Term
| Epinephrine: What does it do? |
|
Definition
Increases:
-SVR
-B/P
-Cardiac electrical activity
-coronary and cerebral blood flow
-strength of myocardial contraction
-automaticity
-myocardial oxygen requirements |
|
|
Term
| Epinephrine: What does it treat? |
|
Definition
V-Fib
Pulseless V-Tach
Asystole |
|
|
Term
|
Definition
1mg IVP q3-5min
(can be given via ETT tube, 2-2.5x IV dose, follow with NS flush) |
|
|
Term
| Vasopressin: How does it work? |
|
Definition
-intense vasoconstriction at high doses
-monitor closely for extravasation, may cause severe necrosis and gangrene) |
|
|
Term
| Vasopressin: What does it treat? |
|
Definition
|
|
Term
|
Definition
| One time dose of 40 units, IV |
|
|
Term
| Atropine: How does it work? |
|
Definition
-parasympatholytic
-inhibits the parasympathetic response |
|
|
Term
| Atropine: What does it treat? |
|
Definition
|
|
Term
|
Definition
-start with 1mg IVP
-repeat q 3-5 minutes until max dose of 0.04mg/kg
-can be given via ETT tube (2-3mg in 10ml NS) |
|
|
Term
| Amiodarone: How does it work? |
|
Definition
-prolongs action potential and slows sinus rate
-correct k+ or mag imbalance to enhance usage |
|
|
Term
| Amiodarone: What does it treat? |
|
Definition
V-Fib
V-Tach
A-Fib
A-Flutter
(it slows things down, monitor QT interval) |
|
|
Term
| Adenosine: How does it work? |
|
Definition
-slows conduction through the AV node
-interrupts re-entry pathway throughout the AV node
-antiarrythmic
-directly effects the supraventricular tissue |
|
|
Term
| Adenosine: Half Life, Side Effects |
|
Definition
Half Life: 10 seconds
SE: heart block, asystole, arrythmias |
|
|
Term
| Procainamide: How does it work? |
|
Definition
-reduces automaticity of ectopic pacemakers
-antidysrhythmic |
|
|
Term
| Procainamid: What does it treat? |
|
Definition
|
|
Term
Procainamide:
Contraindications (1)
Things to watch for (2) |
|
Definition
Contraindications: prolonged QT interval
Watch for: hypotension, widening QRS |
|
|
Term
| Lidocaine: How does it work? |
|
Definition
-suppressed ventricular ectopy
-antidysrythmic |
|
|
Term
| Lidocaine: What does it treat? |
|
Definition
Frequent PVC's
Code situation |
|
|
Term
|
Definition
-bolus 1-1.5mg/kg
-additional bolus of 0.5 to 0.75mg/kg every 5-10 minutes up to 3mg/kg
-follow with infusion |
|
|
Term
| Magnesium: What does it treat? |
|
Definition
|
|
Term
|
Definition
flushing
sweating
bradycardia
hypotension |
|
|
Term
Magnesium: Doses
(VF/VT and non-code situation) |
|
Definition
VF/VT: 1-2 gm diluted in 10ml D5W. given over 1-2min (followed by infusion, titrate to mag levels)
-Non-code situation: 1-2gm in 50ml/h IVPB |
|
|
Term
| Dopamine: What does it do? |
|
Definition
-vasopressor, inotropic
-renal vasodilator
-alpha stimulant |
|
|
Term
|
Definition
Renal: <5mcg/kg/min
Alpha: >5mcg/kg/min |
|
|
Term
| Dobutamine: What does it do? |
|
Definition
-spanks the heart
-sympathomimetic
-enhances contractility, stroke volume, and CO
*can be too hard on heart |
|
|
Term
|
Definition
-2.5-15mcg/kg/min
-titrate to CO/CI and sometimes B/P if no swan |
|
|
Term
| Levophed: What does it do? |
|
Definition
-vasopressor, sympathomimetic
-increases PVR (squeezes)
*monitor for secondary organ shut down |
|
|
Term
|
Definition
.05-.1mcg/kg/min
titrate to MAP |
|
|
