Vous êtes sur la page 1sur 3

NITROGLYCERINE

FOR CHEST PAIN AND MI


NOT GIVE WITH ED DRUGS
WILL CAUSE HYPOTENSION AND HEADACHE
MORPHINE SULFATE
NARCOTIC ANAGESIC
TREAT CHEST PAIN ASSOCIATED WITH AMI
IT RELIEVES PAIN, DILATES VENOUS VESSELS AND REDUCES WORKLOAD OF
HEART
MAY CAUSE RESPIRATORY DEPRESSION AND HYPOTENSION
GIVE NARACN TO REVERSE MORPHINE
ATROPINE SULFATE
TREAT HEMODYNAMICALLY SIGNIFICANT BRADY AND HEART BLOCK,
PULSELESSNESS ELECTRICAL ACTIVITY
CONTINUOUS CARDIAC AND BP MONITOR
MAY CAUSE URINARY RETENTION AND THIRST
ISOPROTERENOL
BETA BLOCKER TO INCREASE HR
ONLY GIVEN WHILE WAITING ON A TRANSCUTANEOUS PACEMAKER ONLY
AFTER GIVEN THE MAXIMUM DOSE OF ATROPINE
ALSO MAY BE GIVEN AFTER HEART TANSPLANT
NURSE MONITOR FOR VTAC AND VFIB
NEVER USE IN CLIENTS WITH CARDIAC ARREST
ADENOSINE
USED TO TREAT PVST
ADMINISTER RAPIDLY WITH NS BOLUS
CONTINUOUS CARDIAC AND VS
SHORT PERIOD OF ASYSTOLE MAY OCCUR (THIS IS NATURAL)
VERAPAMIL (Ca CHANNEL BLOCKER)
TREAT PVST SECOND TO ADENOSINE WHO HAS NORMAL BP AND ADEQUATE
LEFT VENTRIC FXN (I.E. NO EVIDENCE OF HEART FAILURE)
MONITOR HR, RHYTHM, AND BP
HYPOTENSION CAN OCCUR, ESPECIALLY WITH USAGE OF BETABLOCKERS
INJECT IV CALCIUM IF HYPOTENSION OCCURS WITH USAGE OF BETAS
DILTIAZEM (Ca CHANNEL BLOCKER)
TREAT PVST AND TO SLOW THE RATE IN AFIB OR A FLUTTER
LESS LIKELY TO CAUSE CARDIAC DEPRESSION
CAN ELEVATE DIG LEVELS
AMIODARONE
USED IN LIFE THREATENING VENTRICULAR DYSRHYTHMIAS AND CARDIAC
ARREST (PULSELESS VTAC AND VFIB)
IT HAS ALPHA AND BETA BLOCKING EFFECTS
MONITOR FOR HYPOTENSION AND BRADY.. SLOW THE ADM AND GIVE IV
FLUIDS
LIDOCAINE
USED TO TREAT IRREGULAR HEART BEATS AND PREMATURE VENTRIC
CONTRACTIONS (PVCs)
EXERTS A LOCAL ANESTHETIC ON THE HEART
CONTINUOUS CARDIAC MONITOR AND S/S OF TOXICITY (CONFUSION,
DROWSY, TWITCHING, SEIZURE)

