Meds

Question 1

Inotropes

Answer 1

Increase heart contractility

Increase CO, BP

Question 2

Dopamine

Answer 2

Low dose renal (dopaminergic) .5-2
Med dose beta (heart contractility) 5-10
High dose alpha vasoconstriction >10 mcg/kg/min
For shock (cardio, septic), open hearts

Question 3

Dobutamine

Answer 3

Increase heart contractility and increases heart rate
Lowers PVR peripheral vascular resistance
2.5-20 mcg/kg/min
For CHF, shock (cardio, septic)

Question 4

Norepinephrine

Answer 4

Low dose beta/ high alpha 
For shock (cardio, septic), GIB

Question 5

If Levo infiltrates treat with

Answer 5

Regitine

Question 6

Epinephrine

Answer 6

Low dose beta/high alpha
.005-.02 beta increase HR, decrease SVR
High doses increase SVR, BP, renal constriction
For cardiac arrest, shock, anaphylaxis, asthma

Question 7

Phenylephrine

Answer 7

Pure alpha increase BP, PAP, heart and
renal constriction
40-60 mcg/min

Question 8

Vasopressin

Answer 8

Alpha vasoconstrictor

ACLS 40 units, IV .04 units/min

Question 9

Milrinone

Answer 9

Phosphodiasterase inhibitor
Increases CO
for acute CHF, cardiomyopathy

Question 10

Nipride

Answer 10

Vasodilator, decrease SVR
for severe Heart Failure, M regurg, HTN crisis
0.25-10 mcg/kg/min
S/E: cyanide toxicity

Question 11

Nesiritide (Natrecor)

Answer 11

BNP, vasodilation, natriuresis,

Not compatible with lasix, bumex, insulin, heparin

Question 12

Nicardipine (Cardene)

Answer 12

CCB, lower BP and after load

0.1 mg/hr

Question 13

Beta Blockers

Answer 13

Decrease heart contractility

Squeeze blood out slower

Question 14

Calcium Channel Blocker

Answer 14

Slows electrical conduction, dilates to decrease SVR

Question 15

Alpha and beta drugs

Answer 15

AC -BD
Alpha constricts
Beta dilates