Meds

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Author:
zstinchcomb
ID:
206571
Filename:
Meds
Updated:
2013-03-11 23:22:07
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meds cct
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Description:
meds needed for cct
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  1. What rhythm do you use Adenosine (Adenocard) for?
    SVT: Supraventricular Tachycardia
  2. Contraindications for Adenosine
    • 2nd and 3rd degree AV heart blocks
    • Sick sinus syndrome (without pacemaker)
  3. Side effects of Adenosine
    • SOB/dyspnea, may cause bronchospasm in asthma pt (BHO)
    • Chest Pressure/palpitations
    • Mild Hypotension
    • Dizzy/lightheadedness/headache
    • Nausea
    • Transient Arrythmias
  4. What class is Albuterol
    • Bronchodilator, Beta 2 specific
    • (Sympathomimetic)
  5. Other names for Amiodarone Hydrochloride
    Cordarone, Pacerone, Nexterone
  6. Indications for Amiodarone Hydrochloride
    • Stable V- Tach
    • Post conversion VT/VF with pulse > or =  60
  7. Contraindications for Amiodarone Hydrochloride
    • Bradycardia/AV Blocks
    • Hypotension
    • Hypersensitivity Iodine (not include seafood)
  8. What class is aspirin
    Platelet aggregation inhibitor
  9. what classification of drug is Atropine Sulfate
    • Antiarrythmic
    • Anticholinergic
  10. What does Atropine Sulfate do
    • increases electrical production and elevates HR
    • positive chronotropic properties with little or no inotropic effects
    • competes with acetylcholine for receptor sites blocking PNS response at SA+AV nodes
  11. What are the indications for Atropine Sulfate
    • ADULT: Unstable bradycardia (narrow complex)
    • PEDS: unstable bradycardia after BVM for 30 sec and 3rd dose of epi
    • Poisoning, symptomatic organophosphate poisoning
  12. What are the contraindications of Atropine Sulfate
    There are none
  13. What are the side effects of Atropine Sulfate
    • Tachycardia/palpitations
    • Dry mouth/nausea/vomiting
    • Pupil dilation/blurred vision
    • Flushed/dry/hot skin
  14. What is another name for Atrovent
    Ipratropium Bromide
  15. What does Atrovent do
    • Antagonize the action of acetylcholine, preventing bronchodilation
    • Dries respiratory tract secretions
  16. What are indications for Atrovent
    • Respiratory Distress (?asthma/COPD/respiratory origin)
