EMERGENCY CARDIAC DRUGS (Adult Dosage/Administration, Use)

nurse-on-duty:

1. Adenosine

  • 6mg rapid IVP, then 12mg IV q 1-2min X 2 prn
  • half life <10sec; give at closest IV port, follow with IV flush
  • -symptomatic SVT

2. Alteplase (tPA)

  • 15mg IV bolus followed by infusion 0.75mg/kg over next 20minutes followed by infusion 0.5mg/kg over next 60minutes
  • -fibrinolytic; treatment of acute developing myocardial infarction

3. Amiodarone

  • rapid infusion 150-300mg IV over 10min
  • follow with 1mg/min infusion
  • -persistent or recurrent VF or pulseless VT

4. Atropine

  • 0.5-1.0mg IV q3-5min prn max 0.03-0.04mg/kg
  • can be given through ET tube 2-2.5times normal IV dose
  • -symptomatic bradycardia, asystole

5. Dobutamine

  • continuous IV infusion; usual does is 2-20mcg/kg/min IV, based on patient response
  • -short-term management of cardiac decompensation resulting from depressed contractility

6. Dopamine

  • continuous IV infusion: dose range: 5-20mcg/kg/min; begin infusion at 5mcg/kg/min; increase infusion rate according to BP and other clinical responses
  • -hemodynamically significant hypotension in the absence of hypovolemia

7. Epinephrine

  • 0.1-1.0mg IV; repeat q5min prn
  • can also be given through ET tube 2-2.5 times normal IV dose
  • -cardiac arrest, anaphylaxis, bradycardia

8. Isoproterenol

  • IV 0.02-0.06, then 0.01-0.2mcg/min
  • -heart block, ventricular dysrhythmias

9. Lidocaine

  • 1.5mg/kg to total of 3mg/kg IV; follow by continuous infusion 1-4mg/min
  • can be given through ET tube 2-2.5 times normal IV dose
  • -VT, VF, PVCs

10. Magnesium

  • 1-2g IVP
  • -torsades de pointes, or when dysrhythmia caused by hypomagnesium

11. Nitroglycerin

  • SL 0.4mg
  • IV infusion: initiate at 5mcg/min, increase every 3-5min until pain free, BP >90, or maximum dosage 20mcg/min
  • ischemic chest pain; improves coronary perfusion

12. Norepinephrine

  • IV infusionL initiate infusion at 2mcg/min and titrate to desired BP
  • usual range= 2-12mcg/min
  • -short-term use for hypotension or shock

13. Procainamide

  • 20-30mg/min, max= 17mg/kg or 500 mg
  • -recurrent VF, VT, PVCs

14. Propranolol HCl

  • IVP: 0.5-3mg
  • give slowly 1mg/min; may repeat dose after 2min
  • -control of hypertension and suppression of rapid-rate cardica dysrhythmias

15. Reteplase

  • 10units IV bolus over 2min; after 10min, administer 2nd 10units IV bolus over 2min
  • -fibrinolytic; treatment of acute developing infarction

16. Vasopressin

  • dilute with D5w
  • cardiac arrest: 40units IV x 1
  • other: 0.5milliunits/kg/hr
  • max: 10milliunits/kg/hr
  • -alternative to epinephrine for VF or pulseless VT; short-term use for hypotension or shock

Source: ilovehotcoffee

33 Notes/ Hide

  1. dreilewis reblogged this from lalainern
  2. withlove-mao reblogged this from lalainern
  3. nursefocker reblogged this from dorasnursing
  4. somecoolurl reblogged this from dorasnursing
  5. dorasnursing reblogged this from lalainern
  6. lalainern reblogged this from nurse-on-duty
  7. nisa6568 reblogged this from nurse-on-duty
  8. sarahnadeit reblogged this from bencachadog
  9. bencachadog reblogged this from nurse-on-duty
  10. nurse-on-duty reblogged this from ilovehotcoffee
  11. mrsp0tter reblogged this from ilovehotcoffee
  12. ilovehotcoffee posted this