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Epinephrine is considered what type of drug?

Vasopressor

1

The vasopressor epinephrine is used in _________ at 1mg every 3-5 min and __________ at 2-10 mcg per min?

Cardiac arrest (Vfib, pulseless vt, pea, and a systole)

Refractory bradycardia

2

The vasopressor epinephrine is used in cardiac arrest (Vfib, pulseless vtach, pea, and a systole) at ______________ and refractory bradycardia at ____________?

1 mg every 3-5 min

2-10mcg per min

3

The vasopressor epinephrine (increase/decrease) cardiac output and can (increase/decrease) myocardial and coronary blood flow during CPR?

Increase CO and increase Myocardial/coronary blood flow.

4

After administering epinephrine it is standard to follow with a _____________ to help circulate the epinephrine in the body.

20ml flush of IV fluid

5

This vasopressor is used in replace of the 1st or 2nd dose of epinephrine?

40 units IV vasopressin

6

Vasopressin is a vasopressor used in lieu of which vasopressor?

1st or 2nd dose of epinephrine

7

Which vasopressor is a natural anti diuretic hormone which can prove to be a powerful vasoconstrictor at high doses?

Vasopressin

8

Which vasopressor can be administered with a low BP (sys <70-100) and bradycardia after atropine?

Dopamine at 2-20 mcg/kg/min

9

The vasopressor ________ can be used in depressed cardiac function, cardiogenic shock, and hemodynamically significant hypotension

Dopamine at 2-20 mcg/kg/min

10

The vasopressor Dopamine can be used in which 3 situations, 1. depressed cardiac function 2. cardiogenic shock and 3 _______________ and at what dosage?

Hemodynamically significant hypotension - 2-20 mcg/kg/min

11

The vasopressor Dopamine can be used in which 3 situations, 1. depressed cardiac function 2. _____________ and 3 Hemodynamically sign. hypotension, and at what dosage?

Cardiogenic shock - 2-20mcg/kg/min

12

The vasopressor Dopamine can be used in which 3 situations, 1. ______________ 2. cardiogenic shock and 3 Hemodynamically sign hypotension, and at what dosage?

depressed cardiac function - 2-20 mcg/kg/min

13

This vasopressor is used after atropine

Dopamine at 2-20 mcg/kg/min

14

Dopamine is used to improve _____ , BP, hypotension, and bradycardia

cardiac output

15

Dopamine is used to improve _____ , cardiac output, hypotension, and bradycardia

bp

16

Dopamine is used to improve _____ , BP, cardiac output, and bradycardia

hypotension

17

Dopamine is used to improve _____ , BP, hypotension, and cardiac output

bradycardia

18

This vasopressor also goes by the name levophed

Norepinephrine

19

This vasopressor also goes by the name norepinephrine

levophed

20

Indications for this specific vasopressor __________ are - cardiogenic shock and severe hypotension not caused by hypovolemia

Norepinephrine/levophed

21

This vasopressor ________at ________ can help with cardiogenic shock and severe hypotension not caused by hypovolemia

Norepi at 0.1-0.5 mcg/kg/min

22

Norepinephrine at dosages of 0.1-0.5 mcg/kg/min can help with cardiogenic shock and _________?

Severe hypotension not caused by hypovolemia

23

Norepinephrine or levophed at dosages of 0.1-0.5 mcg/kg/min can help with severe hypotension not caused by hypovolemia and __________?

cardiogenic shock

24

This vasopressor increases myocardial oxygen demand?

Norepi/levophed

25

Norepi/Levophed have the ability to (increase/decrease) myocardial oxygen demand?

increase

26

At what dose should norepi/levophed be given?

