NJ MICU Drug Master Quiz Set

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NJ MICU Drug Master Quiz Set
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2014-12-19 02:19:00
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NJ MICU Medic Drugs Pharmacology Dose Meds
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NJ MICU master quiz for medications
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  1. Adenocard classification
    1) Naturally occurring nucleotide

    2) Narrow Complex Anti-arrhythmic
  2. Adenocard Indication
    1) SVT

    2) Other narrow complex tachycardia
  3. Adenocard Dose
    6mg Initial, 12mg second, 12 mg third.

    All dose is quick IV push followed by bolus
  4. Adenocard Contraindications
    1) Symptomatic Hypotension

    2) Any other indication where cardioversion is indicated
  5. Adenocard Action/ Mechanism
    • Slows/ stops conduction through AV node
    • - Interrupts AV node re-entry pathways
  6. Adenocard Name
    Adenosine
  7. Proventil Classification
    1) B2 selective sympathomimetic

    2) Beta agonist
  8. Proventil Indication
    • -Asthma
    • -COPD
    • -Wheezing
    • -Reactive airway disease
    • - Hyperkalemia
  9. Proventil Dosage
    2.5mg in 3ml solution nebulized
  10. Proventil Action/ Mechanism
    Acts primarily on bronchial smooth muscle via Beta 2 receptors
  11. Proventil reactions
    Tachycardia, Palpitations, Restlessness
  12. Proventil Name
    Albuterol Sulfate
  13. Cordarone Classification
    Class I Anti-arrhythmic for atrial and ventricular arrhythmias
  14. Cordarone Indication
    • -Vfib/ Pulseless V-Tach
    • -Wide complex tachycardia
    • -Adjunct to electrical cardioversion of SVT
    • -Alternative for rate control in treatment of A-fib/flutter
    • -WPW
  15. Cordarone Dose
    • 1) Dead
    •  -300mg IVP
    •  -repeat 150mg IVP 3-5 minutes later

    • 2) Alive
    •  -150mg IVB over 10 minutes in 100ml NSS
    •  -Reapeat once in 10 minutes
  16. Cordarone Contraindications
    • -Hypotension
    • -Bradycardia
    • -Severe SA node disease
  17. Cordarone Action/ Mechanism
    • - Slows sinus rate and AV conduction
    • - Increases refractory period of myocardium
  18. Cordarone Reactions
    • -Ventricular Arrhythmia
    • -Prolonged QT
    • -Severe bradycardia
    • -AV blocks and abnormalities
    • -Sinus Arrest
    • -CHF
    • -Cardiogenic Shock
    • -Hypotension
    • -Flushing
  19. Cordarone Name
    Amiodarone
  20. Aspirin Classification
    Anti-platelet aggregation inhibitor
  21. Aspirin Indication
    • -Cardiac chest pain
    • -TIA/ CVA
  22. Aspirin Dose
    81mg tab x4 = 324mg
  23. Aspirin Contraindications
    Active bleeding
  24. Aspirin Action/ Mechanism
    • -Inhibits prostaglandin synthesis
    • -Irreversibly inhibits platelet aggregation
  25. Atropine Classification
    Anticholinergic
  26. Atropine Indication
    • -Hemodynamically compromised symptomatic bradycardia
    • -Symptomatic Sinus Arrest or Block
    • -Organophosphate poisoning
  27. Atropine Dose
    0.5mg - 1.0mg IVP Q 3-5 mins

    MAX 3mg ot 0.04mg/kg
  28. Atropine Contraindications
    Heart transplant -  no parasympathetic connection to heart- vagus nerve being severed.
  29. Atropine Action/ Mechanism
    Parasympatholytic- Blocks effects of acetylcholine

