Pimpin

Question 1

Order of fibers effected from block

Answer 1

B - A - C

Question 2

Labetolol

Answer 2

mixed alpha and beta antagonist

beta : alpha = 7:1

Question 3

Carvedilol

Answer 3

mixed alpha and beta antagonist

beta : alpha = 10:1

Question 4

Rank opioids from most to least potent

Answer 4

sufentanil
fentanyl = remifentanil
alfentanil
hydromorphone
morphine
meperidine

Question 5

Which opioids have active metabolites?

Answer 5

morphine

meperidine

Question 6

SSEP vs MEP

Answer 6

SSEP - monitors afferent input

MEP - monitors motor output

Question 7

Robinul vs atropine - molecular size

Answer 7

Atropine - tertiary amine - can cross BBB for more profound and rapid effect

Robinul - quaternary amine - cannot cross BBB - weaker response

Question 8

Succ vs DNMB

Answer 8

succs holds on with both hands

DNMB hold on with one - dont overload

Question 9

Aortic Stenosis

Answer 9

normal valve area = 2.5-3.5 cm2
severe AS = <0.8 cm2
concentric hypertrophy, fixed afterload
"SAD" - syncope, angine, dyspnea
goal - increase preload

Question 10

Central Pontine Myelinolysis

Answer 10

• Myelin destruction due to water shifting out of cell within brain
• sodium correction - no more than 6-12 mEq/L in first 24 hrs, no more than 18 mEq/L within first 48 hrs

Question 11

Hydralazine MOA

Answer 11

look it up

Question 12

How to tell FiO2 for nasal cannula?

Answer 12

4% for every 1L, except 1st liter which is 3%

4L = (1 @3 = 3) + ( 3@ 4 = 12) = 15 + 21 = 36%

Question 13

Antibiotics to actually run in slow

Answer 13

vanco - red mans
gent - autotoxicity
clindamycin - cardiac arrest