BKAT ICU Post Test
Nitroprusside purpose - ANS-decreases preload and afterload by vasodilation (mainly
afterload)
Dobutamine mechanism of action - ANS-contractility
Dopamine at a low-end dose "renal dose" - ANS-0.5-4mcg/kg/min
increases renal and mesentric perfusion
Dopamine at a mid-range dose - ANS-4-10mcg/kg/min
increases contractility and heart rate
Dopamine at a high-range dose - ANS-greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration - ANS-leads to tissue necrosis
Dopamine antidote - ANS-regitine (phentolamine)
TpA monitor for - ANS-bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? - ANS-(calcium channel blocker) slows ventricular rate
by slowing conduction through the SA and AV node
Diltazem (cardizem) biggest effect on which hemodynamic - ANS-hypotension
diltazem is used for patients with - ANS-a-fib or a-flutter
amiodarone (Cordarone) is a - ANS-antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion - ANS-0.22 micron filter
Watch out for ____________ in patients on a amiodarone infusion - ANS-hypotension,
prolongation of QT interval and bradycardia
amiodarone is used for patients with - ANS-a-fib, a-flutter and VT
, how much amiodarone is given to a stable VT with a pulse and a unstable pulseless
VT/VF? - ANS-150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? - ANS-increases HR, BP, and contractility
what is the first line drug for pulseless arrest? - ANS-Epinephrine
What rhythms are considered fatal? - ANS-V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for? - ANS-anaphylaxis and as a vasopressor for hypotension
Heparin is used for? Antidote is? - ANS-anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? - ANS-mannitol
How does mannitol work? - ANS-pulls fluids into intravascular space to be excreted by
the kidneys to reduce intracranial pressure
what insulin is given IV?
What is the peak? - ANS-Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs? - ANS-NPH
Atropine is ineffective in which heart rhythms types? - ANS-high degree AV blocks: 2nd
degree type2 and 3rd degree
Atropine works by? - ANS-increasing heart rate-increasing conduction through SA node
Atropine is given to treat? - ANS-symptomatic bradycardia
Dilantin is given to treat - ANS-seizure disorders
DO NOT give __________ with dilantin because ________ will happen. - ANS-DO NOT
give with dextrose containing solutions because it will crystalize
Nitroprusside purpose - ANS-decreases preload and afterload by vasodilation (mainly
afterload)
Dobutamine mechanism of action - ANS-contractility
Dopamine at a low-end dose "renal dose" - ANS-0.5-4mcg/kg/min
increases renal and mesentric perfusion
Dopamine at a mid-range dose - ANS-4-10mcg/kg/min
increases contractility and heart rate
Dopamine at a high-range dose - ANS-greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration - ANS-leads to tissue necrosis
Dopamine antidote - ANS-regitine (phentolamine)
TpA monitor for - ANS-bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? - ANS-(calcium channel blocker) slows ventricular rate
by slowing conduction through the SA and AV node
Diltazem (cardizem) biggest effect on which hemodynamic - ANS-hypotension
diltazem is used for patients with - ANS-a-fib or a-flutter
amiodarone (Cordarone) is a - ANS-antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion - ANS-0.22 micron filter
Watch out for ____________ in patients on a amiodarone infusion - ANS-hypotension,
prolongation of QT interval and bradycardia
amiodarone is used for patients with - ANS-a-fib, a-flutter and VT
, how much amiodarone is given to a stable VT with a pulse and a unstable pulseless
VT/VF? - ANS-150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? - ANS-increases HR, BP, and contractility
what is the first line drug for pulseless arrest? - ANS-Epinephrine
What rhythms are considered fatal? - ANS-V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for? - ANS-anaphylaxis and as a vasopressor for hypotension
Heparin is used for? Antidote is? - ANS-anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? - ANS-mannitol
How does mannitol work? - ANS-pulls fluids into intravascular space to be excreted by
the kidneys to reduce intracranial pressure
what insulin is given IV?
What is the peak? - ANS-Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs? - ANS-NPH
Atropine is ineffective in which heart rhythms types? - ANS-high degree AV blocks: 2nd
degree type2 and 3rd degree
Atropine works by? - ANS-increasing heart rate-increasing conduction through SA node
Atropine is given to treat? - ANS-symptomatic bradycardia
Dilantin is given to treat - ANS-seizure disorders
DO NOT give __________ with dilantin because ________ will happen. - ANS-DO NOT
give with dextrose containing solutions because it will crystalize
