BKAT ICU Post Test exam 2023/ 145
Questions with 100% correct answers
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
-Atropine is given to treat? - -symptomatic bradycardia
-Dilantin is given to treat - -seizure disorders
-DO NOT give __________ with dilantin because ________ will happen. - -DO
NOT give with dextrose containing solutions because it will crystalize
-Which corticosteroid is usually given in insufficient adrenal activity or
hypersensitivity/inflammation reactions? - -Cortisone
Questions with 100% correct answers
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
-Atropine is given to treat? - -symptomatic bradycardia
-Dilantin is given to treat - -seizure disorders
-DO NOT give __________ with dilantin because ________ will happen. - -DO
NOT give with dextrose containing solutions because it will crystalize
-Which corticosteroid is usually given in insufficient adrenal activity or
hypersensitivity/inflammation reactions? - -Cortisone
