NURS MISC Critical Care Test 1 - Respiratory Testbank All Top Tested Questions and Correct Answers 2024
epinephrine - • Vasoconstrictor (increase HR + BP) what is epinephrine for? - • Cardiac arrest • Bradycardia • Allergic reactions SE of epinephrine - • Tachy, HTN, chest pain (angina) • Cause arrhythmias • Increase workload of the heart • Anxiety/ tremor • Hyperglycemia (breaks down glycogen) vasopressin - • Antidiuretic hormone • Increase BP what is vasopressin for? - • Code, cardiac arrest, replace epi, ACLS protocol • Hypotension lidocaine - • Antidysrhythmic • Decreases automaticity of the heart what is lidocaine for? - • Short-term use of Ventricular Dysrhythmias • ACLS protocol lidocaine nursing management - • Can cause drowsiness, altered LOC, paresthesia, seizures • Monitor Vital signs, EKG • Ensure Crash Cart nearby • Use with caution in liver and kidney failure, Heart blocks, bradycardia, and heart failure. • Many neg SE like toxicity, numbs heart • Toxicity = CNS changes • Weight based loading doses. • Adjust rate based on cardiac response • CAN NOT USE more than 24 hours Amiodarone - • antidysrhythmic (tachy) • Action: reduces automaticity of SA Node, dilates coronary arteries (slows nerve impulses) What is amiodarone used for? - • A fib • Recurrent v fib • Recurrent v tach • A flutter cautions about amiodarone - • Can cause pulmonary toxicity, Sinus brady, and AV blocks • Can cause blue gray color to skin (not related to cyanosis) • Use Central Line (hard on veins) • Must use IV Filter for administration (especially w continuous) • Use with caution in Heart Failure what is atropine used for? - Symptomatic Brady adenosine - • Stops the heart, decreases automaticity of the SA node (I seen/sine the light) what is adenosine used for? - • SVT, and Wolf Parkinson White syndrome
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