Cardiac medications

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EMS cardiac medication practice

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Brennan Kirchhefer

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Cardiac medications


Crossword Puzzle Cardiac medicationsOnline version EMS cardiac medication practice by Brennan Kirchhefer 1 The other name for lidocaine 2 Is given at 300 mg IV/IO. Can be followed once in 3-5 minutes with 150 mg IV/IO. (Maximum total dose not to exceed 450 mg) 3 A Contraindication shared by all cardiac medications 4 Verapamil is a _______ channel blocker 5 A direct acting alpha and beta agonist 6 Which drug slows conduction through the AV node. 7 the drug given for A-fib RVR in a patient with Wolf Parkinson White syndrome 8 The second line drug for symptomatic bradycardia after atropine 9 Which drug requires caution due to potential for raising blood pressure and increased heart rate may cause myocardial ischemia, angina, and increased myocardial oxygen demand. 10 A selective beta 1 blocker 11 The pediatric dose for metoprolol 12 Can cause sinus arrest, asystole, and AV blocks 13 Levophed is indicated for severe cardiogenic shock and _______ significant hypotension 14 Contraindicated in patient's with Lown-ganong-levine syndrome 15 Indicated for hypertension associated with stroke, with a MAP greater than 130mmgh 16 The dose of atropine given for stable bradycardia 17 Adenosine is contraindicated in sick sinus syndrome and poison/ drug induced ______ 18 AV blocks are what in relation to Diltiazem 19 0.1 mg/kg followed by a 5-10ml saline flush is the correct dose of adenosine for a ______ patient 20 Cordarone is contraindicated in cardiogenic shock, pregnancy, and ______ disease 3 14 20 16 10 11 5 17 6 15 18 12 2 8 9 1 13 19 1 indicated for hypertension with pre-eclampsia or stroke, aortic aneurysm, and MI 2 the arrhythmia indicated for the use of magnesium sulfate 3 what drug decreases automaticity by slowing the rate of spontaneous phase depolarization 4 the route norepinephrine can be given 5 dopamine produces positive inotropic and ______ effects 6 labetalol is contraindicated in bradycardia without a ______ 7 the adult dose of cardene is 5-15 milligrams per _______ 8 the onset of atropine 9 associated with magnesium sulfate overdose 10 reduce the maintenance infusion dose of procainamide in the presence of renal and ______ insufficiency 11 norepinephrine should not be administered through the same IV line as ______ solutions 12 do not use labetalol with a ______ overdose 13 what is the other name for atropine sulfate 14 lopressor decreases heart rate, conduction ______, myocardial contractility, and cardiac output 15 1-4 g over 3 minutes is the magnesium dose for ______ 16 the initial dose of diltiazem is 10-20 mg given over ______ minutes 17 epinephrine is indicated for all types of ______ 18 dopamine is a ______ agent 19 the max pediatric dose of lidocaine is how many ___mg/kg 20 the max dose of amiodarone in cardiac arrest 18 12 7 16 17 5 15 11 1 10 9 14 8 20 5 0 13 4 19 1 Your patient is in cardiac arrest with V-fib on the monitor. You have performed two rounds of CPR, obtained IV access, given one dose of epi, and defibrillated three times. You do not have amiodarone, what drug should you give next? 2 Your patient is complaining of feeling like their heart is beating out of their chest as well as feeling dizzy. On the monitor you find the patient in A-fib RVR with a slurring at the beginning of the QRS. What medication would benefit this patient? 3 Your patient complains of short repetitive periods of palpitations and a tight feeling in their chest. On the monitor you find the patient experiencing short runs of SVT. Which medication should you administer next? 4 Your patient is displaying A-flutter with 2:1 conduction on the monitor. During the history the patient reported allergies to penicillin, isoptin, and prednisone. What medication should be administered to control the arrhythmia? 5 Your patient is displaying with mild fatigue and a heart rate of 43 bpm. The patients blood pressure is 127/76 and SpO2 is 95%. What medication is most appropriate? 6 Your patient is pulseless with a flat line on the monitor. CPR has been started and the patient is being ventilated. What medication should be administered first to this patient? 7 Your patient is complaining of sudden weakness and loss of sensation to their left side. Upon assessment they are positive for the Cincinnati stroke scale. The vitals are HR 87, RR 20, BP 210/134, and SpO2 94%. What medication should be administered? 8 Your patient is complaining of worsening chest pain that began on exertion while helping move furniture. The pain is persisting despite administration of nitrates and aspirin. What medication should be given next? 9 Your patient is complaining of a tearing pain between their shoulder blades. The patient's BP on the left arm is 82/40, and on the right arm is 180/105. What medication should be administered? 10 Your patient is presenting with palpitations, sweating, anxiety, and fatigue. On the monitor you find a very rapid narrow complex tachycardia. After attempting a Valsalva maneuver, what medication should be administered? 11 Your patient is complaining of a strange feeling in their chest. On the monitor you find polymorphic ventricular tachycardia. What medication should be administered? 12 Your patient is in cardiac arrest with V-tach on the monitor. CPR was started, defibrillation was performed, IV access obtained, and epinephrine was administered. After the next 2 min of CPR what medication should be given? 13 Your patient presents as very lethargic and confused. The patient's skin is pale, cool, and diaphoretic. The patient's vitals are HR 72, RR 10, BP 62/palp, and SpO2 92%. After placing the patient on oxygen what medication should be administered? 14 Your patient is displaying with mild fatigue and a heart rate of 43 bpm. The patients blood pressure is 127/76 and SpO2 is 95%. Atropine was ineffective at improving the patient's condition. What medication should be administered next? 5 6 9 14 12 13 4 7 10 1 11 3 8 2