HEART FAILURE, SHOCK, LIVER IMPAIRMENT >70YEARS ARE HIGHER RISK D/T
METABOL IN LIVER
PROCAINAMIDE
ANTIDYSRHYTHMIC FOR VTAC, PVC THAT ARE UNRESPONSIVE TO ADENOSINE
NURSE MUST MONITOR EKG
CONTRAINDICATED IN PTS WITH TORSADES DE POINTES
MAGNESIUM SULFATE
TREAT HYPOMAGNESMIA ASSOCIATED WITH THE DEVELOPMENT OF
DYSRHYTHMIAS
MONITOR FOR HYPOTENSION
EPINEPHERINE
CATECHOLINE WITH ALPHA & BETA EFFECTS
CONSTANT CARDIAC MONITORING
NEVER IN SAME SIGHT AS SODIUM BICARB
ACIDOSIS DECREASES THE EFFECTS OF EPINEPHERINE
VASOPRESSIN
TREATMENT OF VFIB THAT IS REFRACTORY TO DEFIB
WILL INCREASE CORONARY ARTERY PERFUSION DURING CPR
GIVEN TO PTS IN CARDIAC ARREST BEFORE OR AFTER EPI
CONTRAINDICATED IN CAD (THAT IS CLIENTS WITH CAD WHO ARE NOT IN
CARDIAC ARREST)
SODIUM BICARB
TREAT METABOLIC ACIDOSIS THAT MAY BE R/T CARDIAC ARREST OR
HYPERKALEMIA
ONLY GIVE AFTER ADEQUATE OXYGENATION, CHEST THERAPY, IV FLUIDS, AND
DRUGS FAIL TO CORRECT THE ACIDOTIC STATE
ONLY GIVEN BASED ON THE RESULTS OF ABG
CAN LEAD TO METABOLIC ALKALOSIS
NO EIP, NORE EPI, AND DOPAMINE SHOULD NOT BE IN SAME SITE BECAUSE
THEY ARE INACTIVATED SOLUTIONS CONTAINIG SODIUM BICARB
MANNITOL
OSMOTIC DIURETIC TO TREAT ICP OR CEREBRAL EDEMA
MUST DRAW UP WITH FILTER NEEDLE AND GIVE WITH NEW NEEDLE
NUSE MUST ASSESS NEURO, LABS, I & O,
NALOXONE
OPIATE ANTAGONIST (REVERSE THE EFFECTS OF ALL OPIATES: MORPHINE,
MEPERIDINE, CODEINE, PROPOXYPHENE, HEROINE)
CAN CAUSE RESPIRATORY AND CARDIO DEPRESSION
MONITOR FOR RESPIRATORY DEPRESSION AND HYPOTENSION
FLUMAZENIL
REVERSAL AGENT FOR RESPIRATORY AND SEDATIVE EFFECTS OF
BENZODIAZEPINES (VALIUM, VERSED, LIBRIUM)
DOES NOT WORK ON ALCOHOL, OPIATES AND BARBITUATES
MONITOR RESP RATE, MENTAL STATUS, BP AND SEZIURE PRECAUTIONS
DOPAMINE
TREAT HYPOTENSION IN SHOCK NOT CAUSED BY HYPOVOLEMIA
ALSO TO INCREASE HR WHEN ATROPINE HAS NOT BEEN EFFECTIVE
MONITOR IV SITE FOR EXTRAVASATION IF THIS OCCURS, INJECT WITH
REGITINE (PHENOLAMINE)
DOBUTAMINE

INCREASE MYOCARD CONTRACTION AND HR IN SHOCK


CONTINUOUS CARD MONITOR AND BP MONITORING
MONITOR I & o, AND S/S OF MYO ISCHEMIA SUCH AS CHEST PAIN
NOREPINEPHERINE
USED IN SHOCK STATES TO INCREASE BP WHEN DOPAMIN AND DOBUTAMIN
HAS WORKED
MONITOR CARD AND BP
CAN CAUSE TISSUE NECROSIS IN IV SITES
EPINEPHERINE
DRUG OF CHOICE TO TREAT ANAPHALYATCI SHOCK
MONITOR FOR HYPERTENSION, TACHY, ON CARDIAC MONITOR,
NITROPRUSSIDE SODIUM
REDUCE BP IN HYPTERTENSIVE EMERGENCIES
BP INCREAES AS SOON AS DRUG ADM IS STOPPED
CONTINUOUS AND ACCURATE BP MONITORING
DO NOT GIVE IF BLUE/BROWN MAY GIVE FAIT BROWN TINT
RISK FOR TOXICITY

Vous aimerez peut-être aussi