used for bradycardia

0.5mg IV push q3-5 min

dose limit 3mg

side fx: tachycardia, chest pain, dry mouth

used for bradycardia 0.5mg IV push ________

complex I&amp;D: exam 2 pharm

atropine (dysrhythmia &amp; dosage, side fx)

used for VFib/pulseless VT, asystole &amp; PEA

dosage: 1mg IV push q3-5 min, no max

side fx: tachycardia, HTN, myocardial ischemia, increased myocardial oxygen demand

epinephrine (dysrhythmias, dosage, and side fx)

used for VT, SVT, Vfib, Afib, reduces PVCs

dosage: 150mg bolus over 15 min, then start gtt

for cardiac arrest: 300mg IVP bolus, repeat with 150mg in 3-5mg if no response

side fx: hypotension, heart block

amiodarone (dysrhythmias, dosage, side fx)

for ventricular ectopy only!

dosage: 1-1.5mg/kg bolus, max 3mg/kg

side fx: circumoral numbness, hypotension, tinnitus

lidocaine (dysrhythmias, dosage, side fx)

used for PSVT

dosage: 6mg IVpush over 1-3 seconds, then 20mL saline flush *expect ASYSTOLE*, a second/third dose of 12mg IV push may be given in 2 min intervals

side fx: flushing, chest discomfort, dyspnea

adenosine (dysrhythmias, dosage, side fx)

uses: refractory VF/torsades de pointes, mag deficiency

dosage for TDP: 1-2g IV over 5-20 min

dosage for nonarrest: 1-2g in 50-100mL NS/D5W over 1h

side fx: hypotension, loss of DTRs

magnesium (dysrhythmias/indications, dosage, side fx)

use for severe metabolic acidosis

dosage: 1mEq/kg IV PUSH

side fx: metabolic alkalosis (pt more likely to release oxygen from hgb molecules), hypokalemia, muscle spasms, exacerbated HF

sodium bicarbonate (use, dosage, side fx)

used for bradycardia unresponsive to atropine or hypotension (vasoconstrictor)

dosage: continous dose, 2-5 mcg/kg/min, dependent on BP control

give fluids first before pressors

side fx: increased myocardial oxygen demand, chest pain, dose-dependent HTN, dysrhythmias

use: refractory hypotension

dosage: continus drip, 1-30 mcg/min, dose dependent on BP control

same side fx as dopamine

use: SVT, afib/atrial flutter

dosage: bolus 0.25 mg/kg over 2 min, then 5-15 mg/hr infusion

side fx: bradycardia, hypotension

complex I&D: exam 2 pharm

Study with Quizlet and memorize flashcards containing terms like atropine (dysrhythmia & dosage, side fx), epinephrine (dysrhythmias, dosage, and side fx), amiodarone (dysrhythmias, dosage, side fx) and more.

complex I&D: exam 2 pharm Flashcards

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