| Verified 2024 Version
Nitroprusside purpose - ✔✔decreases preload and afterload by vasodilation (mainly afterload)
Dobutamine mechanism of action - ✔✔contractility
Dopamine at a low-end dose "renal dose" - ✔✔0.5-4mcg/kg/min
increases renal and mesentric perfusion
Dopamine at a mid-range dose - ✔✔4-10mcg/kg/min
increases contractility and heart rate
Dopamine at a high-range dose - ✔✔greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration - ✔✔leads to tissue necrosis
Dopamine antidote - ✔✔regitine (phentolamine)
TpA monitor for - ✔✔bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? - ✔✔(calcium channel blocker) slows ventricular rate by slowing
conduction through the SA and AV node
Diltazem (cardizem) biggest effect on which hemodynamic - ✔✔hypotension
diltazem is used for patients with - ✔✔a-fib or a-flutter
, amiodarone (Cordarone) is a - ✔✔antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion - ✔✔0.22 micron filter
Watch out for ____________ in patients on a amiodarone infusion - ✔✔hypotension, prolongation of QT
interval and bradycardia
amiodarone is used for patients with - ✔✔a-fib, a-flutter and VT
how much amiodarone is given to a stable VT with a pulse and a unstable pulseless VT/VF? - ✔✔150mg
over 10min for VT with pulse
300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? - ✔✔increases HR, BP, and contractility
what is the first line drug for pulseless arrest? - ✔✔Epinephrine
What rhythms are considered fatal? - ✔✔V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for? - ✔✔anaphylaxis and as a vasopressor for hypotension
Heparin is used for? Antidote is? - ✔✔anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? - ✔✔mannitol