Downers - Esmolol Flashcards

1
Q

What is the typical push dose range for Esmolol?
(Select all that apply)

A. 1-2 mg
B. 5-10 mg
C. 10-20 mg
D. 15-25 mg

A

B. 5-10 mg

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2
Q

What is the concentration of Esmolol that is typically used for dosing?

A. 1 mg/mL
B. 5 mg/mL
C. 10 mg/mL
D. 20 mg/mL

A

C. 10 mg/mL

Concentration: 10 mg/mL, titrate to effect

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2
Q

Which of the following describes the mechanism of action (MOA) of Esmolol?

A. Selective Beta-1 blockade
B. Non-selective Beta blockade
C. Alpha-1 receptor antagonism
D. Selective Beta-2 blockade

A

A. Selective Beta-1 blockade

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3
Q

What is the onset time of Esmolol when administered intravenously?
(Select all that apply)

A. 30 seconds
B. 1 minute
C. 5 minutes
D. 10 minutes

A

B. 1 minute

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4
Q

What is the typical duration of action for Esmolol?

A. 1 minute
B. 5 minutes
C. 10 minutes
D. 20 minutes

A

B. 5 minutes

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5
Q

What is the half-life of Esmolol?

A. 5 minutes
B. 9 minutes
C. 15 minutes
D. 30 minutes

A

B. 9 minutes

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6
Q

How is Esmolol primarily eliminated from the body?
(Select 2)

A. Degradation by ester hydrolysis
B. Hepatic metabolism
C. Renal elimination of metabolites
D. Fecal excretion

A

A. Degradation by ester hydrolysis
C. Renal elimination of metabolites

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7
Q

Which of the following side effects can be associated with Esmolol?
(Select 2)

A. Blunting of the physiological response to intubation
B. Increased seizure activity during electroconvulsive therapy (ECT)
C. Decreased seizure activity during electroconvulsive therapy (ECT)
D. Enhanced response to intubation

A

A. Blunting of the physiological response to intubation
C. Decreased seizure activity during electroconvulsive therapy (ECT)

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7
Q

Which of the following situations is Esmolol particularly useful for managing?
(Select 2)

A. Supraventricular tachycardia (SVT)
B. Long-term management of chronic heart failure
C. Intraoperative tachycardia and hypertension
D. Prevention of postoperative infection

A

A. Supraventricular tachycardia (SVT)

C. Intraoperative tachycardia and hypertension

Action: SVT; intra-op tachycardia/HTN; ultra-short acting

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