TPATC AND CFRN REVIEW QUESTIONS AND ANSWERS
1 of 20
Definition
*class*: beta-adrenergic agonist, inotropic
*Indication*: short term management of heart failure
*Action*: Dobutamine has a positive inotropic effect (increases cardiac
output) with very little effect on heart rate. Stimulates Beta1 receptors
in the heart.
*Nursing Considerations*:
- Monitor hemodynamics: hypertension, ↑HR, PVCs
- Skin reactions may occur with hypersensitivity
- Beta blockers may negate therapeutic effects of dobutamine
- Monitor cardiac output
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Dobutamine (Dobutrex) Epidural hematomas
, Dobutamine Pediatric airway differences
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2 of 20
Term
In the setting of septic shock, if the lactate level does not decrease by
at least 10% despite fluid resuscitation and vasopressor administration,
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then a positive inotropic agent then an antihistamine should be
should be added. added.
then a sedative should be
then an antibiotic should be added.
administered.
Don't know?
, 3 of 20
Definition
Dobutamine is a medication used in the treatment of cardiogenic
shock and severe heart failure.
Beta 1 Agonist
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Atropine Norepinephrine
Epinephrine Dobutamine
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4 of 20
Definition
Packed red blood cells 10mL/kg. This patient is symptomatic for shock.
Based on mechanism of injury, this patient is suspected of having
intrabdominal bleeding and a left femur fracture (which is also a source
of blood loss). If available, the flight team can infuse packed red blood
cells immediately.
Give this one a try later!
1 of 20
Definition
*class*: beta-adrenergic agonist, inotropic
*Indication*: short term management of heart failure
*Action*: Dobutamine has a positive inotropic effect (increases cardiac
output) with very little effect on heart rate. Stimulates Beta1 receptors
in the heart.
*Nursing Considerations*:
- Monitor hemodynamics: hypertension, ↑HR, PVCs
- Skin reactions may occur with hypersensitivity
- Beta blockers may negate therapeutic effects of dobutamine
- Monitor cardiac output
Give this one a try later!
Dobutamine (Dobutrex) Epidural hematomas
, Dobutamine Pediatric airway differences
Don't know?
2 of 20
Term
In the setting of septic shock, if the lactate level does not decrease by
at least 10% despite fluid resuscitation and vasopressor administration,
Give this one a try later!
then a positive inotropic agent then an antihistamine should be
should be added. added.
then a sedative should be
then an antibiotic should be added.
administered.
Don't know?
, 3 of 20
Definition
Dobutamine is a medication used in the treatment of cardiogenic
shock and severe heart failure.
Beta 1 Agonist
Give this one a try later!
Atropine Norepinephrine
Epinephrine Dobutamine
Don't know?
4 of 20
Definition
Packed red blood cells 10mL/kg. This patient is symptomatic for shock.
Based on mechanism of injury, this patient is suspected of having
intrabdominal bleeding and a left femur fracture (which is also a source
of blood loss). If available, the flight team can infuse packed red blood
cells immediately.
Give this one a try later!
