspnea
• HA
• Diaphoresis
• Metallic taste
• Dizziness
• Lightheadedness
• Numbness
• NV
• Palpitations |
|
|
Term
| What are the interactions of adenosine? |
|
Definition
• Additive effects—digoxin, CBBs
• Antagonistic effects--methylxanthines |
|
|
Term
| What are the special considerations of adenosine admin? |
|
Definition
• Consider having partner admin flush for speed purposes
• Admin very rapidly
• Have EKG printout going before and during push |
|
|
Term
| Adenosine should be administered for... |
|
Definition
-SVTs (incl. WPW)
-Monomorphic Wide Complex Tachycardia |
|
|
Term
| Trade name for amiodarone. |
|
Definition
|
|
Term
| Drug class of amiodarone. |
|
Definition
| Antiarrhythmic (Class III) |
|
|
Term
| Indications for amiodarone admin. |
|
Definition
• Recurrent VFib
• Sustained VTach
• Refractory VTach/VFib |
|
|
Term
| Contraindications for amiodarone. |
|
Definition
• HypoTN
• Cardiogenic Shock
• Bradycardia
• 2nd or 3rd Degree HB
• Do not use w/ drugs that prolong QT intervals |
|
|
Term
| How does amiodarone come prepared? |
|
Definition
|
|
Term
| How is amiodarone administered? |
|
Definition
|
|
Term
| What is the adult dosage of admiodarone for cardiac arrest? |
|
Definition
| 300 mg/20-30 mL NS, readmin 150 mg @ 3-5 min with MTD 450 mg |
|
|
Term
| What is the adult dosage of admiodarone for VTach/VFib? |
|
Definition
| 150 mg over 10-15 min, q @ 10 min |
|
|
Term
| What is the onset of amiodarone? |
|
Definition
| 5-15 min, peaks at 30-45 min |
|
|
Term
| What is the duration of amiodarone? |
|
Definition
|
|
Term
| What are the side-effects of amiodarone admin? |
|
Definition
• Vasodilation
• Hepatoxicity
• HypoTN
• Prolonged QT
• Bradycardia
• VTach/VFib
• Heart blocks |
|
|
Term
| What are the interaction concerns of amiodarone admin? |
|
Definition
• May increase Digoxin levels and lead to Digoxin toxicity
• May cause HypoTN, bradycardia, and decreased CO when concurrently used with Fentanyl |
|
|
Term
| What is the trade name of atropine sulfate? |
|
Definition
|
|
Term
| What classes of drugs does atropine belong to? |
|
Definition
• Anticholinergic
• Parasympatholytic
• Antimuscarinic |
|
|
Term
|
Definition
• Inhibits ACh at postganglionic sites in smooth muscle
• Blocks vagal nerve stimulation (vagalytic) |
|
|
Term
|
Definition
• Increase HR
• Decrease GI and respiratory secretions |
|
|
Term
| What are the indications for atropine admin? |
|
Definition
• Symptomatic sinus bradycardia
• Low-degree HB (1st Degree/2nd Degree Type I)
• Pesticide poisoning (organophosphates) |
|
|
Term
| What are the contraindications for atropine admin? |
|
Definition
• NAG
• Acute hemorrhage
• Tachycardia
• Destructive disease of the GI |
|
|
Term
| What are the precautions of atropine admin? |
|
Definition
• Intra-abdominal infections
• Lactation
• Infants w/ Down Syndrome |
|
|
Term
| Atropine comes in what forms? |
|
Definition
| PFS, vial, ampule and autoinjector |
|
|
Term
| How does atropine come prepared? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the adult dosage of atropine for bradycardia? |
|
Definition
| 0.5 to 1 mg, q @ 3-5 min, MTD 3 mg |
|
|
Term
| What is the adult dosage of atropine for poison? |
|
Definition
|
|
Term
| What is the onset of atropine? |
|
Definition
|
|
Term
| What is the duration of atropine? |
|
Definition
|
|
Term
| Atropine admin side-effects: |
|
Definition
• Drowsiness
• Confusion
• Blurred vision
• Tachycardia
• Heart palpitations
• Dry mouth
• Constipation
• Urinary hesitancy
• Pulmonary edema
• Flushing/decreased sweating |
|
|
Term
| What are the interaction concerns of atropine? |
|
Definition
| May alter the absorption of orally administered drugs by slowing the motility of the GI tract. |
|
|
Term
| What is the trade name of diltiazem? |
|
Definition
|
|
Term
| What class of drug does diltiazem belong to? |
|
Definition
| Class IV Antiarrythmic (Ca++ Blocker) |
|
|
Term
| What are the actions of diltiazem? |
|
Definition
• Arterial Vasodilator
• Negative dromotrope |
|
|
Term
| Indications for diltiazem admin: |
|
Definition
• AFib and AFlut
• MAT
• PSVT (2nd line) |
|
|
Term
| Contraindications for diltiazem admin: |
|
Definition
• HypoTN
• Sick sinus syndrome
• WPW
• VTach
• AMI
• 2nd and 3rd Degree HB |
|
|
Term
| Diltiazem is available in what form? |
|
Definition
|
|
Term
| How does diltiazem come prepared? |
|
Definition
| 25 mg/5 mL and 50 mg/10 mL |
|
|
Term
