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CARDIAC DRUG REVIEW

CARDIAC DRUG REVIEW. WHAT DO YOU “SEE” WHEN YOU STIMULATE BETA. VASODILATE BRONCHODILATE +CHRONOTROPE +INOTROPE. EPI’S OTHER NAME?. ADRENALIN. WHAT DOES EPI DO THAT NOREPI AND DOPAMINE DO NOT DO?. BETA 2 BRONCHODILATOR. 1:1000 MEANS?. 1 GRAM/1000 ML 1MG/1ML. WHO IS THIS 1:1 GIVEN TO?.

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CARDIAC DRUG REVIEW

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  1. CARDIAC DRUG REVIEW

  2. WHAT DO YOU “SEE” WHEN YOU STIMULATE BETA

  3. VASODILATE • BRONCHODILATE • +CHRONOTROPE • +INOTROPE

  4. EPI’S OTHER NAME?

  5. ADRENALIN

  6. WHAT DOES EPI DO THAT NOREPI AND DOPAMINE DO NOT DO?

  7. BETA 2 • BRONCHODILATOR

  8. 1:1000 MEANS?

  9. 1 GRAM/1000 ML • 1MG/1ML

  10. WHO IS THIS 1:1 GIVEN TO?

  11. ALIVE PATIENTS • ASTHMA/ALLERGIC REACTION • SAFEST ROUTE • DOSE? • How many mls is each dose?

  12. HOW DO YOU MIX AN EPI INFUSION?

  13. 1 MG /250 ML • RUN AT ?

  14. Epi is given first line to what pulseless rhythms?

  15. V Fib • V Tach • Asystole • PEA • How often? • What dilution?

  16. Why is Epi given during a resusucitation?

  17. Alpha action-vasoconstriction throughout body • Perfuses the heart and brain • CPR directs perfusion to the above

  18. Use ANS terms to describe Epinephrine.

  19. Alpha stimulating • Beta stimulating • Sympathomimetic • Adrenergic • Catecholamine

  20. What are 4 generic rules for ANS pressor agents?

  21. Don’t abruptly DC infusion/taper • BP must be monitored • in Trauma-never first line • Tissue sloughing may occur-watch site

  22. What are 4 generic rules for Catecholamines?

  23. Bicarb inactivates them • Assess if currently on a Symp drug • if on Beta Blocker may need to increase dose • Do not work if pH to acid (below 7.2)

  24. Other names for Dopamine?

  25. Intropin • Dopastat

  26. How is Dopamine different from the other alpha agents? List FIVE

  27. No IV bolus • Infusion only • Dopaminergic-dilates renal/mesenteric • Causes hypotension • Given based on weight

  28. Mix a Dopamine drip?

  29. 400 mg/250 ml

  30. The Dopaminergic effects occur MAINLY at what rate?

  31. 1-4 mcg/kg/min

  32. Describe what happens when Dopamine is infused at 5-10 mcg/kg/min.

  33. primarily Beta • some vasoconstriction, more closer to 10

  34. 10-20 mcg/kg/min of Dopamine results in

  35. predominately alpha actions with substantial vasoconstriction

  36. Finish this-at 10 mcg/kg/ min you run Dopamine at

  37. 20 or 30 or 40

  38. Your patient is in cardiac arrest. What drugs could you administer via the ETT?

  39. Epinephrine • Vasopressin Don’t really give these anymore-but OK ET • Lidocaine • Atropine

  40. Indications for Vasopressin?

  41. Cardiac arrest • don’t worry about • hemodynamic support in vasodilatory shock

  42. Dose of Vasopressin?

  43. 40 units • How many times can you repeat the dose?

  44. How is Vasopressin different from the other pressors? List Four

  45. Not alpha, ANS, sympathetic, Beta, etc • Bolus only • “units” • not as bad at irritating/stimulating the heart • long half life-10-20 minutes

  46. What are the S&S of Symptomatic Bradycardia? List Five

  47. hypotension • altered LOC • signs of shock • ischemic chest discomfort • acute heart failure

  48. First line drug for the treatment of symptomatic bradycardia isWHY?

  49. ATROPINE • only action is to increase heart rate, no other demand on the heart • What is the first line NON drug for the rx of symptomatic brady?

  50. Describe Atropine using ANS words. List Four

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