0.1-0.5mcg/kg/min

27

This vasopressor should never be mixed with sodium bicarb

Dobutamine

28

The last pressor of choice should always be _______ and not mixed with sodium bicarb

dobutamine

29

This pressor is used in patients that have pump problems, syst bp of 70-100 and NO signs of shock

dobutamine @ 2-20ug/kg/min

30

Dobutamine is a _______ and has a dosage of _______

vasopressor and 2-20ug/kg/min

31

Dobutamine is used for shock (true or false)

False

32

Dobutamine at 2-20ug is used for a sys bp of ______ and NO signs of _______

70-100 and no signs of shock

33

This vasopressor is also a phosphodiesterase enzyme inhibitor

Inamrinone (amrinone)

34

Inamrinone or Amrinone is used at what dosage"?

0.75 mg/kg over 2-3 minutes and not to exceed 1mg/kg

35

Inamrinone is also called ______ and has a dosage of _______ not to exceed _______

Amrinone - 0.75mg/kg over 2-3 minutes and not to exceed 1mg/kg

36

Amrinone is also called _______ and has a dosage of _____ and is not to exceed _____

inamrinone - 0.75mg/kg over 2-3minutes and not to exceed 1mg/kg

37

This vasopressor is an phosphodiesterase inhibitor used at 0.75 mg/kg and treats CHF that is refractory to diuretics, vasodilators, and inotropic agents.

Inamrinone/amrinone

38

Amrinone is used to treat CHF refractory to which 3 drugs

diuretics, vasodilators, and inotropic agents

39

If you have a patient with CHF and conventional diuretics, vasodilators, and inotropic agents fail which drug can be used?

Amrinone at 0.75 mg/kg over 2-3 minutes not to exceed 1mg/kg

40

Amrinone or Inamrinone has a dosage of 0.75mg/kg over what time period?

2-3minutes

41

This vasopressor has a dosage of 50mcg/kg over 10 minutes

Milrinone

42

Milrinone is a vasopressor used over 10 minutes at what dosage?

50mcg/kg

43

Milrinone is used at 50mcg/kg over 10 minutes for Myocardial dysfunction, increased PVR & SVR, CHF in post op cardiovascular patients, and shock with high SVR (true or false)

True

44

Milrinone is used at 50mcg/kg over 10 minutes for ___________, increased PVR/SVR, CHF in post op heart patients, and shock with high SVR

Myocardial Dysfunction

45

Milrinone is used at 50mcg/kg over 10 minutes for myocardial dysfunction, increased ________, CHF in post op heart patients, and shock with high SVR.

SVR/PVR

46

Milrinone is used at 50mcg/kg over 10 minutes for myocardial dysfunction, increased SVR/PVR, ________________, and shock with high SVR

CHF in post op heart patients

47

Milrinone is used at 50mcg/kg over ten minutes for myocardial dysfunction, increased SVR/PVR, CHF in post op heart patients and _______________?

shock with high SVR

48

Amiodarone is classified as an __________

Anti-Arrhythmic

49

Amiodarone which is an Anti-arrhythmic is used for cardiac arrest at what dosages?

300mg 1st dose and 150 mg for the 2nd dose

50

Amiodarone is used for cardiac arrest (300mg 1st, 150mg 2nd) and tachycardia in what dose?

150mg over 10 minutes

51

Amiodarone is used as an antiarrhythmic, VF/VT pulseless (TorF)

True

52

Amiodarone is used in what dose managing tachycardia with a _______ QRS?

150mg over 10 minutes in a wide QRS >0.12

53

Amiodarone is used at 150mg over 10 minutes for _____________ with a _______ QRS?

tachycardia with a wide QRS >0.12

54

This antiarrhythmic is used in lieu of Amiodarone

Lidocaine

55

Lidocaine is an anti-A that can be used for Ventricular Ectopy PVCs, Vtach, Wide complex tach, and refractory Vfib at what dose?

1-1.5mg/kg 1st, 0.5-0.75mg/kg 2nd not to exceed 3mg

56

Lidocaine is an anti-A that can be used for _______, vtach, widecomplex tach, and refractory vfib?

ventricular ectopy PVCs

57

Lidocaine is an anti-A that can be used for ventricular ectopy PVCs, ________, and refractory vfib?

widecomplex tach

58

Lidocaine is an anti-A that can be used for ventricular ectopy PVCs, widecomplex tach, and ____________?

refractory vfib

59

In VF/VT the dosages for lidocaine are?

