Cardiology pt 1

Adenosine Trade name

Adenocard

Adenosine Class

Miscellaneous Antidysrhythmic

Adenosine description

adenosine does not convert atrial fibrillation, atrial flutter or ventricular tachycardia

Adenosine onset

immediate

Adenosine duration

10 seconds

Adenosine indication

most narrow-complex paroxysmal SVT

Adenosine contraindication

a flutter, a fib, vtach, WPW w/ afib/flutter

Adenosine adverse reactions

sob

Adenosine adult dose

6mg rapid IV bolus followed by 20ml saline bolus

Adenosine special considerations

Pregnancy category C

Amiodarone trade name

Cordarone

Amiodarone class

Class 3 antidysrhythmic

Amiodarone describe

prolongs duration of action potential and effective refractory period

Amiodarone onset

within minutes

Amiodarone duration

variable

Amiodarone indication

recurrent hemodynamically unstable VT

Amiodarone contraindication

hyperkalemia

Amiodarone adverse reactions

prolonged QT interval

Amiodarone adult dose

300mg IV/IO push, 2nd dose 150mg IV/IO

Amiodarone special considerations

pregnancy category D

Atropine Sulfate trade name

atropine

Atropine Sulfate class

anticholinergic agent

Atropine Sulfate describe

inhibits actions of acetylcholine at postganglionic parasympathetic receptor sites

Atropine Sulfate onset

rapid

Atropine Sulfate duration

2-6hrs

Atropine Sulfate indication

hemodynamically significant bradycardia

Atropine Sulfate contraindications

tachycardia

Atropine Sulfate adverse reactions

tachycardia

Atropine Sulfate adult dose

0.5mg q 1-5min (max 3mg)

Atropine Sulfate special considerations

pregnancy category C

Calcium Chloride trade name

n/a

Calcium Chloride class

electrolyte

Calcium Chloride describe

a hypertonic solution and should be administered IV

Calcium Chloride onset

5-15min

Calcium Chloride duration

dose dependent

Calcium Chloride indication

hyperkalemia

Calcium Chloride contraindications

VF during cardiac resuscitation

Calcium Chloride adverse reactions

bradycardia

Calcium Chloride adult dose

500-1000 mg

Calcium Chloride special consideration

pregnancy category C

Diltiazem Injectable trade name

Cardizem

Diltiazem Injectable class

calcium channel blocker

Diltiazem Injectable describe

slows conduction increases refractoriness in the AV node and causes coronary and peripheral vasodilation

Diltiazem Injectable onset

2-5min

Diltiazem Injectable duration

1-3 hrs

Diltiazem Injectable indication

multifocal atrial tachycardias

Diltiazem Injectable contraindication

VT

Diltiazem Injectable adverse reactions

Atrial flutter

Diltiazem Injectable adult dose

0.25mg/kg IV over 2 min

Diltiazem Injectable special consideration

pregnancy category C

Dopamine trade name

Intropin

Dopamine class

Sympathomimetic

Dopamine describe

related chemically to epinephrine and norepinephrine

Dopamine onset

2-4 min

Dopamine duration

10-15min

Dopamine indication

hemodynamically significantly hypotension in the absence

Dopamine containdication

VF

Dopamine adverse reactions

N/V

Dopamine adult dose

2-20mcg/kg/min titrate slowly to response

Dopamine special considerations

pregnancy category C

Epinephrine 1:10000 trade name

Adrenaline

Epinephrine 1:10000 class

sympathomimetic

Epinephrine 1:10000 describe

rapid injection produces a rapid increase in BP ventricular contractility and HR

Epinephrine 1:10000 onset

1-2min IV/ET tube

Epinephrine 1:10000 duration

5-10min IM

Epinephrine 1:10000 indication

cardiac arrest

Epinephrine 1:10000 contraindication

hypersensitivity

Epinephrine 1:10000 adverse reaction

n/v

Epinephrine 1:10000 adult dose

1mg q 3-5min IV/IO

Epinephrine 1:10000 special consideration

pregnancy category C

Furosemide trade

Lasix

Furosemide class

Loop diuretic

Furosemide describe

can reduce cardiac preload by increasing venous capacitance

Furosemide onset

within 5 min for vascular effects

Furosemide duration

2hrs

Furosemide indication

hyperkalemia

Furosemide contraindication

hypersensitivity

Furosemide adverse reaction

hypokalemia

Furosemide adult dose

0.5-1mg/kg over 1-2 min

Furosemide special consideration

pregnancy category C

Lidocaine trade name

Xylocaine

Lidocaine class

Antidysrhythmic class IB

Lidocaine describe

an alternative to amiodarone to treat cardiac arrest from VT or VF

Lidocaine onset

45-90 sec

Lidocaine duration

10-20min

Lidocaine indication

cardiac arrest from VT or VF

Lidocaine contraindication

hypersensitivity

Lidocaine adverse reaction

seizures

Lidocaine adult dose

1-1.5mg/kg IV/IO

Lidocaine special considerations

Pregnancy category B

Sodium Bicarbonate trade name

n/a

Sodium Bicarbonate class

Buffer

Sodium Bicarbonate describe

reacts w/ hydrogen ions to form water and CO2 thereby buffering metabolic acidosis

Sodium Bicarbonate onset

rapid

Sodium Bicarbonate duration

8-10min

Sodium Bicarbonate indication

DKA

Sodium Bicarbonate contraindication

hypersensitivity

Sodium Bicarbonate adverse reactions

seizures

Sodium Bicarbonate adult dose

1 mEq/kg IV

Sodium Bicarbonate special consideration

pregnancy category C