Critical Care Pharmacology

Question 1

Receptors that

• promarily found in vascular smooth muscle
• peripheral vasoconstriction
• increased SVR

Answer 1

Alpha 1

Question 2

Receptors that

• found in heart and intestinal smooth muscle
• increase contractility
• increase SV, HR, and CO

Answer 2

Beta 1

Question 3

Receptors that

• are primarily found in brocial vasculature
• chronchodilation
• coronary artery vasodilation

Answer 3

Beta 2

Question 4

It is used in patients with cardiogenic shock, decreased CO, ang congenital/acquired heat defects. For MI

Causes systemic + pulmonary vasodilation -> decreased afterload, increased contractiloty

Answer 4

MILRINONE

Question 5

What is the normal aPTT when youre not with anicoagulants

Answer 5

30-40 seconds

Question 6

What is the therapeutic aPTT when you’re with Heparin

Answer 6

1.5 - 2.5x normal

Question 7

What labs do you monitor with Heparin?

Answer 7

APTT

Question 8

What lab do you check with Warfarin

Answer 8

INR

Question 9

What is the nrormal INR level (when not on any anticoagulant)?

Answer 9

0.9 - 1.2

Question 10

When taking Warfarin, what is the therapeutic INR level?

Answer 10

2-3

Question 11

Normal Value for Sodium

Answer 11

135-145 mEq/L

Question 12

What is the normal Potassium level

Answer 12

3.5 - 5

Question 13

What is the normal calcium level

Answer 13

9 - 10.5

Question 14

What is the normal Magnesium level

Answer 14

1.5 -2.5

Question 15

What is the normal Chloride level

Answer 15

98 - 106

Question 16

What is the normal Phosphorus level

Answer 16

2 - 4.5

Question 17

What is the normal Blood Urea Nitrogen (BUN) level?

Answer 17

10 - 20 mg/dL

Question 18

What is the normal Vreatinine level

Answer 18

0.9 - 1.2

Question 19

It is an antiretroviral medication that may be administered intrapartum to further reduce vertical transmission of HIV. This medication is commonly indicated for women who have a scheduled cesarean delivery oor, in the rare instance of vaginal delivery. This medication is predcribed and administereed intrapartum depends on the mother’s viral load. The lower the viral load, the less liekly of transmisison to the fetus.

Answer 19

ZIDOVUDINE (ZDV)

Question 20

It is an antiviral indicated int he treatment of herpes simplex. This medication may be used during pregnancy, despite the limited safety profile.

Answer 20

VALACYCLOVIR

Question 21

It is an antifungal drug indicated in treating systemiv fungal infections.

Answer 21

Amphotericin b

Question 22

It is an effective antibiotic indicated for bacterial and parasitic infections sucg as vaginosis and trichomas.

Answer 22

METRONIDAZOLE

Question 23

What are three medications used for management of opiod use disorder?

Answer 23

1. Naltrexone - opioid receptor antagonist that blocks the effects of opioids in the brain.
2. Methadone - a long acting opioid agonist that helps reduce cravings and withdrawal symptoms in individuals with opioid disorder.
3. Buprenorphine - it is a partial opioid agonist that binds to the same receptors as opioids but produces weaker effects.

Question 24

It is a SSRI and is the only approved medication for bulimia nervosa. This medication effectively treats this disorder, especially when coupled with psychotherapy. It assists in increasing a client’s weight and may mitigate comorbid disorders such as generalized anxiety disorder.

Answer 24

FLLUOXETINE

Question 25

It is an atypical antidepressant and causes weight loss. it is contraindicated in bulimia nervosa because of its weight negative effects.

Answer 25

Bupropion

Question 26

The emergency department (ED) nurse is caring for a client requiring intubation via endotracheal tube (ETT). The nurse anticipates that the primary health care provider will prescribe which medicaiton immediately prior to intubation?

Answer 26

PROPOFOL

Propofol is a medicaiton that causes sedation.

Question 27

It is a muscle relaxant. It is commonly prescribed with pts for multiple sclerosis or chronic back pain.

Answer 27

Baclofen.