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