2026 COMPLETE ANSWERS ACCURATE
⫸ Dobutamine mechanism of action Answer: contractility
⫸ Dopamine at a low-end dose "renal dose" Answer: 0.5-4mcg/kg/min
increases renal and mesentric perfusion
⫸ Dopamine at a mid-range dose Answer: 4-10mcg/kg/min
increases contractility and heart rate
⫸ Dopamine at a high-range dose Answer: greater than 10mcg/kg/min
vasoconstriction and increases BP
⫸ Dopamine and Levophed infiltration Answer: leads to tissue necrosis
⫸ Dopamine antidote Answer: regitine (phentolamine)
⫸ TpA monitor for Answer: bleeding-hemorrhagic CVA
⫸ diltiazem (cardizem) works by? Answer: (calcium channel blocker)
slows ventricular rate by slowing conduction through the SA and AV
node
,⫸ Diltazem (cardizem) biggest effect on which hemodynamic Answer:
hypotension
⫸ diltazem is used for patients with Answer: a-fib or a-flutter
⫸ amiodarone (Cordarone) is a Answer: antiarrythmic
prolongs the cardiac duration
⫸ You MUST use a __________ when using amiodarone infusion
Answer: 0.22 micron filter
⫸ Watch out for ____________ in patients on a amiodarone infusion
Answer: hypotension, prolongation of QT interval and bradycardia
⫸ amiodarone is used for patients with Answer: a-fib, a-flutter and VT
⫸ how much amiodarone is given to a stable VT with a pulse and a
unstable pulseless VT/VF? Answer: 150mg over 10min for VT with
pulse
300mg push; repeat x1 at 150mg
⫸ Epinephrine has what effect on the body? Answer: increases HR, BP,
and contractility
, ⫸ what is the first line drug for pulseless arrest? Answer: Epinephrine
⫸ What rhythms are considered fatal? Answer: V-fib, Vtach (pulseless),
and asystole
⫸ Epinephrine is also given for? Answer: anaphylaxis and as a
vasopressor for hypotension
⫸ Heparin is used for? Antidote is? Answer: anticoagulant
Protamine Sulfate
⫸ What is the osmotic diuretic of choice to decrease intracranial
pressure? Answer: mannitol
⫸ How does mannitol work? Answer: pulls fluids into intravascular
space to be excreted by the kidneys to reduce intracranial pressure
⫸ what insulin is given IV?
What is the peak? Answer: Regular insulin can only be given IV
2-4 hr peak time
⫸ Which insulin has a peak of 8-14 hrs? Answer: NPH