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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
Epinephrine effect on PAC
INC all
26
Levophed indication in septic shock
first line
27
How does Levophed INC BP?
INC contractility and afterload with mild effect on CO
28
Levophed effect on HR
none
29
Levophed dose
2-30
30
Levophed units
mcg/min
31
Add what to Levophed after 20?
vasopressin
32
Levophed effect on afterload and preload
INC
33
Levophed effect on MAP
INC
34
Levophed effect on CO
Slight
35
Milrinone effect on vasomotor
vasodilation
36
Milrinone effect on HR
Little
37
Titrate Milrinone ?
No
38
Milrinone effect on CO
INC
39
Milrinone effect on myocardial O2 demand
no effect
40
Milrinone dose
.25 - .75
41
Milrinone units
mcg/kg/min
42
Milrinone half life
long
43
Milrinone bolus
.50 mcg/kg
44
Use _______ before Milrinone
Dobutamine
45
NTG indication
DEC preload and afterload in LV failure, myocardial ischemia (dilates coronary arts INC perfusion)
46
NTG effect on vasomotor
dilation
47
NTG effect on preload and afterload
DEC
48
NTG: arterial dilation achieved at ___ mcg/kg
1 mcg/kg
49
NTG does not dilate ________ arteries
calcified
50
NTG dose to DEC wedge
20-40 mcg/min
51
NTG dose to dilate arteries
50-250 mcg/min
52
NTG effect on HR/CO at 40-250 mcg/min
INC HR
53
Nipride used in ______ crisis
HTN crisis
54
Nipride dilation of both...
arteries and veins
55
Nipride effect on CO / HR
INC CO by DEC afterload on LV
56
Nipride effect on pulmonary HTN
DEC pulmonary HTN
57
Nipride dose
0.5 to 10
58
Nipride units
mcg/kg/min
59
Nipride effect on MAP, wedge, SVR, CVP
DEC
60
Nipride: causes massive hypoTN
Cyanide tox
61
Nipride: Cyanide tox: # of hours, dose > ___, brown cover...
>72 hours, > 4 mcg/kg, brown cover left off
62
Neosynephrine vasomotor effect
vasoconstrictor
63
Neosynephrine: alpha _______
agonist
64
Neosynephrine slows HR by stimulating ....
barorecptors, INC vagal tone, DEC HR /CO
65
Neosynephrine dose
100 to 180
66
Neosynephrine units
mcg/min
67
Neosynephrine max dose
300 mcg/min
68
Neosynephrine MAP, wedge, SVR, CVP
INC
69
Vasopressin vasomotor effect
arterial constriction
70
Vasopressin use in shock
shock/hypoTN refractory to to catecholamine tx, not responding to Levo
71
Vasopressin GI use
GIB
72
Vasopressin ACLS dose
40 units IVP x1
73
Vasopressin CO/MAP, wedge, SVR
INC

CCRN (4 decks)

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