medic12 drugs used for cardiac and doses

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thom.mccusker@gmail.com
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medic12 drugs used for cardiac and doses
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2012-02-07 08:52:15
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medic12 drugs used cardiac doses
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medic12 drugs used for cardiac and doses
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  1. EPINEPHRINE
    • cardiac arrest: 1mg every 3-5 min (VASOPRESSIN can replace 1st or 2nd dose 40 units)
    • post cardiac arrest: 0.1-0.5 mcg/kg min hr IV infusion (70kg adult 7-35 mcg min)
    • asystole/PEA: 1mg every 3-5 min (VASOPRESSIN can replace 1st or 2nd dose 40 units)
    • adult brady w/ pulse: 2-10 mcg/kg/min IV infusion
  2. DOPAMINE
    • post cardiac arrest: 5-10 mcg/kg per min IV infusion
    • brady w/ pulse: 2-10 mcg/kg per min IV infusion
  3. NOREPINEPHRINE
    post cardiac arrest: 0.1-0.5 mcg/kg/min IV infusion (in a 70kg adult 7-35 mcg per min)
  4. ATROPINE
    bradycardia w/ pulse: 1st dose 0.5mg repeat every 3-5 min - max 3mg
  5. PROCAINAMIDE
    adult tachycardia w/ pulse stabe wide qrs 20-50 mg/min until arrhythmia suppressed
  6. AMIODARONE
    • cardiac arrest: 1st dose 300mg bolus; 2nd dose 150mg
    • adult tachycardia w/ pulse: 1st dose 150mg over 10 min. repeat as needed if vt recurs. follow by maintenance infusion of 1mg/min for 6 hrs.
  7. VASOPRESSIN
    cardiac arrest: 40 units - can replace 1st or 2nd dose of EPI
  8. ADENOSINE
    adult tachycardia w/ pulse: 1st dose 6 mg rapid IV push; follow w/ rapid NS flush; 2nd dose 12 mg if required
  9. LIDOCAINE
    • cardiac arrest: 1-1.5 mg/kg IV every 3-5 min up to 3 mg/kg. follow conversion w/ drip of 2-4 mg/min
    • v-tach w/ pulse: 1-1.5 mg/kg IV slow (consider lower dose for elderly). may repeat 1/2 dose every 5-10 minutes until conversion up to 3 mg/kg. follow conversion w/ infusion of 2-4 mg/min
  10. BRETYLIUM
    v-fib/v-tach: 5 mg/kg IV, then 10 mg/kg over 15-30min to max of 30 mg/kg
  11. DILTIAZEM
    SVT dysrhythmias (a-fib, a-flutter, PSVT refractory to adenosine) & to increase coronary artery perfusion in angina: 0.25 mg/kg IV over 2 min, may repeat as needed w/ 0.35 mg/kg followed by a drip of 5-10 mg/hr. not to exceed 15 mg/hr over 24 hours
  12. MAGNESIUM SULFATE
    • v-fib/tachycardia: 1-2 g IV over over 2 min
    • torsades: 1-2 g IV IV followed by infusion 0.5-1 g/hr IV
  13. VERAPAMIL
    PSVT refractory to ADENOSINE, a-flutter, a-fif w/ rapid ventricular response: 2.5-5 mg IV over 2-3 min, then 5-10mg after 15-30 min (max of 30 mg)
  14. MORPHINE
    AMI or PE: 1-2 mg (6-10 min to response)
  15. NITROGLYCERIN
    chest pain assoc w/ angina & AMI & acute pulmonary edema: 1 tablet (0.4mg) SL, may be repeated 3-5 min up to 3 tablets or 1/2" topical ointment, or 0.4 mg (1 spray) SL up to 3 sprays 25 min
  16. DOBUTAMINE
    increase cardiac output in CHF/cardiogenic shock: 2-20mcg/kg/min IV
  17. ISOPROTERENOL
    bradycardia refractory to atropine: 2-10 mcg/min titrated to cardiac rate
  18. METOPROLOL
    AMI: 5 mg slow IV over 5 min up to 3 doses while monitoring HR & BP
  19. NORMAL SALINE
    post cardiac arrest: 1-2 L
  20. SOTALOL
    adult tachycardia: 100 mg (1.5 mg/kg over 5 minutes). avoid if prolonged QT.
  21. ASPERINE
    chest pain suggestive of an MI: 160-325 mg PO (chewable)
  22. TRIDIL
    chest pain assoc w/ angina & AMI & acute pulmonary edema refractory to oral nitroglycerin. control blood pressure; and to help treat congestive heart failure: 0.2-1.5 mcg/kg/min
  23. HEPARIN
    prevent thrombus formation in acute MI: 5,000 units IV, then 20,000 - 40,000 units over 24 hrs.

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