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5 Written questions

5 Matching questions

  1. Class III drugs
  2. Nipride
  3. Epinephrine (Adrenalin) high dose
  4. Vasoactive medications
  5. High dose dopamine
  1. a has a alpha effect and vasoconstricts which increases mVo2 demands
  2. b Slows repolarization (filling)/// Almiodarone (used for atrial and ventricular dysrhythmias), Dofetilide (Tikosyn) used for symptomatic afib/ flutter to NSR (in order to use have to be hospitalized and monitored IV only/// Ibutilide (Covert) used for afib/flutter to NSR
  3. c 11-20 mcg/kg/min has an alpha effect and vasoconstricts /// high doses increase SVR, increase BP, increase the workload of the heart
  4. d alter blood pressure by altering preload and afterload, alters distribution of blood in teh body
  5. e breaks down into cyanide, light sensitive, venous and arterial vasodilation, weight based, given to decrease blood pressure, decreases preload and afterload, .5 mcg/kg.min and titrate (avg. = 3mcg/kg/min) watch blood pressure!

5 Multiple choice questions

  1. Quinidine, Procainamide, Disopyramide /// Widens the QRS/QT interval /// depresses contractility
  2. arterial vasodilators // decreases blood pressure // both coronary and peripheral arteries /// used to treat hypertension, angina, antidysrhythmics (SVT's), watch for hypotension/// Procardia, Cardizem, Verapamil
  3. Propofol (Diprivan) hypnotic used for induction and maintaince of anesthesia or sedation short half life typical dose is 5-50 mg/kg/min// the longer they are on it the longer it takes to wake them up// wean off of diprivan first before weaning off of the vent // doing sedation vacations 1 q shift helps decrease tolerance and nurse can perform neuro checks during this time
  4. potent arterial vasodilator// IV 5-10 mg q 4-8 hours // usually given between continuous infusion and oral dose of hypertensive meds
  5. Calcium channel blockers /// primarily in sinus, AV nodes and atrial tissue /// treatment for SVT /// Verapamil, and Cardizem /// they slow the heart rate and decrease irritability

5 True/False questions

  1. Norephinephrine (Levophed)low dose is <2 mcg/min and the next dose is 2-16 mcg/min both doses have an alpha effect (vasoconstrict) used on patients with hyertension and patients with septic shock /// primary action increases SVR

          

  2. Dopaminergicsvasodilate the brain, heart, kidneys, and mesentery (different doses have different effects)

          

  3. Epinephrine (Adrenalin) medium dosehas a alpha effect and vasoconstricts which increases mVo2 demands

          

  4. Alpha adrenergic blockersarterial vasodilators // decreases blood pressure // both coronary and peripheral arteries /// used to treat hypertension, angina, antidysrhythmics (SVT's), watch for hypotension/// Procardia, Cardizem, Verapamil

          

  5. class i drugssodium channel blockers - slow down contractility - prolong the absolute refractory period