ANS Doses - Exam 2 Flashcards

1
Q

Pressors: Dopamine
-renal
-beta1
-beta1 and alpha1
-alpha1

A

Renal: 1-5mcg/kg/min
-renal BF effect

Beta1: 5-10mcg/kg/min
-vasopressor + renal BF effect

Alpha1>Beta1: 10-15mcg/kg/min
-vasopressor + renal BF effect

Alpha 1: 15-20mcg/kg/min
-vasopressor range

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2
Q

Pressors: Vasopressin
-infusion dose
-indication

A

0.04-0.1 units/min

-septic shock

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3
Q

Pressors: Phenylephrine
-infusion dose
-indication

A

2-200mcg/min

-vasodilatory shock (good for SVT)

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4
Q

Pressors: Norepinephrine
-infusion dose
-indication

A

1-20mcg/min

-1st line vasopressor for septic shock, vasodilatory shock

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5
Q

Pressors: Epinephrine
-infusion dose
-indication

A

1-20mcg/min

-refractory shock, bradycardic shock or anaphylactic shock

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6
Q

Pressors: Dobutamine
-infusion dose
-indication

A

1-20mcg/min

-cardiogenic shock, septic shock

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7
Q

Pressors: Milrinone
-infusion dose
-indication

A

37.5-75mcg/kg bolus THEN
0.375-0.75mcg/min

-cardiogenic shock, RHF, pulm HNT
-avoid in renal failure

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8
Q

Pressors: Epi
-single IV dose (70kg adult)

A

2-8mcg

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9
Q

Pressors: Ephedrine
-single IV dose (70kg adult)

A

10-25mg

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10
Q

Pressors: Phenylephrine
-single IV dose (70kg adult)

A

0.1-0.5mg

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11
Q

6 MOA of ephedrine:

A

-peripheral + central acting
-alpha + beta
-direct + indirect

means this will almost always work

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12
Q

2 most common vasopressors in anesthesia:

A

-phenylephrine + ephedrine

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13
Q

If pt on MAOi, SSRI, TCA, or amphetamines, which pressor is better for them, phenylephrine or ephedrine?

A

Phenylephrine

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14
Q

Dose of ALL inhalers will always be _ puffs

A

2
-use 8-10 tho when pt is having Bspasm

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15
Q

Complete blockage of vagal effect with Atropine admin occurs after _ mg/kg

A

2mg Atropine

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16
Q

If giving Atropine to fix a low HR, must give > _ mg

A

0.5mg
-will slow HR if any lower