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Cardiology - Medications
Includes generic / brand names, class, indications, and adult dose.
61
Medical
Not Applicable
01/26/2011

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Cards

Term
What are the indications for ACE Inhibitors?
Definition
Hypertension
CHF
Left Ventricular Dysfunction
Post MI
Systemic Hypertension
Term
What is the generic name for Adenocard?
Definition
adenosine
Term
Which class of medication does adenosine belong to?
Definition
Antiarrhythmic
Term
What are the indications for Adenocard?
Definition
Conversion of SVT, including those caused by WPW.
Term
How is adenosine administered, including the dose and route?
Definition
6mg fast IVP followed by saline flush.

If no conversion, give 12 mg, which may be repeated.
Term
What are the indications for epinephrine?
Definition
Cardiac Arrest:
-VFib
-Pulseless VTach
-Asystole
-PEA

Symptomatic Bradycardia
Severe Hypotension
Anaphylaxis
Term
Which class of medication does Adrenalin belong to?
Definition
Sympathomimetics
Term
How is epinephrine administered, including the dose and route?
Definition
Term
What is the brand name for amiodarone?
Definition
Cordarone
Term
Which class of medication does Cordarone belong to?
Definition
Antiarrhythmic
Term
What are the indications for amiodarone?
Definition
Atrial and ventricular tachyarrhythmias.
Term
How is amiodarone administered, including the dose and route?
Definition
Cardiac Arrest:
- 300 mg IVP diluted with 20-30cc D5W.
- Consider additional 150 mg IVP over first 10 minutes.

