Critical Care Drugs

Question 1

Four categories of shock

Answer 1

-Obstructive (pulmonary/vascular blockage)
-Distributive (crazy vasodilation)
-Cardiogenic (not pumping blood)
-Hypovolemic (loss of blood volume)

Question 2

1st line of treatment for shock?

Answer 2

IV fluids

Question 3

Name where Alpha 1, alpha 2, beta 1, and beta 2 receptors are located

Answer 3

-alpha 1: sm muscle
-alpha 2: brain
-beta 1: heart
-beta 2: lungs

Question 4

When activated, a1/2 and b1 receptors cause _______. Beta 2 receptors cause _______.

Answer 4

-vasoconstriction
-bronchodilation

Question 5

Chronotropes affect heart _____, while inotropes affect…

Answer 5

-rate
-strength of heart muscle contraction

Question 6

Drugs that work ONLY on Alpha 1

Answer 6

-phenylephrine
-dopamine
-midodrine

Question 7

Drug that works on Alpha 1 and alpha 2 receptors (plus a little beta 1)

Answer 7

norepinephrine

Question 8

Epinephrine activates what receptors?

Answer 8

-Beta 1, beta 2, alpha 1

Question 9

dobutamine affects _____ __ receptors ONLY

Answer 9

Beta 1

Question 10

dopamine works only on _____ __ receptors

Answer 10

alpha 1

Question 11

vasopressin

Question 12

Alpha-adrenergic drugs (EX) side effects

Answer 12

HYPERTENSION, chest pain, bradycardia, N/V, anorexia, palpitations

Question 13

Epinephrine SFX

Answer 13

-hypertension, tachycardia, hyperglycemia

Question 14

dobutamine and epinephrine can both cause…

Answer 14

tachycardia

Question 15

Midodrine is a ___drug that works on the _____-__ receptors. It’s given for __________ hypotension, so it shouldn’t be given before lying down to prevent ________ ___________.

Answer 15

Midodrine is a prodrug that works on the alpha-1 receptors. It’s given for orthostatic hypotension, so it shouldn’t be given before lying down to prevent supine hypertension.