Cardiac medications

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Cardiac medicationsOnline version

by Brennan Kirchhefer

The other name for lidocaine

Is given at 300 mg IV/IO. Can be followed once in 3-5 minutes with 150 mg IV/IO. (Maximum total dose not to exceed 450 mg)

A Contraindication shared by all cardiac medications

Verapamil is a _______ channel blocker

A direct acting alpha and beta agonist

Which drug slows conduction through the AV node.

the drug given for A-fib RVR in a patient with Wolf Parkinson White syndrome

The second line drug for symptomatic bradycardia after atropine

Which drug requires caution due to potential for raising blood pressure and increased heart rate may cause myocardial ischemia, angina, and increased myocardial oxygen demand.

A selective beta 1 blocker

The pediatric dose for metoprolol

Can cause sinus arrest, asystole, and AV blocks

Levophed is indicated for severe cardiogenic shock and _______ significant hypotension

Contraindicated in patient's with Lown-ganong-levine syndrome

Indicated for hypertension associated with stroke, with a MAP greater than 130mmgh

The dose of atropine given for stable bradycardia

Adenosine is contraindicated in sick sinus syndrome and poison/ drug induced ______

AV blocks are what in relation to Diltiazem

0.1 mg/kg followed by a 5-10ml saline flush is the correct dose of adenosine for a ______ patient

Cordarone is contraindicated in cardiogenic shock, pregnancy, and ______ disease

indicated for hypertension with pre-eclampsia or stroke, aortic aneurysm, and MI

the arrhythmia indicated for the use of magnesium sulfate

what drug decreases automaticity by slowing the rate of spontaneous phase depolarization

the route norepinephrine can be given

dopamine produces positive inotropic and ______ effects

labetalol is contraindicated in bradycardia without a ______

the adult dose of cardene is 5-15 milligrams per _______

the onset of atropine

associated with magnesium sulfate overdose

reduce the maintenance infusion dose of procainamide in the presence of renal and ______ insufficiency

norepinephrine should not be administered through the same IV line as ______ solutions

do not use labetalol with a ______ overdose

what is the other name for atropine sulfate

lopressor decreases heart rate, conduction ______, myocardial contractility, and cardiac output

1-4 g over 3 minutes is the magnesium dose for ______

the initial dose of diltiazem is 10-20 mg given over ______ minutes

epinephrine is indicated for all types of ______

dopamine is a ______ agent

the max pediatric dose of lidocaine is how many ___mg/kg

the max dose of amiodarone in cardiac arrest

Your patient is in cardiac arrest with V-fib on the monitor. You have performed two rounds of CPR, obtained IV access, given one dose of epi, and defibrillated three times. You do not have amiodarone, what drug should you give next?

Your patient is complaining of feeling like their heart is beating out of their chest as well as feeling dizzy. On the monitor you find the patient in A-fib RVR with a slurring at the beginning of the QRS. What medication would benefit this patient?

Your patient complains of short repetitive periods of palpitations and a tight feeling in their chest. On the monitor you find the patient experiencing short runs of SVT. Which medication should you administer next?

Your patient is displaying A-flutter with 2:1 conduction on the monitor. During the history the patient reported allergies to penicillin, isoptin, and prednisone. What medication should be administered to control the arrhythmia?

Your patient is displaying with mild fatigue and a heart rate of 43 bpm. The patients blood pressure is 127/76 and SpO2 is 95%. What medication is most appropriate?

Your patient is pulseless with a flat line on the monitor. CPR has been started and the patient is being ventilated. What medication should be administered first to this patient?

Your patient is complaining of sudden weakness and loss of sensation to their left side. Upon assessment they are positive for the Cincinnati stroke scale. The vitals are HR 87, RR 20, BP 210/134, and SpO2 94%. What medication should be administered?

Your patient is complaining of worsening chest pain that began on exertion while helping move furniture. The pain is persisting despite administration of nitrates and aspirin. What medication should be given next?

Your patient is complaining of a tearing pain between their shoulder blades. The patient's BP on the left arm is 82/40, and on the right arm is 180/105. What medication should be administered?

Your patient is presenting with palpitations, sweating, anxiety, and fatigue. On the monitor you find a very rapid narrow complex tachycardia. After attempting a Valsalva maneuver, what medication should be administered?

Your patient is complaining of a strange feeling in their chest. On the monitor you find polymorphic ventricular tachycardia. What medication should be administered?

Your patient is in cardiac arrest with V-tach on the monitor. CPR was started, defibrillation was performed, IV access obtained, and epinephrine was administered. After the next 2 min of CPR what medication should be given?

Your patient presents as very lethargic and confused. The patient's skin is pale, cool, and diaphoretic. The patient's vitals are HR 72, RR 10, BP 62/palp, and SpO2 92%. After placing the patient on oxygen what medication should be administered?

Your patient is displaying with mild fatigue and a heart rate of 43 bpm. The patients blood pressure is 127/76 and SpO2 is 95%. Atropine was ineffective at improving the patient's condition. What medication should be administered next?