week 3 pam 103

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Author:
kevinkuczma
ID:
260420
Filename:
week 3 pam 103
Updated:
2014-02-10 13:24:51
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pam
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Description:
pam drugs
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  1. Dobutamine (Dobutrex)
    class
    Sympathomimetic.
  2. Dobutamine (Dobutrex)
    Actiuon
    Increases cardiac contractility.

    Little chronotropic activity
  3. Dobutamine (Dobutrex)
    indication
    Short-term management of CHF.
  4. Dobutamine (Dobutrex)
    Contraindication
    Should only be used in PTs with an adequate heart rate
  5. Dobutamine (Dobutrex)
    Precautions
    Ventricular irritability.

    Use with caution following MI.

    Can be deactivated by alkaline solutions.
  6. Dobutamine (Dobutrex)
    side effects
    • Headache.
    • Hypertension
    • Palpitations
  7. Dobutamine (Dobutrex)
    adult dose
    • 2.5-20mcg/kg/min.
    • Method: 250mg should be placed in 500cc D5W, which gives a concentration of 0.5mg/cc
  8. Dobutamine (Dobutrex)
    route
    iv drip
  9. Dobutamine (Dobutrex)
    ped dose
    2-20mcg/kg/min
  10. Inamrinonel (Inocor)
    class
    Cardiac inotrope
  11. Inamrinonel (Inocor)
    action
    • Increases cardiac contractility,
    • Vasodilator
  12. Inamrinonel (Inocor)
    indicaction
    Short-term management of sever congestive heart failure (CHF)
  13. Inamrinonel (Inocor)
    contraindication
    hypersensitivity to med
  14. Inamrinonel (Inocor)
    precautions
    May increase myocardial ischemia

    BP/Pulse/ECG should be constantly monitored

    Dilute w/only NS or ½ NS; no dextrose solutions

    Furosemide (Lasix) should not be administered in same line.
  15. Inamrinonel (Inocor)
    side effects
    • Reduction in platelets
    • Nausea and vomiting
    • Cardiac arrhythmias
  16. Inamrinonel (Inocor)
    Adult dose
    0.75 mg/kg bolus given slowly over 2-5 min interval, followed by maintenance infusion of 2-15 mg/kg/min
  17. Inamrinonel (Inocor)
    route
    IV bolus and infusion
  18. Inamrinonel (Inocor)
    ped dose
    not established
  19. Milrinone (Primacor)
    class
    Cardiac inotrope
  20. Milrinone (Primacor)
    action
    Increases cardiac contractility

    Vasodilator
  21. Milrinone (Primacor)
    indication
    Short-term management of congestive heart failure (CHF)
  22. Milrinone (Primacor)
    contraindication
    hypersensitivity to the med
  23. Milrinone (Primacor)
    precautions
    May increase myocardial ischemia

    BP/Pulse/ECG should be constantly monitored

    • Dilute w/ only NS or ½ NS
    • no dextrose solutions

    Furosemide (Lasix) should not be administered in same line.
  24. Milrinone (Primacor)
    side effects
    • Reduction in platelets
    • Nausea and vomiting
    • Cardiac arrhythmias
  25. Milrinone (Primacor)
    dose
    50 mcg/kg IV/IO over 10 min interval followed by  maintenance infusion of 0.375 mcg/kg/min
  26. Milrinone (Primacor)
    route
    IV bolus and infusion
  27. Milrinone (Primacor)
    ped dose
    Limited data
  28. Vasopressin
    Class
    • Hormone
    • Vasoconstrictor
  29. Vasopressin
    Action
    • Antidiuretic hormone(ADH)
    • Potent vasoconstrictor
  30. Vasopressin
    Indication
    Cardiac arrest
  31. Vasopressin
    Contraindication
    None when used in the emergency setting
  32. Vasopressin
    precautions
    Few in emergency setting
  33. Vasopressin
    side effects
    • Blanching of skin
    • Hypertension
    • Bradycardia
  34. Vasopressin
    dose
    40 units IV (single dose only)
  35. Vasopressin
    route
    IV
  36. Vasopressin
    ped dose
    not indicated

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