NU 623 Advanced Adult Health MED CHART

NU 623 Advanced Adult Health MED CHART Drug Drug Class Therapeutic Effect Use Side Effects Special Notes Epinephrine Vasopressor- Lower BP Maintenance of HR & BP 4 Things: Cardiac arrest, hypotension, vtach & vfib (helps get pt. out of disarrhythmia) CNSrestlessness, tremor CVHTN, angina, tachycardia, arrhythmias, increase HR IV push, give in 1 to 10,000 ratio for asystole (in drug book) Atropine Muscarinic Antagonists (anti- cholinergic) Increases HR!! Bradycardia (if asymptomatic) second degree heart block type 2 Anticholinergic effect: dry mouth, blurred vision, constipation, urinary retention 0.5 mg dose (for second degree heart block type 2, if not pacemaker), Max is 3mg Adenosine Other Gives you a period of asystole long enough to reboot through SA node, so SA becomes the pacemaker and not the AV node Treats SVT Sinus bradycardia, dyspnea, hypotension, facial flushing (from vasodilation), chest discomfort Short ½ life (1.5-10 seconds), slam it into the pt, have pt. raise arm so med goes to heart quickly, pt. on continuous 12 lead EKG monitoring, CAN’T exceed more than 3 doses! Diltiazem Calcium channel blocker (cardio specific) Slows the SA node automaticity, delay AV node conduction, reduce myocardial contractility AFIB, A Flutter, SVT to regulate (slow) HR Prolonged PR interval, constipation, bradycardia, AV block, dig toxicity Prolonged PR interval, caution when combining with dig & beta blockers