Icu Meds

Question 1

Labatol indications? Action? major side effects? Route given?

Answer 1

Indications: control HTN
Action: blocks alpha receptors (prevents vasoconstriction) and beta receptors ( prevents hr increase)
Side Effects:arryhthmias, bradycardia, pulmonary edge a
Route: Iv push/ infussion

Question 2

Hydralazine indication? Mechanism of action? Side effects? Route?

Answer 2

Indications: HTN/ unresponsive chf
Mechanism: smooth muscle relaxer - peripheral artery vasodilator
SE: reflex tachycardia
Route: iv

Question 3

Nitroprusside indication? Mechanism of action? Side effects? Route?

Answer 3

Indcation: htn
Mechanism: peripheral vasodilation arteries and venous walls (decrease pre and after load)
SE: cyanide toxicity (metabolites)
Route: IV push

Question 4

Nitroglycerin indication? Mechanism of action? Side effects? Route? Nursing Considerations

Answer 4

Indications: chest pain, chf, mi
Mechanism: dilates coronary arteries, venous dilation
SE: hypotn, tachycardia
Route: S/L / IV
NC: Viagra? (72hrs). Hold if SBP

Question 5

Dopamine indication? Mechanism of action? Side effects? Route?

Answer 5

A Indications: increased contractility/ renal vasodilation
Mechanism: 0.5 - 3 increase renal vasodilation
2 - 10 increase contractility
> 10 stimulate alpha receptors (vasoconstriction)
Se: HTN, tachycardia at any dose

Question 6

Dobutamine indication? Mechanism of action? Side effects? Route?

Answer 6

Indication - improve contractility. Chf c hypotn
Mechanism - stimulates b1 and mild b2 (increases contractility with some vasodilation, no change to hr)
Route: IVP, infusion

Question 7

Milrinone indication? Mechanism of action? Side effects? Route?

Answer 7

Indications: hf unresponsive to dig/ diuretics, vasodilation
Mechanism: inhibits phosphodiesterase breakdown relaxing smooth muscle ( increases contractility, decrease preload and after load)
SE: vent arryhthmias
I’ve infusion

Question 8

Levophed indication? Mechanism of action? Side effects? Route?

Answer 8

Indications: vasoconstriction - shock states
Mechanism: stimulate alpha receptors
SE: HTN, acs spectrum, ischemia toes

Question 9

Vasopressin indication? Mechanism of action? Side effects? Route?

Answer 9

Indication: vasodilation shocks, di
Mechanism: adh stimulates v1 receptors
SE mi