Pressors

Question 1

What happens when giving pressors through peripheral lines?

Answer 1

Can cause local necrosis

Question 2

Pressors in patient’s with known CAD may cause what?

Answer 2

May induce demand ischemia

Question 3

All pressors have the potential to cause what CV problem?

Answer 3

Tachydysrhythmias

Question 4

What is the treatment for necrosis of peripheral IV sites 2/2 pressor use?

Answer 4

Administer 0.1 mg/kg phentolamine at the site as a reversal agent

Question 5

What is the MOA of dobutamine?

Answer 5

B1 agonist

Question 6

WHen is epi the first line pressor?

Answer 6

Post cardiac arrest or in anaphylactic shock

Question 7

What is the first line pressor?

Answer 7

NE

Question 8

When is dobutamine used for pressors?

Answer 8

Cardiogenic shock

Question 9

What is the main MOA of dopamine as a pressor (chronotropy, inotropy, etc)?

Answer 9

Chronotropy

Question 10

When is dopamine best used as a pressor?

Answer 10

Bradycardic shock states

Question 11

What is the MOA of milrinone? When is it used?

Answer 11

inotrope

Decompensated HF, but call cardiology before use

Question 12

How do you make push dose epi? What is the concentration?

Answer 12

Draw up 9 mL NS and 1 mL from epi stick from the code cart, shake well. Makes 10 mcg/mL of epi. Push about 1 mL at a time.

Question 13

How do you make a dirty epi drip? What is the concentration?

Answer 13

1 L of NS inject full code cart epi stick,

1 mcg/mL