1-1.5mg/kg

60

For refractory vfib the dosage of lidocaine is?

0.5-0.75mg/kg not to exceed 3mg

61

For ectopy, VT, or wide complex tach the dosage of lidocaine is?

0.5-0.75 mg/kg up to 1-1.5mg/kg not to exceed 3mg

62

Magnesium Sulfate is classified as an?

Antiarrhythmic

63

Magnesium Sulfate is used at what dosage for torsades, or suspected hypomagnesium state(malnutrition)?

1-2grams diluted in 10ml of D5W over 5-20 min

64

Magnesium sulfate is used in ____________ and a suspected hypomagnesium state (malnutrition)?

torsades

65

Magnesium Sulfate is used in torsades and ___________

suspected hypomagnesium state (malnutrition)

66

The drug Atropine is classified as an _______ and has what dosage?

Antiarrhythmic 0.5-1mg over 3-5 minutes

67

Atropine is an Anti-A used for what?

Bradycardia

68

Atropine is used for bradycardia at what dose?

0.5mg-1mg over 3-5minutes

69

Atropine WILL NOT work on 2nd degree type 2, and 3rd degree heart block (TorF)

True

70

Atropine may worsen ischemia and should not be used in patients with tachycardia, afib, aflutter, and glaucoma. (TorF)

True

71

Atropine is used at 0.5-1mg for bradycardia and ________________

Asystole/PEA

72

Atropine is used at 0.5-1mg for __________ and Asystole/PEA

Bradycardia

73

Adenosine is classified as an _____________ and has what dosage?

Anti-A at 6mg rapid push followed by a 20ml flush, and can be repeated twice at 12mg

74

Adenosine is an anti-A used for PSVT, widecomplex tach, and to suppress SVT. (TorF)

True

75

Adenosine is an anti-a used for ________, wide complex tach, and to suppress svt. At what dose?

PSVT - 6mg rapid push followed by 20ml flush, and can be repeated 2 at 12mg

76

Adenosine is an anti-a used for PSVT, _________, and to suppress SVT at what dose?

wide complex tach - 6mg rapid push followed by a 20ml flush and can be repeated 2 at 12mg

77

Adenosine is an anti-a used for PSVT, widecomplex tach, and _____________ at what dose?

to suppress SVT - 6mg rapid push followed by a 20ml flush, and can be repeated 2 at 12mg

78

Procainamide is classified as an __________ and has what dosage?

Anti-A at 20mg/min with a max of 17mg/kg

79

Procainamide is used for Stable/mono vtach, Reentry SVT, stable/wide complex tach at what dose?

20mg/min with a max dose of 17mg/kg

80

Procainamide is used for ____________, reentry svt, and stable/wide complex tach

stable mono vtach

81

Procainamide is used for stable/mono vtach, __________, and stable/wide complex tach.

reentry svt

82

Procainamide is used for stable/mono vtach, reentry svt, and ______________

stable/wide complex tach

83

Ibutilide is classified as an _______

antiarrhythmic

84

Ibutilide is classified as an anti A at what dosage?

1mg IV over 10 minutes

85

Ibutilide is an anti A at 1mg IV over 10 minutes for SVT lasting less than _____

48hrs

86

Ibutilide is an anti a used at 1mg IV over 10 minutes for?

SVT less that 48hrs

87

Digoxin is classified as ___________ at what dose?

anti-a at 4-6mcg/kg over 5 minutes

88

Digoxin is used as an anti a for at what dose?

Afib/aflutter 4-6mcg/kg over 5 minutes

89

Digoxin is used to slow the ventricular rate in _______

Afib and Aflutter

90

Digoxin has a dose of _____ and blood levels should be checked for toxicity.

