Continuous infusions Flashcards
1
Q
Another name for neosynephrine
A
Phenylephrine
2
Q
Common dosing for epinephrine
Adrenaline
A
- Common dosing: 1-20 mcg/min
- Common titration range: 1-2 mcg/min Q5 mins
3
Q
Common dosing for fentanyl
A
- Common dosing: 25-200 mcg/hr
- MAX: 300 mcg/hr
- Common titration: 25 mcg/hr Q 30 min
4
Q
Common titration for dopamine
A
2.5-5mcg/kg/min Q5 min
5
Q
Dosing for cardizem
A
- Common dosing: 5-15 mg/hr
- Common titration: 2.5-5 mg/hr Q30 min
6
Q
What medication is this?
- Think ‘B’ for ‘Beat
- MAO: B1 Agonist w/ mild B2 and A1 Properties
- Inc CO/CI & SV
- Mild inc in HR
- Mild decr in SVR from B2
A
Doubutamine
Think ‘b’ for ‘beat’
7
Q
What medication is this?
- MOA: NM receptor blocker
- Paralysis
- Use train of four to assess for NM blockage
A
Norcuron
Vecuronium
8
Q
Another name for Nicardipine
A
Cardine
9
Q
Another name for Primacor
A
Milrinone
10
Q
What medication is this?
- MAO: Class III anti-arrythmic; primarily blocks K+ channels to slow cardiac conduction & reduce myocardial excitability. Also blocks B1 receptors NA+ and CA++ channels
- Decr HR & MAP
A
Amiodarone
Cordarone
11
Q
Dosing for Propofol
Diprivan
A
- Common dosing: 10-50 mcg/kg/min
- MAX: 80 mcg/kg/min
- Common titration: 5-10 mcg/kg/min Q5 min
12
Q
Another name for Adrenaline
A
Epinephrine
13
Q
Another name for propofol
A
Diprivan
14
Q
Milrinone dosing
A
- Common dosing: Loading dose 50 mcg/kg over 10 mins then 0.125-0.75 mcg/kg/min
- Common titration: 0.25mck/kg/min Q2 hrs
15
Q
Another name for phenylephrine
A
Neosynephrine
16
Q
Dosing for Cardine
Nicardipine
A
- Common dosing: 5-15 mg/hr
- Common titration: 2.5 mg/hr Q5-15 min
17
Q
What medication is this?
- MOA: GABA receptor agonist
- Sedation
- Monitor for resp depression
- May decr BP
- Change IV tubing Q 24 hrs
A
Propofol
Diprivan
18
Q
What medication is this?
- MAO: Phosphodiesterase inhibitor, allows inc calcium influx to cells.
- Positive Intrope & vasodialator
- Inc CO
- Decrease CVP, SVR, and PAOP
Think calcium, contractility, anc conduction
A
Milrinone
Primacor
19
Q
What medication is this?
- MAO: A1 Agonist
- Increase MAP and SVR
- Coronary vasoconstriction
A
Phenylephrine
Neosynephrine
20
Q
Another name for epinephrine
A
Adrenaline
21
Q
What medication is this?
- Think “P” for “pressor”
- MAO: Naturally occuring catecholamine & precursor to norepi
- Very dose dependent
A
Dopamine
Think ‘P’ for ‘pressor’
22
Q
What medication is this?
- MOA: Binds and activates mu opioid receptors to produce stron analgesia
- Sedation & analgesia
- Monitor for resp depression
- Many dec BP
A
Fentanyl
23
Q
- Type of receptors
- ____ Heart - inc rate
- ____ Lungs - bronchodialation
A
Beta receptors
B1
B2
24
Q
Dobutamine precaution
A
> 72 hrs may cause down-regulation of beta receptors
25
Another name for Vasopressin
ADH
26
# What medication is this?
* Second-line vasopressor used in septic patients
* MAO: Naturally occuring in the body but increased doses can aid in peripheral vasoconstriction
