Pharmacology

Question 1

Classification of amiodorone (Cordarone)

Answer 1

antiarrhythmic

Question 2

Dosing of amiodorone

Answer 2

loading- 150mg over 10 mins

maintenance- 0.5mg/min

Question 3

Indications for amiodorone

Answer 3

ventricular Fib, V-tach, a-fib, superventricular arrhythmias

Leading drug for cardiac arrest

Question 4

Classifications of diltizem (Cardizem)

Answer 4

Ca channel blocker, antiarrhythmia

Question 5

Dosage of diltizem (Cardizem)

Answer 5

5mg/hr-15mg/hr

Question 6

Indications for diltizem

Answer 6

a-fib, atrial flutter with rapid ventricular response

Question 7

side effects of diltizem

Answer 7

flushing, hypotension, bradycardia, chest pain, CHF, constipation, dizziness, dry mouth

Question 8

side effects of amiodorone (Cordarone)

Answer 8

hypotension, bradycardia, arrhythmias, dry eyes, renal impairment, pruritis, OD-AV block

Question 9

classification of dopamine

Answer 9

ionotropic agent, cardiac stimulant, vasopressor

Question 10

dose of dopamine

Answer 10

2-20mcg/kg/min

Question 11

indications for dopamine

Answer 11

drug of choice for hypotension or shock

Question 12

side effects of dopamine

Answer 12

tachycardia or bradycardia, anginal pain, dyspnea, hypotension, nausea, vasoconstriction

Question 13

side effects of labetolol

Answer 13

diaphoresis, dizziness, flushing, hypotension, numbness, nausea, ventricular dysrhythmias

Question 14

classification of natrecor (Nesiritide)

Answer 14

cardiotonic, vasodilator

Question 15

dosage of natrecor (Nesiritide)

Answer 15

initial 2mcg/kg followed by infusion of 0.01mcg/kg/min

Question 16

Indications for natrecor (Nesiritide)

Answer 16

acutely decompensated CHF in pts who have dyspnea at rest or with minimal activity

Question 17

side effects of natrecor (Nesiritide)

Answer 17

hypotension, abdominal pain, angina, anxiety, dizziness, fever, headache, leg cramps, rash

Question 18

classification of nicardipine (Cardene)

Answer 18

Ca channel blocker, antihypertensive

Question 19

Dosage of nicardipine (Cardene)

Answer 19

0.5-15mg/hr

Question 20

indications for nicardipine (Cardene)

Answer 20

short term tx of HTN when oral therapy is not feasible or not desirable

Question 21

Side effects of nicardipine (Cardene)

Answer 21

headache, HTN, hypoTN, N/V, tachycardia, OD=bradycardia following initial tachycardia, confusion, drowsiness, flushing, hypotension, palpitations, slurred speech

Question 22

nitroprusside classification

Answer 22

antihypertensive, vasodilator

Question 23

dose range for nitroprusside

Answer 23

0.1-5 mcg/kg/min

Question 24

indications for nitroprusside

Answer 24

hypertensive emergencies

Question 25

S/E of nitroprusside

Answer 25

abdominal pain, bradycardia, flushing, headache, hypotension, dizziness, muscle twitching, increased ICP

Question 26

classification of norepinephrine

Answer 26

vasopressor

Question 27

dosage of norepinephrine

Answer 27

2-4 mcg/min

Question 28

indications for norepinephrine

Answer 28

favorite drug for ppl in shock, all hypotensive states

Question 29

S/Es of norepinephrine

Answer 29

rare when used as directed- anxiety, chest pain, decreased CO, dyspnea, headache, ischemia, seizures, vomiting

Question 30

classification of phenylephrine

Answer 30

vasopressor

Question 31

dosage of phenylephrine

Answer 31

40-60 mcg/min. Initial may be 100-180mcg/min until BP is stable

Question 32

indications for phenylephrine

Answer 32

helps maintain adequate BP

Question 33

SEs of phenylephrine

Answer 33

bradycardia, headache, tingling extremities, V-tach, HTN, vertigo

Question 34

dosage of propofal

Answer 34

25-200 mcg/kg/min, allow 5 mins btwn adjustments

Question 35

SEs of propofal

Answer 35

apnea, bradycardia, dyspnea, hypotension, hypoventilation, nausea, upper airway obstruction, headache, green urine, abdominal cramping

Question 36

Which drugs are used for tx of hypertension?

Answer 36

Labetalol, Cardene, & Nitroprusside

Question 37

Which drugs are used to tx hypotension or maintain adequate BP?

Answer 37

Dopamine, norepinephrine, phenylephrine

Question 38

Which drugs are used to tx arrhythmias?

Answer 38

Cardizem & amiodorone