    • Allergic reaction/Anaphylaxis
  17. Side effects of Atrovent
    • Nausea
    • GI distress
    • Nervous/dizzyness
    • Headache
    • Palpitations
    • Blurred vision
  18. What is acetylcholine
    A neurotransmitter in the ANS, autonomic nervous system
  19. What effect does acetylcholine have on cardiac muscle
    An inhibitory effect that slows heart rate
  20. How does acetylcholine affect the PNS
    it activates the skeletal muscle by transmittting info to the ANS
  21. What class is Calcium Chloride (10%CaCl2)?
    An electrolyte
  22. What does Calcium Chloride do
    • increases myocardial contractility
    • enhances ventricular automaticity
    • reverses cardio-electric changes produced by hyperkalemia
  23. What are the indications for Calcium Chloride
    • Hemodialysis pt:symptomatic ?hyperkalemia if >72 hrs since last dialysis
    • Trauma:crush injury of extremity or torso with extended entrapment>2hrs prior to extremity being released
  24. What is the indication for using Charcoal
    Poisoning ingestion within 60 minutes and recc. by Poison center
  25. What class is Dextrose 50% (D50W, 50% Glucose)
    Carbohydrate
  26. What is another name for Benadryl
    Diphenhydramine Hydrochloride
  27. What class is Benadryl
    Antihistamine
  28. What does benadryl do
    • Binds to histamine receptor sites, blocking H1 and H2 receptors
    • Does not prevent histamine release
  29. What are H1 and H2 receptors and what do they do
    • They are histamine receptor sites
    • H1 causes bronchoconstriction, airway swelling and vasodilation
    • H2 causes secretion of gastric acid
  30. What are the indications for Benadryl
    • Allergic reaction/anaphylaxis
    • Poisoning/OD, extrapyramidal reactions
  31. Side effects of Benadryl
    • Drowsiness
    • Dry mouth
    • Hypotension
    • Palpitations/tachycardia
    • Seizures
  32. What's another name for Dopamine Hydrochloride
    Intropin
  33. What class is Dopamine Hydrochloride (Intropin)
    Vasopressor: Sympathomimetic (alpha and beta properties)
  34. What are the indications for Dopamine Hydrochloride
    • Discomfort/Pain ?Cardiac origin
    • Shock
    • Anaphylaxis
    • Bradycardia
  35. What does Dopamine Hydrochloride do
    • At low and medium doses, vasodilator to brain kidneys heart and gi tract
    • At medium to high doses, increases cardiac output by improving contractility and Stroke volume, increasing BP
    • At high doses, vasoconstrictor and increased HR
  36. Side Effects of Dopamine Hydrochloride
    • high rate:HTN and extreme vasoconstriction
    • low rate:Hypotension
    • Tachyarrythmias/palpitations
    • Increased myocardial O2 demands
  37. What is another name for Midazolam
    Versed
  38. What class is Midazolam
    Benzodiazepine: Sedative/Anticonvulsant
  39. What does Midazolam do
    • CNS depressant
    • Produces anterograde amnesia then sedation
    • Stops and prevents seizures
  40. What are the indications for Midazolam
    • Seizures:generalized lasting more than 5 min, focal seizures with resp. compromise, recurrent seizures without lucid interval, exlamptic seizure of any duration
    • Dysrhythmia: Unstable bradycardia, Unstable conscious VT:precardioversion, Conscious SVT, Unstable conscious Afib, Aflutter
    • Overdose
    • Psych with severe agitation
  41. Contraindications for Versed
    None
  42. Side effects of Midazolam
    • Laryngospasm, respiratory depression/apnea
    • Drowsiness/confusion/amnesia
    • Hypotension
  43. Whats another name for Naloxone Hydrochloride
    Narcan
  44. What class is Narcan
    Opioid antagonist
  45. What does Narcan do
    reverses respiratory depression, sedation and hypotensive effects of opioid overdose by occupying opiate receptor sites
  46. Side effects of narcan
    • Acute withdrawl symptoms
    • Nausea/vomiting
    • Tachycardia/hypertension
  47. What are pulmonary hypertension drugs
    Sildenafil, Revatio, Flolan, Veletri
  48. What is another name for Ondansetron
    Zofran
  49. What does zofran do
    Block serotonin receptors in vagus nerve terminals and in small intenstine that trigger the vomiting reflex
  50. What is another name for Lidocaine
    2% Xylocaine
  51. What does Lidocaine do
    • Depresses depolarization and automaticity in the ventricles
    • Increases the Vfib threshold by increasing phase IV repolarization
    • Amide-type local anesthetic
  52. What are the indications for Lidocaine
    • Stable Vtach
    • Post-conversion VF/VT with pulse >60Als skills p104, Conscious patient with IO line
  53. Contraindications for Lidocaine?
    • 2nd and 3rd degree heart blocks
    • Ventricular escape rhythms
  54. What are common Blood thinners
    Coumadin(Warfarin), Lovenox, Heparin, Iprivask, Plavix, Ticlid, Jantoven, Fragmin, Arixtra, Acova
  55. What are common narcotic analgesics
    Codeine, Demerol, Dilaudid, Morphine, Percodan, Percocet, Norco, Zydone, Tylenol, Oxycodone, Oxycontin, Tramadol, Vicodin, Hydrocodone

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