| What is the adult dosage of diltiazem? |
|
Definition
| 10 mg over 2 min, q @ 10-15 min |
|
|
Term
| What is the onset of diltiazem? |
|
Definition
|
|
Term
| What is the duration of diltiazem? |
|
Definition
|
|
Term
| Side-effects of diltiazem admin: |
|
Definition
• 1st and 2nd Degree HB
• Bradycardia
• Ventricular dysrhythmias
• HypoTN
• Syncope
• Flushing
• Chest pain |
|
|
Term
| What are the interaction concerns of diltiazem? |
|
Definition
• Potentiates Versed, ASA
• Don’t combine w/ B-blockers or Lasix |
|
|
Term
| What are the special considerations of Tx a Pt with diltiazem? |
|
Definition
• Shelf life of approx. 30 days (so rarely carried prehosp)
• In general, a Pt with Afib will rarely be Tx (preference is cardioversion or transport for Dr review) |
|
|
Term
| What are the trade names of dopamine hydrochloride? |
|
Definition
|
|
Term
| What class of drugs does dopamine belong to? |
|
Definition
| Inotrope (adrenergic dopaminergic catecholamine sympathomimetic) |
|
|
Term
| Where is the site of action for dopamine? |
|
Definition
| Naturally occurring catecholamine that is the chem precursor of NE. |
|
|
Term
| What are the indications of dopamine? |
|
Definition
• Cardiogenic shock
• Cardiogenic shock with pulmonary edema (CHF)
• Hypovolemic shock/HypoTN (after fluid resuscitation)
• Neurogenic shock
• Septic shock
• Refractory symptomatic bradycardia
• HypoTN after ROSC (return of spontaneous circulation) |
|
|
Term
| What are the contraindications of dopamine admin? |
|
Definition
• Hypovolemic shock
• Pheocromocytoma
• Tachydysrhythmias
• Women on oxytocin
• VFib/VTach |
|
|
Term
| What are the precautions of dopamine admin? |
|
Definition
• Have two lines, one for dopamine, other for other drugs
• DO NOT MIX DOPAMINE AND SODIUM BICARB!!! |
|
|
Term
| Dopamine is available in what forms? |
|
Definition
|
|
Term
| How does dopamine come prepared? |
|
Definition
| 200, 400, or 800 mg in 5 mL |
|
|
Term
| What are the dose specific actions of dopamine? |
|
Definition
Dose dependent actions of Dopamine
• 1-2 mcg/kg/min—increases renal blood flow
• 2-10 mcg/kg/min—inotropic and chronotropic effects as stimulate B1 receptors (below 5 mcg will still get renal effects)
• 10-20 mcg/kg/min—vasoconstriction of renal and peripheral arteries/veins via stimulation of B1 and A receptors
• >20 mcg/kg/min—mimics NE’s pure alpha effects |
|
|
Term
| What's the adult dosage of dopamine? |
|
Definition
| • 2-20 mcg/kg/min; not to exceed 20 mcg/kg/min w/o med direction. Generally start at 5-10 mcg/kg/min. |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are the side-effects of dopamine admin? |
|
Definition
• Dysrhythmias
• HTN
• HA
• NV
• Dizziness
• Ectopy
• Bradycardia
• Tremors
• Angina, AMI
• Pain
• Tachycardia incl. VTach/VFib |
|
|
Term
| What are the signs of dopamine toxicity? |
|
Definition
• Tachycardia
• Dysrhythmias |
|
|
Term
| What are the interaction concerns of dopamine? |
|
Definition
| TCAs, MAOIs, bretylium, precipitates alkaline solutions (sodium bicarb) |
|
|
Term
|
Definition
|
|
Term
| What drug class does epinephrine belong to? |
|
Definition
|
|
Term
|
Definition
• Alpha 1—constricts blood vessels, smooth muscles, stimulates glucose production, and decreases GI venous supply
• Beta 1—Heart, stimulates SA node and L ventricle
• Beta 2—Lungs, relaxes smooth muscle of the lungs, blood vessels, uterus and cerebellum |
|
|
Term
| What are the actions of epi? |
|
Definition
• Constricts blood vessels
• Increases HR
• Increases heart contractility
• Decreases GI blood supply
• Counteracts histamine
• Dilates bronchioles |
|
|
Term
| What are the indications for epi admin? |
|
Definition
• Anaphylaxis/Allergic rxn
• Bronchial asthma
• Cardiac arrest
• Pediatric symptomatic bradycardia
• Severe hypoTN w/ bradycardia when Atropine/pacing fail (secondary med)
• Croup |
|
|
Term
| What are the contraindications of epi admin? |
|
Definition
• None in cardiac arrest or life-threatening situations
• Lower dose or admin slowly in Pts w/ heart disease
• Hypovolemic shock |
|
|
Term
| What are the precautions of epi admin? |
|
Definition
• MAOI may potentiate effects
• May be deactivated by sodium bicarb (so flush line before admin Epi)
• Do not use PFS for Epi infusions
• Syncope in asthmatic children can occur
• Have EKG and IV in place |
|
|
Term
| Epi is available in what forms? |
|
Definition
| PFS, vials, and auto-injectors |
