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Cardiac Medications
Antiarrhythmic (antidysrythmic) Meds
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Lidocaine, digoxin (Lanoxin) |
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Cadiac Medications
Antihypertensive Medications |
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verapamil, diltiazem, nefedipine, nicardipine, nisoldpine |
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Cardiac Medications
Lipid-Lowering Medications |
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Cardiac Medications
Diuretics |
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hydrochlorothiazide (Hydrodiuril), furosemide (Lasix), chlorothiazide (Diuril) |
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Warfarin, heparin, enoxaparin (Lovenox), bivalirudin (Angiomax) |
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Aspirin, clopidogrel (Plavix), Eptifibatide (Integrillin) |
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Metaformin (Glucophage),methimazole (Tapazole) |
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phenytoin (Dilantin), diazepam (Valium), clonazepam (Klonopin), lorazepam (Activan), levetiracetam (Keppra) |
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Antipsychotic Medications |
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Antidepressant Medications |
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amitriptyline (Elavil), sertraline (Zoloft), fluoxetine (Prozac), paroxetine (Paxil), escitalopram (Lexapro) |
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diazapam (Valium), lorzepam (Activan), midazolam (Versed), alprazolam (Xanax), chlordiazepoxide (Klonopin), clonazepam, buspirone (Ansial) |
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Definition
Form: Tablets, syrup, injection
Indications: Pain
Adv. Reactions: Siezures, CA, shock, resp. depr.
Contraidications: Hypersens., MOAI within 48hrs. |
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Form: Tablets, syrup, injection, oral suspension
Indications: Sev. pain.
Adverse Reactions: Bradycardia, CA, shock, Resp. Dpr., Resp A.
Contraindications: Hypersensitivity, preclusion of IV opiods. |
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Definition
Form: Injection
Indications: Preoperative sedation
Adv. Reactions: Apnea, resp. depr., nausea, vomiting, hiccups, pain at site
Contraindications: Hypersens., acute angle-closure glaucoma, shock, coma, acute alcohol intoxication |
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Form: tablets, capsules, oral suspensions, injections
Indications: anxiety
Adverse Reactions: CV collapse, bradycardia, resp. depr., acute withdrawl syndrome
Contraindications: Hypersens. to drug or soy protein, shock, coma, acute alcohol intox. |
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Form: Tablets, Oral susp., injection
Indications: sedative, insomnia
Adverse reactions: nausea, vomiting, diarrhea
Contraindications: hepatic or renal impairment, cardiac disease, hypersens., grastric disorders for oral admin. |
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Form: Injection
Indications: Hypoglycemia
Adverse Reactions: Bronchospasms, hypotension, nausea vomiting
Contraindications: Hypersens., phenochromocytoma |
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Form: tablets, syrup, injection, suppositories
Indications: nausea, sedation
Adverse Reactions: dry mouth
Contraindications: Hypersens., intestinal obstruction, prostatic hyperplasias
Imaging effects: high risk of seizures if not discontinued 48hrs prior to myelogram. |
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Form: tablets, syrup, caposules, injection
Indications: nausea, sedation
Adv. Reactions: dry mouth, dypsnea, wheezing, chest tightness
Contraindications: Hypersensitivinty, pregnancy, breastfeeding |
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diphenhydramine (Benadryl) |
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Definition
Form: tablets, syrup, elixir, capsules, injection
Indications: allergic reactions, sedation
Adv. Reactions: seizures, sleepiness, insomnia, incoordination, restlessness, nausea, vomiting, diarrhea
Contraindications: hypersens, acute asthmatic attacks in neonates, breast feeding |
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Form: Injection
Indications: suspected narcotic induced resp. depression.
adv. reactions: seizures, pulmonary edema, V-fib.
Containdications: hypersens. |
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epinephrine (Adrenalin, Epifrin, EpiPen,) |
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Form: Injected into central vein, ET tube, introosseously in pediatics
Indications: CA - v-fib, asystole, electromechanical dissociation,
anaphylactic reactions, acute bronchospasm
Adv. Reactions: cardia dysrhythmias, ischemea in a previously damaged heart, nervouslness, headache, muscle twitching |
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Form: IV via electronic pump, diluted in saline
Indications: hypotension after CHF, MI, trauma, sepsis, OHF, to increase urine output after renal failure, support BP
Adv. Reactions: Dose dependent: Hypotension (Low dose), hypertension, dusrhythmias, headache, nausea, vomiting, angina, pectoris, and tachycardia (High dose)
Pharmaceutical equiv. to endogenous dopamine (natural precursor to epinephrine in body) |
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proper Serum Creatinine Level |
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Paramagnetic Contrst Agent:
Gadolinium |
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paramagnetic Contrast Agent:
Iron |
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hepatic lesions, lymphatic tissue |
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paramagnetic contrast agent:
Manganese |
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cancers that have hepatocytes |
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Factors that produce advrse effects |
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Definition
Ionization
Osmolality
Molecular Toxicity |
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Triiodinated Benzoic Acid |
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Definition
Non-Ionic
-Does not disassociate
-lower toxicity
-more expensive
-best for injecting |
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Low Osmolality/Non-Ionic contrast medias |
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metrizamide (Amipaque)
iohexol (Omnipaque)
iopamidol (Isovue and Niopam) |
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High Osmolality / Ionic Contrasts Medias |
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diatrizoic acid (Hypaque and Renografin)
iothalamate (Conray) |
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Low Osmality / Ionic Contrast Media |
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ioxaglate meglumine (Hexabrix) |
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Reported incidence of Renal Dysfunction following angiography |
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IV push (rapid injection) |
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inject through heparin lock |
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2nd Line Drugs (top drawer) |
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Nipride
Bretyllium
Isuprel
Aminophylline
Narcan
Dopamine
Lasix |
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1st Line Drugs (Second Drawer) |
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Definition
Epinephrine
Atropine
Lidocaine
Na Bicarb
Calcium
Dopamine Drip
Lidocaine Drip |
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