    • -Increases myocardial O2 demand
    • -Increases rate of discharge at SA and AV nodes
    • -Relaxes smooth muscle in GI tract and Bronchial tree
  30. Atropine Reactions
    Given too slowly or low of dose will cause paradoxical bradycardia
  31. Ipratropium Bromide Classification
    Anticholinergic/ Bronchodilator
  32. Ipratropium Bromide Indication
    • -COPD
    • -Asthma
  33. Ipratropium Bromide Dose
    0.5mg in 2.5ml solution only nebulized with Albuterol
  34. Ipratropium Bromide Action/ Mechanism
    • -Bronchiole smooth muscle relaxer
    • -Inhibits vagal mediated antagonists by blocking acetlycholine.
  35. Ipratropium Bromide Name
    Atrovent
  36. Lorazepam Classification
    Benzodiazepine
  37. Lorazepam Indication
    • -Controlling seizures
    • -Relative anxiety
  38. Lorazepam Dose
    IV- 1-2mg

    IM-2-4mg
  39. Lorazepam Cntraindications
    • -Hypersensitivity to benzodiazpines
    • -Caution in elderly, ill, hypoxic patients.
  40. Lorazepam Action/ Mechanism
    Binds to benzodiazepine receptor and resulting in muscle relaxation and sedation.
  41. Lorazepam Adverse Reactions 
    • -Respiratory depression
    • -Amnesia
    • -Sedation
    • -Dizziness
  42. Lorazepam Name
    Ativan
  43. Diphenhydramine Classification
    Antihistamine
  44. Diphenhydramine Indication
    -Relief of symptoms from allergic reactions. 

    -Dystonic state/ Anti-psychotic 
  45. Diphenhydramine Dose
    25-50mg IVP
  46. Diphenhydramine Action/ Mechanism
    • - Blocks histamine effects from preventing histamines reaching H1 receptor sites 
    • - Sedative effects to CNS depression
    • - Inhibits motion sickness
  47. Diphenhydramine Adverse Reactions
    • -Convulsions and death from massive OD
    • -Drowsiness and confusion, blurred vision
  48. Diphenhydramine Name
    Benadryl
  49. Terbutaline Classification
    • -B2 agonist
    • -Bronchodilator
  50. Terbutaline Indication
    • -Asthma and bronchospasms
    • -Premature labor 
  51. Terbutaline Dose
    0.25mg SQ
  52. Terbutaline Contraindications
    Caution with hypertension and Ventricular arrhythmias. 
  53. Terbutaline Action/ Mechanism
    Stimulates beta-2 adrenergic receptors
  54. Terbutaline Adverse Reactions
    • -Arrhythmias
    • -Hypotension
    • -Angina
    • -Nervousness, headache, tachycardia, palpitations
  55. Terbutaline Name
    Brethine
  56. Calcium Chloride Classification
    Electrolyte
  57. Calcium Chloride Indication
    • -Acute Hyperkalemia
    • -Calcium Channel Blocker Toxicity
  58. Calcium Chloride Dose
    500mg-1g IVP

    2-4mg/kg IVP

    *Slow Push*
  59. Calcium Chloride Contraindications
    -Possible sudden death or bradycardia if pushed too fast

    -Precipitates as carbonate salt in bicarbonate solution. 
  60. Dexamethasone Sodium Phosphate Classification
    Synthetic Steroid (Long acting glucocorticoid)

