Acute Medicine

Question 1

vaso active agents

1.1st line vaso active agent in most cases?

Answer 1

Nor adrenaline
[Potent vaso constrictor,mild ionotrope & mild chronotrope]

Question 2

vaso active agents

If evidence of low CO in shock which agents you will choose?

Answer 2

Adrenaline/Dobutamine

Adrenaline: Ionotrope>chronotrope&vasoconstriction

Question 3

vaso active agents

Which agent causes vasodilation? What measure you should take while giving that agent?

Answer 3

Dobutamine

[Ionotrope>chronotrope,But vasodilation]

Additional Noradrenaline may require to maintain adequete MAP

Question 4

vaso active agents

During resuscitation hypotension persists despite highest dose of Noradrenaline and CO is adequate, what agent you will add?

Answer 4

Vasopressin

Question 5

vaso active agents

Problem with vasopressin?

Answer 5

Reflex bradycardia

Question 6

vaso active agents

Most potent chronotrope & Ionotrope?

Answer 6

Dobutamine

Question 7

Shock

Most productive measures to improve oxygen delivery in shock?

Answer 7

1.HB
2.C.output

Question 8

Shock

High output shock

Answer 8

1.Sepsis
2.Allergy
3.Drug (Anti hypertensive)
4.Acidosis (Dka)

SAD ACID

Question 9

Shock

High CO shock is associated with low venous pr(low jvp) & vice versa..Exception?

Answer 9

Henorrhage…in which Low CO shock hut jvp not raised

Question 10

How to establish dx of vasovagal syncope?

Answer 10

Head up tilt table test(provocation test)