|
|
Term
| How does epi come prepared? |
|
Definition
•Vials—1 mg/1 mL (1:1,000) or 1 mg/10 mL (1:10,000)
•Auto-injector—0.3 mg/mL (1:2,000) for adult, 0.15 mg/mL for peds |
|
|
Term
| What are the routes of epi admin? |
|
Definition
|
|
Term
| What are the proper doses of epi? |
|
Definition
Severe Bradycardia/HypoTN (extremely rare except w/ peds)
• Adult—2-5 mcg/min infusion titrated to response
Pulseless Arrest
• Adult—1 mg (1:10,000) IV/IO push diluted in 10 mL, rpt 3-5 min
Anaphylactic Arrest
• Adult—(mild) 0.3-0.5 mg (1:1,000) IM/SQ, q 15 min; (severe) 0.3-0.5 mg (1:10,000) slow IV over 5 min
Croup
• 0.25-0.5 mL of a 2.25% solution |
|
|
Term
| What is the onset of epi? |
|
Definition
SQ/IM 5-10 min
IV/ETT 1-2 min |
|
|
Term
| What is the duration of epi? |
|
Definition
|
|
Term
| What are special considerations relative to epi dosing and admin route? |
|
Definition
SQ/IM use 1:1,000
IV/ETT use 1:10,000 |
|
|
Term
| What is the trade name of lidocaine hydrochloride? |
|
Definition
|
|
Term
| Lidocaine belongs to what class of drugs? |
|
Definition
|
|
Term
|
Definition
| Depresses the action potential of purkinje fibers. |
|
|
Term
| What are the actions of lidocaine? |
|
Definition
• Increases the ventricular threshold (increases refractory period of cells)
• Blocks fast Na+ channels
• Decreases Phase 4 depolarization |
|
|
Term
| What are the indications for lidocaine admin? |
|
Definition
• Stable monomorphic VTach w/ pulse
• Pulseless VTach/VFib
• Prophylactic for ICP pre-RSI
• PVCs (currently not recommended) |
|
|
Term
| What are the contraindications of lidocaine admin? |
|
Definition
• Advanced AV blocks
• IVR/Bradycardia
• Adam-Stokes Syndrome
• HypoTN
• WPW |
|
|
Term
| What are the precautions of lidocaine admin? |
|
Definition
| Cut maintenance dose in half if they are heptic impaired, in shock, or in heart failure. |
|
|
Term
| How does lidocaine come prepared? |
|
Definition
• 2% (100 mg/5 mL), PFS
• 20% (1 g/5 mL), pre-mixed solution for maintenance dose
• 1 g/250 mL, maintenance mixture |
|
|
Term
| What are the routes of lidocaine admin? |
|
Definition
• IV, IO, IM, ETT (1 of 4, LEAN)
• Remember with ETT, dose is 2-2.5x normal dose (but still equates to single IV dose) |
|
|
Term
| What are the four drugs that can be administered via ETT? |
|
Definition
| Lidocaine, Epi, Atropine, Narcan |
|
|
Term
| What are the adult doses of lidocaine? |
|
Definition
• Cardiac Arrest—1 or 1.5 mg/kg (usually 1.5 mg), q 3-5 min, MTD 3 mg/kg (so typically admin’d 2x)
• Maintenance Dose—1 g/250 mL NS (4 mg/mL), @ 2-4 mg/min (rd up total Bolus dose to next whole number for maintenance dose)
o Only hang maintenance dose if rhythm converted
• Vent. Ectopy/Wide Complex Tachycardia—intial dose 1 or 1.5 mg/kg, with MTD 3 mg/kg, and rpt doses half initial dose |
|
|
Term
| What is the onset of lidocaine? |
|
Definition
|
|
Term
| What is the duration of lidocaine? |
|
Definition
|
|
Term
| What are the side effects of lidocaine admin? |
|
Definition
|
|
Term
| What are the signs of lidocaine toxicity? |
|
Definition
• Seizure
• Tinnitus
• Fasciculation
• Slurred speech
• ALOC |
|
|
Term
| What are the interaction concerns of lidocaine admin? |
|
Definition
| Added cardiac depression when used concurrently with amiodarone, procainamide, and B-Blockers |
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Term
| What is the trade name of vasopressin? |
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Definition
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Term
| What class of drugs does vasopressin belong too? |
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Definition
| Antidiuretic hormone (naturally occurring in the body...ADH) |
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Term
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Definition
| • Vasoconstrictor w/o inotropic or chronotropic effects and a smooth muscle stimulator in the GI tract |
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Term
| Vasopressin is indicated for the Tx of... |
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Definition
| Cardiac Arrest (and diabetes insipidus) |
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Term
| What are the contraindications of vasopressin admin? |
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Definition
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Term
| What are the precautions of vasopressin? |
