Exam (elaborations)
BKAT ICU Post Test with complete solution
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BKAT ICU Post Test with complete solution
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BKATICU
Post
Test
Nitroprusside
purpose
-
ANS-decreases
preload
and
afterload
by
vasodilation
(mainly
afterload)
Dobutamine
mechanism
of
action
-
ANS-contractility
Dopamine
at
a
low-end
dose
"renal
dose"
-
ANS-0.5-4mcg/kg/min
increases
renal
and
mesentric
perfusion
Dopamine
at
a
mid-range
dose
-
ANS-4-10mcg/kg/min
increases
contractility
and
heart
rate
Dopamine
at
a
high-range
dose
-
ANS-greater
than
10mcg/kg/min
vasoconstriction
and
increases
BP
Dopamine
and
Levophed
infiltration
-
ANS-leads
to
tissue
necrosis
Dopamine
antidote
-
ANS-regitine
(phentolamine)
TpA
monitor
for
-
ANS-bleeding-hemorrhagic
CVA
diltiazem
(cardizem)
works
by?
-
ANS-(calcium
channel
blocker)
slows
ventricular
rate
by
slowing
conduction
through
the
SA
and
AV
node
Diltazem
(cardizem)
biggest
effect
on
which
hemodynamic
-
ANS-hypotension
diltazem
is
used
for
patients
with
-
ANS-a-fib
or
a-flutter
amiodarone
(Cordarone)
is
a
-
ANS-antiarrythmic
prolongs
the
cardiac
duration
You
MUST
use
a
__________
when
using
amiodarone
infusion
-
ANS-0.22
micron
filter
Watch
out
for
____________
in
patients
on
a
amiodarone
infusion
-
ANS-hypotension,
prolongation
of
QT
interval
and
bradycardia
amiodarone
is
used
for
patients
with
-
ANS-a-fib,
a-flutter
and
VT how
much
amiodarone
is
given
to
a
stable
VT
with
a
pulse
and
a
unstable
pulseless
VT/VF?
-
ANS-150mg
over
10min
for
VT
with
pulse
300mg
push;
repeat
x1
at
150mg
Epinephrine
has
what
effect
on
the
body?
-
ANS-increases
HR,
BP,
and
contractility
what
is
the
first
line
drug
for
pulseless
arrest?
-
ANS-Epinephrine
What
rhythms
are
considered
fatal?
-
ANS-V-fib,
Vtach
(pulseless),
and
asystole
Epinephrine
is
also
given
for?
-
ANS-anaphylaxis
and
as
a
vasopressor
for
hypotension
Heparin
is
used
for?
Antidote
is?
-
ANS-anticoagulant
Protamine
Sulfate
What
is
the
osmotic
diuretic
of
choice
to
decrease
intracranial
pressure?
-
ANS-mannitol
How
does
mannitol
work?
-
ANS-pulls
fluids
into
intravascular
space
to
be
excreted
by
the
kidneys
to
reduce
intracranial
pressure
what
insulin
is
given
IV?
What
is
the
peak?
-
ANS-Regular
insulin
can
only
be
given
IV
2-4
hr
peak
time
Which
insulin
has
a
peak
of
8-14
hrs?
-
ANS-NPH
Atropine
is
ineffective
in
which
heart
rhythms
types?
-
ANS-high
degree
AV
blocks:
2nd
degree
type2
and
3rd
degree
Atropine
works
by?
-
ANS-increasing
heart
rate-increasing
conduction
through
SA
node
Atropine
is
given
to
treat?
-
ANS-symptomatic
bradycardia
Dilantin
is
given
to
treat
-
ANS-seizure
disorders
DO
NOT
give
__________
with
dilantin
because
________
will
happen.
-
ANS-DO
NOT
give
with
dextrose
containing
solutions
because
it
will
crystalize
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