Alexsandra Shared "Med 1 playlist" - 20 Picmonics
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Med 1 playlist
Atropine
- Mechanism of Action
- Muscarinic Antagonist
- Indications
- Bradycardia
- Increased Exocrine Secretions
- Smooth Muscle Spasms
- Side Effects
- Tachycardia
- Dry Mouth
- Urinary Retention
2 mins
Atropine
- Class
- Actions
- Indications
- Contraindications
- Precautions
- Sideeffects
- Route and dosage
Epinephrine (Adrenaline)
- Mechanism
- Alpha and Beta Agonist
- Indications
- Anaphylaxis
- Primary Open Angle Glaucoma (POAG)
- Bleeding
- Cardiac Arrest
- Side Effects
- Tachycardia
- Hypertension
- Tremors
- Insomnia
- Considerations
- Multiple Strengths
2 mins
Dobutamine
- Mechanism
- Beta-1 Agonist
- Inotropic
- Indications
- Heart Failure
- Side Effects
- Tachycardia
- Arrhythmias
- Considerations
- Closely Monitor Patients
- Other Meds May Increase Potency
1 min
Dopamine
- Heart failure
- first defence
- Severe Hypotension
- Low Dose of Dopamine
- renal Blood flow
- kidney
- Beta 1 Receptor Stimulated
- Medium Doses
- Inotropic Effects
- High Doses
- Alpha Receptor Stimulated
- Vasoconstriction
- Angina
- Arrhythmia
- Pheochromocytoma
Dopamine
- Mechanism of Action
- Dose Dependent
- Dopaminergic Effects (0-3 mcg/kg/min)
- Beta Effects (3-5 mcg/kg/min)
- Alpha Effects (5-10 mcg/kg/min)
- Indications
- Severe Hypotension
- Decreased Renal Perfusion
- Side Effects
- Increased HR
- Arrhythmias
- Vasocontriction
Milrinone and Amrinone
- Mechanism of Action
- Phosphodiesterase 3 Inhibitor
- Potentiates Beta Receptor Effects
- Inotrope
- Vasodilator
- Indication
- Acute Decompensated Heart Failure
- Side Effects
- Ventricular Arrhythmias
- Hypotension
2 mins
Milrinone
- Mechanism
- Selective PDE-3 inhibitor
- Increased CAMP accumulation
- Vasodilates Arterioles
- Chronotropy and Inotropy Increased
- Indication
- Acute decompensated heart failure
- Side Effects
- Arrhythmias
- Hypotension
- Considerations
- Given IV
- Depends on renal clearance
- No tolerance after 72 hours
Adenosine (Adenocard)
- Mechanism
- Slows AV Conduction
- Indications
- Supraventricular Tachycardia (Paroxysmal)
- Side Effects
- Bradycardia
- Flushing
- Dyspnea
- Considerations
- Rapid IV Push
- Caffeine and Theophylline Decrease Effectiveness
- Dipyridamole May Intensify Effects
2 mins
Procainamide
- Class
- Action
- Indications
- Contraindications
- Precautions
- Side effects
- Route and dosage
Lidocaine
- Mechanism
- Blocks Na+ Channels
- Indications
- Ventricular Arrhythmia
- Anesthetic
- Side Effects
- Paresthesias
- Seizures
- Respiratory Depression
- Drowsiness
- Consideration
- Anesthetic Effects Extended with Epinephrine
1 min
Nitroglycerin
- Mechanism of Action
- Decreases Preload
- Indications
- Angina
- Up to 3 doses q 5 mins
- Side Effects
- Headache
- Hypotension
- Contraindications
- Viagra (Sildenafil)
- Nursing Considerations
- Assess Blood Pressure
- Protect From Light
- Use Glass Bottle and Special Tubing
- Gloves for Applying Topically
2 mins
Nitroprusside
- Mechanism of Action
- Direct Release of NO
- Increase cGMP
- Short Half-Life
- Indications
- Malignant Hypertension
- Side Effect
- Cyanide Toxicity
1 min
Norepinephrine (Levophed)
- Mechanism of Action
- Alpha Agonist
- Beta-1 Agonist
- Indications
- Severe Hypotension
- Side Effect
- Decreases Renal Blood Flow
- Arrhythmias
- Hypertension
- Considerations
- Tissue Necrosis
- Last Resort Medication
2 mins
Amiodarone
- Blocks K channels
- Blocks Na Channels
- Weak Calcium Channel Blocking
- Peripheral Vasodilation
- Oral and IV
- Hepatic Metabolism
- Levels Detected over Long Period
- CYP Induction
- Life-threatening Antiarrythmic
- Hospitalize for First Dose
- Adverse Effects
- Drug Deposits
- Photodermatitis
- Corneal Microdeposits
- Bradycardia and AV Block with IV
- Pulmonary Toxicity
- Hepatotoxicity
- Proarrythmic
- Pregnancy Risk Factor D
- Hypo or Hyperthyroidism
Calcium Channel Blockers (Verapamil and Diltiazem)
- Mechanism of Action
- Slows AV Conduction
- Indications
- Angina Pectoris
- Arrhythmias
- Essential Hypertension
- Side Effects
- Bradycardia
- Hypotension
- Constipation
- Peripheral Edema
- Gingival Hyperplasia
- Nursing Consideration
- Medication Education
2 mins
Warfarin (Coumadin)
- Mechanism of Action
- Inhibits Clotting Factors
- Indications
- Atrial Fibrillation
- Venous Thrombosis
- Pulmonary Embolism
- Assessment
- PT/INR Levels
- Observe for Bleeding
- Contraindications
- Pregnancy
- Nursing Considerations
- Vitamin K and Fresh Frozen Plasma
- Prolonged Therapeutic Onset
- Maintain Same Diet
2 mins
INR Lab Value
- 0.8-1.2 Normal Range
- Warfarin
- 2.0-3.0
1 min
Heparin (Unfractionated)
- Mechanism of Action
- Suppresses Coagulation
- Indications
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism
- Side Effects
- Hemorrhage
- Heparin-Induced Thrombocytopenia (HIT)
- Considerations
- Monitor aPTT
- Preferred (Safe) During Pregnancy
- Antidote
- Protamine Sulfate
2 mins
Enoxaparin (Lovenox)
- Mechanism of Action
- Inhibits Clotting Factors
- Factor Xa
- Indications
- Clot Formation Prevention
- Side Effects
- Heparin Induced Thrombocytopenia (HIT)
- Bleeding
- Considerations
- Medication Education
- Subcutaneous Injection
- 2 Inches from Umbilicus or Incisions
- Antidote
- Protamine Sulfate
2 mins
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