Drugs Flashcards


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1

Adenosine (Adenocard)

Antiarrhythmic

- Slows conduction through the AV node and interrupts reentry pathways through the AV node.

svt, PSVT

Dose: 6mg then 12mg and then another 12 mg

2

Albuterol (ventolin)

Bronchodilator, beta agonist

- Beta 2 agonist that bronchodilates and relaxes smooth muscle tissue.

-Asthma, bronchospasm, copd, pre treatment for crush injuries.

Dose: 2.5 to 5mg every 20 min

3

Amiordarone (cordarone)

Antiarrhythmic

- Prolongs duration of action potential and refractory period. Metabolized in the liver and excreted by the kidneys

VT, SVT, A-FIB, A-FLUTTER, V-FIB, RUN OF VT.

Dose: 300mg followed by 150mg if needed

4

Aspirin (ASA)

Antiplatelet, nonnarcotic analgesic, antipyretic

- prevents the formation of a chemical known as thromboxane A2,

ANGINA, ACUTE MI, CHEST PAIN,

Dose: 160 to 325mg

5

Atropine

Anticholinergic

- Competes reversibly with acetylcholine at the site of the muscarinic receptor

BRADYCARIA, ASYSTOLE, PEA, NERVE AGENT EXPOSURE, ORGANOPHOSPHATE POSIONING.

Dose: 0.5mg for bradycardia, 2mg for poisoning

6

Calcium gluconate

Electrolyte solution

- Counteracts the toxicity of hyperkalemia by stabilizing the membranes of the cardiac cells, reducing fibrillation

Dose: 500-1000mg IV over 10min

7

Digoxin (lanoxin)

Cardiac glycoside

- Inhibits sodium potassium, causing more sodium to be in the the heart which makes the heart beat more forcefully

CHF, NARROW COMPLEX PSVT, A-FIB AND A-FLUTTER

Dose: individualized

8

Diltiazem (Cardizem)

Calcium channel blocker, class IV antiarrhythmic

- Blocks calcium from moving into the heart muscle cell, which prolongs the conduction of electrical impulses through the AV node

HYPOTENTION, HEART BLOCK, HEART FAILURE

Dose: 0.25mg/kg

9

Diphenhydramine (Benadryl)

Antihistamine
- Bonds to histamine receptor sites to prevent further allergic reaction

For allergic reactions/ anaphylaxis

Dose: 25 to 50mg

10

Epinephrine

Beta-adrenergic agent

- binds with both alpha and beta receptors, producing increased blood pressure, increased heart rate and bronchodilation

For bronchospasms, allergic reactions, and cardiac arrest

Dose: 1mg for cardiac arrest and 0.3 to 0.5mg for allergic reactions

11

Etomidate (amidate)

Hypnotic, anesthesia induction agent

Ultra-short acting nonbarbiturate hypnotic. Used for the induction of anesthesia

For intubation

Dose: 0.2 to 0.6 mg/kg

12

Furosemide (lasix)

Loop diuretic antihypertensive

-potent diuretic that inhibits sodium re-absorption by the kidney. Reduces pulmonary edema and lowering of blood pressure

For CHF, PULMONARY EDEMA,

Dose: 0.5 to 1mg/kg

13

Ipratropium (atrovent)

Bronchodilator, anticholinergic

- Antagonizes the acetylcholine receptor on bronchial smooth muscles, producing bronchodilation

0.5mg nebulized

14

Ketamine (ketalar)

General anesthetic

-Produces a state of anesthesia while maintaining airway reflexes, heart rate, blood pressure.

Dose: 1 to 4.5 mg/kg

15

Lidocaine (Xylocaine)

Antiarrhythmic

-Blocks sodium channels, increasing the recovery period after repolarization

Dose: 1.5mg

16

Lorazepam (ativan)

Benzodiazepine

-Binds to the benzodiazepine receptor and enhances the effect of the brain chemical GABA, an inhibitory transmitter, and may result in state of sedation, hypnosis, skeletal muscle relaxation

For sedation induction, anxiety, status epilepticus

Dose: 2mg for sedation. and 4mg for seizures

17

Methylprednisolone (solu-medrol)

Corticosteroid

- reduces inflammation by multiple mechanisms

For anaphylaxis, asthma, COPD.

18

Meperidine (demerol)

Narcotic analgesic

-Binds to opiate receptors, producing analgesia and euphoria

For moderate to severe pain.

Dose: 50mg to 150mg

19

Midazolam (versed)

Benzodiazepine

-short acting CNS depression including sedation, skeletal muscle relaxation, and anticonvulsant activity.

For sedation, anxiety, skeletal muscle relaxation

Dose: 1 mg

20

Morphine

Opiate agonist

-Reduces stimulation of the SNS caused by pain and anxiety. Reduction of sympathetic stimulation reduces heart rate, cardiac work, and MI consumption

For moderate to severe pain, chest pain, CHF, and pulmonary edema.

Dose: 2.5 to 15 mg for basic pain. 2 to 4mg for chest pain with CHF or pulmonary edema

21

Ondansetron (zofran)

Antiemetic

-prevent nausea and vomiting

For nausea and vomiting

Dose: 4mg ODT or IV

22

Pancuronium (pavulon)

Nondepolarizing neuromuscular blocker

-Antagonizes acetylcholine at the motor end plate, producing skeletal muscle paralysis

For ET intubation

Dose: 0.04-0.1mg

23

Propofol (diprivan)

Anesthetic

-Produces rapid and brief state of general anesthesia

For anesthesia induction

Dose: 2 to 2.5 mg

24

Rocuronium (zemuron)

Neuromuscular blocker, nondepolarizing

Produces skeletal muscle paralysis

For ET intubation

Dose: 0.6 to 1.2 mg

25

Succinylcholine (anectine)

Neuromuscular blocker, depolarizing

- Helps with muscle paralysis

For ET intubation

Dose: 0.6mg

26

Vasopressin

Nonadrenergic vasoconstrictor

-Causes vasoconstriction independent of adrenergic receptors or neural innervation,

For adult shock VF or pulseless VT, asystole, PEA, vasodilatory shock

Dose: 40 units

27

Vecuronium (Norcuron)

Neuromuscular blocker, nondepolarizing

-causes muscle paralysis

For ET intubation

Dose: 0.08-0.1mg

28

Verapamil (isoptin)

Calcium channel blocker

-Blocks calcium from moving into the heart muscle cell, which prolongs the conduction of electrical impulses through the AV node. Also dilates arteries

For A-fib, hypertension, PSVT, PSVT prophylaxis

Dose: 2.5 to 5mg

29

Norepinephrine (levophed)

Sympathomimetic

-Increases blood pressure and increase heart to a lesser degree

For neurogenic shock, septic shock, hypotension

Dose: 0.5-1mcg/min