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Definition
• Migraine
• Epilepsy
• CHF
• CAD
• Asthma |
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Term
| Vasopressin is available in what form? |
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Definition
| Vial (5 units/mL or 20 units/mL) |
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Term
| Vasopressin is admin'd via what route? |
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Definition
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Term
| What is the adult dosage of vasopressin? |
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Definition
| 40 units in one single dose |
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Term
| The onset of vasopressin is... |
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Definition
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Term
| What's the duration of vasopressin? |
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Definition
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Term
| What are the side-fx of vasopressin? |
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Definition
Post resuscitation, may see:
o Ischemic chest pain
o ABD distress
o NV
o Bronchial constriction
o Tremors
o Sweating |
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Term
| What are the interaction concerns of vasopressin? |
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Definition
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Term
| In what way can vasopressin be utilized during cardiac arrest? |
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Definition
| Can be used in place of 1st and 2nd dose of epi in cardiac arrest Tx (1 dose of vasopressin = 2 doses of epi). |
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Term
| What are the side effects of digoxin? |
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Definition
• HA
• Weakness
• Confusion
• Seizures
• HypoTN
• NV
• Skin rash
• High-degree AV blocks |
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Term
| What are the signs of dig-toxicity? |
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Definition
• Dysrhythmias (most commonly junctional tach)
• Visual disturbances (blurred, yellow or green vision) |
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Term
| What are the interaction concerns of digoxin? |
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Definition
• Amiodarone, vererpamil, and quindine may increase serum digoxin concentration by 50-70%
• Erythromycin and tetracycline may increase serum digoxin levels by reducing hepatic breakdown
• Diuretics may potentiate digoxin cardiotoxicity via loss of K+ |
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Term
| You would use these medications to Tx ischemic chest pain. |
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Definition
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Term
| You would use these drugs for the Tx of shock. |
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Definition
| Epi (anaphylactic) and Dopamine (cardiogenic, hypovolemic W/ FLUID Tx, neurogenic, and septic) |
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Term
| You would use these drugs to Tx symptomatic bradycardia/hypoTN. |
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Definition
| Dopamine (after ROSC), atropine and epi. |
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Term
| These drugs are used in cardiac arrest. |
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Definition
| Epi, amiodarone, lidocaine and vasopressin. |
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Term
| These drugs are used to Tx Vtach and Vfib. |
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Definition
| Amiodarone and Lidocaine. |
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Term
| You would use this drug in suspected pesticide (organophosphate) poisoning. |
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Definition
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Term
| This drug is used to Tx SVTs and WCTs. |
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Definition
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Term
| This drug is used to Tx Afib/Aflut, MAT, and PSVTs. |
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Definition
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