ANS Doses - Exam 2 Flashcards
Pressors: Dopamine
-renal
-beta1
-beta1 and alpha1
-alpha1
Renal: 1-5mcg/kg/min
-renal BF effect
Beta1: 5-10mcg/kg/min
-vasopressor + renal BF effect
Alpha1>Beta1: 10-15mcg/kg/min
-vasopressor + renal BF effect
Alpha 1: 15-20mcg/kg/min
-vasopressor range
Pressors: Vasopressin
-infusion dose
-indication
0.04-0.1 units/min
-septic shock
Pressors: Phenylephrine
-infusion dose
-indication
2-200mcg/min
-vasodilatory shock (good for SVT)
Pressors: Norepinephrine
-infusion dose
-indication
1-20mcg/min
-1st line vasopressor for septic shock, vasodilatory shock
Pressors: Epinephrine
-infusion dose
-indication
1-20mcg/min
-refractory shock, bradycardic shock or anaphylactic shock
Pressors: Dobutamine
-infusion dose
-indication
1-20mcg/min
-cardiogenic shock, septic shock
Pressors: Milrinone
-infusion dose
-indication
37.5-75mcg/kg bolus THEN
0.375-0.75mcg/min
-cardiogenic shock, RHF, pulm HNT
-avoid in renal failure
Pressors: Epi
-single IV dose (70kg adult)
2-8mcg
Pressors: Ephedrine
-single IV dose (70kg adult)
10-25mg
Pressors: Phenylephrine
-single IV dose (70kg adult)
0.1-0.5mg
6 MOA of ephedrine:
-peripheral + central acting
-alpha + beta
-direct + indirect
means this will almost always work
2 most common vasopressors in anesthesia:
-phenylephrine + ephedrine
If pt on MAOi, SSRI, TCA, or amphetamines, which pressor is better for them, phenylephrine or ephedrine?
Phenylephrine
Dose of ALL inhalers will always be _ puffs
2
-use 8-10 tho when pt is having Bspasm
Complete blockage of vagal effect with Atropine admin occurs after _ mg/kg
2mg Atropine