CVICU EXAM WITH CORRECT
ANSWERS
Diltiazem (Cardizem) ✔️✔️calcium channel blocker. Indication: afib, a flutter with RVR ,
SVT. Effects: slows SA and AV node to cause aterial vasodilation. Side effects: bradycardia,
hypotension, av block , chf , edema and rash. Dosage: 5-15mcg
Lidocaine ✔️✔️Antiarrhythmic and local anesthetic l. Indication: ventricular arrhythmia.
Effects: suppresses automatic of conduction tissue by increasing stimulation threshold of
ventricle. Side effects: headache , bradycardia, vasospasms, nausea. Dosage: 1-4 mg
Esmolol ✔️✔️Cardioselective Beta-Blocker. Indication:ST, SVT, hypertension ( hypertensive
crisis). Effects: slows sinus HR, decreases cardiac output and BP. Side effects: hypotension,
bradycardia, heart block , heart failure and bronchspasm. Dosage: 50-200mcg. Considerations:
do not stop abruptly, 9 min half life , level 1 drug only
Nicardipine (Cardene) ✔️✔️calcium channel blocker. Indication: management of
hypertension. Effects: depresses vascular smooth muscle contraction to decrease SVR and BP ,
can increase HR and CO. Side effects: hypotension, palpitations, peripheral edema. Dosage: 5-15
mg. Considerations: 14 hour half life
Nitroprusside (Nipride) ✔️✔️antihypertensive, vasodilator. Indication: hypertensive crisis.
Effects: vasodilation, decreases SVR, moderate preload reduction and strong afterload reduction.
, Side effects: hypotension, cyanide toxicity, reflex tachycardia, confusion, tinnitus, vomiting,
seizures. Dosage l: 0.3-2 mcg. Considerations: less than 10 min half life
Nitroglycerin (Tridil) ✔️✔️vasodilator, antianginal. Indication: acute coronary syndrome,
decompensated heart failure. Effects: dilates coronary artery, improves blood flow. Side effects:
headache, hypovolemia, hypotension, Brady. Dosage: 10-200 mcg. Considerations: always in
glass bottle, vent the bottle , do not give with "fil" drugs
Propofol (Diprivan) ✔️✔️general anesthetic. Indication: sedation in vented patients. Effects:
global cns depression thru GABA receptors. Side effects: bradycardia, hyper triglycerides,
hypotension, PRIS. Dosage: 5-50 mcg. Considerations: ivp by provider only , rapid onset , 40
min half life , IV tubing change every 12 hours
Dexmedetomidine (Precedex) ✔️✔️sedation , alpha 2 adrenergic agonist. Indication: sedation,
agitation. Dosage: 0.2-2't
Fentanyl ✔️✔️Opioid Analgesic. Indication: analgesia , sedation. Effects: inhibits ascending
pain pathways , increases pain threshold. Side effects: respiratory depression, constipation,
confusion, hypotension. Dosage: 25-250mcg. Used with versed commonly
Versed (midazolam) ✔️✔️Benzodiazepine. Indication: agitation, sedation. Effects:
enhancement of effects of GABA. Side effects: bradycardia, hypotension, respiratory depression,
delirium. Dosage: 2-8 mg.
ANSWERS
Diltiazem (Cardizem) ✔️✔️calcium channel blocker. Indication: afib, a flutter with RVR ,
SVT. Effects: slows SA and AV node to cause aterial vasodilation. Side effects: bradycardia,
hypotension, av block , chf , edema and rash. Dosage: 5-15mcg
Lidocaine ✔️✔️Antiarrhythmic and local anesthetic l. Indication: ventricular arrhythmia.
Effects: suppresses automatic of conduction tissue by increasing stimulation threshold of
ventricle. Side effects: headache , bradycardia, vasospasms, nausea. Dosage: 1-4 mg
Esmolol ✔️✔️Cardioselective Beta-Blocker. Indication:ST, SVT, hypertension ( hypertensive
crisis). Effects: slows sinus HR, decreases cardiac output and BP. Side effects: hypotension,
bradycardia, heart block , heart failure and bronchspasm. Dosage: 50-200mcg. Considerations:
do not stop abruptly, 9 min half life , level 1 drug only
Nicardipine (Cardene) ✔️✔️calcium channel blocker. Indication: management of
hypertension. Effects: depresses vascular smooth muscle contraction to decrease SVR and BP ,
can increase HR and CO. Side effects: hypotension, palpitations, peripheral edema. Dosage: 5-15
mg. Considerations: 14 hour half life
Nitroprusside (Nipride) ✔️✔️antihypertensive, vasodilator. Indication: hypertensive crisis.
Effects: vasodilation, decreases SVR, moderate preload reduction and strong afterload reduction.
, Side effects: hypotension, cyanide toxicity, reflex tachycardia, confusion, tinnitus, vomiting,
seizures. Dosage l: 0.3-2 mcg. Considerations: less than 10 min half life
Nitroglycerin (Tridil) ✔️✔️vasodilator, antianginal. Indication: acute coronary syndrome,
decompensated heart failure. Effects: dilates coronary artery, improves blood flow. Side effects:
headache, hypovolemia, hypotension, Brady. Dosage: 10-200 mcg. Considerations: always in
glass bottle, vent the bottle , do not give with "fil" drugs
Propofol (Diprivan) ✔️✔️general anesthetic. Indication: sedation in vented patients. Effects:
global cns depression thru GABA receptors. Side effects: bradycardia, hyper triglycerides,
hypotension, PRIS. Dosage: 5-50 mcg. Considerations: ivp by provider only , rapid onset , 40
min half life , IV tubing change every 12 hours
Dexmedetomidine (Precedex) ✔️✔️sedation , alpha 2 adrenergic agonist. Indication: sedation,
agitation. Dosage: 0.2-2't
Fentanyl ✔️✔️Opioid Analgesic. Indication: analgesia , sedation. Effects: inhibits ascending
pain pathways , increases pain threshold. Side effects: respiratory depression, constipation,
confusion, hypotension. Dosage: 25-250mcg. Used with versed commonly
Versed (midazolam) ✔️✔️Benzodiazepine. Indication: agitation, sedation. Effects:
enhancement of effects of GABA. Side effects: bradycardia, hypotension, respiratory depression,
delirium. Dosage: 2-8 mg.
