Med Test ICU SDU highlights

Question 1

Whats the dosage for Adenosine?

Answer 1

6mg rapid IVP over 1-3 secs
12 mg rapid IVP
May repeat 12 mg dose x 1

Question 2

What are some common adverse effects of Adenosine? (4)

Answer 2

Transient flushing
Crushing Chest pain
Dyspnea (Resolve within 1-2 minutes)
a brief period of asystole (up to 15 secs) is common after rapid admin.

Question 3

Whats the adult IV bolus dose of Amiodarone (Cordarone) for CARDIAC ARREST?

Answer 3

300 mg undiluted IVP

Question 4

Whats an adverse effect of amiodarone? (2)

Answer 4

HYPOtension, BRADYcardia

Question 5

What are the SE of Lopressor (Metoprolol)? (3)

Answer 5

Hypotension
Bradycardia
Pulmonary edema

Question 6

What are Ca Channel Blockers used for? (4)

Answer 6

Tx of:
Angina
HYPERtension
Vasospasm
Conversion of SVT

Question 7

Whats the mechanism of action of ANGIOMAX (BIVALIRUDIN)?

Answer 7

Directly inhibits both circulating and clot bound thrombin and its effects on platelets

Question 8

Whats an adverse effect of Bivalirudin?

Answer 8

**Bleeding

Back pain, N/V, HA, HYPOtension

Question 9

Every how often does the bottle and tubing needs to be change when giving DIPRAVAN (PROPOFOL)

Answer 9

q 12 hrs

Question 10

Whats Romazicon (Flumazenil) used for?

Answer 10

Complete or partial reversal for the sedative effects of benzodiazepines

Question 11

Whats the mechanism of action of DOBUTAMINE?

Answer 11

BETA agonist that causes

Increase contractility, Increased HR, and INCREASED coronary blood flow

Question 12

What is DOPAMINE used for?

Answer 12

SHOCK and HYPOTENSION not caused by hypovolemia

Question 13

Whats the dosage of EPINEPHRINE during a cardiac arrest? Whats the maximum dosage?

Answer 13

1 mg of 1:10,000 solution IVP; may repeat q 3-5 mins with no maximum dose

Question 14

Which one is a more potent alpha receptor simulator aka vasoconstrictor? Norepinephrine or Epinephrine?

Answer 14

Norepinephrine

Question 15

Epinephrine and Norepinephrine are approximately _____________ in their ability to stimulate _________________ receptors to increase _______________

Answer 15

equal
beta 1 (cardiac)
contractility

Question 16

When is norepinephirne used?

Answer 16

Septic shock and neurogenic shock

Question 17

Whats the IV dosage of Vasopressin during cardiac arrest?

Answer 17

40 units IVP

Question 18

What med is considered to be the equivalent to epinephrine in pulseless VT/VF tx?

Answer 18

Vasopressin

Question 19

Does Vasopressin have the catecholamine effects of epinephrine?

Answer 19

no

Question 20

Whats an adverse effect of Integrilin?

Answer 20

Bleeding

Question 21

What is Fentanyl (Sublimaze) used for?

Answer 21

Short term sedative

Question 22

______________ is an opiod that is _____-______ times more potent than Morphine on a weight basis

Answer 22

Fentanyl

80-100

Question 23

whats the usual dose of Fentanyl?

Answer 23

1-2 mcg/kg given by slow IVP

Question 24

What is Narcan used for?

Answer 24

Opioid Antagonist

Question 25

What are the SE of Nitroglycerin? (4)

Answer 25

HYPOtension, TACHYcardia, HA, and N&V

Question 26

What is Nipride (Sodium Nitroprusside) mechanism of action?

Answer 26

Directly relaxes arterioral and venous smooth muscles resulting in decreased preload and afterload

Question 27

What are SE of Nipride?

Answer 27

HYPOtension, TACHYcardia, HA, N&V

Cyanide (thiocyanate toxicity) causes a brick red tone of the skin

Question 28

Whats the machanism of action of Natrecor (Nesiritide)? (3)

Answer 28

1. Relaxation of vascular smooth muscle to dilate veins and arteries
2. Blunts RAAS axis to promote natriuresis and diuresis
3. Release of endothelin I which causes vasocontriction and lowers circulating levels of epinephrine