LET'S TALK ABOUT DRUGS!

RSI/ SEDATION ANYONE?

100

I am a narcotic analgesic frequently used for conscious sedation in adjunct with an induction agent (sedative) Watch out! I can cause respiratory suppression or bradycardias. What drug am I?

What is FENTANYL

200

I am a short-acting benzodiazepene. I can be used as a sedative during a conscious sedation, or treat agitation in a ventilated patient. Watch out! I can decrease BP and cause amnesia! What drug am I?

What is MIDAZOLAM

300

i am a rapid acting sedative with hypnotic (sedative) properties but NO analgesic affect. If administered, please watch the patients airway and ventilation I have a very short half-life and can be used during procedural sedation or ventilation. I am a milky whitish colour What drug am I?

What is PROPOFOL

400

I am a benzodiazepene and sedative. I can be given for extreme agitation, status epilepticus. What drug am I?

What is LORAZEPAM

500

I am a very short acting rapid onset neuromuscular blocking agent used during rapid sequence intubation. I am preferred over rocuronium for initial intubation in case things don't work out!

What is SUCCHINYLCHOLINE

WHAT'S THAT CALLED AGAIN?

100

1. I am a generalized class of drugs that mimics the Sympathetic Nervous System 2. I am a generalized class of drugs that mimics the Parasympathetic Nervous System

What are 1. SYMPATHOMIMETICS 2. PARASYMPATHOMIMETICS

200

There are 3 members of the Sympathetic Nervous System Receptor Clan. I am the Beta-1 Receptor! When I am activated, what are three things that I do?

What is 1. increase cardiac muscle force of contraction (FOC) 2. increase heart rate 3. increase speed of conduction

300

I am a member of the -TROPIC crew! I am a type of drug that effects the force of contraction (FOC) of cardiac muscles (positively or negatively) give an example of a positive and negative drug

What is INOTROPIC Positive Inotrope - Digoxin Negative Inotrope - Beta-Blocker, Calcium Channel Blocker

400

I am a member of the -TROPIC crew! I am a type of drug that effects the heart rate (positively or negatively) give an example of a positive and negative drug

What is CHRONOTROPIC Positive Chronotropic - Dopamine Negative Chronotropic - Bet-Blocker, Digoxin

500

I am a member of the -TROPIC crew! I am a type of drug that effects speed of conduction through the AV (atrioventricular) node (positively or negatively) give an example of a positive and negative drug

What is DROMOTROPIC Positive dromotropic - Dopamine Negative dromotropic - Beta-blocker

DON'T LET MY HEART STOP!

100

I slow conduction through the AV node. I am the first line treatment for a narrow complex tachycardia (SVT) I am given as a rapid bolus of 6 mg initially What drug am I?

What is ADENOSINE

200

I treat recurrent VT (ventricular tachycardia) I prolongs the duration of action potentials in cardiac fibers, and slow conduction at the AV node Watch out! I prolong the QT interval and can cause hypotension. What drug am I?

What is AMIODARONE

300

I treat rapid atrial fibrillation. The physician has already tried vagal maneuvers and it did not work. I am a positive inotrope and I increase heart rate and increase cardiac output. Make sure you flush tubing before and after I am used! What drug am I?

What is DIGOXIN

400

I treat acute atrial dysrythmias. I decrease heart rate, slow conduction and reduce myocardial irritability. Watch out! I can result in a prolonged PR interval! What drug am I?

What is PROCAINAMIDE

500

I treat atrial flutter and rapid atrial fibrillation, I help to provide rate control. I slow down conduction at the AV node and relax smooth muscle. What drug am I?

What is DILTIAZEM?

TONING MY VASCULATURE

100

I increase FOC by stimulating Beta-1 Receptors. I decrease HR and SVR increasing cardiac output. I am indicated in cardiac decompensation resulting from decreased contractility (CHF, pulmonary congestion, cardiogenic shock) I am administered as a continuous infusion. What am I?

What is DOBUTAMINE

200

I am a smooth muscle relaxant causing vasodilation. I reduce myocardial oxygen consumption by decreasing preload and afterload and dilating coronary arteries. I am used to treat angina, hypertension and to reduce preload Watch out! I can cause severe hypotension, headache, dizziness

What is NITROGLYCERIN

300

I stimulate the alpha and beta receptors. I work on the dopaminergic receptors. Indications include increasing cardiac output and contractility and renal blood flow. Watch out! If I go interstitial I can cause necrosis of the tissues. What drug am I?

What is DOPAMINE

400

I stimulate the alpha and beta receptors causing potent vasoconstriction. I am used to trat various shock stated but of course, you used fluids first :) Watch out! I can reduce blood flow to organs! What drug am I?

What is NOREPINEPHRINE

500

I stimulate the alpha receptor, causing arteriole construction. I am indicated for severe hypotension and treat vascular failure in shock. I am used to maintain blood pressure during intubation or a conscious sedation. Watch out! Make sure the patient has received sufficient volume prior to my administration What drug am I?

What is PHENYLEPHRINE

BLOCKED!!

100

I block both the alpha and beta receptors. I can decreased blood pressure without causing vasodilation or a significant drop in heart rate. I can be administered via continuous infusion. Watch out! I can cause bradycardia, orthostatic hypotension or bronchospasm What am I?

What is LABETALOL

200

I block the conversion of angiotensin 1 to angiotensin 2. This ultimately results in decreased preload and vasodilation I am used to treat hypertension and CHF What drug am I?

What is ACE INHIBITORS

300

I inhibit the ability of catecholamines to bind to Beta recptors. This causes a reduction in HR, BP and myocardial contractility. I am used to treat angina, hyprtension and prevent sudden death in ischemic heart disease i am contraindicated in patients with bradycardias. What drug am I?

What is BETA BLOCKERS

400

I decrease parasympathetic tone and increase HR by blocking the vagus nerve. I am an anticholinergic. I am used to treat symptomatic bradycardias. What out! I can cause a profound anticholinergic blockade resulting in hot dry skin, thirst and palpitations What drug am I?

What is ATROPINE

500

I am a beta blocker used to treat SVT. I am an antiarrythmic, decreasing HR and BP Watch out for bradycardias and blood pressure changes!

What is ESMOLOL