Cardiac Cath Lab| 96 questions| With Complete Solutions

What are the 5 patient rights? correct answer: Right patient Right drug Right dose Right route Right time What was the 6 anti-arrhythmic drugs? correct answer: Lidocaine (Xylocaine) Amiodarone (cordarone) Atropine Magnesium Sulfate Adenosine (adenocard) What are some indications for using lidocaine? correct answer: PVC V-Tach V-Fib What does lidocaine do? correct answer: Ventricular anti-arrhythmia Contraindications: lidocaine correct answer: Severe degree SA or AV block WPW 2nd & 3rd degree HB CHF Trade name: lidocaine correct answer: Xylocaine Dosages: lidocaine correct answer: 1 | 2 | 3 | 4 mg a min drip Trade name: amiodarone correct answer: Cordarone Indications: amiodarone correct answer: Ventricular/ atrial arrhythmias Actions: amiodarone correct answer: Leads to prolongation of action potential duration Contraindications: amiodarone correct answer: Cardiogenic shock SA node disease 2nd & 3rd degree AV block Adverse reactions: amiodarone correct answer: Bradycardia Heart failure Heart block Irreversible lung damage Dosage: amiodarone correct answer: Central line:900 mg/ 500ml D5W Peripheral line: 500mg/500ml D5W For peri infusion must not exceed 2.2g in 24 hours Action: atropine correct answer: Increases heart rate Indications: atropine correct answer: Symptomatic bradycardia Block vagal reflux Adverse reaction: atropine correct answer: Tachycardia Dosage: atropine correct answer: 0.5mg-1mg IVP Do not exceed 3mg Indications: magnesium sulfate correct answer: V-tach V-fib Torsades de pointes Contraindications: magnesium sulfate correct answer: Heart block Adverse reactions: magnesium sulfate correct answer: Hypotension Bradycardia Hypocalcaemia Dosage: magnesium sulfate correct answer: V-tach / v-fib 1-2gm in over 1-2 mins Trade name: adenosine correct answer: Adenocard Which medication can cause 4-5 seconds of asystole? correct answer: Adenosine Indications: adenosine correct answer: PSVT Vasodilator Actions: adenosine correct answer: Shortens refractory period of arterial tissue Slows conduction through the AV node Contraindications: adenosine correct answer: 2nd & 3rd degree HB Symptomatic bradycardia Bronchitis Asthma Adverse reactions: adenosine correct answer: Suspenda SOB Chest pressure