    -Anti Inflammatory
  61. Dexamethasone Sodium Phosphate Indication
    • -Asthma/ Croup
    • -Anaphylaxis
    • -Alternative to Solu-Medrol
  62. Dexamethasone Sodium Phosphate Dose
    4-24mg IVP
  63. Dexamethasone Sodium Phosphate Contraindications
    Systemic fungal infections
  64. Dexamethasone Sodium Phosphate Action/ Mechanism
    -Stabilizes the cell wall of MAST cells, prevents further release of histamines
  65. Dexamethasone Sodium Phosphate Name
    Decadron
  66. Dextrose 10% 25% 50% Classification
    Carbohydrate
  67. Dextrose 10% Dose
    0.5-1g/kg IVP slow
  68. Dextrose 10% 25% 50% Action/ Mechanism
    Raises blood sugar levels for hypoglycemia
  69. Dextrose 10% 25% 50% Indication
    Hypoglycemia
  70. Dextrose 50% Dose
    25-50g of D50: 50% solution 
  71. Intropin Classification
    Sympathomimetic
  72. Intropin Indication
    • -Cardiogenic shock
    • -Symptomatic bradycardia
  73. Intropin Dose
    400mg in 250ml NSS bag at 2-20mcg/kg/min
  74. Intropin Contrainidications
    • -Tachycardia
    • -Hypovolemic Shock
    • -Caution with MAO inhibitors
  75. Intropin Action/ Mechanism
    • -Exacerbation of asthma
    • -Tachycardia
    • -Headache, nausea, vomiting, vasoconstriction
  76. Intropin Name
    Dopamine
  77. Epinephrine 1:1,000/ 1:10,000 Classification
    Sympathomimetic
  78. Epinephrine 1:1,000/ 1:10,000 Indication
    • -Bradycardia
    • -Cardiac Arrest
    • -Anaphylaxis
    • -Asthma
  79. Epinephrine 1:1,000 Dose
    0.3-0.5mg SQ/IM
  80. Epinephrine 1:10,000 Dose
    1mg IVP Q 3-5mins
  81. Epinephrine 1:1,000/ 1:10,000 Contraindications
    -Caution with patients with hypertension, angina, CAD

    -May cause severe hypertension with those taking beta blockers
  82. Epinephrine 1:1,000/ 1:10,000 Action/ Mechanism
    • -Stimulate Alpha and Beta-1,2 adrenergic receptors.
    • Constricts blood vessels, raise systolic blood pressure, dilate pupils, lowers threshold for defib, dilate bronchial smooth muscle, increases myocardial O2 demand.
  83. Epinephrine 1:1,000/ 1:10,000 Adverse Reactions
    • - V-Fib/Tach
    • - Tachycardia, Palpitations, Hypertension
  84. Amidate Classification
    Non-Barbituate, Non-Benzodiazepine Hypnotic
  85. Amidate Indication
    Induction agent for RSI
  86. Amidate Dose
    0.3mg/kg IVP MAX-0.6mg/kg
  87. Amidate Contraindications
    -Hypersensitivity
  88. Amidate Action/ Mechanism
    -Short acting drug that acts at the level of the reticular activating system to produce anesthesia

    -Onset is 30 seconds, Duration is 3-5 minutes 
  89. Amidate Adverse Reactions
    Dysrhythmias, Hypotension

    *Rare*
  90. Amidate Name
    Etomidate
  91. Sublimaze Classification
    Opiate/ Narcotic
  92. Sublimaze Indication
    Pain
  93. Sublimaze Dose
    50-100mcg IVP
  94. Sublimaze Contraindications
    • -Respiratory depression
    • -CNS depression 
  95. Sublimaze Action/ Mechanism
    Binds to various opiate receptors producing analgesia
  96. Sublimaze Adverse Reactions
    • -Respiratory Depression
    • -Hypotension
    • -Decreased LOC
    • -Euphoria
  97. Sublimaze Name
    Fentanyl
  98. Glucagon Classification
    Endocrine Agonist/ Hormone
  99. Glucagon Indication
    Hypoglycemia/ Beta Blocker OD
  100. Glucagon Dose
    Hypoglycemia - 1mg IM

    Beta Blocker OD - 2-4mg IVP
  101. Glucagon Contraindication
    • Hypersensitivity
    • Neonates
  102. Glucagon Action/ Mechanism
    -Converts hepatic glycogen to glucose increasing glucose levels

    -Onset 15-20 minutes
  103. Ketalar Classification
    Disassociative anesthetic  
  104. Ketalar Indication
    • Sedation
    • RSI Induction
  105. Ketalar Dose
    1-2mg/kg IVP
  106. Ketalar Contraindications
    • -Uncontrolled HTN
    • -Head Injury
    • -Possible ICP
  107. Ketalar Action/ Mechanism
    • -Reduces short acting amnesia w/o muscle relaxation
    • -Derivative of PCP
    • -Bronchodilation effects
  108. Ketalar Adverse Effects
    -Hallucinations, explicit dreams, Diplopia 
  109. Ketalar Name
    Ketamine
  110. Furosemide Classification
    Loop Diuretic
  111. Furosemide Indication
    • -Pulmonary Edema
    • -Hyperkalemia
    • -Acute Renal Failure
  112. Furosemide Dose
    20mg IVP -Standing orders

