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Exam (elaborations)

BKAT Medications (Latest 2023 – 2024) Verified Solution

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BKAT Medications (Latest 2023 – 2024) Verified Solution Nitroprusside - Mechanism of Action : Decreases Preload and AFTERLOAD through vasodilation Side effects/Precautions: - No sunlight - Cyanide toxicity - Hypotension Used for: acute hypertensive episodes Dobutamine - Mechanism of Action: Positive inotrope- effects contractility Dopamine - Low dose (0.5-4mcg): Stimulates dopaminergic receptors and increases renal and mesenteric perfusion "Renal dose" Mid-range dose (4-10mcg): Stimulates beta receptors to increase contractility and heart rate High range dose (greater than 10mcg): Stimulates alpha receptors - vasoconstriction and increase in BP Side effects: - Ventricular dysrhythmias - Tachycardia - Infiltration = necrosis (Vasoconstriction of capillary beds) Antidote: regitine (phentolamine) - same for levophed necrosis tPA - Thrombolytic Monitor for bleeding 9 Risk: hemorrhagic CVA Diltiazem (Cardizem) - CCB, slows ventricular rate by slowing conduction through SA and AV node Watch for: - hypotension Used for: Slowing ventricular rate in A-Fib/flutter Amiodarone (Cordarone) - Anti arrhythmic Prolongs cardiac potential duration MUST use a 0.22 micron filter for infusion watch for: - hypotention - Prolonged QT - bradycardia Used for: A-fib and stable VT (with pulse)- 150mg over 10 min. VTp/VF: 300mg/150mg

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