Stable wide-complex tachy:
- 150 mg fast IVP over first 10 minutes, may repeat every 10 minutes as needed.
Term
What are the indications for ASA?
Definition
Suspected / Confirmed MI
Ischemic Stroke
TIA
Angina
Term
Which class of medication does Aspirin belong to?
Definition
Platelet Aggregation Inhibitor
Term
How is acetylsalicylic acid administered, including the dose and route?
Definition
Emergency:
- 325 mg tab PO, chewed, or 4 x 81 mg
Term
What is the brand name for amrinone/ inamrinone?
Definition
Inocor
Term
What are the indications for inamrinone?
Definition
Severe CHF refractory to:
-diuretics
-vasodilators
-conventional inotropics.
Term
Which class of medication does amrinone belong to?
Definition
Phosphodiesterase Enzyme Inhibitor
Term
How is inamrinone administered, including the dose and route?
Definition
0.75 mg/kg (not to exceed 1 mg/kg), given over 2-3 minutes.
Term
What are the indications for Atropine Sulfate?
Definition
-Sinus brady w/ significant hypotension or ventricular ectopy.
-AV Blocks (not type II second degree)
-Asystole
-Nerve agent antidote.
Term
Which class of medication does atropine belong to?
Definition
Anticholinergic aka parasympatholytic
Term
How is atropine administered, including the dose and route?
Definition
Asystole / PEA: 1mg IVP, repeat every 3 to 5 min up to 3 times. 3 mg max.
Bradycardia: 0.5 mg IVP, repeat every 3 to 5 min, up to 6 times. 3 mg max.
Nerve agent poisoning: 2-5mg every 10-15 minutes.
Term
What is the brand name for bretylium tosylate?
Definition
Bretylol
Term
What are the indications for bretylium tosylate?
Definition
V-Fib that has been converted with lidocaine.
Recurrent V-Tach that is unresponsive to first line therapy.
Term
Which class of medication does Bretylol belong to?
Definition
Antiarrhythmic (Group III)
Term
How is bretylium tosylate administered, including the dose and route?
Definition
Unconscious pt: 5.0 mg/kg IVP
Conscious pt: 5.0 mg/kg diluted in 50cc NS
May repeat in doses of 10mg/kg every 5 min up to a max of 30 mg/kg.
Term
What are the brand names for verapamil?
Definition
Calan, Isotopin
Term
Which class of medication does Isotopin belong to?
Definition
Calcium Channel Blocker
Term
What are the indications for verapamil?
Definition
SVT
A-Fib of A-Flutter w/ a rapid ventricular rate.
Exercise induced Angina.
Term
How is verapamil administered, including the dose and route?
Definition
1st dose: 2.5 to 5.0 mg IVP over 2 minutes.
2nd dose 5 to 10 mg in 15 to 30 min.
Max dose: 20 mg
Term
What are the indications for calcium chloride 10%?
Definition
Acute hyperkalemia
Acute hypocalcemia
Calcium channel blocker or beta blocker overdose.
Term
Which class of medication does CaCl belong to?
Definition
Elemental Ion.
Term
How is CaCl administered, including the dose and route?
Definition
8 to 16 mg/kg IVP for hyperkalemia and calcium channel overdose. May repeat as needed.
Term
What is the generic name for Dilaudid?
Definition
hydromorphone hydrochloride
Term
Which class of medication does hydromorphone hydrochloride belong to?
Definition
Opioid analgesic.
Term
Which opioid analgesic is 8 times more potent per mg than morphine?
Definition
Dilaudid (hydromorphone hydrochloride)
Term
What are the indications for Dilaudid?
Definition
Moderate to severe pain.
Term
How is hydromorphone hydrochloride administered, including the dose and route?
Definition
IV: 0.5 to 2 mg titrated to effect.
IM: 1 to 2 mg.
Term
What are the indications for fibrinolytic therapy?
Definition
CP associated w/ an AMI, not relieved by NTG.
ST elevation > 1 mm in 2 or more contiguous leads.
< 12 hours from onset.
Term
What are the indications for glycoprotein IIA/IIB antagonists?
Definition
ACS w/ non-stable angina.
Non-ST segment elevation MI's.
Term
How do GP IIa/IIIb antagonists work?
Definition
By preventing the formation of thrombi caused by platelet aggregation.
Term
What is the generic name for Hyperstat?
Definition
diazoxide
Term
Which class of medication does diazoxide belong to?
Definition
Vasodilator
Term
What are the indications for diazoxide?
Definition
Hypertensive emergencies.
Hypertensive encephalopathy.
Malignant hypertension.
Term
How does Hyperstat cause its intended effect?
Definition
By relaxing smooth muscle in peripheral arterioles.
Term
How is diazoxide administered, including the dose and route?
Definition
1 to 3 mg/kg (max of 150 mg) rapid IVP over a period of 30 seconds.
May repeat in dose in 5 to 15 min if needed.
* A diuretic must be given prior to or with administration!
Term
What is the generic name for Inderal?
Definition
propanolol
Term
Which class of medication does propanolol belong to?
Definition
beta blockers
Term
How is Inderal administered, including the dose and route?
Definition
1 to 3 mg slow IVP, not exceeding 1 mg /min.
Dose may be repeated after 5 minutes.
Max dose: 0.1 mg/kg
Term
What are the indications for propanolol?
Definition
A-fib
A-Flutter
A-Tach
Ectopic beating caused by digitalis.
Arrhythmias caused by WPW.
Hypertension.
Term
What are the indications for propanolol?
Definition
A-fib
A-Flutter
A-Tach
Ectopic beating caused by digitalis.
Arrhythmias caused by WPW.
Hypertension.
Term
What is the generic name for Isuprel?
Definition
isoproterenol
Term
Which class of medication does isoproterenol belong to?
Definition
adrenergic (sympathomimetic)
Term
What are the indications for Isuprel?
Definition
Refractory symptomatic bradycardia.
Torsades de pointes unresponsive to magnesium sulfate.
Beta blocker poisoning.
Term
How is isoproterenol administered, including dose and route?
Definition
IV drip: 2 to 10 mcg / min titrating to HR > 60, or a BP > 90.
Max of 10 mcg/min w/ torsades.
Term
What is the generic name for Lanoxin?
Definition
digoxin
Term
Which class of medication does digoxin belong to.
Definition
Cardiac glycoside.
Term
Which class of medication does digoxin belong to.
Definition
Cardiac glycoside.
Term
Which class of medication does digoxin belong to.
Definition
Cardiac glycoside.
Term
What are the indications for digoxin?
Definition
CHF
A-fib
A-Flutter
Term
How is Lanoxin administered, including dose and route?
Definition
8 to 12 mcg/kg slow IVP, over 15 to 20 min.
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