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*Anesthesia JB > VPT > Flashcards

VPT Flashcards

1
Q

Normal CVP

A

0-8

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2
Q

Normal pulm cap wedge

A

5-12

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3
Q

normal CO

A

4-6 L/min

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4
Q

normal CI

A

2.5-4.2 L/min/m2

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5
Q

normal SVR

A

770-1500 dynes/sec/cm5

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6
Q

normal PVR

A

40-140 dynes/sec/cm5

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7
Q

normal MPAP

A

10-18 mmHg

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8
Q 
CVP decreased
HR increased
PAP decreased
ART decreased
CO decreased
SVR increased
type of shock
treatments
A

Hypovolemia

Volume resuscitation

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9
Q 
CVP decreased
HR increased
PAP decreased
ART decreased
CO increased
SVR decreased
PVR decreased
type of shock
treatments
A

Septic shock
Norepi
Vaso
Phenyl

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10
Q 
CVP increased
PAP increased
ART decreased
CO decreased
SVR increased
type of shock
treatments
A

CHF
dobutamine
dopamine
epinephrine

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11
Q 
CVP decreased
HR decreased
ART increased
SVR increased
type of shock
treatments
A

Peripheral hypertension
nitroprusside
nitroglycerin

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12
Q 
CVP increased
PAP increased
ART decreased
PVR increased
type of shock
treatments
A 
Pulm Hypertension
Dobutamine/Nitro
Milrinone
Nitric Oxide
Prostaglandin E1
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13
Q 
CVP increased
HR increased
PAP increased
ART decreased
CO decreased
type of shock
treatments
A

Tamponnade
Poss. Inotropes
Poss. IVF
Avoid high airway pressures

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14
Q

normal arterial oxygen content

A

20 ml O2/dL blood

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15
Q

normal mixed venous O2 content

A

15

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16
Q

normal pulm capillary O2 content

A

21

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17
Q

Normal O2 consumption

A

250 ml O2/min

18
Q

normal oxygen delivery

A

640-1000 ml O2/min

19
Q

Adenosine
Standard concentration
Bolus Dose
Comments

A

3 mg/ml
6 - 12mg
slows AV node conduction time

20
Q 
Amiodarone
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
1.5 mg/ml
150mg over 10 min
1 mg/min
2.5 mcg/kg/min up to 20
Prolongs AP phase 3 (class III antiarrhythmic)
21
Q 
Dobutamine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
2 mg/ml
no bolus dose
0.2-1.4 mg/min
3-20 mcg/kg/min
Primarily a beta 1 agonist
22
Q 
Dopamine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
3.2 mg/ml
no bolus
0.2-1.4 mg/min
3-20 mcg/kg/min
<3 mcg/kg/min DA1 agonist
5-10 mcg/kg/min B1 and B2
10-20 mcg/kg/min get alpha effect
23
Q 
Ephedrine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

50 mg/ml
5-10 mg
no infusion rates
Indirect agonist

24
Q 
Epinephrine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

16mcg/ml
10-20 mcg
2-10 mcg/min
0.02-0.15 mcg/kg/min
At less than 3 mcg/min, primarily B1 and B2
greater than 3, alpha receptors are recruited

25
Q 
Esmolol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
20mg/ml
0.5-1 mg/kg load
no infusion rate
50-100 mcg/kg/hr, may repeat bolus after 5 min, can increase ggt to 500
B1 antagonist
26
Q 
Hydralazine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

20 mg/ml
10-20mg
no infusion
directly dilated peripheral vessels

27
Q 
Isoproterenol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
4 mcg/mL
1-4 mcg
2-20 mcg/min
no per kg
Potent B agonist = drop in SVR and bronchodilation (no alpha effect)
28
Q 
Labetalol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
5 mg/ml
20-80 mg q10 min
0.5-2 mg/min
no per kg
Antagonist alpha1, B1-2
29
Q 
Lidocaine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
4 mg/ml
1-1.5 mg/kg
no infusion rate
20-50 mcg/kg/min
Class IB antiarryhthmic
Depresses AP phase 0 by inhibiting Na channels
30
Q 
Magnesium
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

40 mg/ml
2 gm
1 gm/hr
no per kg

31
Q 
Milrinone
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

0.2 mg/mL
20-25 mcg load then titrate infusion
0.2-0.75 mcg/kg/min may see arrhythmias with infusion rates greater than 0.75
Inhibits cAMP phosphodiesterase

32
Q 
Nicardipine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

0.2 mg/ml
no bolus
5-15 mg/hr
1-4 mcg/kg/min

33
Q 
Nitroglycerin
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
0.2 mg/mL
50-100 mcg
5-100 mcg/min
0.5-5 mcg/kg/min
Decreases preload much more than afterload
34
Q 
Norepinephrine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
64 mcg/mL
no bolus
2-16 mcg/in
0.05-0.4 mcg/kg/min
alpha 1,2 and B1 agonist
35
Q 
Phentolamine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

5 mg/mL
5-15 mg over 1-2 min
no infusion
Alpha antagonist

36
Q 
Phenylephrine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
0.16 mg/Ml
50-500 mcg
5-15 mg over 1-2 min
10-50 mcg/min
Selective a1 antagonist
37
Q 
Procainamide
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
4 mg/ml
100 mg q5 min
2-6 mg/min
no per kg
Class IA antiarrhythmic
38
Q 
Propranolol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

1 mg/ml
0.5-1mg up to 1mg/kg
no infusion rates
Nonselective beta antagonist

39
Q 
Sodium Nitroprusside
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A 
0.5 mg/mL
50-100 mcg
no infusion rate
0.5-3 mcg/kg/min
Decreases afterload more than preload.  Direct vasodilator
40
Q 
Vasopressin
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
A

0.2 units/mL
40 units for ACLS, 1 unit for hypotension
0.02-0.04 units/min
Bolus dose in class IIb for VF/VT (recommended that it be used as a one time single dose)

*Anesthesia JB (35 decks)

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