VPT Flashcards
1
Q
Normal CVP
A
0-8
2
Q
Normal pulm cap wedge
A
5-12
3
Q
normal CO
A
4-6 L/min
4
Q
normal CI
A
2.5-4.2 L/min/m2
5
Q
normal SVR
A
770-1500 dynes/sec/cm5
6
Q
normal PVR
A
40-140 dynes/sec/cm5
7
Q
normal MPAP
A
10-18 mmHg
8
Q
CVP decreased HR increased PAP decreased ART decreased CO decreased SVR increased type of shock treatments
A
Hypovolemia
Volume resuscitation
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
10
Q
CVP increased PAP increased ART decreased CO decreased SVR increased type of shock treatments
A
CHF
dobutamine
dopamine
epinephrine
11
Q
CVP decreased HR decreased ART increased SVR increased type of shock treatments
A
Peripheral hypertension
nitroprusside
nitroglycerin
12
Q
CVP increased PAP increased ART decreased PVR increased type of shock treatments
A
Pulm Hypertension Dobutamine/Nitro Milrinone Nitric Oxide Prostaglandin E1
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
14
Q
normal arterial oxygen content
A
20 ml O2/dL blood
15
Q
normal mixed venous O2 content
A
15
16
Q
normal pulm capillary O2 content
A
21
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
```
Esmolol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
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
```
Hydralazine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
20 mg/ml
10-20mg
no infusion
directly dilated peripheral vessels
27
```
Isoproterenol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
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
```
Labetalol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
5 mg/ml
20-80 mg q10 min
0.5-2 mg/min
no per kg
Antagonist alpha1, B1-2
```
29
```
Lidocaine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
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
```
Magnesium
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
40 mg/ml
2 gm
1 gm/hr
no per kg
31
```
Milrinone
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
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
```
Nicardipine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
0.2 mg/ml
no bolus
5-15 mg/hr
1-4 mcg/kg/min
33
```
Nitroglycerin
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
0.2 mg/mL
50-100 mcg
5-100 mcg/min
0.5-5 mcg/kg/min
Decreases preload much more than afterload
```
34
```
Norepinephrine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
64 mcg/mL
no bolus
2-16 mcg/in
0.05-0.4 mcg/kg/min
alpha 1,2 and B1 agonist
```
35
```
Phentolamine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
5 mg/mL
5-15 mg over 1-2 min
no infusion
Alpha antagonist
36
```
Phenylephrine
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
0.16 mg/Ml
50-500 mcg
5-15 mg over 1-2 min
10-50 mcg/min
Selective a1 antagonist
```
37
```
Procainamide
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
4 mg/ml
100 mg q5 min
2-6 mg/min
no per kg
Class IA antiarrhythmic
```
38
```
Propranolol
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
1 mg/ml
0.5-1mg up to 1mg/kg
no infusion rates
Nonselective beta antagonist
39
```
Sodium Nitroprusside
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
```
0.5 mg/mL
50-100 mcg
no infusion rate
0.5-3 mcg/kg/min
Decreases afterload more than preload. Direct vasodilator
```
40
```
Vasopressin
Standard concentration
Bolus Dose
Infusion Rate
Infusion rate per kg
Comments
```
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)
