EKG Drug Review

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Author:
mac519
ID:
232156
Filename:
EKG Drug Review
Updated:
2013-09-02 09:31:29
Tags:
Cardiac drugs
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Drug information flashcards
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  1. Actions:
    Prevents platelets from clumping
    Acetylsalicyclic Acid (Aspirin/ASA)
  2. Indication:
    Chest pain, suspected ACS (acute coronary syndrome)
    Acetylsalicyclic Acid (Aspirin/ASA)
  3. Dosage:
    160 to 325 mg PO (chewed). Chewable tablets are more rapidly absorbed than swallowed tablets
    Concentration:
    81 mg chewable tablets
    Acetylsalicyclic Acid (Aspirin/ASA)
  4. Side Effects:
    GI upset, GI bleeding, ear ringing [tinnitus] (at toxic levels). These suppositories at 300 mg could be used to avoid GI upset.
    Acetylsalicyclic Acid (Aspirin/ASA)
  5. Notes:
    Give as soon as possible with suspected MI. New guideline is to have dispatchers advise patients to take this before EMS arrival
    Acetylsalicyclic Acid (Aspirin/ASA)
  6. Actions:
    Decreased SA and AV node conduction.
    Half life of 6-8 seconds
    Adenocard (Adenosine)
  7. Indication:
    Stable Supraventricular tachycardia
    Can be used as diagnostic test -- is the rhythm atrial or ventrical. If this has some effect, the rhythm is atrial
    Adenocard (Adenosine)
  8. Dosage:
    6 mg IV/IO push rapidly 1-3 seconds c 20 ml flush.
    AHA dosages as 6,12 (typically SVT) or 6,12,12 (typically VT [diagnostic])

    Concentration:
    3mg/ml
    Adenocard (Adenosine)
  9. Side Effects:
    Transient arrhythmias, headache, dyspnea. Contraindicated in asthma patients.
    Adenocard (Adenosine)
  10. Notes:
    Need higher dose with methylxanthines (theophylline, caffeine). Lower doses in heart transplant patients. Advise patient before administration.
    Adenocard (Adenosine)
  11. Actions:
    Potassium channel blocker: increased refractory period effecting mainly phase 3 -- increased QT interval. Inhibits Alpha and Beta actions.
    Amiodarone (Cordarone)
  12. Indication:
    1) Ventricular Fibrillation or Ventricular Tachy without a pulse. 2) Stable narrow complexes uncontrolled by Adenosine. 3) A-Fib / A-flutter (can be used with WPW). 4) Stable wide complex tachycardias
    Amiodarone (Cordarone)
  13. Dosage:
    300 mg IV/IO. If not effective can follow with one dose of 150mg in cardiac arrest.
    For other uses, 150mg IV/IO over 10 minutes followed by 1mg/min infusion. Maximum daily dose of 2.2g.
    Amiodarone (Cordarone)
  14. Side Effects:
    Bradycardia, hypotension (can be sudden and severe), prolonged QT, pulmonary edema, dyspnea
    Amiodarone (Cordarone)
  15. Notes:
    New formulations of this drug do not greatly foam. Give drug slowly to prevent hypotension and bradycardia. Half life of 42 days.
    Amiodarone (Cordarone)
  16. Actions:
    Blocks that actions of the parasympathetic system in the SA and AV nodes.
    Effective in SB, 1st degree block. Not effective in 2nd degree type II, 3rd degree block, or idioventricular
    Atropine Sulfate
  17. Indication:
    Hemodynamically significant bradycardia (typically rate <50) with signs and symptoms of poor perfusion.
    No longer administered in routine cardiac arrest settings. 1.0mg IV/IO
    Atropine Sulfate
  18. Dosage:
    Bradycardia = 0.5mg rapid IV/IO push. Max dose of 3.0mg (0.04mg/kg)
    Atropine Sulfate
  19. Side Effects:
    Tachycardia, dry mouth, dilated pupils, drowsiness.
    Can be used via ET tube -- Dose 2-2.5 times IV dose. Use ET route only as a last route to administer medications.
    Atropine Sulfate
  20. Notes:
    Must be fast IVP. If given too slowly will cause bradycardia. Use caution in patients with MI -- faster heart rates can be deadly.
    Atropine Sulfate
  21. Actions:
    Blocks actions of Beta receptors = decreased heart rate, blood pressure, contractility
    Beta Blocker - Metoprolol, Atenolol, Inderol, Propranalol
  22. Indication:
    ACS: Mi,angina, Hypertension, Controled rate in A-fib/A-flutter, SVT's
    Beta Blocker - Metoprolol (selective B1 blocker), Atenolol (selective B1 blocker), Inderol (non-selective blocker), Propranalol
  23. Dosage:
    M: 5mg SLOW IVP over 2 minutes. Wait 2 minutes until next dose.

    Concentration:
    1mg/ml
    Beta Blocker - Metoprolol (selective B1 blocker), Atenolol (selective B1 blocker), Inderol (non-selective blocker), Propranalol
  24. Side Effects:
    Bradycardia, hypotension, CHF, bronchospasms
    Beta Blocker - Metoprolol (selective B1 blocker), Atenolol (selective B1 blocker), Inderol (non-selective blocker), Propranalol
  25. Notes:
    Monitor heart rate closely. Indicated for in-hospital use only at this time. Do not give with WPW.
    Beta Blocker - Metoprolol (selective B1 blocker), Atenolol (selective B1 blocker), Inderol (non-selective blocker), Propranalol

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