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New to ICU > Continuous infusions > Flashcards

Continuous infusions Flashcards

1
Q

Another name for neosynephrine

A

Phenylephrine

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2
Q

Common dosing for epinephrine

Adrenaline

A
  • Common dosing: 1-20 mcg/min
  • Common titration range: 1-2 mcg/min Q5 mins
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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
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4
Q

Common titration for dopamine

A

2.5-5mcg/kg/min Q5 min

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5
Q

Dosing for cardizem

A
  • Common dosing: 5-15 mg/hr
  • Common titration: 2.5-5 mg/hr Q30 min
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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’

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7
Q

What medication is this?

  • MOA: NM receptor blocker
  • Paralysis
  • Use train of four to assess for NM blockage
A

Norcuron

Vecuronium

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8
Q

Another name for Nicardipine

A

Cardine

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9
Q

Another name for Primacor

A

Milrinone

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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

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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
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12
Q

Another name for Adrenaline

A

Epinephrine

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13
Q

Another name for propofol

A

Diprivan

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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
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15
Q

Another name for phenylephrine

A

Neosynephrine

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16
Q

Dosing for Cardine

Nicardipine

A
  • Common dosing: 5-15 mg/hr
  • Common titration: 2.5 mg/hr Q5-15 min
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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

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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

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19
Q

What medication is this?

  • MAO: A1 Agonist
  • Increase MAP and SVR
  • Coronary vasoconstriction
A

Phenylephrine

Neosynephrine

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20
Q

Another name for epinephrine

A

Adrenaline

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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’

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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

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23
Q
  • Type of receptors
  • ____ Heart - inc rate
  • ____ Lungs - bronchodialation
A

Beta receptors
B1
B2

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24
Q

Dobutamine precaution

A

> 72 hrs may cause down-regulation of beta receptors

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25
Q

Another name for Vasopressin

A

ADH

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26
Q

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
A

Vasopressin

ADH

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27
Q

What kind of tubing is used for amiodarone

A

0.22 micron filter in IV tubing

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28
Q

Another name for precedex

A

Dexmedetomidine

29
Q

Common dosing for esmolol

Brevibloc

A
  • Common dosing: 50-300 mcg/kg/min
  • Common titration range: 25-50 mcg/kg/min
30
Q

Precidex dosing

A
  • Common dosing: 0.5-1.5 mcg/kg/min
  • Common titration range: 0.1mcg/kg/min Q30 mins
31
Q

Another name for ADH

A

Vasopressin

32
Q

Another name for Levophed

A

Norepinephrine

33
Q

Dopamine pure A1 Agonist dose

A

> 10 mcg/kg/min

34
Q

Another name for Cardizem

A

Diltiazem

35
Q

Another name for angiotensin II

A

Giaperza

36
Q

What medication is this?

  • First-line vasopressor used in septic patients
  • MOA: A1 & B1 Agonist
  • Arterial and Venous constriction
  • Increase MAP
  • Increase SVR
A

Norepinephrine

Levophed

37
Q

Another name for Vecuronium

A

Norcuron

38
Q

Another name for Diltiazem

A

Cardizem

39
Q

Another name for Brevibloc

A

Esmolol

40
Q
  • Type of recepror
  • ____ vessels (vasoconstriction)
  • ____ Brain & Peripheral SNS control
A

Alpha receptors
A1
A2

41
Q

Another name for Esmolol

A

Brevibloc

42
Q

Common dosing for Norepi

Levophed

A
  • 5-20mcg/min
  • Max 300 mcg/min in sepsis
  • Common titration range: 2-5 mcg/min Q5-10min
43
Q

What medication is this?

  • MOA: Selective A2 Agonist
  • Can cause drowsiness
  • Decr MAP & HR
  • Preffered in vent weaning as resp NOT affected
A

Precedex

Dexmedetomidine

44
Q

Dosing for norcuron

A
  • Common dosing: 0.8-1.7 mcg/kg/min
  • Common titration range: 0.2mcg/kg/min Q1 hr
45
Q

Dosing for Angiotension II

A
  • 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
Q

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
A

Angiotensin II

Giapreza

47
Q

Common dosing for vasopressin

ADH

A
  • Common dosing: 0.03-0.04
  • NOT TITRATABLE
48
Q

Common dosing for dobutamine

A

Common dosing: 2-20 mcg/kg/min
Common titration range: 2.5/kg/min Q5 mins

49
Q

Another name for Diprivan

A

Propofol

50
Q

Norepi is a presursor for what?

A

Epi

51
Q

What medication is this?

  • MAO: Cardio-selective b1 blocker
  • Decr HR, CO/CI, MAP, AND SVR
  • Decr cardiac O2 demand
A

Esmolol

Brevibloc

52
Q

Another name for Cordarone

A

Amiodarone

53
Q

Another name for Dexmedetomidine

A

Precedex

54
Q

Another name for Milrinone

A

Primacor

55
Q

What medication is this?

  • MAO: CA+ channel blocker resulting in coronary & systemic vasodialation
  • Decr MAP
  • Monitor for reflex tachycardia
A

Cardine

Nicardipine

56
Q

Another name for Cardine

A

Nicardipine

57
Q

What medication is this?

  • MAO: CA+ channel blocker & class IV anti-arrythmic
  • Decr MAP
  • HR control in acute afib or afib rvr
  • Antidote: CA+
A

Diltiazem

Cardizem

58
Q

What medication is this?

  • MAO: A1 & B1 Agonist
  • Arterial & Venous constriction
  • Increases HR, MAP, CO, & SVR
  • Increases myocardial contractility & O2 Consumption
A

Epinephrine

Adrenaline

59
Q

Another name for norcuron

A

Vecuronium

60
Q

Another name for Giapreza

A

Angiotension II

61
Q

Moderate dosing for dopamine and use

A
  • 3-5 mcg/kg/min
  • B1 Agonist = vasoconstriction
  • Inc MAP & SVR
62
Q

Antidote for Cardine

A

Calcium

63
Q

Another name for Norepinephrine

A

Levophed

64
Q

Low dose for dopamine & use

A
  • 1-3 mcg/kg/min
  • Inc UOP
  • Mild Inc HR & MAP
65
Q

Common dosing for phenylephrine

Neosynephrine

A
  • Common dosing: 50-30 mcg/min
  • Max: 300 mcg/min
  • Common titration range: 50mcg/min Q5 mins
66
Q

Another name for Amiodarone

A

Cordarone

67
Q

Train of four testing

A
  • Used to assess for NM blockage
  • Place on ulnar side of wrist & record # of twitches
  • Place above lateral brow & record # of eyebrow twitches
68
Q

Dosing for Amiodarone

Cordarone

A
  • 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

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