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Pharmacology Review. Facial flushing Headache, sweating, palpitations Post vagal maneuvers . Adenosine. Facial flushing Headache, sweating, palpitations Post vagal . Sympathomimetic Tremors, palpitations Decreases potassium. Albuterol. Sympathomimetic Tremors, palpitations
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Facial flushing • Headache, sweating, palpitations • Post vagal maneuvers
Adenosine • Facial flushing • Headache, sweating, palpitations • Post vagal
Sympathomimetic • Tremors, palpitations • Decreases potassium
Albuterol • Sympathomimetic • Tremors, palpitations • Decreases potassium
Direct vascular smooth muscle contraction • No adrenergic effects • Pitressin
Vasopressin • Direct vascular smooth muscle contraction • No adrenergic effects • Pitressin
150-300mg IV • Increases digoxin levels • Prolongs action potential and refractory period
Aminodarone • 150-300mg IV • Increases digoxin levels • Prolongs action potential and refractory period
NSAID • Platelet inhibitor • GI bleeding
Aspirin • NSAID • Platelet inhibitor • GI bleeding
Selective B1 adrenergic blocker • Decrease size of MI • Decrease post MI dysrhythmias
Atenolol • Selective B1 adrenergic blocker • Decrease size of MI • Decrease post MI dysrhythmias
Analgesic • Antipyretic • Not aspirin
Acetaminophen • Analgesic • Antipyretic • Not aspirin
Blocks muscarinic responses to acetylcholine • Decreased sweating • Increases heartrate
Atropine • Blocks muscarinic responses to acetylcholine • Decreased sweating • Increases heartrate
Systemic adrenocorticoid • Anti-inflamatory • ?? Cord injury
Dexamethasone • Systemic adrenocorticoid • Anti-inflamatory • ?? Cord injury
Decreased conduction through the AV • Increased contractility • Cardiac glycoside
Digoxin • Increased contractility • Decreased conduction through the AV • Cardiac glycoside
Hyperkalemia • Calcium channel blocker overdose • Low serum calcium
Calcium chloride • Hyperkalemia • Calcium channel blocker overdose • Low serum calcium
Dilates coronary arteries • Inhibits coronary artery spasm • Slows SA and AV node conduction
Diltiazem (Cardizem) • Dilates coronary arteries • Inhibits coronary artery spasm • Slows SA and AV node conduction
Increased cardiac output • Increased systolic blood pressure • Direct alpha and beta adrenergic activity
Dopamine • Increased cardiac output • Increased systolic blood pressure • Direct alpha and beta adrenergic activity
Synthetic narcotic agonist • Analgesia and sedation • RSI
Fentanyl (Sublimaze) • Synthetic narcotic agonist • Analgesia and sedation • RSI
Prevents conversion of fibrinogen to fibrin • Unstable angina • Non-Q-wave MI
Enoxaparin (Lovenox) • Prevents conversion of fibrinogen to fibrin • Unstable angina • Non-Q-wave MI
Increases cerebral blood flow during CPR • Alpha and beta sympathomimetic • Adrenalin
Epinephrine • Increases cerebral blood flow during CPR • Alpha and beta sympathomimetic • Adrenalin
Esophageal spasm • Beta blocker overdose • Hypoglycemia
Glucagon • Esophageal spasm • Beta blocker overdose • Hypoglycemia
Sedative antagonist • Reverse respiratory depression • Benzodiazepine resistant seizures
Flumazenil (Romazicon) • Sedative antagonist • Reverse respiratory depression • Benzodiazepine resistant seizures
Vasodilator • Loop diuretic • Pulmonary edema; CHF
Furosemide (Lasix) • Vasodilator • Loop diuretic • Pulmonary edema; CHF
Anticholinergic • Nebulized bronchodilator • Decreases secretions
Ipratropium (Atrovent) • Anticholinergic • Nebulized bronchodilator • Decreases secretions
QT prolongation • Antipsychotic • Chemical restraint
Haloperidol (Haldol) • QT prolongation • Antipsychotic • Chemical restraint
Fractionated • Drip only • Protamine antagonist
Heparin • Fractionated • Drip only • Protamine antagonist
Anti-inflammatory • Blocks prostaglandin synthesis • Platelet inhibitor
NSAIDs • Anti-inflammatory • Blocks prostaglandin synthesis • Platelet inhibitor
Bronchodilator • Minimal beta 1 or alpha effects • Bronkosol
Isoetharine (Bronkosol) • Bronchodilator • Minimal beta 1 or alpha effects • Bronkosol
Synthetic narcotic analgesic • Shorter duration of action than morphine • Schedule II