    1mg/kg IVP slow
  113. Furosemide Contraindications
    • -Relative to sulfa drug allergy
    • -Hypotension
    • -Caution with severe renal disease
    • -Acute MI
  114. Furosemide Action/ Mechanism
    • -Blocks sodium at the proximal loop of Henle
    • -Onset about 5 minutes max of 30 mins
    • -Some vasodilatory effects 
  115. Furosemide Adverse Effects
    • -Hypotension
    • -Urination
    • -Dizziness
    • -Hypokalemia
  116. Furosemide Name
    Lasix
  117. Xylocaine Classification
    Class I antiarrhythmic and local anesthetic 
  118. Xylocaine Indication
    • -Pulseless V-tach & V-fib
    • -Hemodynamically compromising PVCs
    • -Prevent reoccurrence of vfib/ vtach after electrical conversion.
    • -Pretreatment for increased ICP
  119. Xylocaine Dose
    Alive- 0.5-0.75 mg/kg IVP Q 5-10 mins

    Dead- 1mg-1.5mg/kg IVP
  120. Xylocaine Contraindications 
    Bradycardia with escape PVCs
  121. Xylocaine Action/ Mechanism
    • -Acts through sodium channels
    • -Potent cardiac suppressor in diseased tissue
    • -Increases electrical stimulation threshold
    • -Little effect on healthy myocardial cells
    • -Onset within 1 minute-duration 20 minutes
  122. Xylocaine Adverse Reactions
    • -Seizures
    • -Confusion, Hypotension, Blurred vision
  123. Xylocaine Name
    Lidocaine
  124. Metoprolol Classification
    Beta Blocker
  125. Metoprolol Indication
    • -Angina
    • -Acute MI (Not inferior *brady)
    • -AFib/Flutter with RVR
  126. Metoprolol Dose
    5mg IVP Q 5mins MAX 15mg
  127. Metoprolol Contrindications
    • -CHF patients
    • -Inferior MI
  128. Metoprolol Action/ Mechanism
    • -Reduce heart rate and cardiac output
    • -Reduced systolic blood pressure
    • -Reduced reflex orthostatic tachycardia
  129. Metoprolol Adverse Reactions
    • -Severe bradycardia
    • -CHF
    • -Bronchospasm
    • -Dizziness
    • -Fatigue
    • -Wheezing
  130. Metoprolol Name
    Lopressor
  131. Magnesium Sulfate Classification 
    Antiarrhythmic 
  132. Magnesium Sulfate Indication
    • -Torsades 
    • -Pulseless VT/VF
    • -Preeclamptic Seizures
    • -Status Asthmaticus
  133. Magnesium Sulfate Dose
    Torsades- 1-2g over 5-15 mins

    Dead- 1-2g IVP

    Asthma- 2g over 10-15 mins

    Eclampsia- 2-4g over 30mins
  134. Magnesium Sulfate Action/ Mechanism
    • -Effects energy transfer and electric stability of myocardium
    • -Stabilizes cardiac cells
    • -Regulates potassium
    • -Blocks calcium channels
  135. Magnesium Sulfate Adverse Reactions
    • -Respiratory depression
    • -Bradycardia
    • -Hypotension
    • -Depressed reflexes
  136. Morphine Classification
    Opiate/ Narcotic
  137. Morphine Indication
    Pain/ Cardiac chest pain
  138. Morphine Dose
    2-10mg Q 5 minutes until desired effects
  139. Morphine Contraindications
    • -Respiratory depression
    • -COPD
    • -CNS depression
    • -Hypotension
  140. Morphine Action/ Mechanism
    • -Binds to opiate receptors for analgesia
    • -Minimal cardiovascular effects at recommended doses
    • -mild vasodilator
  141. Morphine Adverse Reactions
    • -Respiratory Depression
    • -Apnea
    • -Hypotension
    • -Euphoria
    • -Decreased LOC
  142. Naloxone Classification
    Opiate Antagonist
  143. Naloxone Dose
    0.4-2mg IVP
  144. Naloxone Indication
    • -Known or suspected opiate OD
    • -Unconscious pt with respiratory depression 
  145. Naloxone Action/ Mechanism
    -Antagonizes various opiate receptors
  146. Naloxone Adverse Reactions
    • -Tachycardia, Hypertension, Tremors
    • -Withdrawal symptoms
  147. Naloxone Name
    Narcan
  148. Nitroglycerine Classification
    Nitrate
  149. Nitroglycerine Indication
    • -MI
    • -Angina Pain
    • -Pulmonary Edema
  150. Nitroglycerine Forms
    • -Spray
    • -Tab
    • -Paste
    • -Drip (Tridil)
  151. Nitroglycerine Dose
    -1 spray= 0.4mg SL

