Term
Metoprolol Tartrate
Brand Name: |
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Definition
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Term
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Definition
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Beta Blocker, beta -1 selective; antihypertensive,
antidysrhythmic
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Term
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Definition
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Decreases heart rate, conduction velocity,
myocardial contractility, and cardiac output.
Used to control ventricular response in SVT (PSVT, atrial flutter).
Considered second line agent after adenosine, diltiazem, or digitalis derivative.
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Term
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Definition
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PSVT, atrial flutter, atrial fibrillation,
reduces myocardial ischemia and
damage in patients with AMI
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Term
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Definition
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Heart failure, second or
third degree AV block, first degree heart block
(if PR interval is equal or greater than 0.24 seconds),
sick sinus syndrome, cardiogenic shock,
bradycardia
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Term
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Definition
Weakness, dizziness, depression, bronchospasm, wheezing, dyspnea, bradycardia, pulmonary edema, CHF, AV blocks, hypotension, heart failure, nausea, indigestion.
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Term
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Definition
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May cause a decrease in alertness, may
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Worsen s/s of heart failure in some
patients
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Term
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Definition
Adult: 5 mg slow IV push at 5 minute intervals to a total of 15 mg. hypertension dose is 100 mg daily po. Not to exceed 450 mg/day
Pedi: Safety not established
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Term
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Definition
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Term
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Definition
Beta Blocker (beta-1 selective), Antidysrhythmic |
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Term
Atenolol
Mechanism of Action:
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Definition
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Decreases heart rate, myocardial contractility, and
cardiac output.
Inhibits dilation of bronchial smooth muscle.
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Term
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Definition
To reduce myocardial ischemia and damage in acute myocardial infarction patients; paroxysmal SVT, atrial flutter, atrial fibrillation, hypertension.
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Term
Atenolol
Contraindications:
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Definition
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Heart failure, cardiogenic shock, bradycardia,
lung disease, hypotension, 2nd or 3rd degree
heart block.
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Term
Atenolol
Adverse Effects:
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Definition
Dizziness, bronchospasm, bradycardia, AV conduction delays, hypotension, myocardial infarction, heart failure.
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Term
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Definition
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Anti-hypertensive effects may be potentiated
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When taken with Ca+ channel blockers or
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MAOI’s, Sympathomimetic drugs may be
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Antagonized, hypoglycemia may be masked
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Term
Atenolol
Dose & Administration:
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Definition
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Adult: 5 mg slow IV (over 5 minutes).
Wait 10 minutes. Give second dose of 5 mg over
5 minutes.
Pedi: Not Recommended.
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Term
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Definition
Beta Blocker, Antihypertensive |
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Term
Propanolol
Mechanism of action:
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Definition
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Beta adrenergic blocker, reducing inotropic,
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Chronotropic & dromotropic effects of the heart
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By antagonizing cardiac beta receptors
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Is non selective
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Term
Propanolol
Contraindications:
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Definition
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Sinus bradycardia, 2nd or 3rd degree heart block
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Sick sinus syndrome (if no pacer present)
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Asthma, cardiogenic shock, CHF
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Pulmonary edema
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Term
Propanolol
Dose & Administration
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Definition
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1 to 3 mg infused at 1 mg/min
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Term
Heparin Sodium
Drug Class:
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Definition
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Term
Heparin Sodium
Mechanism of Action:
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Definition
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Prevents conversion of fibrogen to fibrin.
Affects clotting factors IX, XI, XII, plasmin.
Does not destroy existing clots.
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Term
Heparin Sodium
Contraindications:
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Definition
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Hypersensitivity, active bleeding, recent intracranial/
intraspinal/eyes surgery,
severe hypertension,
bleeding tendencies, severe thrombocytopenia
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Term
Heparin Sodium
Dose & Administration
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Definition
Adult: 60I units/kg IV bolus with max dose of 4000 units. Continuous infusion is given following the bolus at a rate of 12 units/kg/hr round to the nearest 50
Pedi: Not recommended
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Term
Heparin Sodium
Adverse Effects:
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Definition
Pain, anaphylaxis, shock, hematuria, GI bleeding, hemorrhage, thrombocytopenia, bruising.
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Term
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Definition
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Term
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Definition
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Term
Furosemide
Mechanism of Action:
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Definition
Blocks the absorption of sodium and chloride at the distal and proximal tubules and the loop of Henle, causing increased urine output
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Term
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Definition
CHF, Pulmonary edema, hypertensive crisis
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Term
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Definition
Hypovolemia, anuria, hypotension (relative contraindication) hypersensitivity, hepatic coma, suspected electrolyte imbalances.
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Term
Furosemide
Adverse Effects:
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Definition
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Dizziness, headache, ECG changes, weakness,
orthostatic hypotension, dysrhythmias, nausea,
vomiting, diarrhea, dry mouth, may exacerbate
hypovolemia and hypokalemia, hyperglycemia
(due to hemoconcentration)
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Term
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Definition
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Lithium and digitalis toxicity may develop
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Due to changes in water balance. **Many
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Negative consequences when incorrectly given
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To patients with pneumonia**
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Term
Furosemide
Dose & Administration:
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Definition
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Adult: 0.5 – 1 mg/kg IV over 1 – 2 minutes.
If no response, double the dose to 2 mg/kg slowly over
1 -2 minutes. EMS standard dose is 40 mg for patients
not taking Lasix, and double home dose up to 80 mg
if patients are taking home Lasix.
Pedi: 1 mg/kg IV/IO
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