Cardiac
ACE inhibitor used for after load reduction and cardiac remodeling in heart failure patients.
Enalapril
Bonus: Caution in giving to patients with what?
This IV anxiolytic must be diluted with NS prior to administration.
Ativan
What is our standard concentration?
This is an oral medication for shunt prophylaxis
Aspirin
What do we check to verify efficacy?
This common electrolyte can also be pushed for acute hypotension.
Calcium Chloride
Bonus: T/F: This medication can be given peripherally.
What is this medication incompatible with if given through the same line?
This rejection medication must be given at the same time every day. When is the level drawn in relation to this medication?
Tacro; 30 min prior
T/F: I should wait for the level to come back before giving the dose.
This medication is given to patients with ductal dependent lesions to maintain blood flow through the PDA.
PGE
Name at least one common side effect.
To prevent chest wall rigidity, we slow push this medication.
Fentanyl
This blood product can be given to optimize oxygen carrying capacity in single ventricle patients.
Red blood cells
This antiarrhythmic is given to treat SVT. What interventions may be attempted before this dose is given?
Adenosine
Vagal maneuver- ice to the face, bearing down, blowing into a straw, coughing
Bonus: What is the half-life?
Antibiotic given prophylactically for asplenia.
Amoxicillin
Patients with DiGeorge and heterotaxy
This vasodilator continuous drip is mixed with sodium thiosulfate and should be hung with a bag to protect from light.
Nitroprusside (Nipride)
What are we concerned about when checking for a blue hue in the medication?
This sedative rarely causes respiratory depression, increases blood pressure, increases heart rate and may cause delirium.
Ketamine
This is the reversal agent for Heparin.
Protamine sulfate
This medication must be diluted prior to administration in patients less than 2 years old. What do we dilute with?
Sodium Bicarb
Sterile Water
Always verify patients heart rate and potassium level prior to administration.
Digoxin
Phosphodiesterase III inhibitor that increases cardiac output by improving contractility and inducing vasodilation.
Milrinone
Bonus: What hemodynamic changes are we watching for on initiation? What about when we wean or turn off? Half-life?
This opioid takes about 20 minutes to have effect making it not an ideal PRN during an agitation or pain crisis.
Hydromorphone (Dilaudid)
This direct thrombin inhibitor does not have an antidote.
Bivalrudin
After a dose change, when do you recheck Bival/Hepzyme levels?
How frequently can a code dose of epinephrine be given?
Repeat every 3-5 minutes.
This IV medication is a potent vasodilator used in patients with pulmonary hypertension.
Sildenafil
What is given immediately before and after this dose?
This local vasodilator is given to dilate the coronaries in some of our post-op patients.
Nitroglycerin
Bonus: Why do we give this to Glenn patients?
Common post op continuous IV medication for sedation that preserves respiratory drive but can cause bradycardia.
Dexmedetomidine (Precedex)
Either of these blood products are given when fibrinogen levels are low.
FFP or Cryo
Bonus: Which do we give if we want to minimize volume given to patient?
Which cannot be given through your ECMO circuit?
An anticholinergic typically used to address bradycardia, sometimes given prior to intubation to avoid hemodynamic compromise due to vagal response (drop in HR).
Atropine
This infusion decreases perfusion to the gut and is started when diet and drainage alone do not improve a chylothorax.
Octreotide
Chylothorax can be suspected with significantly increased CT output that gives a milky appearance. What level is checked from this output to confirm presence of a chylous effusion?