    -1 tab= 0.4mg SL

    -0.5-2" of paste on skin (Chest)
  152. Nitroglycerine Contraindications
    • -Hypotension
    • -Bradycardia
  153. Nitroglycerine Action/ Mechanism
    • -Vascular smooth muscle relaxation
    • -Decrease preload (vasodilation) reducing myocardial O2 demand
  154. Nitroglycerine Adverse Reactions
    • -Hypotension
    • -Bradycardia
    • -Headache
    • -Lightheadedness
  155. Pronestyl Classification
    Class I Antiarrhythmic
  156. Pronestyl Indication
    • -Suppresses ventricular ectopy
    • -Afib/Flutter
    • -Wide QRS tachycardia
    • -WPW
  157. Pronestyl Dose
    1g in 50ml NSS = 20mg/ml

     -2015mg/min (17mg/kg drip)
  158. Pronestyl Ending Criteria
    • 1) Arrhythmia terminates
    • 2) QRS widens by 50%
    • 3) Hypotensive
    • 4)Lengthening of PRI or QTI
  159. Pronestyl Contraindications
    • -2nd or 3rd degree AV block
    • -Torsades
  160. Pronestyl Adverse Reactions
    Hypotension, Nausea, Vomiting
  161. Pronestyl Name
    Procainamide 
  162. Zemuron Classification
    Non-Depolarizing Neuromuscular Blocker
  163. Zemuron Indication
    RSI Induction
  164. Zemuron Contraindications
    Hypersensitivity
  165. Zemuron Dose
    0.6-1.2mg/kg
  166. Zemuron Action/ Mechanism
    Binds to acetylcholine receptors at the neuromuscular junction causing paralysis
  167. Zemuron Adverse Reactions
    • -Respiratory Depression
    • -Hypertension
    • -Hypotension
  168. Zemuron Name
    Rocuronium
  169. Romazicon Classification
    Benzodiazepine Antagonist
  170. Romazicon Indication
    Benzodiazepine OD
  171. Romazicon Dose
    0.2mg over 30 seconds. Repeat up to 2mg for desired effect.
  172. Romazicon Contraindication
    -Tricyclic OD
  173. Romazicon Action/ Mechanism
    -Binding CNS benzodiazepine receptors and blocking benzodiazepine activation GABAergic synapses
  174. Romazicon Adverse Reactions
    Fatal seizure *Caution*
  175. Romazicon Name
    Flumazenil
  176. Sodium Bicarbonate Classification
    Electrolyte
  177. Sodium Bicarbonate Indication
    • -Suspected hyperkalemia
    • -Tricyclic antidepressant OD/ ASA OD
  178. Sodium Bicarbonate Dose
    1mEq/kg
  179. Sodium Bicarbonate Contraindications
    • -Hypocalcemia
    • -Caution with CHF
  180. Sodium Bicarbonate Action/ Mechanism
    Inhibits release of oxygen to the tissues due to extracellular alkalosis
  181. Sodium Bicarbonate Adverse Reaction
    • -Sodium and Fluid Retention
    • -Metabolic alkalosis
  182. Methylprednisolone Classification
    Glucocorticoid Steroid (Anti-Inflammatory)
  183. Methylprednisolone Indication
    • -Bronchoconstriction 
    • -Respiratory Distress
  184. Methylprednisolone  Dose
    125mg IVP
  185. Methylprednisolone Action/ Mechanism
    • -Suppresses acute and chronic inflammation.
    • -Potentiate smooth muscle relaxation by beta adrenergic agonists
  186. Methylprednisolone Name
    Solu-Medrol
  187. Anectine Classification
    Depolarizing Neuromuscular Blocker
  188. Anectine Dose
    1-1.5mg/kg IVP
  189. Anectine Indication
    RSI Induction
  190. Anectine Contraindication
    • -Burns older than 8 hours old
    • -Heat stroke
    • -Crush injuries
  191. Anectine Action/ Mechanism
    • -Binds to anectine receptor
    • -Depolarizes muscle membranes and leads to fasiculations
    • -No effect on consciousness or pain
  192. Anectine Adverse Reactions
    • -Hyperthermia
    • -Fasiculations 
    • -Paralysis 
  193. Anectine Name
    Succinylcholine 
  194. Thiamine Classification
    Vitamin
  195. Thiamine Indication
    • -Mainly malnourished or alcoholic individuals
    • -Given before or after D50 to metabolize glucose
  196. Thiamine Dose
    100mg IVP
  197. Thiamine Action/ Mechanism
    Combines with ATP to form thiamine co-enzyme to metabolize carbohydrates
  198. Thiamine Name
    Vitamin B1
  199. Norcuron Classification
    Non-depolarizing neuromuscular blocker
  200. Norcuron Indication
    RSI Induction
  201. Norcuron Dose
    0.1mg/kg IVP
  202. Norcuron Contraindication
    Use caution/ Continuous monitoring
  203. Norcuron Action/ Mechanism
    Prolonged respiratory paralysis (45mins-1hour)
  204. Norcuron Adverse Reactions
    • -Hypotension
    • -Bradycardia
    • -Dysrhythmias
    • -Respiratory arrest
  205. Norcuron Name
    Vecuronium
  206. Midazolam Classification
    Benzodiazepine
  207. Midazolam Indication
    • -Anxiety
    • -Sedation
    • -Cardioversion
    • -RSI Induction
  208. Midazolam Dose
    Seizures- 2-5mg IVP

