Rhythms
What rhythm is described as having a consistently long P-R interval
What is First Degree Heart Block
this medication is used as an adjunct to antihypertensive medications to control edema and some require electrolyte replacement
What are diuretics?
this inotropic agent increases contractility and is used in left ventricular failure to slow the heart rate
What is digoxin?
First line drug for symptomatic bradycardia
What is Atropine
0.5mg IV q3-5 minutes as needed for a total not to exceed 0.04mg/kg (total of 3mg)
A lactic acid greater than this value will require a repeat lactic acid in two hours
What is 2.0
What rhythm is described as irregularly irregular?
What is atrial fibrillation
this classification is often the first line of antihypertensive therapy; may cause hyperkalemia and renal failure; monitor for hypotension
What are ACE inhibitors?
often used in heart failure patients this classification of antihypertensive requires the monitoring of potassium to avoid hyperkalemia
What are ACE inhibitors?
This is given every cardiac arrest as the first drug
What is Epinephrine
1mg q3-5 minutes
This is the reason that lactic acid elevates in sepsis.
What is tissue hypoperfusion
When you can see an organized rhythm but feel no pulse
What is PEA
This class of medication treats angina, high blood pressure, and irregular heart rhythms
Calcium channel blockers
The therapeutic effect of this medication is to improve contractility of the heart and to control the rate and rhythm.
What is digoxin?
This drug is pushed rapidly over 1-3 seconds, first dose being 6mg followed by second dose 12mg if necessary
What is Adenosine
What is the best way RN's can affect sepsis mortality?
What is early recognition
What is atrial flutter
this classification of antihypertensive medication decreases the myocardial oxygen demand and the workload of the heart lowering the heart rate and are therefore contraindicated in the patient with AV heart block or bradyarrhythmias and require careful monitoring of the pulse. Hold med if HR<50
What are Beta Blockers?
this potassium sparing diuretic relieves edema and ascites that do not respond to usual diuretics
What is spironolactone?
What medication is recommended for a patient in refractory vfib
What is Amiodarone
300mg
What is vasopressors
Described as narrow complex, typically with a HR of 150 bpm or greater
What is SVT
This medication treats arrhythmias and is used in cardiac arrests
What is amiodarone?
This loop diuretic acts rapidly to reduce edema but can deplete potassium, cause ototoxicity and may be contraindicated if the patient has a sulfa allergy
What is furosemide?
Recommended for use in cardiac arrest only if torsades de pointes is present
What is Magnesium Sulfate
What type of antibiotic is recommended with the onset of sepsis
What is broad spectrum antibiotics
Covering both gram positive and gram negative organisms