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CCRN > 3 Vasoactive Meds > Flashcards

3 Vasoactive Meds Flashcards

1
Q

Dobutamine is a

A

catecholamine

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2
Q

Dobutamine vasoactive effect

A

vasodilation

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3
Q

Dobutamine renal effect

A

INC blood flow and UO

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4
Q

Dobutamine main use

A

HF

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5
Q

Dobutamine effect on filling pressures

A

DEC

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6
Q

Dobutamine dose

A

2-20, 40 max

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7
Q

Dobutamine units

A

mcg/kg/min

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8
Q

Dobutamine effect on HR / CO / MAP

A

slight INC, INC

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9
Q

Dobutamine effect on afterload and preload

A

DEC

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10
Q

Dopamine indication

A

2nd line in sepsis hypoTN, hypoTN refractory to fluids

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11
Q

Dopamine effect on HR

A

INC

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12
Q

Dopamine effect on work

A

INC

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13
Q

Dopamine is a

A

catecholamine

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14
Q

Dopamine renal dose?

A

None

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15
Q

Dopamine dose

A

< 6, > 6

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16
Q

Dopamine units

A

mcg/kg/min

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17
Q

Dopamine CO / MAP / HR / afterload / preload

A

All INC

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18
Q

Epinephrine indications

A

ACLS

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19
Q

Epinephrine effect on contractility

A

INC

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20
Q

Epinephrine effect on HR

A

INC

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21
Q

Epinephrine effect on cerebral and coronary blood flow

A

INC

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22
Q

Epinephrine effect on vasomotor

A

vasocontriction (alpha)

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23
Q

Epinephrine dose

A

1-10

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24
Q

Epinephrine units

A

mcg/min

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25
Q

Epinephrine effect on PAC

A

INC all

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26
Q

Levophed indication in septic shock

A

first line

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27
Q

How does Levophed INC BP?

A

INC contractility and afterload with mild effect on CO

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28
Q

Levophed effect on HR

A

none

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29
Q

Levophed dose

A

2-30

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30
Q

Levophed units

A

mcg/min

31
Q

Add what to Levophed after 20?

A

vasopressin

32
Q

Levophed effect on afterload and preload

A

INC

33
Q

Levophed effect on MAP

A

INC

34
Q

Levophed effect on CO

A

Slight

35
Q

Milrinone effect on vasomotor

A

vasodilation

36
Q

Milrinone effect on HR

A

Little

37
Q

Titrate Milrinone ?

A

No

38
Q

Milrinone effect on CO

A

INC

39
Q

Milrinone effect on myocardial O2 demand

A

no effect

40
Q

Milrinone dose

A

.25 - .75

41
Q

Milrinone units

A

mcg/kg/min

42
Q

Milrinone half life

A

long

43
Q

Milrinone bolus

A

.50 mcg/kg

44
Q

Use _______ before Milrinone

A

Dobutamine

45
Q

NTG indication

A

DEC preload and afterload in LV failure, myocardial ischemia (dilates coronary arts INC perfusion)

46
Q

NTG effect on vasomotor

A

dilation

47
Q

NTG effect on preload and afterload

A

DEC

48
Q

NTG: arterial dilation achieved at ___ mcg/kg

A

1 mcg/kg

49
Q

NTG does not dilate ________ arteries

A

calcified

50
Q

NTG dose to DEC wedge

A

20-40 mcg/min

51
Q

NTG dose to dilate arteries

A

50-250 mcg/min

52
Q

NTG effect on HR/CO at 40-250 mcg/min

A

INC HR

53
Q

Nipride used in ______ crisis

A

HTN crisis

54
Q

Nipride dilation of both…

A

arteries and veins

55
Q

Nipride effect on CO / HR

A

INC CO by DEC afterload on LV

56
Q

Nipride effect on pulmonary HTN

A

DEC pulmonary HTN

57
Q

Nipride dose

A

0.5 to 10

58
Q

Nipride units

A

mcg/kg/min

59
Q

Nipride effect on MAP, wedge, SVR, CVP

A

DEC

60
Q

Nipride: causes massive hypoTN

A

Cyanide tox

61
Q

Nipride: Cyanide tox: # of hours, dose > ___, brown cover…

A

> 72 hours, > 4 mcg/kg, brown cover left off

62
Q

Neosynephrine vasomotor effect

A

vasoconstrictor

63
Q

Neosynephrine: alpha _______

A

agonist

64
Q

Neosynephrine slows HR by stimulating ….

A

barorecptors, INC vagal tone, DEC HR /CO

65
Q

Neosynephrine dose

A

100 to 180

66
Q

Neosynephrine units

A

mcg/min

67
Q

Neosynephrine max dose

A

300 mcg/min

68
Q

Neosynephrine MAP, wedge, SVR, CVP

A

INC

69
Q

Vasopressin vasomotor effect

A

arterial constriction

70
Q

Vasopressin use in shock

A

shock/hypoTN refractory to to catecholamine tx, not responding to Levo

71
Q

Vasopressin GI use

A

GIB

72
Q

Vasopressin ACLS dose

A

40 units IVP x1

73
Q

Vasopressin CO/MAP, wedge, SVR

A

INC

CCRN (4 decks)

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