IV drips lecture

Question 1

Drug class:

• levophed
• neosynephrine
• dopamine*

Answer 1

Vasopressors

*cardiac contractility

Question 2

Drug class:

• atracurium
• cisatracurium
• Vecuronium

Answer 2

Neuromuscular blockades

“paralyzers” to be on a ventilator

Question 3

Titration Orders

MSG-IT

Answer 3

M- max rate
S- start rate
G- titration goal
I- increments of titration
T- time lapse between titration

Question 4

when titrating a drip, what type of weight do you want?

Answer 4

Their “dry weight”

-weight at admission

Question 5

RASS scale:

+4

Answer 5

combative, danger to staff

Question 6

RASS:

+3

Answer 6

Very agitated. Pulls on lines

Question 7

RASS:

+2

Answer 7

agitated. non-purposful movement

Question 8

RASS:

+1

Answer 8

Restless and anxious

Question 9

RASS:

0

Answer 9

Alert and calm

Question 10

RASS:

-1

Answer 10

drowsy but maintains eyes open >10 sec

Question 11

RASS

-2 ***

Answer 11

light sedation, eyes open to command

*desired RASS

Question 12

RASS

-3

Answer 12

Moderate sedation, any movement except eye movement

Question 13

RASS

-4

Answer 13

Deep sedation. no response to voice but movement to stimulation

Question 14

RASS

-5

Answer 14

Unarousable.

Question 15

When to assess RASS for Propofol

Answer 15

• before initiation
• every hour
• after each titration

Question 16

Train of 4:

desired goal

Answer 16

2/4 twitches

Question 17

Train of 4:

when to titrate down

Answer 17

1/4 twitches

Question 18

Train of 4:

when to titrate up

Answer 18

3/4 twitches.

not paralyzed enough

Question 19

how often do you change ECG electrrodes?

Answer 19

Q8 hr

Question 20

when to call MD with titrated drips

Answer 20

If you reach the maximum rate and the desired goal is NOT met