* Increases MAP and SVR
* Kidneys: promotes NA retention & K excretion
Vasopressin
| ADH
27
What kind of tubing is used for amiodarone
0.22 micron filter in IV tubing
28
Another name for precedex
Dexmedetomidine
29
Common dosing for esmolol
| Brevibloc
* Common dosing: 50-300 mcg/kg/min
* Common titration range: 25-50 mcg/kg/min
30
Precidex dosing
* Common dosing: 0.5-1.5 mcg/kg/min
* Common titration range: 0.1mcg/kg/min Q30 mins
31
Another name for ADH
Vasopressin
32
Another name for Levophed
Norepinephrine
33
Dopamine pure A1 Agonist dose
> 10 mcg/kg/min
34
Another name for Cardizem
Diltiazem
35
Another name for angiotensin II
Giaperza
36
# What medication is this?
* First-line vasopressor used in septic patients
* MOA: A1 & B1 Agonist
* Arterial and Venous constriction
* Increase MAP
* Increase SVR
Norepinephrine
| Levophed
37
Another name for Vecuronium
Norcuron
38
Another name for Diltiazem
Cardizem
39
Another name for Brevibloc
Esmolol
40
* Type of recepror
* ____ vessels (vasoconstriction)
* ____ Brain & Peripheral SNS control
Alpha receptors
A1
A2
41
Another name for Esmolol
Brevibloc
42
Common dosing for Norepi
| Levophed
* 5-20mcg/min
* Max 300 mcg/min in sepsis
* Common titration range: 2-5 mcg/min Q5-10min
43
# What medication is this?
* MOA: Selective A2 Agonist
* Can cause drowsiness
* Decr MAP & HR
* Preffered in vent weaning as resp NOT affected
Precedex
| Dexmedetomidine
44
Dosing for norcuron
* Common dosing: 0.8-1.7 mcg/kg/min
* Common titration range: 0.2mcg/kg/min Q1 hr
45
Dosing for Angiotension II
* Common dosing: 10-40 NG/KG/min
* MAX: 80 NG/KG/min in first 3 hrs
* Common titration: 5 NG/KG/min Q5 mins
46
# What medication is this?
* MAO: Acts on RASS to inc BP, release aldosterone & ADH
* Vasoconstriction (Inc MAP)
* Not first line; concomitant use w/ other vasopressors prefered
Angiotensin II
| Giapreza
47
Common dosing for vasopressin
| ADH
* Common dosing: 0.03-0.04
* NOT TITRATABLE
48
Common dosing for dobutamine
Common dosing: 2-20 mcg/kg/min
Common titration range: 2.5/kg/min Q5 mins
49
Another name for Diprivan
Propofol
50
Norepi is a presursor for what?
Epi
51
# What medication is this?
* MAO: Cardio-selective b1 blocker
* Decr HR, CO/CI, MAP, AND SVR
* Decr cardiac O2 demand
Esmolol
| Brevibloc
52
Another name for Cordarone
Amiodarone
53
Another name for Dexmedetomidine
Precedex
54
Another name for Milrinone
Primacor
55
# What medication is this?
* MAO: CA+ channel blocker resulting in coronary & systemic vasodialation
* Decr MAP
* Monitor for reflex tachycardia
Cardine
| Nicardipine
56
Another name for Cardine
Nicardipine
57
# What medication is this?
* MAO: CA+ channel blocker & class IV anti-arrythmic
* Decr MAP
* HR control in acute afib or afib rvr
* Antidote: CA+
Diltiazem
| Cardizem
58
# What medication is this?
* MAO: A1 & B1 Agonist
* Arterial & Venous constriction
* Increases HR, MAP, CO, & SVR
* Increases myocardial contractility & O2 Consumption
Epinephrine
| Adrenaline
59
Another name for norcuron
Vecuronium
60
Another name for Giapreza
Angiotension II
61
Moderate dosing for dopamine and use
* 3-5 mcg/kg/min
* B1 Agonist = vasoconstriction
* Inc MAP & SVR
62
Antidote for Cardine
Calcium
63
Another name for Norepinephrine
Levophed
64
Low dose for dopamine & use
* 1-3 mcg/kg/min
* Inc UOP
* Mild Inc HR & MAP
65
Common dosing for phenylephrine
| Neosynephrine
* Common dosing: 50-30 mcg/min
* Max: 300 mcg/min
* Common titration range: 50mcg/min Q5 mins
66
Another name for Amiodarone
Cordarone
67
Train of four testing
* Used to assess for NM blockage
* Place on ulnar side of wrist & record # of twitches
* Place above lateral brow & record # of eyebrow twitches
68
Dosing for Amiodarone
| Cordarone
* Loading dose: 150 mg bolus over 10 min
* Common dosing: 1mg/min for first 0-6 hrs; 0.5 mg/min after > 6 hrs
* Common titration: Non-titratiable either 0.5 or 1. Eventually bridge to PO dosing after 24 hrs