4-6mcg/kg over 5 minutes

91

Isoproterenol is classified as an _________ at what dose?

Anti A - 2-10ug/minute

92

Isoproterenol is used as a temporary measure until pacing is available (TorF)

True

93

Isoproterenol is used at 2-10ug/min for torsades and ____________ poisoning

beta blocker poisoning

94

Isoproterenol is used at 2-10ug/min for __________ and beta blocker poisoning

torsades

95

Sodium Bicarb is classified as an _________

anti-a

96

Sodium bicarb is used at what dose?

1m/Eq/Kg IV bolus

97

Sodium bicarb is used for hyperkalemia, bicarb responsiveness acidosis, and _________

prolonged resuscitation with adequate ventilation

98

Sodium bicarb is used at 1m/Eq/Kg for _________, bicarb responsiveness acidosis, and prolong resus. with adequate ventilation.

Hyperkalemia

99

Sodium bicarb is used at 1m/Eq/Kg for hyperkalemia, ___________, and prolonged resus with ade ventilation

bicarb responsiveness acidosis

100

Sotalol is classified as a _________ and used for __________

Beta-Blocker and tachycardia

101

Sotalol is used for SVTs and Vent arrhythmias at what dosage?

1-1.5mg/kg

102

Sotalol is used at 1-1.5mg/kg for _________ and vent arrhythmias

SVT

103

Sotalol is used at 1-1.5mg/kg for SVT and __________

ventricular arrhythmias

104

Sotalol should be avoided in patients with _____________ because of its negative inotropic effects

poor perfusion

105

Beta Blockers are most commonly used for High BP, abnormal heart rhythms, angina, and second heart attack (TorF)

True

106

Verapamil is classified as an ___________ at what dose?

Ca Channel blocker - 2.5-5mg over 2min 1st, and 5-10mg every 15-30 min with a max dose of 20 mg

107

Verapamil is used as an alternative for _________

Adenosine

108

Verapamil is used with a 1st dosge of 2.5-5mg and a 2nd dose of 5-10mg with a max dose of _____

20mg

109

Verapamil is used after Adenosine for SVT, narrow tach, and may control vent response in Afib, Aflut, or Multifocal atrial tachycardia (TorF)

True

110

Ca channel blockers main use are for ______

suppressing SVT

111

Diltazem is classified as an ________ at what dose?

Ca Chan blocker - 15-20mg over 2 minutes

112

Diltazem at 15-20mg is used for SVT after adenosine, and controlling Vrate in Afib / Aflutter (TorF)

True

113

Diltazem is used at 15-20mg for __________ after adenosine, and controlling vrate in Afib/aflutter

SVT

114

Diltazem is used at 15-20mg for SVT after adenosine, and controlling ____________ in __________

vrate in afib/aflutter

115

Morphine sulfate has a dosage of ________

2-4mg over 5 minutes

116

Morphine is used at 2-4mg for _______ and acute cardiogenic pulm edema

chest pain with acs unresponsive to nitrates

117

Morphine is used at 2-4mg for chest pain unresponsive to nitrates and ____________

cardiogenic pulm edema

118

Narcan has a dose of ____________

0.4-2mg

119

Narcan at 0.4-2mg is used for ___________ intoxication

opiate

120

Nitroglycerin has a dose of

12.5-25ug IV and 0.4mg spray or sublingual

121

Nitroglycerin is most commonly used for

antianginal for suspected chest pain

122

Glucagon can be used in treatment for toxic effects of _______________ and _____________

BetaBlockers and Ca Channel Blockers

123

Nicardipine is used for

Hypertensive emergencies

124

Nitroprusside is used for ____________ at 50-100mg to 250ml D5W

hypertensive crisis

125

ACE inhibitors reduce vascular resistance and blood volume by decreasing ____________ in preventing the conversion of angiotension 1 into angiotension 2

Total peripheral resistance

126

Diuretics such as mannitol is used for increased ______

ICPS - massive head bleeds