Card Set Information
Med Surge Drugs
- Improve cardiac output w/out ^ heart rate; IV only
- It can go home with you, also IV, increase cardiac output v heart rate. Low potassium intensifies digoxin (abd. pain, n/v, halos)
Primacor - #1 choice used by physicians. ^ cardiac output, reduces preload and afterload
All increase cardiac output.
Half to make sure tank is full, that they have fluids
3 uses .5-2.0 renal dose, 2-10 affects beta, 10 > alpha
ABCD - A to C, B to D (alpha constrics beta dilates) raises b/p don't give for tachycardia
increases b/p without ^ heart rate, causes shunting.
MAP - > 60 for perfusion
Used as a neuro pressor. Raises CPP (cerebral pulse pressure)
first drug used in a code, all dead people get epi,
Used in a code, strongest vasoconstrictor, natural occuring hormone, like epi.
favorite works on atrial and ventricular disrythmias. Lowers b/p.
IV only, just for ventricular arrythmias
Used for diagnostics, SVT, lowers heart rate, slows heart rate down to diagnose. Half life is short
Used for symptomatic bradycardia. NOT to be used on patients with glaucoma
Prevents remodeling after heart failure, MI, etc.. CORE MEASURE (know them all)
If you cough on an ACE you get an ARB.
Watch for angioedema!
Cardio protective, prevents remodeling in CHF. v chance of another event. Anybody who has a stent, MI, CHF, Stemi will get a beta blocker. Slows HR and v B/P.
Labetolol - HR > 60 on both beta blockers
. IV only for hypertension crisis.
treat cerebral edema, have to give with a Proton Pump inhibitor. Watch BS. Used for asthma, allergy, shock. Mostly used cerebral edema.
Lowers b/p, opens coronary arteries. IV version of nitro is TRIDILE comes in glass bottle (absorbed by plastic, has special IV tubing), used for chest pain, angina, acute MI.
Given IV or PO used for patients with b/p 200/120 and low heart rate. Lowers b/p and raises HR.
Calcium Channel Blockers
Cardine - (cardown)
acute HTN crisis. Lowers b/p, IV only. Not used for arrythmias.
IV push, v HR, used for a-fib RVR.
Lowers heart rate, A-fib RVR, given PO or IV.
loop diuretic, watch potassium and sodium.
40 times stronger than lasix
osmotic diuretic, used for neuro patients, must have filter, lowers ICP and interoccular pressure, have to have urine production to give it.
antiplatelet agent, considered a liquid plavix, goes in all stents and all graphs.
Platelet aggregation inhibitor. Hold for procedures
Used for hypoglycemia crisis, insulin shock. Give all 50
Sodium Bicarbonate -
replace it when its less than -6, and magnesium when its less than 2.
Used for metabolic acidosis, less than -6 or lower, also given for life
Reduces preload, pain, and anxiety.
Reversal agent for Magnesium sulphate.
Used for torsads, which is a lethal heart rythym. Replace MAG if is falls below 2. Calcium Gluconate is reversal.
Presedex - to wean off of the ventilator.
Propofol - vented only
Versad - relaxant
Phentanol - 10 x stronger than morphine