week 7 pam 103 drugs

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kevinkuczma
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265727
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week 7 pam 103 drugs
Updated:
2014-03-13 16:53:35
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pam 103
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  1. Digoxin
    class
    • cardiac glycoside 
    • antiarrhythmic 
    • inotrope
  2. Digoxin
    Action
    • Increases cardiac contractial force
    • Increases cardiac output
    • Reduces edema associated with CHF
    • Slows atrioventricualar conduction
  3. Digoxin
    Indications
    • CHF
    • rapid atrial arrhythmias,  especially atrial flutter and a fib
  4. Digoxin
    contraindication
    • any patients with signs or symptoms of digitalis toxicity
    • V-fib
  5. Digoxin
    precautions
    • monitor for signs of digitalis toxicicty
    • patients who have greater sensitivity to the effects of digitalis 
    • calcium should not be administered to patients receiving digitalis
  6. Digoxin
    Side effects
    • Nausea and vomiting
    • Arrhythmias
    • Yellow vision
  7. Digoxin
    dosage
    0.25-0.50 mg
  8. Digoxin
    route
    IV
  9. Digoxin
    ped dose
    rarely used in pre-hospital setting
  10. Heparin
    Class
    Anticoagulant (unfractionated)
  11. Heparin
    Action
    Direct inhibitor of thrombin
  12. Heparin
    Indication
    • Acute coronary syndrome
    • Pulmonary
  13. Heparin
    Contraindication
    known hypersensitivity to the med and /or beef and pork products
  14. Heparin
    Precautions
    • Do not use in patients with active major bleeding or thrombocytopenia
    • use with caution in elderly or any patient with increased risk of bleeding
  15. Heparin
    Side effects
    • Confusion
    • Edema
    • Dizziness
    • Bleeding complications
  16. Heparin
    dosage
    • Adult dose ( acute stemi and unstable angina): 60 u/kg IV (maxium 4000 units) followed by 12 u/kg/hr (max 1000 u/hr). this is often given with alteplase (rtPA)
    • Adult dose (NSTEMI and unstable angina): 60-70 U/kg IV (max 5000 U) as intitial bolus followed by a 12-15 U/kg/h infushion
  17. Heparin
    route
    IV
  18. Heparin
    ped dose
    • 50 Units/kg followed by IV infusion
  19. Enoxaparin 
    Class
    Anticoagulant (low molecular-weight heparin)
  20. Enoxaparin
    Action
    acts as effective anticoagulant
  21. Enoxaparin
    Indication
    • Unstable Angina
    • Non q-wave MI
    • Pulmonary embolism
    • DVT
  22. Enoxaparin
    contraindication
    • sensativity to the med '
    • heparin
  23. Enoxaparin
    precaution
    do not use in paitents with major bleeding or a t risk
  24. Enoxaparin
    side effects
    • Confusion
    • Dizziness
    • Edema
    • Bleeding complication
  25. Enoxaparin
    Dosage
    • Stemi: 30 mg IV plus a 1 mg/kg SQ dose followed by 1 mg/kg SQ/SC dose every 12 hours (max 100 mg for the first two doses only)
    • unstable angiana and NSTEMI: 1 mg/kg admin SQ every 12 hours in conjunction with asprin
  26. Enoxaparin
    route
    • SC
    • IV
  27. Enoxaparin
    ped dose
    1 mg/kg
  28. Clopidogrel
    class
    platelet aggregate inhibitor
  29. Clopidogrel
    actions
    inhibits platelet aggregation by binding to ADP recepters on the surface of platelets
  30. Clopidogrel
    indication
    • ACS
    • stroke
    • PVD
  31. Clopidogrel
    contraindication
    • Bleeding disorder
    • Peptic ulcer
    • sensativity to the med
  32. Clopidogrel
    precautions
    do not use with NSAIDs
  33. Clopidogrel
    side effects
    • bleeding 
    • fever
    • allergic reaction
    • myalgias
    • rash
  34. Clopidogrel
    dosage
    ACS: 300 mg loading dose folowed by 75 mg dose once daily
  35. Clopidogrel
  36. Clopidogrel

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