Levophed/NorEpi 22339

Question 0

Levophed - Actions (2)

Answer 0

• increases systemic vascular resistance through alpha adrenergic stimulation (vasoconstriction)
• B1 effects like epi (inotropic/chronotropic/dromotropic)

Question 1

Levophed - Class (2)

Answer 1

• Catecholamine (chemical messenger)

- Vasopressor

Question 2

Levophed - Indication (3)

Answer 2

• hypotension due to low total peripheral resistance in septic/neurogenic shock
• ***adequate fluid resuscitation is precondition to use
• refractory hypotension in TCA OD, not responsive to bicarb

Question 3

Levophed - Contraindications (3)

Answer 3

• Hypersensitivity
• Hypovolemic
• Pheochromocytoma (tumor on adrenal gland)

Question 4

Levophed - Side effects (9)

Answer 4

Ha NO TABATA

• HA
• arrhythmias
• Tachycardia
• reflex bradycardia
• angina
• HTN
• Intracerebral hemorrhage/aneurysm
• tremors, restlessness
• increased myocardial O2 demand
• necrosis with infiltration