Numbers + Doses CV Pharm videos/ pdfs - Final

Question 1

Afib rate control goal=

Answer 1

<100 bpm

Question 2

Atropine
-dose

Answer 2

0.5mg
or
0.4-1mg

Question 3

Esmolol
-dose

Answer 3

5-10mg

Question 4

Verapamil
-dose

Answer 4

0.005mg/kg

Question 5

Diltiazem
-dose

Answer 5

5-15mg/hr (infusion)
10-20mg (bolus)

Question 6

Metoprolol (IV)
-dose

Answer 6

2.5-5mg
MAX 15mg

Question 7

Amiodarone
-dose

Answer 7

150mg / 10 min (bolus)
then
1mg/min for 6hr (infusion)
then
0.5mg/min for 18hr (infusion)

Question 8

Lidocaine (cardiac)
-dose

Answer 8

1mg/kg (2min)

Question 9

Adenosine
-dose

Answer 9

6-12mg
repeat 12mg

Question 10

Mag Sulfate (torsades)
-dose

Answer 10

1-2g / 5-60min

Question 11

Esmolol
-dose

Answer 11

0.5mg/kg (bolus)
0.05mg/kg/hr (infusion)

Question 12

Ibutilide
-dose

Answer 12

1mg IV / 10 min
repeat once PRN

Question 13

Normal BP=

Answer 13

<120 / <80

Question 14

Elevated BP =

Answer 14

120-129 / < 80

Question 15

HTN Stage 1 =

Answer 15

130-139 / 80-89

Question 16

HTN Stage 2 =

Answer 16

> 140 if <60yo or CKD/DM at any age
or
150 if >60 yo
/
90

Question 17

HTN Urgency =

Answer 17

> 180 / >120 WITHOUT ACUTE ORGAN DAMAGE

Question 18

HTN Emergency =

Answer 18

> 180 / >120 WITH ACUTE ORGAN DAMAGE

Question 19

3 Greatest influences on BP reduction=

Answer 19

-Wt reduction ( BMI 18.5-25) = 5-20mmHg drop per 10kg loss

-DASH diet (fruits, veg, low fat dairy, reduced fats) = 8-14mmHg drop

-Na Restriction (<100mmol/day, 2.4g Na or 6g NaCl) = 2-8mmHg

Question 20

Sodium Nitroprusside (Nipride)
-dose

Answer 20

initial infusion: 0.3-0.5mcg/kg/min (no higher than 2mcg/kg/min)

MAX: 10mcg/kg/min NO LONGER THAN 10 MIN

Question 21

3 % Sodium Nitrite (cyanide tox tx)
-dose

Answer 21

4-6mg/kg IV slowly

Question 22

Sodium Thiosulfate (cyanide tox tx)
-dose

Answer 22

150-200mg/kg IV / 15 min

Question 23

Hydroxocobalamin (Vit B12) (cyanide tox tx)
-dose

Answer 23

25mg/hr

Question 24

Labetalol (IV)
-dose

Answer 24

5-10mg

Question 25

Nitroglycerine (NTG) IV -dose

Answer 25

5-100mcg/min

Question 26

Hydralazine IV -dose

Answer 26

10-20mg

Question 27

Nicardipine (Cardene) IV -dose

Answer 27

5-15mg/hr

Question 28

Phentolamine IV -dose

Answer 28

1-5mg (bolus) 0.5-1mg/hr (infusion)

Question 29

Goal HR for Angina

Answer 29

<70

Question 30

Timing of angina -stable -unstable

Answer 30

Stable: <15 min, resolves Unstable: >15 min despite SL NTG (prolly an MI)

Question 31

Tx time goal for MI:

Answer 31

within 60 min -Full tissue recovery possible within 15 min -1/2 tissue recovery possible at 40 min

Question 32

Stents + elective surgery timing -BMS -DES

Answer 32

BMS: postpone 4-6wks DES: postpone ~12mo

Question 33

Reasons to hold ASA for 7 days:

Answer 33

-Ophthalmic surg (tight space) -Intracranial surg (catastrophic bleeding) -Prostate surg (high EBL)

Question 34

Heart Failure with Reduced Ejection Fraction (HFrEF) =

Answer 34

EF <40%

Question 35

Heart Failure with Preserved Ejection Fraction (HFpEF) =

Answer 35

EF >/= 40%

Question 36

Normal Digoxin level=

Answer 36

2 ; gray area between 1.5-3 -<1.5 often nontox (rarely tox) ->3 always toxic (100% of time)