2026\2027 A+ Grade
Nitroprusside purpose
- correct answer decreases preload and afterload by vasodilation (mainly afterload)
Dobutamine mechanism of action
- correct answer contractility
Dopamine at a low-end dose "renal dose"
- correct answer 0.5-4mcg/kg/min
increases renal and mesentric perfusion
Dopamine at a mid-range dose
- correct answer 4-10mcg/kg/min
increases contractility and heart rate
Dopamine at a high-range dose
- correct answer greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration
- correct answer leads to tissue necrosis
Dopamine antidote
- correct answer regitine (phentolamine)
,TpA monitor for
- correct answer bleeding-hemorrhagic CVA
diltiazem (cardizem) works by?
- correct answer (calcium channel blocker) slows ventricular rate by slowing conduction through the SA
and AV node
Diltazem (cardizem) biggest effect on which hemodynamic
- correct answer hypotension
diltazem is used for patients with
- correct answer a-fib or a-flutter
amiodarone (Cordarone) is a
- correct answer antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion
- correct answer 0.22 micron filter
Watch out for ____________ in patients on a amiodarone infusion
- correct answer hypotension, prolongation of QT interval and bradycardia
amiodarone is used for patients with
- correct answer a-fib, a-flutter and VT
how much amiodarone is given to a stable VT with a pulse and a unstable pulseless VT/VF?
- correct answer 150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body?
- correct answer increases HR, BP, and contractility
, what is the first line drug for pulseless arrest?
- correct answer Epinephrine
What rhythms are considered fatal?
- correct answer V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for?
- correct answer anaphylaxis and as a vasopressor for hypotension
Heparin is used for? Antidote is?
- correct answer anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure?
- correct answer mannitol
How does mannitol work?
- correct answer pulls fluids into intravascular space to be excreted by the kidneys to reduce intracranial
pressure
what insulin is given IV?
What is the peak?
- correct answer Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs?
- correct answer NPH
Atropine is ineffective in which heart rhythms types?
- correct answer high degree AV blocks: 2nd degree type2 and 3rd degree
Atropine works by?
- correct answer increasing heart rate-increasing conduction through SA node