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Exam (elaborations) IABP1407

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How and where is the IABP placed in a patient? - ANSWER femorally into the descending thoracic aorta just below left subclavian artery but above the renal arteries What kind of gas is shuttled from the balloon pump into balloon catheter? - ANSWER helium What kind of gas is helium and how does it help the inflation? - ANSWER a light gas, minimized shuttle time and increases efficiency When does inflation occur? - ANSWER immediately upon onset of diastole Is the balloon physically pulsed in counter-pulsation to the patients cardiac cycle? - ANSWER Yes When is the balloon deflated? - ANSWER during isometric contraction or early systole What is the new volume of balloon and for what height person? - ANSWER 50cc, 5ft4in+ What is the volume of balloon for a person shorter than 5 ft (152 cm)? - ANSWER 25cc

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BRD Pharmocology
QUESTIONS AND
VERIFIED ANSWERS
LATEST UPDATE 2023
Which of the following anesthetic agents has the shortest duration of action?
Sublimaze( fentanyl), Ativan (loreazepam), Diprivan (Proprofol), Sufenta (sufentanyl)? -
ANSWER Propofol (Diprivan)

Which of the following drugs increases the tolerance of the brain to global ischemia
when administered prior to ischemic episode? Dextrose 50%, Dilantin (phenytoin),
Mannitol, Pentothal (thiopenthal)? - ANSWER Pentothal (thiopenthal)

RAAS antagonist are also know as? - ANSWER Ace inhibitors

What do Ace inhibitors cause? - ANSWER block Ang l to Ang ll conversion and thus
increased UOP: They increase preload and decrease afterload

Ace inhibitors names end in? name some - ANSWER "pril", Benzepril, Captopril,
Enalapril, Quinipril

How do phosphodiesterase inhibitors work? - ANSWER blocks the breakdown of
cAMP. cAMP builds up and causes oncreased Ca++ uptake. Increase in contractility,
increases stroke volume, increases ejection fraction, increases sinus rate. Dercreases
peripheral vascular resistance. DECREASES PRELOAD and DECREASES
AFTERLOAD.

Name some Phosphodiesterase inhibitors. - ANSWER Amrinone ( Inocor) and
Milrinone (Primacor)

, Which phosphodiesterase inhibitor is more potent? - ANSWER Milrinone is 20X more
amrinone

How do cardiac glycosides work? - ANSWER inhibit the Na+/K+ ATPase pump and
increase inward current of Ca++. INCREASES CONTRACTION, INCREASE CO.
DECREASES HEART SIZE, DECREASES VENOUS RETURN, DECREASES BLOOD
VOLUME BY INCREASE DIURESIS AND INCREASED RENAL BLOOD FLOW.

Cardiac gycosides are used to treat what? - ANSWER CHF: ↓ HR and ↑ Contraction:
Slows ventricular rate during atrial flutter by increasing sensitivity of AV node. Increases
peripheral vascular resistance.

Name some cardiac glycosides. - ANSWER Digoxin (Lanoxin), Adenosine

How many classes of anti-arrhythmics are there? - ANSWER 5, Na+ channel
antagonist, Beta blockers, K_+ channel blockers, Ca++ channel blockers, cardiac
gycosides

Class l anti-arrhythmics work by what mechanism? - ANSWER Na+ channel blocker:
↓conduction velocity in atrias and His-Pukinje cells. ↑refractory period throughout heart
except nodes

Name some class l anti-arrhythmics? - ANSWER Lidocaine (Xylocaine),
Procaineamide (Pronestyl), Quinidine, Disopyramide (Norpace)

What is the normal does of Lidocaine? - ANSWER 1 mg/kg

Class II anti-arrhythmics work by? - ANSWER antagonize adrenergic receptors (beta-
blockers): ↓ HR, ↓contractility, ↓automaticity: ↑ A-V conduction time and refractory time

Name some class II antiarrhythmics - ANSWER Esmolol and Propranolol
Treats HTN

Name the selective B-blockers - ANSWER ABEAM: Atenol, bisoprolol, esmolol,
ecebutolol, metoprolol.
Treats HTN

Name some non-selective B-blockers - ANSWER Nadolol, Pindolol, Sotalol,
PROPRANOLOL, Timolol:
Treats HTN

Name some mixed alpha and beta antagonist (blockers) - ANSWER Labetolol
(trandate) and Cardvedilol (Coreg): used to treat HTN

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