BKAT ICU POST TEST EXAM WITH
COMPLETE SOLUTION 2025 UPDATE
Nitroprusside purpose - Answer decreases preload and afterload by vasodilation
(mainly afterload)
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
Atropine is ineffective in which heart rhythms types? - Answer high degree AV blocks:
2nd degree type2 and 3rd degree
Atropine works by? - Answer increasing heart rate-increasing conduction through SA
node
Atropine is given to treat? - Answer symptomatic bradycardia
Dilantin is given to treat - Answer seizure disorders
DO NOT give with dilantin because will happen. - Answer DO
NOT give with dextrose containing solutions because it will crystalize
Which corticosteroid is usually given in insufficient adrenal activity or
hypersensitivity/inflammation reactions? - Answer Cortisone
COMPLETE SOLUTION 2025 UPDATE
Nitroprusside purpose - Answer decreases preload and afterload by vasodilation
(mainly afterload)
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
Atropine is ineffective in which heart rhythms types? - Answer high degree AV blocks:
2nd degree type2 and 3rd degree
Atropine works by? - Answer increasing heart rate-increasing conduction through SA
node
Atropine is given to treat? - Answer symptomatic bradycardia
Dilantin is given to treat - Answer seizure disorders
DO NOT give with dilantin because will happen. - Answer DO
NOT give with dextrose containing solutions because it will crystalize
Which corticosteroid is usually given in insufficient adrenal activity or
hypersensitivity/inflammation reactions? - Answer Cortisone
