Vasoactive, Autonomic, and Cardiovascular Drugs - Med Table

Question 1

Metoprolol receptor

Answer 1

Beta 1
-Beta 2 at high doses

Question 2

Metoprolol dose

Answer 2

2.5-5 mg (up to 15mg)

I let a resident call it “METROpolol” 2.5-5 times before I correct them; 15 if I’m feeling mean.

Question 3

Metoprolol IV onset

Answer 3

onset: 1-2 min
peak: 20 min

The resident called it “METROpolol” within the first 1-2 minutes of rounds
The resident reached PEAK embarrassment after 20 minutes of being berated by the attending

Question 4

Metoprolol DOA

Answer 4

5-8 hr
Despite being humiliated on rounds, the resident will still call it “METROpolol” within 5-8hrs later.

Question 5

Labetalol receptor

Answer 5

Alpha 1, Beta 1, Beta 2

Question 6

Labetalol dose

Answer 6

2.5-20 mg (realistically 5-10 mg)

I give my lab 2.5-20 treats daily, but usually 5-10. He’s a really good boy, OK!

Question 7

Labetalol onset

Answer 7

onset: 1-2 min
peak: 5-15 min

My lab settles down about 1-2 minutes after guests walk in.

My lab is fully relaxed 5-15 minutes after

Question 8

Labetalol DOA

Answer 8

2-8 hr

My lab will hang around for 2-8 hours at a time then he goes away into his kennel

Question 9

Esmolol receptor

Answer 9

Beta 1 ANTagonist (cardioselective)

-lowers HR, prevents arrhythmia, can lower BP (FDA approved for post-intubation elevations)

Question 10

Esmolol dose

Answer 10

0.5-1.0 mg/kg (usually 10mg boluses)

I mistakenly bought a “Tickle Me Esmo” that was rated 0.5-1 star off of Temu. I see why it was $10

Question 11

Esmolol onset

Answer 11

onset: 1 min
peak: 5 min

It only took me 1 minute to realize I accidentally bought a “Tickle Me Esmo” off Temu. My daughter realized after 5 minutes.

Question 12

Esmolol DOA

Answer 12

10-30 min

I let my daughter play with “Tickle Me Esmo” from Temu for 10-30 mins until I realized it was teaching her how to swear.

Question 13

Ephedrine receptor

Answer 13

Alpha 1, Beta 1> Beta 2

Question 14

Ephedrine dose

Answer 14

5-10 mg IV MAX: 50 mg
25-50 mg IM Q4-6 hr

I’Ve become PHED up after 5-10 slides into an NA 1 lecture

The MAX I can handle is 50 slides

I’M trying my best from slide 25-50 but I need a 4-6 hr break in between

Question 15

Ephedrine onset

Answer 15

IV: ~1 min; peak: 2-5 min
IM: 10-20 min

I’Ve become PHED up with NA 1 within 1 minute of studying
My PEAK annoyance is within 2-5 min of studying
I’M PHED up during off site zoom lectures within 10-20 mins

Question 16

Ephedrine DOA

Answer 16

10-60 min

I stay PHED up with NA 1 for between 10-60 minutes until I get used to it

Question 17

Phenylephrine receptor

Answer 17

Alpha 1

Question 18

Phenylephrine dose

Answer 18

bolus: 40-100 mcg IV
“Chill lady, your pt’s BP will be PHEN with 40-100mcg!”

Question 19

Phenylephrine DOA

Answer 19

<5 min
“I said your pt would be PHEN, I didn’t say for how long!”

Question 20

Vasopressin receptor

Answer 20

V1 and V2

Question 21

Vasopressin dose

Answer 21

0.02-0.04 u/min infusion

Question 22

Vasopressin DOA

Answer 22

10-20 min

Question 23

Epinephrine receptors/dose

Answer 23

Beta 2: 1-2 mcg/min
Beta 1 + beta2 : 2-10 mcg/min
Alpha 1: >10 mcg/min

Betta 2 give 1-2mcg/min
Want both? Betta give 2-10mcg/min
A1 response? give >10mcg/min

Question 24

Epinephrine doses
-ACLS
-intraop bolus

Answer 24

Resusc: 1 mg IV
Intraop bolus: 10-100 mcg

Question 25

Epi onset

Answer 25

immediate

Question 26

Epi DOA

Answer 26

5-10 min

Question 27

Calcium Chloride dose

Answer 27

500-1000 mg

Question 28

Calcium Chloride onset

Answer 28

<1 min
peak: <1 min

Question 29

Calcium Chloride DOA

Answer 29

10-20 min

Question 30

Atropine receptors

Answer 30

anticholinergic

Question 31

Atropine dose

Answer 31

0.5 mg Q 3-5 min