BCPS - Questions With Correct Solutions
Loop diuretics conversion
Bumetanide-torsemide-furosemide-ethacrynic acid ✔️Ans - 0.5-10-20-
25
HF max dose: captopril ✔️Ans - 50 TID
HF max dose:enalapril ✔️Ans - 10 BID
HF max lisinopril ✔️Ans - 20 daily
HF max ramipril ✔️Ans - 10 daily
HF max losartan ✔️Ans - 150 daily
HF max valsartan ✔️Ans - 150 BID
HF max carvedilol ✔️Ans - 25 BID
HF max Metoprolol S ✔️Ans - 200 daily
Digoxin HF trough level ✔️Ans - 0.5-0.9
Non-selective beta blockers ✔️Ans - labetalol, carvedilol
Use if AF and HTN
Dabigatran renal dosing ✔️Ans - CrCl>30: 150 BID
CrCl 15-30:75 BID
CrCl<15 CI
Antidote:idarucizumab
Normal CVP ✔️Ans - 8-12 mmHg
Dopamine AE ✔️Ans - arrhythmias- can be used in tachycardia
Prolonged infusion can deplete endogenous NE stores- loss of vasopressor
response
lowdose-beta1, DA
, moderate- all
high-alpha1,beta1, DA
Phenylephrine AE ✔️Ans - reflex bradycardia, reduction in CO
Minimal cardiac activity- alpha 1 only
Use in vasopressor-induced tachycardia or persistent hypotension
Dobutamine AE ✔️Ans - MI- tacharrhythmias, change in BP
Hypotension
alpha 1, beta 1, beta 2
Milrinone ✔️Ans - hypotension, arrythmias
renal adjustment
NE AE ✔️Ans - alpha 1, beta 1
peripheral ischemia
induce tachyarrhythmias, MI
Epinephrine AE ✔️Ans - all receptors
increase blood glucose, lactate
Vasopressin AE ✔️Ans - peripheral vasoconstriction, peripheral
necrosis
No adrenergic activity-can be used in acidosis, hypoxia
Max dose 0.04 units/min
PCO2 normal values ✔️Ans - 35-45 mm Hg
HCO3- normal values ✔️Ans - 22-26 mEq/L
AG equation ✔️Ans - AG = Na - (Cl + HCO3)
NL = 5-15
Hypothermia ROSC ✔️Ans - 32-36C x 12-24h
SaO2 ROSC ✔️Ans - 94% or higher
Lorazepam (Ativan) adverse effects ✔️Ans - propylene glycol toxicity:
osmolol gap>10-12
Loop diuretics conversion
Bumetanide-torsemide-furosemide-ethacrynic acid ✔️Ans - 0.5-10-20-
25
HF max dose: captopril ✔️Ans - 50 TID
HF max dose:enalapril ✔️Ans - 10 BID
HF max lisinopril ✔️Ans - 20 daily
HF max ramipril ✔️Ans - 10 daily
HF max losartan ✔️Ans - 150 daily
HF max valsartan ✔️Ans - 150 BID
HF max carvedilol ✔️Ans - 25 BID
HF max Metoprolol S ✔️Ans - 200 daily
Digoxin HF trough level ✔️Ans - 0.5-0.9
Non-selective beta blockers ✔️Ans - labetalol, carvedilol
Use if AF and HTN
Dabigatran renal dosing ✔️Ans - CrCl>30: 150 BID
CrCl 15-30:75 BID
CrCl<15 CI
Antidote:idarucizumab
Normal CVP ✔️Ans - 8-12 mmHg
Dopamine AE ✔️Ans - arrhythmias- can be used in tachycardia
Prolonged infusion can deplete endogenous NE stores- loss of vasopressor
response
lowdose-beta1, DA
, moderate- all
high-alpha1,beta1, DA
Phenylephrine AE ✔️Ans - reflex bradycardia, reduction in CO
Minimal cardiac activity- alpha 1 only
Use in vasopressor-induced tachycardia or persistent hypotension
Dobutamine AE ✔️Ans - MI- tacharrhythmias, change in BP
Hypotension
alpha 1, beta 1, beta 2
Milrinone ✔️Ans - hypotension, arrythmias
renal adjustment
NE AE ✔️Ans - alpha 1, beta 1
peripheral ischemia
induce tachyarrhythmias, MI
Epinephrine AE ✔️Ans - all receptors
increase blood glucose, lactate
Vasopressin AE ✔️Ans - peripheral vasoconstriction, peripheral
necrosis
No adrenergic activity-can be used in acidosis, hypoxia
Max dose 0.04 units/min
PCO2 normal values ✔️Ans - 35-45 mm Hg
HCO3- normal values ✔️Ans - 22-26 mEq/L
AG equation ✔️Ans - AG = Na - (Cl + HCO3)
NL = 5-15
Hypothermia ROSC ✔️Ans - 32-36C x 12-24h
SaO2 ROSC ✔️Ans - 94% or higher
Lorazepam (Ativan) adverse effects ✔️Ans - propylene glycol toxicity:
osmolol gap>10-12
