Pharm For HTN emergency/urgency And MIs

Question 1

List 4 IV vasodilators that are used in hypertensive emergencies

Answer 1

Sodium nitroprusside 
Nitroglycerin 
Hydralazine
Enalaprilat
Fenoldopam
Nicardopine

Question 2

List two IV beta blockers used in HTN emergencies.

Answer 2

Esmolol

Labetalol

Question 3

List an ACE-I medication that can be given IV for HTN emergencies

Answer 3

Enalaprilat

Question 4

List a direct vasodilator medication that can be given IV for a HTN emergency

Answer 4

Hydralazine

Question 5

List the four meds that can be given for HTN urgency.

Answer 5

Catopril
Clonidine
Nifedipine
Labetalol

Question 6

List the ACE-I Med that can be given to treat HTN urgency

Answer 6

Catopril

Question 7

List the DHP CCB that can be given to treat HTN urgency

Answer 7

Nifedipine

Question 8

List the alpha-2 agonist that can be given to treat HTN urgency.

Answer 8

Clonidine

Question 9

What are the common meds that post MI patients go home with?

Answer 9

Aspirin
Clopidogrel
A statin
Beta blocker
CCB
ACE-I/ARB
nitro

Question 10

What is the first line drug used to treat septic shock?

Answer 10

Norepinephrine (it increases MAP while maintaining CO)

Question 11

What is the first line drug used to treat anaphylactic shock?

Answer 11

Epinephrine (increases CO)

Question 12

What is the first line drug used to treat anesthesia induced hypotension?

Answer 12

Phenylephrine (called “neo” sticks; vasoconstriction; increases duration of heart contraction w/o increasing HR)

Question 13

What are the “H’s” of cardiac arrest?

Answer 13

Hypovolemia 
Hypoxia
Hydrogen ions (acidosis)
Hyper/hypokalemia
Hypothermia

Question 14

What are the “T’s” of cardiac arrest?

Answer 14

Toxins
Tamponade
Tension pneumothorax
Thrombosis (MI or PE)

Question 15

What is the first line drug used to treat v-fib/v-tach w/o a pulse? (Your shockable rhythms)

Answer 15

Epinephrine

Followed by 300mg of amiodarone (Hail Mary), then lidocaine, then mag sulfate if Torsades de Pointes.

Question 16

What is your first line drug for treating asystole/PEA?

Answer 16

Epinephrine

Question 17

What is your first line drug for treating bradycardia with a pulse?

Answer 17

Atropine, followed by epi and dopamine

Question 18

What is the loading dose of amiodarone when it’s being used to treat tachycardia with a pulse?

Answer 18

150 mg over 10 min.

Question 19

Name three meds that can be used to treat tachycardia with a pulse.

Answer 19

Adenosine
Diltiazem
Amiodarone
Digoxin (PT needs to be stable)
Verapamil
Magnesium sulfate

Question 20

Name the two CCBs used to treat tachycardia with a pulse.

Answer 20

Verapamil
Diltiazem
(Both non DHP CCBs)

Question 21

Name the class III anti arrhythmic that can be used to treat tachycardia with a pulse.

Answer 21

Amiodarone

Question 22

Name the Pharmacological cardioversion treatment of SVT and A-fib

Answer 22

Amiodarone
Digoxin
Metoprolol tartrate
(All three are RATE control)

Question 23

Name the pharmacologic cardioversion meds used for V-Tach.

Answer 23

Amiodarone

Question 24

Name the pharmacologic cardioversion drug used to treat regular, monomorphic tachycardia.

Answer 24

Adenosine

Question 25

Name the pharmacologic cardioversion drug used to treat A-fib or A-flutter

Answer 25

Dofetilide (RHYTHM control)

Question 26

What med is used just prior to and during surgery in a patient with a pheochromocytoma?

Answer 26

Phentolamine

Question 27

Phenoxybenzamine and a beta blocker are used to treat what rare condition that is a cause of secondary HTN?

Answer 27

Pheochromocytoma

Question 28

What is the name of the antidote to digoxin

Answer 28

Digoxin immune fab (digibind)

Question 29

Name the inotrope that causes vasodilation and that is used to treat Bradycardia w/ a pulse. Also causes increased chronotropy and reduces LV filling pressure

Answer 29

Dobutamine

Question 30

When dopamine is given at a small dose, what happens?

Answer 30

Causes selective vasodilation, not systemic

Question 31

When dopamine is given at a large dose (10 mcg/kg/min) what happens?

Answer 31

Vasoconstriction with increased SVR. Good for treating bradycardia with a pulse.