Cardiac Drugs

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Author:
nategrav
ID:
265283
Filename:
Cardiac Drugs
Updated:
2014-03-05 23:29:27
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Cardiac
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Description:
Study guide for heart meds
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  1. ASA Class
    Platelet Inhibitor and anti-inflammatory
  2. ASA Action
    Inhibits platelet aggregation
  3. ASA Indications
    • New Chest Pain suggestive of MI
    • S/S suggestive of recent stroke
  4. ASA Contraindications
    • Pts with know sensitivity to the drug.
    • Children
  5. ASA Precautions (2)
    GI bleeding and stomach upset
  6. ASA Side Effects (3)
    • Heartburn
    • N/V
    • Wheezing
  7. ASA Dosage
    160 or 325 mg by mouth chewed

    Pedi  10-15 mg/kg/ dose q 4-6 hrs.
  8. Lasix Class
    Potent diuretic
  9. Lasix Actions
    • Inhibits reabsorption of NaCl and K.
    • Promotes prompt diuresis
    • Vasodilation

    NOTE: By order of command only!
  10. Lasix Indications
    • CHF
    • Pulmonary edema
  11. Lasix Contraindications
    • Pregnancy
    • Dehydration
  12. Lasix Precautions
    • Protect from light
    • Dehydration
  13. Lasix  Side effects
    Few in emergency setting
  14. Lasix Dosage
    40 - 80 mg

    Pedi -- 0.5 - 2.0 mg/kg/dose
  15. Lasix Route
    IV
  16. Dopamine (Inotropin)
    Class
    Sympathomimetic

    AKA Adrenrgic
  17. Dopamine (Inotropin)
    Actions
    • Increases Cardiac contractility
    • Causes peripheral vasoconstriction
  18. Dopamine (Inotropin)
    Indications
    • Hemodynamically significant hypotension
    • (Sys of 70 - 100) not caused by hypovolemia

    Symptomatic bradycardia unresponsive to Atropine
  19. Dopamine (Inotropin)
    Contraindications
    Hypovolemic shock where complete fluid resuscitation has not occurred.

    Pheochromocytoma (tumor of adrenal gland)
  20. Dopamine (Inotropin)
    Precautions  (4)
    • Presence of severe tachyarrhythmias
    • Presence of V Fib
    • Ventricular Irritability
    • Beneficial effects lost when dose exceeds 20 mcg/kg/min
  21. Dopamine (Inotropin)

    Side Effects (3)
    • V Tachyarrhythmias
    • Hypertension
    • Palitations
  22. Dopamine (Inotropin)

    Dosage
    Initial Dose:  2-5 mcg/kg/min; increase as needed.

    • Method: 800 mg in 500 D5W  
    • IV DRIP ONLY!!

    Pedi Dose: 2 - 20 mcg/kg/min
  23. Dobutamine (Dobutrex)

    Class
    Sympahtomimetic

    AKA Adronergic
  24. Dobutamine (Dobutrex)

    Actions
    Increases Cardiac Contractility

    Little chronotropic activity
  25. Dobutamine (Dobutrex)

    Indication
    Short-term management of congestive heart failure
  26. Dobutamine (Dobutrex)

    Contraindications
    Should only be used in patients with adequate heart rate
  27. Dobutamine (Dobutrex)

    Precautions (3)
    • Ventricular Irritability
    • Use with caution after an MI
    • Can be deactivated by alkaline solutions
  28. Dobutamine (Dobutrex)

    Side Effects
    • Headache
    • Hypertension
    • Palpitations
  29. Dobutamine (Dobutrex)

    Dosages
    2.5 - 20 mcg/kg/min

    Method:  250mg should be placed in 500 mL of D5W (0.5 mg/mL)

    Pedi  2 - 20 mcg/kg/min

    ALWAYS IV DRIP
  30. Morphine

    Class
    Narcotic
  31. Morphine

    Actions (3)
    • CNS depressant
    • Causes peripheral vasodilation
    • Decreases sensitivity to pain
  32. Morphine

    Indications
    Severe Pain
  33. Morphine

    Contraindications (4)
    • Head Injury
    • Volume Depletion
    • Undiagnosed Abdominal Pain
    • Hypersensitivity to the med
  34. Morphine

    Precautions (3)
    • Resp depression (Narcan on hand)
    • Hypotension
    • Nausea
  35. Morphine

    Side Effects
    • Dizziness
    • Altered LOC
  36. Morphine

    Dosage
    IV  2 - 5 mg, followed by 2 mg every few mins until pain is relieved or breathing becomes a problem.

    IM  5 - 15 mg, based on pt's weight

    Pedi:  0.1 to 0.2 mg/kg IV
  37. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Class
    Narcotic
  38. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Actions
    • CNS Depressant
    • Decreases sensitivity to pain
  39. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Indications  (3)
    • Severe Pain
    • Adjunct to rapid-sequence induction
    • Maintenance of analgesia
  40. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Contraindications
    • Shock
    • Severe hemorrhage
    • Allergic to the drug
  41. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Precautions (3)
    • Respiratory depression  (Narcan should be available)
    • Hypotension
    • Nausea
  42. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Side Effects  (3)
    • Dizziness
    • Altered LOC
    • Bradycardia
  43. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Dosage
    25 - 100 mcg

    2 - 12 yrs:  1-2 mcg/kg/dose
  44. Fentanyl
    Fentanyl Citrate  (Sublimaze)

    Routes
    IV or IN

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