aborashyd83 DOPAMINE Classification: Adrenergic stimulator (sympathetic nervous system), inotrope, and chronotropeIndications:• Symptomatic hypotension (SBP 70 -100 mmHg with signs of shock)• Refractory bradycardia (administer 5-20mcg/min)Actions:• Beta effects (2 – 10mcg/kg/min): Primarily…
April 2022
SODIUM BICARBONATE
NaHCO3 Classification:Alkalinizer, bufferIndications: • Metabolic acidosis from any cause (arrest, shock, renal failure, ketoacidosis)• Tricyclic antidepressant overdose• HyperkalemiaActions:• Increases pH, reverses acidosisDosage:• 1mEq/kg IV push, followed by 0.5mEq/kg every 10…
MAGNESIUM SULFATE
Classification:Antidysrhythmic (electrolyte) (Electrolyte, which has antidysrhythmic properties if ectopy is due to hypomagnesemia)Indications:• Refractory ventricular dysrhythmias, Torsades de Pointes, hypomagnesemiaActions:• Stabilizes tissue membranes (including myocardial cells), elevates Magnesium levelsDosage:• Refractory…
VERAPAMIL
VERAPAMILIsoptin, Calan Classification:Antidysrhythmic (calcium channel antagonist) Indications:• Supraventricular tachydysrhythmias (Especially Afib and Aflutter) Actions:• Calcium channel antagonist• Slows conduction• Smooth muscle dilation Dosage:• 2.5 – 5mg IVP over 1- 2…
CARDIZEM
Diltiazem HClAntidysrhythmic (Calcium channel antagonists)Indications:• Supraventricular tachydysrhythmias (Especially A-fib and A-flutter)Actions:• Calcium channel antagonist• Slows conduction• Smooth muscle dilationDosage:• 15 – 20mg (0.25 mg/kg) over 2 minutes, may repeat with…
ADENOCARD
ADENOCARDAdenosine Classification:AntidysrhythmicIndications:• Supraventricular Tachycardia (specifically Atrial Tachycardia)• may try in regular wide tach (aberrant SVT)Actions:•Abolishes reentry, slows AV conductionDosage:•6mg IV/IO rapidly, followed by saline flush. May be repeated at 12mg…
PROCAINAMIDE
PROCAINAMIDEPronestyl Classification:AntidysrhythmicIndications:• Stable monomorphic VT with normal QT interval• Supraventricular arrhythmias especially A-fib and A-flutter• Control of rapid ventricular rate due to accessory pathway in pre-excited atrial rhythms• PSVT not…
LIDOCAINE
Xylocaine Classification:Antidysrhythmic Indications:• VF, VT, PVC’sActions:• Sodium channel blocker • Depresses ventricular irritability and automaticity• Increases fibrillation thresholdDosage:• VF & Pulseless VT = 1.0 – 1.5mg/kg. Repeat at half dose…
AMIODARONE
CordaroneClassification:Antidysrhythmic Indications:• VT or VF• Rapid atrial arrhythmias (Usually not as an initial agent) Actions:• Prolongs the recovery period of cardiac cells after they have carried an impulse• Effects sodium,…
ATROPINE
Classification:Parasympatholytic (blocks acetylcholine from the parasympathetic nervous system)Indications:• Symptomatic bradycardiaActions:• Increases heart rate and conduction through the AV node.Dosage:• Bolus 1.0 mg IV. Repeat at 3 – 5 minute intervals,…