    Induction- 0.1-0.2mg/kg IVP
  209. Midazolam Contraindication
    • -Caution with decreased respiratory drive
    • -AMS
    • -Liver disease
  210. Midazolam Action/ Mechanism
    • -Binds to benzodiazepine receptor
    • -Muscle relaxation/ sedation
    • -Amnesia
  211. Midazolam Adverse Reactions
    • -Respiratory depression
    • -Amnesia
    • -Euphoria
    • -Hallucinations
    • -Confusion
    • -Dizziness
  212. Midazolam Name
    Versed
  213. Ondansteron Classification
    Anti-Emetic/ Serotonin antagonist
  214. Ondansteron Indication
    -Nausea/ Vomiting
  215. Ondansteron Dose
    2-4mg IVP
  216. Ondansteron Action/ Mechanism
    • -Selective serotonin receptor antagonist
    • -Prevents the brain from receiving feeling of nausea
  217. Ondansteron Adverse reactions
    Headache/ Constipation
  218. Ondansteron Name
    Zofran
  219. Diltiazem Classification
    Calcium Channel Blocker
  220. Diltiazem Indication
    • -AFib/Flutter
    • -Second line for SVT
  221. Diltiazem Dose
    0.25mg/kg first, 0.35mg/kg second
  222. Diltiazem Contraindications
    • -WPW
    • -CHF
    • -MI
    • -Hypotension
  223. Diltiazem Action/ Mechanism
    • -Inhibits influx of calcium ions during membrane depolarization of cardiac smooth muscle
    • -Disruption of AV node re-entry circuit
  224. Diltiazem Adverse reactions
    • -Bradycardia
    • -Hypotension
    • -Headache, Nausea, Vomiting, Dizziness, Chest pain
  225. Diltiazem Name
    Cardizem

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