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Nitroprusside purpose - ✅✅decreases preload and afterload by vasodilation
(mainly afterload)
Dobutamine mechanism of action - ✅✅contractility
Dopamine at a low-end dose "renal dose" - ✅✅0.5-4mcg/kg/min
increases renal and mesentric perfusion
Dopamine at a mid-range dose - ✅✅4-10mcg/kg/min
increases contractility and heart rate
Dopamine at a high-range dose - ✅✅greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration - ✅✅leads to tissue necrosis
Dopamine antidote - ✅✅regitine (phentolamine)
TpA monitor for - ✅✅bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? - ✅✅(calcium channel blocker) slows
ventricular rate by slowing conduction through the SA and AV node
,Diltazem (cardizem) biggest effect on which hemodynamic - ✅✅hypotension
diltazem is used for patients with - ✅✅a-fib or a-flutter
amiodarone (Cordarone) is a - ✅✅antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion - ✅✅0.22
micron filter
Watch out for ____________ in patients on a amiodarone infusion -
✅✅hypotension, prolongation of QT interval and bradycardia
amiodarone is used for patients with - ✅✅a-fib, a-flutter and VT
how much amiodarone is given to a stable VT with a pulse and a unstable
pulseless VT/VF? - ✅✅150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? - ✅✅increases HR, BP, and
contractility
what is the first line drug for pulseless arrest? - ✅✅Epinephrine
, What rhythms are considered fatal? - ✅✅V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for? - ✅✅anaphylaxis and as a vasopressor for
hypotension
Heparin is used for? Antidote is? - ✅✅anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? -
✅✅mannitol
How does mannitol work? - ✅✅pulls fluids into intravascular space to be
excreted by the kidneys to reduce intracranial pressure
what insulin is given IV?
What is the peak? - ✅✅Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs? - ✅✅NPH
Atropine is ineffective in which heart rhythms types? - ✅✅high degree AV
blocks: 2nd degree type2 and 3rd degree
Atropine works by? - ✅✅increasing heart rate-increasing conduction through
SA node