Vasopressors-Hill

Question 1

what starts the actions potential

Answer 1

entry of Na into the cell

Question 2

Calcium primarily works on

Answer 2

the contractions

Question 3

If we have lots of potassium we will see

Answer 3

an tall T wave

Question 4

What is an antiarrythmic ?

Answer 4

used to treat disturbances off normal heart rythym
may have 1 or more action
can worsen or cause new arrythmias

Question 5

What is a vasopressor?

Answer 5

used to treat hemodynamically unstability
cardiac post op
sepsis
CHF

Question 6

What vasopressors naturally occur in the body?

Answer 6

epi, nori
vasopressin
dopamine

Question 7

what are some side effects of vasopressors

Answer 7

decreased perfusion to periphery, increased heart rate

extravassion-can damage cell tissues

Question 8

Class I antiarythmics are

Answer 8

Na channel blockers

Question 9

Lidocaine is a

Answer 9

class 1 antiarrythmic-Na channel blocker

Question 10

What does Lidocaine treat?

Answer 10

ventricular dysrythmias, PVC’s Vtach, Vib

Question 11

How does lidocaine work

Answer 11

decreases cellular permiablity to NA

Question 12

precautions with Lidocine!!!

Answer 12

do not use with AV blocks

Question 13

Lidocaine toxicity

Answer 13

you want to decrease the rate after 24 hours of infusion

can cause seizures and coma

Question 14

Procainamide is a

Answer 14

Na channel blocker

Question 15

Procainamide is used when

Answer 15

Lidocaine is ineffective or contraindicated
-not as potent
max dose 17 mg/kg

Question 16

Class 2 antiarrythmics are=

Answer 16

Beta Blockers

Question 17

Labetalol as as _____ & _________

used for

Answer 17

vasopressor and chronotrophic effects
treats
a fib, a flutter, HTN,

Question 18

When do we need to be cautious w/ Labetalol

Answer 18

in CHF and AV block patients

Question 19

What can Labetalol mask?

Answer 19

Hypoglycemia

Question 20

Propanolol is a __________

Answer 20

non-selective beta adrenergic blocker

Question 21

Propanalol treats SVT, PVC

DECREASES everything HR, BP, nd Contractility

Answer 21

oop

Question 22

Atenolol

Answer 22

is a beta 1 adrenergic blocking agent

Question 23

Atenolol is used to

Answer 23

treat post MI V-fib

monitor closely

Question 24

Metropolol is

Answer 24

beta 1 adrenergic clocking agent

reduces recurrence of MI and size of infarct

Question 25

Class 3antiarrythmics prolong

Answer 25

phase 3 thus increasing reploarization and refractoriness

Question 26

amiodarone is a

Answer 26

potassium channel blocker -prolongs phase 3

Question 27

Amiarodarone has charcteristics of

Answer 27

all 4 classes | treats V-Tach and V-Fib-if they are unresponsive to other meds

Question 28

side effects of amiodarone are

Answer 28

v tach, vfib, r on T, brasy, av block asystole, PATIENT WILL BE ADMITTED TO BE MONITORED LONG HALF LIFE

Question 29

Class 4 antiarrythmics

Answer 29

Ca channel

Question 30

a sign that lidocain has been used too much is

Answer 30

tingling on the lips *****

Question 31

max dose of procainamide is

Answer 31

17 mg/kg

Question 32

the best beta is

Answer 32

metropolol- opens up and relaxes

Question 33

Cardizem is a

Answer 33

calcium channel blocker

Question 34

cardizem treats

Answer 34

a flutter and afib

Question 35

Use extreme cuation with cardizem and

Answer 35

CHF, cardiogenic shock, or betas

Question 36

Verapamil is

Answer 36

calcium channel blocker | caustion w/ HTN pt

Question 37

mag sulfate is drug of choice for

Answer 37

Torsades

Question 38

what is the dose for mag sulfate

Answer 38

1-2 g in 50 ml of d5 over 5-10 minutes

Question 39

Adenosine treats | how much

Answer 39

SVT | 612 mg IV 1-2 seconds

Question 40

Atropine treats

Answer 40

asystole and symptoatic bradycardia

Question 41

atropine works at what node

Answer 41

AV

Question 42

Vasopressin affects both

Answer 42

rythm and pressure

Question 43

if patient is flat lining should we give epi or vaso first

Answer 43

vaso | wait 1 miutes before giving epi

Question 44

dopamine effects

Answer 44

blood pressure

Question 45

levophed affects

Answer 45

blood pressure(vasopressor)

Question 46

Digoxin affects

Answer 46

cardiac contractility

Question 47

when should we hold DIG

Answer 47

if apical is less than 60

Question 48

signs of dig toxicity

Answer 48

``` NV anorexia vision changes Ha confusion sagging ST brady or tachy ```

Question 49

Antidote for Dig is

Answer 49

digibind

Question 50

Dobutamine will affect contractility withoutincreasing heart rate

Answer 50

know

Question 51

Regitine

Answer 51

to treat extravision