cardiac drugs

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-an antidysrhythmic that slows conduction through the AV node. (slows the heart down)
-indications: conversion of (SVT) narrow complex Tachy to sinus rhythm
-Dose: 6 mg/2 ml rapid IVP over 1-3 sec. followed by 20 ml flush
-2nd dose: 12mg/4 ml rapid IVP over 1-3 sec. w/ 20ml flush

CONTRAINDICATIONS: 2nd/3rd degree block
sinus node disease
asthma pts.
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Terms in this set (14)
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-an antidysrhythmic that slows conduction through the AV node. (slows the heart down)
-indications: conversion of (SVT) narrow complex Tachy to sinus rhythm
-Dose: 6 mg/2 ml rapid IVP over 1-3 sec. followed by 20 ml flush
-2nd dose: 12mg/4 ml rapid IVP over 1-3 sec. w/ 20ml flush

CONTRAINDICATIONS: 2nd/3rd degree block
sinus node disease
asthma pts.
Adenosine
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-Antidysrhythmic indicated for pts with SVT, stable V tach, unstable V tach, and V fib
-Dose: unstable (PEA) 300 mg IV/IO. 2nd dose 150 mg IV/IO
-Dose: stable 150 mg IV/IO bolus over 10 minutes; may repeat in 10 minutes
Amiodarone
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-acts as a platelet inhibitor/ anti inflammatory and indicated for CP.
-Dose: chewable 160-325 mg tablets P/O (none if taken within last 12 hours.
Aspirin
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-An anticholinergic (blocks ACH in the parasympathetic NS and increases H.R. for bradycardia)
-Contraindicated for pts with AMI and myocardial ischemia
-Dose: brady/blocks- 0.5 mg-1 mg IV bolus, may repeat MAX 3 mg.
-Dose: organo- 2-4 mg or may be higher
Atropine Sulfate
-Is an Electrolyte used for beta blocker and CALCIUM channel blocker toxicity, hypocalcemia, hyperkalemia.
-Dose: 500- 1000 mg IVP may repeat as needed.
Calcium Chloride
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-This is a calcium channel blocker that effects the SA and AV node to slow down pts with stable narrow Tachy, A fib, and A flutter.
-Contraindications: hypotension, cardiogenic shock, wide complex tachy, 2nd/3rd degree block, pacemaker, poison/drug induced tachy
-Dose: 0.25 mg/kg IV over 2 minutes.
Diltiazem/ Cardizem
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-For pts with CHF, cardiogenic shock, hypotension w/ low cardiac output, disruptive shock.
-Contraindicated for pts with uncorrected tachy VF
-Dose: dilute 200 mg in 250ml D5W; 2-20mcg/kg/min, titrated to effect
Dopamine
SPEEDS UP/ BRONCHODILATOR
-For pts who are in anaphylactic shock, asthma attack, and cardiac arrest
-Dose (Anaphylaxis/asthma IM): 0.3-0.5 mg of 1:1,000

Dose (cardiac arrest IM): 1 mg 1:10,000 every 3-5 minutes.
Cardia arrest IV: 0.5 mg (5ml) q 5 min
Epinephrine
VASODILATOR/ SLOWS DOWN H.R.
-Selective alpha blocker and non selective beta blocker for hypertension that slows down the H.R. without altering the cardiac output.
-Contraindications: pts with asthma, CHF, cardiogenic shock, and bradycardias
-Dose: 10 mg Bolus
Labetalol
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-This antidysrhythmic weight based drug is an alternative to Amiodarone.
-Contraindicated for 2nd/3rd degree heart blocks, wide complex ventricular heart beats w/ bradycardia.
Dose: UNSTABLE pulseless V FIB/ V TACH: 1-1.5 mg/kg IV/IO. repeat dose @ 0.5-0.75 mg/kg IV/IO w/ max of 3 mg/kg
Dose: STABLE VT or cardiac arrest conversion: drip 1-4 mg/min
Lidocaine
-This drug (electrolyte/anti-inflammatory) slows down the impulse rate of the SA node and causes vasodilation. -For pts with seizures of eclampsia, torsades de pointes (VT), hypomagnesemia, pulseless VF/VT (that is refractory to amio), severe status asthmaticus and severe bronchospasms. -Not for heart blocks or myocardial damage -Dose: VT/torsades de pointes: 1-2 G in a 100 cc bag IV/IO over 5-20 min Dose: Wheezing: 1-2 G 100 cc bag IV/IO over 15-30 min -Dose: seizures w/ eclampsia: 1-4 G 100 cc bag over 10 min.Magnesium SulfateVASODILATION/ CNS DEPRESSANT -This opoid is indicated for severe heart failure, acute pulmonary edema, CP assoc. w/ MI and analgesic for acute or chronic pain -Not intended for head injuries (remember CNS depressant), COPD, depressed respiratory drive, undiagnosed abdominal pain, decreased LOC, hypovolemia, pts who have taken MAIO's in the last 14 days -Dose: 2-4 mg IV may repeat 2-8 mg MAX 10 mgmorphine sulfateVASODILATOR/ CORONARY DILATOR -Indicated for pts with acute angina, ischemic CP, hypertension, heart failure, P.E. -Contraindicated for pts w/ hypotension, hypovolemia, ICP bleeding, pericardial tamponade, bradycardia, ED drugs taken with in the last 48-72 hrs. -Dose: 0.4 mg SL may repeat every 3-5 min for MAX dose 3 mg. (after given recheck vitals (Blood Pressure*)NitroglycerinTO CORRECT ACIDOSIS/ LEVEL OUT PH BALANCE -This is an alkalizing agent drug that increases blood and urinary PH levels, which neutralizes hydrogen ion concentrations. -Indicated for acidotic pts during cardiac arrest, trycyclic antidepressant pts, aspirin/ phenobarbital O.D., pts w/ hyperkalemia, and crush injuries. -Contraindicated for pts with metabolic and respiratory alkalosis, hypokalemia, electrolyte imbalance due to severe vomiting and diarrhea. -Dose: 1 meq/kg slow IV/IO push. May repeat every 10 mins at 0.5 meq/kgSodium Bicarbonate